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      <Description>Carried on supporting functions essential to Eastern Maine Medical Center, The Aroostook Medical Center, Inland Hospital, Acadia Hospital Corp., Sebasticook Valley Hospital, Charles A Dean Memorial Hospital, and Blue Hill Memorial Hospital. EMHS performed standardization of practices, strategic planning, and capital allocation functions. EMHS board established and oversees the charity care policy of the 7 hospitals which is applied uniformly to most of the hospitals. EMHS hospitals provided cumulative charity care of $26,812,465 (at cost) and other uncompensated care of $15,255,580 (at cost) for a total uncompensated care of $42,068,045. The EMHS hospitals had a Medicare shortfall of $43,282,433 and a Medicaid shortfall of $47,207,044.</Description>
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        <Description>Please see the following publication for details of community benefit projects by Eastern Maine Healthcare Systems entities.</Description>
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        <Description>In the 2009 EMHS Annual Report, we mentioned that healthcare reform would likely be passed, and that it would be a catalyst for significant changes in how we deliver healthcare. We noted at the time that care of the chronically ill would likely shift to community-based versus facility-based settings, and that the breadth of EMHS providers (including home health and long-term care) and our investments in information technology well positioned the system to embrace change.Today, as our 2010 report is published, healthcare reform is the law of the land. While details of the reform continue to be debated, many of the expected changes are underway. EMHS is not only positioned to embrace these changes, we are helping to lead the way, thanks in part to early planning and investments in our information technology infrastructure.For instance, healthcare reform brought the promise of federal stimulus funding to reimburse providers who have demonstrated "meaningful use" of information technology to improve patient care. By meaningful use, we mean that healthcare providers use technology to capture data in real time to support their treatment decisions and build on computerized protocols, or guidelines, for best practices. It also means that yourEMHS primary care provider uses computerized registries of chronic disease treatment plan elements that have been proven to improve quality of care in a preventative and proactive manner.In 2010, EMHS hospitals and physician practices initiated an ambitious project, which we call eQuest. While EMHS has already been recognized for its leadership in using information technology, the pace of investments, measured in terms of both dollars and staff expertise, needed to speed up if we were to maximize our opportunities for federal meaningful use funding. Literally hundreds of staff across our organization are intensely focused on taking EMHS to the highest levels of meaningful use in the months ahead.eQuest is organizing and focusing those efforts so that, together, we optimize this one time opportunity for federal funds.A second example of federal funding supporting a reformed delivery system is the Bangor Beacon Community initiative. Last spring, EMHS received a nearly $13 million dollar grant to demonstrate improvements in the delivery of care, using clinical information technology. EMHS' grant application is one of only 17 receiving federal funds through this competitive process across the United States. Our Beacon colleagues are among some of the most advanced healthcare systems in the nation. The EMHS Beacon application was highly regarded because of its inclusion of multiple providers (both within and outside EMHS) at multiple levels of care (including home health, long term care and other community based settings) and because of our already advanced state of linking providers via information technology. In fact, because EMHS already has a highly functioning information infrastructure in place, we have been asked to lead national Beacon affinity groups on leadership, communication, and project management. There is a statewide advisory committee attached to the Bangor Beacon Community so that learned experiences can be disseminated across all healthcare providers in Maine, continuing EMHS' commitment to sharing expertise and resources with other providers in our efforts to improve healthcare delivery for all Mainers. Additionally, at the end of the three year grant, all 17 Beacon grantees are to publish their results for nationwide learning and improvement. EMHS is extremely proud to be participating in this national effort.Within this 2010 annual report, you will read about the great work our member organizations do every day in caring for the people of Maine. We hope this will give you some valuable insight into the passion, dedication and expertise of our some 8000 employees. We appreciate your support of EMHS and all of our members.George Eaton, Esq.EMHS Board ChairM. Michelle Hood, FACHEEMHS President and CEO</Description>
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        <NamePerson>Joyce Hedlund EdD</NamePerson>
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        <NamePerson>John Simpson</NamePerson>
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        <NamePerson>John D Lafayette III</NamePerson>
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        <NamePerson>John D Dalton</NamePerson>
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        <NamePerson>John C Baker MD</NamePerson>
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        <NamePerson>Jean M Mellett</NamePerson>
