Form990
Click to see list of attachments
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
A For the 2015 calendar year, or tax year beginning 09-27-2015 , and ending 09-24-2016
BCheck if applicable:
CName of organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
43 Whiting Hill Road
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Brewer, ME04412
D Employer identification number

22-2514163
E Telephone number

G Gross receipts $ 18,093,986
F Name and address of principal officer:
John Doyle
 
 
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.emhsfoundation.org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5247
K Form of organization:  
L Year of formation: 1983
M State of legal domicile: ME
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: Raise & manage funds for exempt organizations
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 13
5 Total number of individuals employed in calendar year 2015 (Part V, line 2a) ...... 5 0
6 Total number of volunteers (estimate if necessary) ............. 6 887
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a -2,885
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b -2,885
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 8,020,620 10,820,100
9 Program service revenue (Part VIII, line 2g) ......... 2,023,498 3,665,709
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 734,789 405,423
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 1,192 1,420
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 10,780,099 14,892,652
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 5,912,538 7,484,419
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 407,875 370,516
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 78,406 449,435
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet1,106,566    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 3,670,291 4,387,903
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 10,069,110 12,692,273
19 Revenue less expenses. Subtract line 18 from line 12....... 710,989 2,200,379
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 60,237,806 71,767,615
21 Total liabilities (Part X, line 26)............. 1,386,617 1,350,437
22 Net assets or fund balances. Subtract line 21 from line 20..... 58,851,189 70,417,178
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2015)
Form 990 (2015)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: Raise & manage funds for exempt organizations
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 10,975,488 including grants of $ 7,452,026 ) (Revenue $ 4,136,149 )
EMHS Foundation raised and managed funds for the benefit of Eastern Maine Medical Center and other affiliated exempt entities in northern, eastern and southern Maine.Please see in Schedule O an excerpt from the EMHS Annual Report to the Community for details of community benefit projects by EMHS Foundation.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
Please see the following excerpt from the EMHS Annual Report to the Community for details of community benefit projects at EMHS members:Oh, the places we will go!As parents and grandparents we know well the wit and wisdom of New England's own Theodor Geisel, better known as Dr. Seuss. He reminds us, "... the things you can find, if you don't stay behind!" Dr. Seuss teaches us that innovation, leadership, and curiosity are noble traits that take us far in life. As leaders, we carry these lessons with us today. EMHS tirelessly seeks opportunities to innovate delivery of care by challenging the status-quo and pushing our organization to fearlessly exceed expectations in today's ever-evolving healthcare landscape. When taking a look back at 2016, we celebrate the amazing work being done across EMHS. Here, leaders come in all forms and nowhere is it more evident than in our 2016 Annual Report. Within these pages, you will meet some 'Girls on the Run' in Hancock County who are joyful, healthy, and confident; a family that welcomed a new baby and was grateful for excellent Neonatal Intensive Care; and a homecare nurse who travels thousands of miles each year to care for her patients. You will also learn how EMHS is collaborating with our communities on core concerns, such as food insecurity and overcoming Maine's opioid epidemic, and about the continued advancement of our population health efforts. Finally, as a proud Maine company, EMHS was pleased to be a part of the Acadia National Park Centennial; we share a look at our participation in the celebration.And, in an effort to bring the EMHS experience even closer to you, we've created an interactive online report in addition to our printed version. On the web, you will find beautiful videos of the inspiring stories discussed here along with interactive graphs and maps. We are proud to be a leader in this dynamic healthcare world. EMHS continues to embrace today's challenges all the while reflecting on how we can use our resources to create outstanding experiences for our customers and help shape vibrant, healthy communities. We have a lot of work ahead of us in 2017, or, to paraphrase Dr. Seuss, "You're off to great places! You're off and away!"M. Michelle Hood, FACHEEMHS President and CEOEvelyn S. Silver, PhDEMHS Board ChairOn your mark, get set...EMHS youth programs start kids off right for the race of lifeRaising children in today's world provides unique challenges. Issues such as childhood obesity and the prevalence of mental health issues like anxiety and depression among our youth have garnered the attention of parents and healthcare providers.Fortunately, research has shown that providing our children with healthy activities that teach them the value of exercise, eating well and being part of their communities can make a big difference in their long-term well-being.With that in mind, EMHS organizations offer creative programs and activities designed to support the healthy development of kids, many times in collaboration with other area organizations.A shining example of this approach can be seen in Presque Isle, where The Aroostook Medical Center (TAMC) partnered with the University of Maine at Presque Isle and Healthy Aroostook to organize The REDY Youth Triathlon in September, 2016 as part of TAMC's ongoing Fit and Fun Series.Children, ages 7 through 14, swam, biked, and ran different distances based on their age category. Event organizers named the triathlon after REDY, a well-known mascot of Let's Go 5-2-1-0 (5 or more fruits or vegetables a day, 2 or less hours of recreational screen time, 1 hour of physical activity, and 0 sugary drinks),a nationally recognized youth obesity prevention program that has partners throughout Maine.Jayden Harvell age 8, who according to her mother, Heather, is very athletic, participated in the event, which was her second triathlon. Before Jayden participated, she commented, "Yeah, I'm growing up and I'm getting healthier and smarter, and this helps me get fit. I think it