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        <NamePerson>Jacob A Palmer III PhD</NamePerson>
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        <NamePerson>Gregory E Roraff</NamePerson>
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        <NamePerson>George F Eaton II Esq</NamePerson>
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        <NamePerson>Evelyn Silver</NamePerson>
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        <NamePerson>Mary M Hood</NamePerson>
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        <NamePerson>Lisa Harvey-McPherson</NamePerson>
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        <NamePerson>Leonard Giambalvo Esq</NamePerson>
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        <NamePerson>John D Dalton</NamePerson>
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        <OtherCompensationRelatedOrgs>41103</OtherCompensationRelatedOrgs>
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        <NamePerson>John C May</NamePerson>
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        <NamePerson>John C Baker MD</NamePerson>
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        <NamePerson>Jean M Mellett</NamePerson>
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        <NamePerson>Jay M Reynolds</NamePerson>
        <CompBasedOnRelatedOrgs>160069</CompBasedOnRelatedOrgs>
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        <NamePerson>Glenn Martin</NamePerson>
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        <BonusFilingOrg>15804</BonusFilingOrg>
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        <NontaxableBenefitsFilingOrg>24081</NontaxableBenefitsFilingOrg>
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        <NamePerson>Gerard J Deschaine</NamePerson>
        <BaseCompensationFilingOrg>111705</BaseCompensationFilingOrg>
        <BonusFilingOrg>9159</BonusFilingOrg>
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        <NamePerson>Eugene F Murray</NamePerson>
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        <NamePerson>Erik N Steele DO</NamePerson>
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        <CompBasedOnRelatedOrgs>7760</CompBasedOnRelatedOrgs>
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        <NamePerson>Deborah C Johnson RN</NamePerson>
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        <NamePerson>David S Proffitt</NamePerson>
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        <NamePerson>David A Peterson</NamePerson>
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        <NontaxableBenefitsRelatedOrgs>18957</NontaxableBenefitsRelatedOrgs>
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        <NamePerson>Daniel B Coffey</NamePerson>
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        <NamePerson>Cynthia Olivier</NamePerson>
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        <NamePerson>Charles E Kimball</NamePerson>
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        <BonusFilingOrg>7871</BonusFilingOrg>
        <OtherCompensationFilingOrg>8107</OtherCompensationFilingOrg>
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        <NontaxableBenefitsFilingOrg>9609</NontaxableBenefitsFilingOrg>
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        <NamePerson>Catherine J Bruno</NamePerson>
        <BaseCompensationFilingOrg>190682</BaseCompensationFilingOrg>
        <BonusFilingOrg>21768</BonusFilingOrg>
        <OtherCompensationFilingOrg>41346</OtherCompensationFilingOrg>
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      <Form990ScheduleJPartIII>
        <Identifier>Sch J, Part I, Line 1a</Identifier>
        <ReturnReference>Part I, Line 1a: Relevant information in regards to selections on 1a.</ReturnReference>
        <Explanation>Patrick J. Whalen, officer, received a gift card and logo gear for most valuable performer for the quarter with the organization for $65 with a $0.96 gross-up payment. All employees of the organization are eligible for this recognition.</Explanation>
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          <NamePerson>Miles Theeman</NamePerson>
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        <Relationship>planning brd membe</Relationship>
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        <DescriptionOfTransaction>taxes-City of Bangor</DescriptionOfTransaction>
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          <NamePerson>John C May</NamePerson>
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        <Relationship>jnt vnture committ</Relationship>
        <AmountOfTransaction>3830000</AmountOfTransaction>
        <DescriptionOfTransaction>Lifeflight loan payback</DescriptionOfTransaction>
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          <NamePerson>John Canders Partner</NamePerson>
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        <Relationship>fam mem of officer</Relationship>
        <AmountOfTransaction>123987</AmountOfTransaction>
        <DescriptionOfTransaction>purch legal svc-Eaton Pea</DescriptionOfTransaction>
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      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 19</Identifier>
        <ReturnReference>Form 990, Part VI, Line 19: Other Organization Documents Publicly Available</ReturnReference>
        <Explanation>Eastern Maine Healthcare Systems makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 15b</Identifier>
        <ReturnReference>Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees</ReturnReference>
        <Explanation>Compensation of other officers and key employees of the organization is established by the Human Resources department who utilize external market research to establish compensation ranges for specific positions. On an annual basis, the compensation ranges are compared to the updated survey information. The hiring manager will determine where the employee will fall within the ranges established by the Human Resources department based on experience and credentials.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 12c</Identifier>
        <ReturnReference>Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts</ReturnReference>
        <Explanation>The organization requests updates of potential conflicts and relationships from the officers and Board members on an annual basis. The request requires disclosure of all business relationships, board memberships, and family relationships. A database is maintained that is compared to payroll records and the accounts payable vendor list to identify any potential conflicts of interest. Transactions are reviewed for reasonableness as an arm's length transaction. The first agenda item for board meetings and board committee meetings is for members to declare any conflict of interest with upcoming agenda items or deliberations. At any point when consideration is being given to purchase/contract with a party in interest, the member with the conflict is either excused from the discussion and consideration process or abstains from voting on the matter. All transactions identified with parties in interest are disclosed within the Form 990. All are deemed to be arm's length transactions.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 11</Identifier>
        <ReturnReference>Form 990, Part VI, Line 11: Form 990 Review Process</ReturnReference>
        <Explanation>Form 990 is provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS. It was reviewed at the July 26, 2011 finance committee prior to filing with the IRS and will be reviewed at the October 6, 2011 meeting of the board of trustees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 7a</Identifier>
        <ReturnReference>Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body</ReturnReference>
        <Explanation>Each year at the organizations annual meeting, the members elect replacements for those members and those directors whose terms are expiring, subject to the concurring action of the board of directors. If the board does not approve the slate of members or directors elected by the members themselves, the meeting is adjourned and the nominating committee of the board is charged with nominating a new slate.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 6</Identifier>
        <ReturnReference>Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder</ReturnReference>
        <Explanation>Eastern Maine Healthcare Systems ("EMHS") is a Maine nonprofit corporation organized with at least 100 and not more than 200 individual members representing the geographic area served by its subsidiary corporations.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 4</Identifier>
        <ReturnReference>Form 990, Part VI, Line 4: Description of Significant Changes to Organizational Documents</ReturnReference>
        <Explanation>Amendment to the Corporation's Bylaws to include the creation of the Finance Committee to Board's standing committees.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part VI, Line 2</Identifier>
        <ReturnReference>Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et</ReturnReference>
        <Explanation>Carl Flora, director is a trustee of Northern Maine Community College Foundation board and Larry E. LaPlante, director is an employee of Northern Maine Community College and treasurer of Northern Maine Community College Education Foundation board.Carl Flora, director and Larry E. Laplante, director are trustees of United Way of Aroostook.Larry E. LaPlante, director is a part-time employee of Husson University and Daniel B. Coffey, officer is a trustee of Husson University board.Mary M. Hood, director/officer is a board member of University of Maine Board of Visitors and Evelyn S. Silver, director is an employee of University of Maine.P. James Nicholson, director/vice chair and John D. Dalton, officer are directors of Waterville Development Corp board.P. James Nicholson, director/vice chair is treasurer of Delta Ambulance and Michael E. Palumbo, is director of Delta Ambulance.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Form 990, Part III, Line 4d</Identifier>
        <ReturnReference>Form 990, Part III, Line 4d : Other Program Services Description</ReturnReference>
        <Explanation>OTHER PROGRAM SERVICES 4: The Acadia HospitalLEADERSHIP: David S. Proffitt, PhD, President and CEO and John Bragg, Board Chair LOCATION: Bangor; EMPLOYEES: 679; DESCRIPTION: The Acadia Hospital is Maine's comprehensive resource for information and treatment of mental illness and chemical dependency. Acadia is also the first psychiatric hospital in the world to be awarded Magnet status for nursing excellence.- Through the generosity of annual donors, Acadia established a surrogate pet therapy fund, which sends large, cuddly, stuffed animals home with our young clients.- Acadia director of Education, Dan Johnson, PhD, presented at the American Association for the Treatment of Opioid Dependence (AATOD) in Chicago. His presentation was titled, "Risk Reduction for Illicit Benzodiazepine Abuse within an Opioid Treatment Program Population."- The hospital hired three new members of its executive leadership team: vice president, chief of Clinical Services, Brent Scobie, LCSW, CCS; vice president, Patient Services and Performance Improvement, Deborah Sanford, RN, MS, MBA; and, vice president, nursing/chief nursing officer, Karen Clements RN, BSN, MSB.