will be fun!"The concept of 5-2-1-0 is also reflected in Inland Hospital's Family Fun Series, now in its fifth year. Inland Hospital, located in Waterville, works with other local organizations to provide a monthly family-oriented event that promotes an active lifestyle. The hospital's community wellness team leader, Ellen Wells, plays an integral role in making the series run smoothly. "We are trying to engage the whole family to make physical activity a way of life. Down the road, that will mean lower adult obesity rates and the related chronic disease that goes along with that."In addition to the Family Fun Series, every Tuesday evening during the summer of 2016, Inland sponsored the Quarry Road Fun Run series. The Fun Run series was very popular, with an average of 15 participants for the nine-week program.Another innovative program that focuses on healthy weight and food choices is the Eastern Maine Medical Center (EMMC) Way to Optimal Weight program (WOW); it focuses on helping children and adolescents who are at higher risk for weight-related health problems. The program recently expanded to Maine Coast Memorial Hospital (MCMH) in Ellsworth, as well as TAMC via televideo technology in Presque Isle.MCMH, in partnership with the Down East Family YMCA, is also using physical activity as a conduit for developing the full spectrum of health-mind, body, and spirit-for young girls through the Girls on the Run (GOTR) curriculum. This is vital, as girls and young women face an overwhelming amount of exposure to images and messages that leave them questioning their personal value."One of the things I love about Girls on the Run is that it's big picture. It's not just about running. Its about teaching the girls life skills that will benefit them for the rest of their lives," explained Kimberly Formby, GOTR coach and Occupational Therapy supervisor at MCMH. "It is my hope that every third through fifth grade girl in our area has the opportunity to participate in this program." Meeting twice a week in small teams, Girls on the Run teaches life skills through dynamic, interactive lessons and running games. The curriculum is taught by certified Girls on the Run coaches and includes three parts: understanding ourselves, valuing relationships and teamwork, and understanding how we connect with and shape the world at large. Running is used to inspire and motivate girls, encourage lifelong health and fitness, and build confidence through accomplishment. Important social, psychological, and physical skills and abilities are developed and reinforced throughout the program.The program is in its second season and has already had 16 girls participate, with plans for another session in the spring of 2017.A program that focuses on a young person's psycho-social-emotional development, in the context of the broader community is Challenge Day, a nonprofit out of California. For 15 years, Acadia Hospital, the only EMHS psychiatric hospital, has coordinated and supported Challenge Day in dozens of Maine high schools, affecting thousands of students and hundreds of volunteer adult facilitators.This past fall, more than 400 high school students experienced Challenge Day at participating schools: Hermon High School, Freeport High School, Maine Central Institute in Pittsfield, and George W.Stearns High School in Millinocket.One Stearns High School student echoed the sentiments of those who wrote reflection papers after their experience, "Challenge Day was an extraordinary experience, unlike any other. The day is a great way to express your true feelings to one another, learn about other people, see what they have gone through, learn empathy and change who you are for the better."In an era where youth report feeling increasingly judged and isolated, Challenge Day provides a proven experiential program that helps transform individuals and entire school cultures. At Hermon High School, which is the only school to host Challenge Day continuously over the past 15 years, the positive effect has been remarkable.Retired Hermon High School health teacher Shelley Gavett, who was instrumental in Hermon's involvement, continues to coordinate the event in a volunteer capacity. "Kids that go to Challenge Day never forget their experience. The program has changed the culture of Hermon High School for the better and we know this because the students have expressed it to us over the years. What is extremely gratifying for me personally is that past graduates return to volunteer every year. We even had one former Hermon student travel from Tennessee just to volunteer this year because she was so affected by the day herself and wanted to help others experience it.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
The perfect candidate:Valve procedure helps Fairfield farmer get his life back. For months, Floyd Eller, a farmer from Fairfield, had been battling issues that stemmed from breathing problems that developed overtime. He had been to a number of physicians and received several tests, but nothing got to the root of Floyds problem until he went to cardiologist Ralph Millsaps, MD, FACC, at Inland Hospital's Heart First Cardiology Associates.It turned out that Floyd had two damaged valves in his heart. His mitral valve was leaking blood and his aortic valve was constricted. Dr. Millsaps referred Floyd to Eastern Maine Medical Center's (EMMC) Valve Clinic where the team discovered that if they could open up Floyd's aortic valve, then the mitral valve would repair itself. There was one hiccup to the plan-it was determined that his heart wasn't strong enough for open heart surgery."That scared me a little bit, Floyd explained. Fortunately, he soon learned about an alternative, a new procedure called Transcatheter Aortic Valve Replacement (TAVR), for which Floyd was told he was "the perfect candidate". The procedure is performed by highly trained cardiology staff for patients who are too high-risk for open heart surgery. During the procedure, physicians replace the aortic heart valve through a tiny incision in the femoral artery, located near the thigh. This results in less discomfort and a much faster recovery for patients. Having EMMC and Inland Hospital within the same system benefits patients like Floyd. He knew that he could have a leading-edge procedure like TAVR in Bangor, with the comfort of knowing that he could complete his rehabilitation closer to home. Although recovery is not always easy, this integrated care would help to simplify matters while Floyd focused on healing. When he awoke from the procedure in Bangor, he felt no pain at all. He checked to see if he could find any sign of the TAVR procedure and couldn't. Floyd said, "Something must have gone wrong and they couldn't do it. His nurse, however, reassured him that not only had they completed the procedure already, but it had gone perfectly."Its a great crew up there. They did a great job, said Floyd of EMMC's TAVR