- Care Coordination Services were restructured to focus on recovery outcomes as a principle measure of client progress in treatment.- Work was completed on the Pediatric Early Intervention Study Group, which was funded by Maine's CATCH Foundation to study the pediatric medical home model in Penobscot County.- Acadia continued to enhance its social media outreach, developing a YouTube Channel.- Acadia partnered with Penobscot Theatre to provide anti-bullying education via the one-act play: Secret Life of Girls, featuring UMaine student-actors.- Acadia nurses gave presentations and presented posters on the following topics at a variety of state and national conferences. Following are only a sample: Naomi Brown, PMH-NP-Initiating an Educational and Mentoring Program Throughout One Magnet Hospital; Valerie Radel, RN-BC-Understanding Personality Disorders; Eugene Gregor, RNC-Treating Agitation and Aggression in Children; Heather Elkins, RN-BC, BSN-Neurofeedback and Biofeedback; Julia Putnam, RN-BC, BS and Gail Ledford, RN, BSN, MIS, MBA-Early Intervention Support to Promote Restraint Reduction.- Meadow Wood opened its doors in July, offering physicians, executives, and other high-level professionals a discreet and private setting to receive a psychiatric evaluation and outpatient treatment. This is the first program of its kind in northern New England.- The Acadia Hospital opened a 10-bed Psychiatric Observation Unit (POU) and is experiencing consistently high patient volumes. The Acadia POU is designed for rapid assessment and observation of behavioral health patients, bringing multidisciplinary psychiatric care to individuals as early as possible for a 24-hour period. OTHER PROGRAM SERVICES 5: The Aroostook Medical CenterLEADERSHIP: Sylvia Getman, CEO and Peter St. John, Board Chair LOCATION: Presque Isle; EMPLOYEES: 1,005; DESCRIPTION: The Aroostook Medical Center (TAMC) is a comprehensive healthcare organization operating an 89-bed medical center, a 72-bed nursing home, a regional ambulance service, and numerous primary and specialty care practices.- Fifteen new physicians and mid-level providers were recruited, resulting in a totalof 63 active medical staff members and 45 active allied health professionals.- Eight new employees were inducted into TAMC's Veterans-In-Partnership programfor staff members who've served the organization for 20 or more years, bringing total membership in the program to 181.- The eighth annual Survivor Aroostook Camp and Healthcare Career ExplorationProgram once again introduced local high school students to careers in healthcare.- A two-year contract was successfully negotiated with the union representing TAMC nurses and a three-year contract was negotiated with the union representing our technical staff.- The Total Health team ran a successful weight loss challenge for staff, with a total of more than 1,000 pounds lost during the challenge.- TAMC collaborated with Northern Maine Community College to offer critical care nursing continuing education courses.- Eighty-two volunteers were recognized for serving more than 11,638 hours in 33 departments and at 10 special events.- TAMC introduced digital mammography to provide women with access to the best breast cancer screening technology available, and initiated an epidural pain management service to help make the birth experience more comfortable for area women.- Outpatient registration at AR Gould Memorial Hospital was restructured in order to provide more convenient, efficient service to our customers.- A new patio and sunroom were constructed at Aroostook Health Center for long-term care residents as a result of a significant philanthropic gift.- More than 1,300 free flu shots were given at community clinics in Presque Isle, Fort Fairfield, Caribou, and Mars Hill.- Once again, TAMC achieved blue ribbon status for patient safety and select clinical quality indicators by the Maine Health Management Coalition and a five-star rating for Aroostook Health Center, long-term care facility, by US Department of Health and Human Services.- More than $460,000 in grant funds and donations supported capital and programmatic needs.- TAMC opened The Clinic at Walmart, a walk-in care clinic open seven days a week to provide care for minor illnesses and injuries.- Several services were combined to create an integrated surgical, cardiology, pulmonology, and specialty clinics center at A.R. Gould Memorial Hospital in order to improve collaboration between physicians and provide more convenient and comprehensive care for patients.- TAMC began offering internal medicine services in Presque Isle to augment the family practice services already offered. OTHER PROGRAM SERVICES 6: Charles A Dean Memorial Hospital and Nursing HomeLEADERSHIP: Geno Murray, President and CEO and Ruth McLaughlin, Board Chair LOCATION: Greenville, Monson, Sangerville; EMPLOYEES: 170; DESCRIPTION: Charles A Dean Memorial Hospital and Nursing Home provide access to quality healthcare to the residents and visitors of the Moosehead Lake region. Our 25-bed critical access hospital provides acute, skilled, and nursing facility beds. CA Dean also provides 24-hour emergency medical services, including an ambulance and a full service Emergency Department, three family practice locations, diagnostic services, laboratory, digital imaging, CT scan, ultrasound, mammography, rehabilitation services, as well as podiatry, and general and orthopedic surgery.