team. "They got me through it. I didn't have any soreness, I didn't have any nausea.... The whole procedure was done in a little over 2 hours.Floyd stayed at EMMC for only two nights and then his doctors determined that he was fit to return home."XHaving open heart surgery or even the TAVR procedure - to me, that's major stuff, commented Floyd, recalling his nervousness leading up to the procedure and the relief he experienced when he came to. "I breathe better, I feel better, Im sleeping better - life's good again!"Room to grow:New NICU provides babies with quiet, comfortable, technically advanced spaceFear of the unknown is what Ryan Dube remembers most about his daughter Alivias first days in Eastern Maine Medical Center's (EMMCs) Neonatal Intensive Care Unit (NICU). Its very scary, not knowing if your daughter is even going to make it," he explained.Ryan, his wife Jessica, and Alivia, born 12 weeks early on April 18, 2016, spent the first weeks of Alivias life in a cramped NICU with as many as three other babies in the room. Privacy was hard to come by and Ryan and Jessica would often need to leave the unit during shift changes or for other care-related reasons. With their baby so tiny and vulnerable, it was difficult to leave her side.In addition to private family rooms, EMMC's new NICU has a number of personal touches that make each familys stay a little more comfortable, including a dedicated family space in each room where loved ones can remain overnight, a breast pump and refrigerator for breast milk in every room, and a kitchenette with computers and a washer and dryer.These improvements matter so much because babies and their families often face extended stays in the NICU. The average length of stay in the NICU is 24 days and babies who have an extremely low birth weight of 2.2 pounds or less stay in the hospital for an average of 59 days. For families, the NICU becomes their home away from home. Many families live hours away from EMMC's NICU which is the only service of its type north of Portland. Having access to a modern facility can make the journey seem less daunting.Most importantly, controlling the noise level and environmental conditions in every room has real benefits for babies. According to a 2014 article in the journal Pediatrics, NICU babies in single-family rooms experience better weight gain, lower infection rates, improved neurodevelopmental outcomes, and a reduction in the number of procedures that need to be performed."Most of the babies in the NICU are so tiny, explained Mark Brown. MD, a neonatologist and EMMC's chief of Pediatrics. "When they are that small every advantage we can give them matters greatly.The new NICU is just one part of EMMC's Modernization Project that includes the eight-story Penobscot Pavilion and renovation of other areas of the hospital. Along with the NICU, new cardiac telemetry unit with private patient rooms, a convenient and comfortable main lobby and entrance, and a spacious dining room opened in June, 2016. The project will be complete in 2017 with the opening of new surgical suites and a post-operative recovery area as well as consolidated interventional, diagnostic, and critical care cardiovascular services and a renovated women and infants space. "EMMC serves patients from a vast geographic area covering the northern two-thirds of Maine, says Deborah Carey Johnson, RN, EMMC's CEO. "This essential project not only ensures EMMC will be able to serve the needs of the region for generations to come, it also improves care for our patients today.As for Alivia, she has settled into her home and is growing up healthy and strong. "When you have a NICU baby, the journey doesn't end when you leave the NICU, Jessica added, "but we've been extremely lucky and we really didnt hit very many bumps in the road. We might have run into some developmental issues, but otherwise, she's really perfect. She has the entire world in her hands."Confronting a crisis:Opiate addiction in MaineTwo years ago, Shannon awoke in an intensive care unit unable to hear. She realized she was in a critical physical state-one kidney had completely shut down and her liver was not functioning adequately. She had overdosed from heroin. She knew she had a long road ahead of her."I knew I wanted to change, even before I overdosed, shared Shannon. It is so powerful to be addicted to something, to be so reliant. I just didn't know how to get out of it. I was hopeless."At that time, her children were taken into state custody by the Department of Health and Human Services, a call made by her worried father. "I'm sure this was very difficult for him, explained Shannon, "but at the same time, he saved my life."Shannon did not see her children for a long time. That was difficult, but she also knew she needed to focus on herself in order to heal. Fortunately, Shannon found the McAuley Residence in Portland, Mercy Hospital's comprehensive transitional housing program for women with and without children who are recovering from drug or alcohol dependency."We don't just focus on the addiction aspect," Shannon continued. "McAuley is a program that empowers women and gets them back on their feet. I was broken when I came here and this program is such a great support. I feel like I am ready now and it's incredible to see that transition within myself.According to Melissa Skahan, Mercy vice president of mission integration, who oversees the McAuley Residence, "Everything within the McAuley program is evidence based and 80 percent of women who enter our program remain clean and sober. We also make sure women re-engage in education and we have remarkable outcomes with many seeking higher education and moving on to fulfilling careers."Both of Shannon's children are back in her custody, she is looking for an apartment, and she has her sights set on a career in social work. Although Shannon's story has a positive ending, there are many drug-related circumstances throughout Maine that do not end up that way.Opioid addiction has touched every Maine community. In November, the Office of the Maine Attorney General released statistics that there have been 286 overdose deaths in Maine in just the first nine months of 2016 surpassing the 272 total number of overdose deaths in 2015. Attorney General Janet Mills stated in the release, "One person a day is dying from a drug overdose in Maine. This crisis is why member organizations throughout EMHS are collaborating with those in the community to fight this epidemic.There is a lot of work underway to hopefully begin turning the tide. Mercy Hospital in southern Maine; Acadia Hospital, Eastern Maine Medical Center (EMMC), and EMHS in eastern Maine; and Blue Hill Memorial Hospital and Maine Coast Memorial Hospital in Hancock
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet10,975,488
Form 990 (2015)
Form 990 (2015)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) ....Click to see attachment
17
Yes
 