- CA Dean Hospital has received a Maine Health Management Coalition Blue Ribbon for HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) scores, and three Avatar awards for patient service: Exceeding Patient Expectations, Five Star Service (Inpatient Five Star Service) and Loyalty and Endorsement.- The hospital began Electromyography (EMG) services for neurological conditions, and offered new orthopedic specialty services in Greenville and Sangerville.- CA Dean nursing home earned the My Innerview award for outstanding patient service. This award recognizes nursing homes that achieve high levels of excellence in facility quality.- With the relocation and expansion of the Guilford Clinic to Sangerville, CA Dean was able to add physical therapy services five days per week as well as offer weekly clinics for general and orthopedic surgery.- CA Dean acquired federal funding for capital investment to redeploy grant funds to match capital priorities, which allowed for replacement of the hospital's CT scanner.- The EMHS Board of Directors met at CA Dean in October and the hospital also hosted the annual meeting of the system-wide Human Resources Affinity Group.- In response to the H1N1 outbreak and advanced seasonal flu concerns, CA Dean mobilized a significant vaccine, prevention, and education campaign to combat infection. Working closely with the school and community, the hospital was able to deliver a program that delivered some of the best statistics in Maine. OTHER PROGRAM SERVICES 7: Sebasticook Valley Hospital (SVH)LEADERSHIP: Victoria Alexander-Lane, President and CEO and Michael Hodgins, Esq., Board of Trustees Chairperson LOCATION: Pittsfield, Clinton, Detroit, Newport, Palmyra; EMPLOYEES: 355; DESCRIPTION: 25-bed critical access hospital with a women's health center; surgical, special care and swing bed units; rehabilitation centers; diagnostics; laboratory; cardiopulmonary services; primary, walk-in, and specialty practices; diabetes and nutrition clinic; sleep study center; and community health services including dental health and transportation.- In 2010, SVH was named by the Leapfrog Group as one of the top hospitals in the country.- An inpatient hospitalist program was developed and implemented, with the model tailored to fit SVH, which is a critical access hospital.- SVH expanded rehabilitation</Explanation>
      </GeneralExplanation>
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        <EIN>010357854</EIN>
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          <BusinessNameLine1>Blue Hill Memorial Hospital Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>57 Water Street</AddressLine1>
          <City>Blue Hill</City>
          <State>ME</State>
          <ZIPCode>046145231</ZIPCode>
        </AddressUS>
        <EIN>010388639</EIN>
        <PrimaryActivities>Raise funds for exempt orgs</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>BHMH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Blue Hill Memorial Hospital BHMH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>57 Water Street</AddressLine1>
          <City>Blue Hill</City>
          <State>ME</State>
          <ZIPCode>046145231</ZIPCode>
        </AddressUS>
        <EIN>010227195</EIN>
        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>ME Institute for Human Genetics &amp; Health</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>43 Whiting Hill Road</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>550894346</EIN>
        <PrimaryActivities>Biomedical research &amp; development</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Eastern Maine HomeCare</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 688</AddressLine1>
          <City>Caribou</City>
          <State>ME</State>
          <ZIPCode>04736</ZIPCode>
        </AddressUS>
        <EIN>010328442</EIN>
        <PrimaryActivities>Provide home health &amp; hospice svcs</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Horizons Health Services</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 151 140 Academy St</AddressLine1>
          <City>Presque Isle</City>
          <State>ME</State>
          <ZIPCode>047690151</ZIPCode>
        </AddressUS>
        <EIN>010504393</EIN>
        <PrimaryActivities>Provide patient care</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TAMC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TAMC Endowments</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 151 140 Academy St</AddressLine1>
          <City>Presque Isle</City>
          <State>ME</State>
          <ZIPCode>047690151</ZIPCode>
        </AddressUS>
        <EIN>010389222</EIN>
        <PrimaryActivities>Raise funds for exempt orgs</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>11, Type I</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>TAMC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>TAMC Title Corp</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 151 140 Academy St</AddressLine1>
          <City>Presque Isle</City>
          <State>ME</State>
          <ZIPCode>047690151</ZIPCode>
        </AddressUS>
        <EIN>010389226</EIN>
        <PrimaryActivities>Real estate holding company</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(2)</ExemptCodeSection>
        <DirectControllingEntityName>
          <BusinessNameLine1>TAMC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>The Aroostook Medical Center TAMC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>PO Box 151 140 Academy St</AddressLine1>
          <City>Presque Isle</City>
          <State>ME</State>
          <ZIPCode>047690151</ZIPCode>
        </AddressUS>
        <EIN>010372148</EIN>
        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Sebasticook Valley Hospital Assoc SVH</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>447 North Main Street</AddressLine1>