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2015)
Form 990 (2015)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I ...................
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II ................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV ........................
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV...
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..Click to see attachment
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............Click to see attachment
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II ...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I ........Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2015)
Form 990 (2015)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
35
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
0
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
 
No
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
 
No
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
Yes
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
33
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
No
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
No
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
No
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
No
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
No
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
No
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2015)
Form 990 (2015)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
15
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
13
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
ME
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJohn J Doyle43 Whiting Hill Rd Suite 500   Brewer,ME044121005 (207) 973-9081
Form 990 (2015)
Form 990 (2015)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Laureen Muzzy......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(2) Sarah Carlisle......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(3) Lizabeth Schley......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(4) Karen Stanley......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(5) Michael R Crowley......................................................................
Pres/Ex-Officio
 50.00
.................
0.00 		X   X       196,155 0 26,315
(6) Anita Peavey-Haskell......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(7) Mary M Hood EMHS PresCEO......................................................................
Director
 1.00
.................
50.00 		X   X       0 985,581 270,402
(8) E Anthony Newton......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(9) Suzanne Cyr......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(10) John J Quirk......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(11) Luke D Muzzy......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(12) Robert D Umphrey Jr......................................................................
Vice Chairman
 1.00
.................
0.00 		X   X       0 0 0
(13) Michael Fendler......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(14) Lynne A Spooner......................................................................
Chairman
 1.00
.................
0.00 		X   X       0 0 0
(15) Richard Sawyer......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(16) Larry Geaghan......................................................................
Director
 1.00
.................
0.00 		X           0 0 0
(17) Glenn Martin EMHS Gen Counsel......................................................................
Secretary
 1.00
.................
50.00 		    X       0 387,958 95,700
Form 990 (2015)
Form 990 (2015)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Susan Rouillard........................................................................
VP of Phil
 40.00
.......................0.00 		    X       126,800 0 21,246
(19) Wendy M Lux........................................................................
VP of Phil
 40.00
.......................0.00 		    X       0 0 0
(20) Daniel Coffey........................................................................
Former Treasurer
 0.00
.......................50.00 		          X 0 510,680 49,961
(21) Derrick Hollings........................................................................
Former Treasurer
 0.00
.......................50.00 		          X 0 741,342 36,896
(22) Scott Oxley........................................................................
Former Treasurer
 0.00
.......................50.00 		          X 0 371,617 43,986
















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 322,955 2,997,178 544,506
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet3
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
None

 
  		   
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet0
Form 990 (2015)
Form 990 (2015)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 25,480
b Membership dues..1b  
c Fundraising events..1c 682,985
d Related organizations1d 4,000
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and similar amounts not included above1f 10,107,635
g Noncash contributions included in lines 1a-1f:$ 492,577
h Total.Add lines 1a-1f.......MediumBullet 10,820,100
Program Service RevenueAmt Business Code
2a Exempt Affiliate Rental 532000 70,200 70,200    
b Investment Income, net 523000 -437,389 -437,389    
c Program Service Revenue 561000 4,032,898 4,032,898    
d
e
f All other program service revenue.        
g Total.Add lines 2a–2f.....MediumBullet 3,665,709
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ..........MediumBullet 58,451   -2,885 61,336
4 Income from investment of tax-exempt bond proceedsMediumBullet 0      
5 Royalties...........MediumBullet 0      
(ii) Personal (i) Real
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss)......MediumBullet 0      
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   3,134,600
b Less: cost or other basis and sales expenses 275,779 2,511,849
c Gain or (loss) -275,779 622,751
d Net gain or (loss).....MediumBullet 346,972 471,905   -124,933
8a Gross income from fundraising events (not including $ 682,985of contributions reported on line 1c). See Part IV, line 18 ....
a 413,706
b Less: direct expenses ...b 413,706
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Business Code Miscellaneous Revenue
11a Miscellaneous Revenue 561000 1,420 1,420    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 1,420
12 Total revenue. See Instructions......MediumBullet 14,892,652 4,139,034 -2,885 -63,597
Form 990 (2015)
Form 990 (2015)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 7,452,026 7,452,026
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 32,393 32,393
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 0  
5 Compensation of current officers, directors, trustees, and key employees .... 370,516 370,516    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 0      
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 0      
9 Other employee benefits ....... 0      
10 Payroll taxes ........... 0      
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 0      
c Accounting ........... 8,316   8,316  
d Lobbying ........... 0      
e Professional fundraising services. See Part IV, line 17 449,435 449,435
f Investment management fees ...... 30,537 30,537    
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 3,172,563 2,068,388 583,629 520,546
12 Advertising and promotion .... 165,547 165,547    
13 Office expenses ....... 511,437 399,776 15,338 96,323
14 Information technology ...... 30,534 30,534    
15 Royalties .. 0      
16 Occupancy ........... 193,881 154,133 2,675 37,073
17 Travel ............ 50,553 50,553    
18 Payments of travel or entertainment expenses for any federal, state, or local public officials . 0      
19 Conferences, conventions, and meetings .... 9,650 9,650    
20 Interest ........... 0      
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization .. 16,654 13,235 230 3,189
23 Insurance ... 5,430 5,430    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Dues & Subscriptions 75,782 75,751 31  
b Fundraising Expense 52,913 52,913    
c Gifts and Contributions 34,725 34,725    
d Donor Recognition/Prizes 28,272 28,272    
e All other expenses 1,109 1,109    
25 Total functional expenses. Add lines 1 through 24e 12,692,273 10,975,488 610,219 1,106,566
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2015)
Form 990 (2015)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 600 1 600
2 Savings and temporary cash investments ......... 17,147,386 2 19,548,250
3 Pledges and grants receivable, net ...... 7,493,760 3 8,286,255
4 Accounts receivable, net ............. 783,388 4 764,471
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
  5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6 0
7 Notes and loans receivable, net ....   7 0
8 Inventories for sale or use ........ 1,025 8 1,100
9 Prepaid expenses and deferred charges ...... 5,565 9 67,916
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 320,315
b Less: accumulated depreciation 10b 225,644 111,324 10c 94,671
11 Investments—publicly traded securities . 34,467,066 11 42,942,052
12 Investments—other securities. See Part IV, line 11 ..... 185,792 12 0
13 Investments—program-related. See Part IV, line 11 ..   13 0
14 Intangible assets ...............   14 0
15 Other assets. See Part IV, line 11 ........... 41,900 15 62,300
16 Total assets. Add lines 1 through 15 (must equal line 34)... 60,237,806 16 71,767,615
Liabilities 17 Accounts payable and accrued expenses ..... 614,249 17 624,129
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D 772,368 25 726,308
26 Total liabilities. Add lines 17 through 25.. 1,386,617 26 1,350,437
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 7,600,491 27 12,371,264
28 Temporarily restricted net assets ........... 38,966,388 28 43,448,366
29 Permanently restricted net assets 12,284,310 29 14,597,548
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 58,851,189 33 70,417,178
34 Total liabilities and net assets/fund balances ........ 60,237,806 34 71,767,615
Form 990 (2015)
Form 990 (2015)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
14,892,652
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
12,692,273
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
2,200,379
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
58,851,189
5
Net unrealized gains (losses) on investments ...............
5
3,170,674
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
6,194,936
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
70,417,178
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2015)
Form 990 (2015)
Additional Data


Software ID: 15000324
Software Version: 2015v3.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4