          <City>Pittsfield</City>
          <State>ME</State>
          <ZIPCode>04967</ZIPCode>
        </AddressUS>
        <EIN>010263628</EIN>
        <PrimaryActivities>Critical care hospital</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>CA Dean Memorial Hosp &amp; Nursing Home</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>Pritham Avenue PO Box 1129</AddressLine1>
          <City>Greenville</City>
          <State>ME</State>
          <ZIPCode>044411129</ZIPCode>
        </AddressUS>
        <EIN>043341666</EIN>
        <PrimaryActivities>Provide Healthcare Services</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Inland Foundation</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 Kennedy Memorial Drive</AddressLine1>
          <City>Waterville</City>
          <State>ME</State>
          <ZIPCode>04901</ZIPCode>
        </AddressUS>
        <EIN>010542905</EIN>
        <PrimaryActivities>Raise funds for exempt orgs</PrimaryActivities>
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        <PublicCharityStatus>11, Type II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Inland Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Lakewood A Continuing Care Center</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>220 Kennedy Memorial Drive</AddressLine1>
          <City>Waterville</City>
          <State>ME</State>
          <ZIPCode>04901</ZIPCode>
        </AddressUS>
        <EIN>010421234</EIN>
        <PrimaryActivities>Provide long term nursing care</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>Inland Hospital</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Inland Hospital</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>200 Kennedy Memorial Drive</AddressLine1>
          <City>Waterville</City>
          <State>ME</State>
          <ZIPCode>04901</ZIPCode>
        </AddressUS>
        <EIN>010217211</EIN>
        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
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        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
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      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Norumbega Medical Specialists LTD</BusinessNameLine1>
        </NameOfDisregardedEntity>
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          <AddressLine1>43 Whiting Hill Road Suite 400</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>010465231</EIN>
        <PrimaryActivities>Provide patient care &amp; education</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
        <ExemptCodeSection>501(c)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMMC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Healthcare Charities</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>43 Whiting Hill Road Suite 400</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>222514163</EIN>
        <PrimaryActivities>Raise &amp; manage funds for exempt orgs</PrimaryActivities>
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        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Acadia Healthcare Inc AHI</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>43 Whiting Hill Road</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>223183888</EIN>
        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
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        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHC</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>Eastern Maine Medical Center Auxiliary</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>43 Whiting Hill Road</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>010377901</EIN>
        <PrimaryActivities>Fund raising for exempt EMMC</PrimaryActivities>
        <LegalDomicileState>ME</LegalDomicileState>
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        <PublicCharityStatus>9</PublicCharityStatus>
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          <BusinessNameLine1>EMMC</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Acadia Hospital Corp AHC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>43 Whiting Hill Road</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>010459837</EIN>
        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
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          <BusinessNameLine1>EMHS</BusinessNameLine1>
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          <BusinessNameLine1>Rosscare Nursing Homes Inc</BusinessNameLine1>
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          <AddressLine1>43 Whiting Hill Road Suite 400</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>010430751</EIN>
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          <BusinessNameLine1>Rosscare</BusinessNameLine1>
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          <AddressLine1>43 Whiting Hill Road Suite 400</AddressLine1>
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          <ZIPCode>04412</ZIPCode>
        </AddressUS>
        <EIN>010391038</EIN>
        <PrimaryActivities>Treatment &amp; housing to elderly-LTC</PrimaryActivities>
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          <BusinessNameLine1>EMHS</BusinessNameLine1>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Eastern Maine Healthcare Real Estate</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>43 Whiting Hill Road</AddressLine1>
          <City>Brewer</City>
          <State>ME</State>
          <ZIPCode>04412</ZIPCode>
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        <EIN>010391036</EIN>
        <PrimaryActivities>Leases real estate</PrimaryActivities>