5
6
7
8
9
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............. 12

g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) Eastern Maine Medical Center
  		010211501 3   No 6,581,867 0
(B) Acadia Hospital Corp
  		010459837 3   No 174,311 0
(C) Charles A Dean Memorial Hospital
  		043341666 3   No 64,339 0
(D) Inland Hospital
  		010217211 3   No 445,168 0
(E) The Aroostook Medical Center
  		010372148 3   No 1,090,555 0
(F) Sebasticook Valley Health
  		010263628 3   No 88,275 0
(G) Blue Hill Memorial Hospital
  		010227195 3   No 311,172 0
(H) Eastern Maine Medical Ctr Auxiliary
  		010377901 9   No 12,889 0
(I) Lakewood A Continuing Care Center
  		010421234 3   No 44,837 0
(J) Mercy Hospital
  		010211534 3   No 1,221,957 0
(K) VNA Home Health & Hospice
  		010246804 9   No 628,180 0
(L) Maine Coast Regional Health Facilit
  		010198331 3   No 356,500 0
Total 12 11,020,050 0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513...            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) 2015 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
No
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
Yes
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
Yes
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
No
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
No
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2015

Schedule A (Form 990 or 990-EZ) 2015
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2015 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2015 		(iii)
Distributable
Amount for 2015
1 Distributable amount for 2015 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2015
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......  
e From 2014.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2015 distributable amount  
i Carryover from 2010 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2015 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2015 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2015, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2015. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2016. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a
b
c Excess from 2013.......  
d From 2014.......  
e From 2015.......  
Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Part IV, Section A, Line 1: Description Of How Supported Organizations Are Desigated The supported organizations are organizations for which we raise and manage funds.
Part IV, Section A, Line 5a: Details Of Added, Substitute, Or Removed Supported Orgs. (i)Maine Coast Memorial Hospital (MCMH) 01-0198331; MCMH became a member of Eastern Maine Healthcare Systems (EMHS) October 1st, 2015. EMHSF supports all members of EMHS by raising and managing charitable funds.(ii)MCMH became a member organization of EMHS in order to better provide the residents of Hancock County, Maine with the benefits of an integrated healthcare delivery system with the scale and lines of service to assure continued sustainability for this community hospital. (iii) Article THIRD of the EMHS Restated Articles of Incorporation provides that EMHS is organized for the purpose of performing the functions of, and to carry out the purposes of subsidiary hospitals and hospital systems.(iv)The MCMH transaction was accomplished by member substitution in which EMHS was the transferee of the membership interest in MCMH formerly held by Maine Coast Healthcare Corp.Part IV, Section A, line 5c - EMHSF did not have a substitution of supported organization. The software will not allow the response to this question as n/a.
Part IV, Section C, Line 1: Control Or Management Of Supported Orgs. The EMHS Foundation and the supported organizations each have Eastern Maine Healthcare Systems as their corporate parent. Restated Articles of Incorporation and Bylaws of Eastern Maine Healthcare Systems, the supported organizations, and EMHS Foundation have tightly integrated the supported organization and EMHS board governance structure into a unified and cohesive governance system in which the EMHS board has ultimate authority over EMHS Foundation and the supported organizations with respect to nearly all governance domains. Thus, Eastern Maine Healthcare Systems board authority goes far beyond traditional powers of appointment and reserved powers of approval typical of many healthcare system governance models and actually vests authority in the Eastern Maine Healthcare Systems board to initiate and direct action on the part of EMHS Foundation and any one or more supported organizations, in essence acting itself as the supported organization board, thus establishing the presence of common supervision or control among the governing bodies of all organizations involved. Type II supporting organization status for Eastern Maine Healthcare Systems was confirmed by the IRS on March 8, 2016, in response to a request filed on form 8940 on September 28, 2015.
Schedule A (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000324
Software Version: 2015v3.0
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2
Name of organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF 		Employer identification number
22-2514163
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 3
Name of organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF 		Employer identification number

22-2514163
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a)
No.from Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)
Page 4
Name of organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF 		Employer identification number

22-2514163
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No.from Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data


Software ID: 15000324
Software Version: 2015v3.0
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletInformation about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ......................................................................................................................SchCMd Bullet
$  
3
Volunteer hours .............................................................................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2015

Schedule C (Form 990 or 990-EZ) 2015
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................    
c Total lobbying expenditures (add lines 1a and 1b) .......................................................................    
d Other exempt purpose expenditures .........................................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ..............................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2012 (b) 2013 (c) 2014 (d) 2015 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2015


Schedule C (Form 990 or 990-EZ) 2015
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
 
No
 
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
Yes
 
21
i
Other activities? ...................................................................................................................
 
No
 
j
Total. Add lines 1c through 1i ....................................................................................................
21
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
No
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Part II-B, Line 1i - Other Activities Description Non-deductible portion of dues
Schedule C (Form 990 or 990EZ) 2015


Additional Data


Software ID: 15000324
Software Version: 2015v3.0

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .... 1  
2 Aggregate value of contributions to (during year) 96,700  
3 Aggregate value of grants from (during year) 171,500  
4 Aggregate value at end of year .... 21,517  
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance .... 33,311,926 34,073,093 32,554,769 30,264,629 27,107,001
b Contributions ... 6,491,436 1,088,871 917,519 275,306 183,336
c Net investment earnings, gains, and losses 3,106,006 -401,044 2,003,441 3,353,108 4,395,504
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ... 		1,536,097 1,448,995 1,402,636 1,338,274 1,421,212
f Administrative expenses ....          
g End of year balance ...... 41,373,271 33,311,926 34,073,093 32,554,769 30,264,629
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet24.000 %
b
Permanent endowment SchDMd Bullet76.000 %
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
No
(ii) related organizations .................
3a(ii)
 
No
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
No
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment) 		(b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ...      
b Buildings        
c Leasehold improvements   73,948 27,488 46,460
d Equipment ...   246,367 198,156 48,211
e Other ...        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 94,671
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c)Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
LT Portion of Charitable Gift Annuity 726,308
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 726,308
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2015

Schedule D (Form 990) 2015
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 4,507,690
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b 16,909
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 16,909
3 Subtract line 2e from line 1.................. 3 4,490,781
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b 10,401,871
c Add lines 4a and 4b.................... 4c 10,401,871
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 14,892,652
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 4,226,802
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a 16,909
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e 16,909
3 Subtract line 2e from line 1................... 3 4,209,893
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b 8,482,380
c Add lines 4a and 4b..................... 4c 8,482,380
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 12,692,273

Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Part V, Line 4: Intended uses of the endowment fund. Endowment funds are designated for purposes that align within this organization's exempt purpose.
Part X : FIN48 Footnote Income TaxesEMHS, its hospitals, and certain other affiliates have been determined by the Internal Revenue Service to be tax-exempt charitable organizations as described in Section 501(c)(3) or 501(c)(2) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for federal income taxes has been recorded in the accompanying consolidated financial statements for these organizations.Tax-exempt charitable organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the more-likely-than-not threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated its tax position taken or expected to be taken on income tax returns and concluded the impact to be not material.Certain of the System's affiliates are taxable entities. Deferred taxes related to these entities are based on the difference between the financial statement and tax basis of assets and liabilities using enacted tax rates in effect in the years the differences are expected to reverse. The deferred tax assets and liabilities for these entities are not material.
Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S Special Events Reclass to Line 8b $-413705 Restricted Contrib Reported from Fnd Bal $10815576
Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S Restricted Expenses from Fund Balance $8896085 Special Events Reclass to Line 8b $-413705
Schedule D (Form 990) 2015


Additional Data


Software ID: 15000324
Software Version: 2015v3.0




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Part I
Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
ME
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.




VerticalRevenue
(a) Event #1

EMMC CTC 2016
(event type) 		(b) Event #2

Gary's House Golf Dinner & Auction
(event type) 		(c) Other events

15
(total number) 		(d) Total events
(add col. (a) through col. (c))

1
Gross receipts . . . . .
366,547
159,715
562,298
1,088,560

2
Less: Contributions . . . .
286,385
89,713
373,730
749,828
3 Gross income (line 1 minus
line 2) . . . . . .
80,162
70,002
188,568
338,732



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .        
7 Food and beverages . . .        
8 Entertainment . . . .        
9 Other direct expenses . . . 80,162 70,002 188,568 338,732
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow 338,732
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow  
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1
Gross revenue . . . . .
 
 
 
 
VerticalDirectExpenses

2
Cash prizes . . . . .
 
 
 
 

3
Noncash prizes . . . .
 
 
 
 

4
Rent/facility costs . . . .
 
 
 
 

5
Other direct expenses . . .
80,162
70,002
188,568
338,732


6

Volunteer labor . . . .
%
%
%


7
Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow
 

8
Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow
 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2015
Schedule G (Form 990 or 990-EZ) 2015
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2015
Additional Data