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          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
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        <NameOfDisregardedEntity>
          <BusinessNameLine1>Eastern Maine Medical Center EMMC</BusinessNameLine1>
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          <AddressLine1>489 State Street PO Box 404</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044020404</ZIPCode>
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        <PrimaryActivities>Provide healthcare services</PrimaryActivities>
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          <BusinessNameLine1>Eastern Maine Healthcare Systems EMHS</BusinessNameLine1>
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          <BusinessNameLine1>New Century Healthcare</BusinessNameLine1>
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          <AddressLine1>300 Main Street</AddressLine1>
          <City>Lewiston</City>
          <State>ME</State>
          <ZIPCode>04240</ZIPCode>
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          <BusinessNameLine1>Dirigo Pines Development Co LLC</BusinessNameLine1>
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          <AddressLine1>9 Alumni Drive</AddressLine1>
          <City>Orono</City>
          <State>ME</State>
          <ZIPCode>04473</ZIPCode>
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        <PrimaryActivity>RetCottage</PrimaryActivity>
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          <BusinessNameLine1>Dirigo Funding LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>9 Alumni Drive</AddressLine1>
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          <State>ME</State>
          <ZIPCode>04473</ZIPCode>
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        <EIN>010599968</EIN>
        <PrimaryActivity>Prov finance</PrimaryActivity>
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          <BusinessNameLine1>AHS</BusinessNameLine1>
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        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
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        <NameOfRelatedOrg>
          <BusinessNameLine1>Dirigo Pines Inn LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>9 Alumni Drive</AddressLine1>
          <City>Orono</City>
          <State>ME</State>
          <ZIPCode>04473</ZIPCode>
        </AddressUS>
        <EIN>020547749</EIN>
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        <TypeOfEntity>C</TypeOfEntity>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Dirigo Pines Retirement Community LLC</BusinessNameLine1>
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        <AddressUS>
          <AddressLine1>9 Alumni Drive</AddressLine1>
          <City>Orono</City>
          <State>ME</State>
          <ZIPCode>04473</ZIPCode>
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        <EIN>010537924</EIN>
        <PrimaryActivity>Holding co.</PrimaryActivity>
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          <BusinessNameLine1>AHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Maine Network for Health</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>80 Exchange St 6th Floor Ste 3</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
        </AddressUS>
        <EIN>010496352</EIN>
        <PrimaryActivity>Support srv</PrimaryActivity>
        <LegalDomicileState>ME</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>EMHS</BusinessNameLine1>
        </DirectControllingEntityName>
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        <ShareOfEOYAssets>308582</ShareOfEOYAssets>
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      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Meridian Mobile Health LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>931 Union St PO Box 940</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044020940</ZIPCode>
        </AddressUS>
        <EIN>010512673</EIN>
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        <LegalDomicileState>ME</LegalDomicileState>
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          <BusinessNameLine1>AHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>DE Collections DBA Affiliated Collect</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 2759</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044022759</ZIPCode>
        </AddressUS>
        <EIN>010366209</EIN>
        <PrimaryActivity>Collections</PrimaryActivity>
        <LegalDomicileState>ME</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Affiliated Pharmacy Services</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>917 Union St Suite 7</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>04401</ZIPCode>
        </AddressUS>
        <EIN>010587230</EIN>
        <PrimaryActivity>Pharmacy</PrimaryActivity>
        <LegalDomicileState>ME</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Affiliated Materiel Services</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 1300</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
          <ZIPCode>044021300</ZIPCode>
        </AddressUS>
        <EIN>010381189</EIN>
        <PrimaryActivity>Purchasing</PrimaryActivity>
        <LegalDomicileState>ME</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>AHS</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C</TypeOfEntity>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>Affiliated Laboratory Inc</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>PO Box 638</AddressLine1>
          <City>Bangor</City>
          <State>ME</State>
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