Software ID: 15000324
Software Version: 2015v3.0
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number
22-2514163
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) Acadia Hospital Corp
43 Whiting Hill Rd
Brewer,ME04412 		01-0459837 501(c)(3) 67,311 0     General Support
(2) Blue Hill Memorial Hospital
57 Water Street
Blue Hill,ME04614 		01-0227195 501(c)(3) 111,172 0     General support
(3) Eastern Maine Medical Center
PO Box 404 489 State Street
Bangor,ME04402 		01-0211501 501(c)(3) 4,545,230 0     General support
(4) EMMC Auxiliary
43 Whiting Hill Rd
Brewer,ME04412 		01-0377901 501(c)(3) 12,889 0     General support
(5) Husson University
One College Circle
Bangor,ME04401 		01-0271210   23,558 0     Nursing and accounting scholarships
(6) Inland Hospital
200 Kennedy Memorial Drive
Waterville,ME04901 		01-0217211 501(c)(3) 241,168 0     General support
(7) Lakewood A Continuing Care Center
220 Kennedy Memorial Drive
Waterville,ME04901 		01-0421234 501(c)(3) 44,837 0     General support
(8) Maine Coast Memorial Hospital
50 Union Street
Ellsworth,ME04605 		01-0198331 501(c)(3) 50,000 0     General Support
(9) Mercy Hospital
144 State Street
Portland,ME04101 		01-0211534 501(c)(3) 821,957 0     General support
(10) Rosscare
43 Whiting Hill Road Ste 400
Brewer,ME04412 		01-0391038 501(c)(3) 6,171 0     General support
(11) Sarahs House
1 Cumberland St Suite 300
Bangor,ME04401 		46-0808466 501(c)(3) 158,763 0     General support
(12) The Aroostook Medical Center
PO Box 151 140 Academy St
Presque Isle,ME04769 		01-0372148 501(c)(3) 879,555 0     General support
(13) VNA Home Health Hospice
50 Fonden Road Suite 3
South Portland,ME04106 		01-0246804 501(c)(3) 478,180 0     General Support
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
12
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
1
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2015

Schedule I (Form 990) 2015
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients		 (c) Amount of
cash grant		 (d) Amount of
non-cash assistance		 (e) Method of valuation (book,
FMV, appraisal, other)		 (f) Description of non-cash assistance
(1) Healthcare expense assistance 21 32,393      
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Grantmaker's Description of How Grants are Used EMHS Foundation procedure for grant monitoring and review process includes the following:Recipients are required to provide an accounting of expenditures. These are reviewed by the Chief Operating Officer before being disbursed.
Schedule I (Form 990) 2015



Additional Data


Software ID: 15000324
Software Version: 2015v3.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
 
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
Yes
 
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization?
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization?
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred on prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1Daniel CoffeyFormer Treasurer (i)

(ii)		  
-------------
415,404 		 
-------------
67,501 		 
-------------
27,775 		 
-------------
31,400 		 
-------------
18,561 		 
-------------
560,641 		 
-------------
 
2Derrick HollingsFormer Treasurer (i)

(ii)		  
-------------
295,051 		 
-------------
80,849 		 
-------------
365,442 		 
-------------
20,900 		 
-------------
15,996 		 
-------------
778,238 		 
-------------
 
3Glenn Martin EMHS Gen CounselSecretary (i)

(ii)		  
-------------
346,868 		 
-------------
37,013 		 
-------------
4,077 		 
-------------
69,877 		 
-------------
25,823 		 
-------------
483,658 		 
-------------
 
4Mary M Hood EMHS PresCEODirector (i)

(ii)		  
-------------
803,333 		 
-------------
167,248 		 
-------------
15,000 		 
-------------
250,557 		 
-------------
19,845 		 
-------------
1,255,983 		 
-------------
 
5Michael R CrowleyPres/Ex-Officio (i)

(ii)		 176,614
-------------
  		15,461
-------------
  		4,080
-------------
  		16,797
-------------
  		9,518
-------------
  		222,470
-------------
  		 
-------------
 
6Scott OxleyFormer Treasurer (i)

(ii)		  
-------------
266,800 		 
-------------
55,365 		 
-------------
49,452 		 
-------------
20,486 		 
-------------
23,500 		 
-------------
415,603 		 
-------------
 
Schedule J (Form 990) 2015

Schedule J (Form 990) 2015
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J (Form 990) 2015
Additional Data


Software ID: 15000324
Software Version: 2015v3.0
SCHEDULE M
(Form 990)

Department of the Treasury
Internal Revenue Service
Noncash Contributions
Right pointing arrow large imageComplete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image Attach to Form 990.
Right pointing arrow large imageInformation about Schedule M (Form 990) and its instructions is at www.irs.gov/form990
OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Part I
Types of Property
(a)
Check if applicable 		(b)
Number of contributions or items contributed 		(c)
Noncash contribution amounts reported on
Form 990, Part VIII, line 1g 		(d)
Method of determining
noncash contribution amounts
1 Art—Works of art ....        
2 Art—Historical treasures .        
3 Art—Fractional interests ..        
4 Books and publications ..      
5 Clothing and household
goods ....... 		X 5,313 FMV
6 Cars and other vehicles ..        
7 Boats and planes ....        
8 Intellectual property ...        
9 Securities—Publicly traded . X 33 328,740 FMV
10 Securities—Closely held stock .        
11 Securities—Partnership, LLC,
or trust interests .... 		       
12 Securities—Miscellaneous ..        
13 Qualified conservation
contribution—Historic
structures ..... 		       
14 Qualified conservation
contribution—Other ... 		       
15 Real estate—Residential .        
16 Real estate—Commercial ..        
17 Real estate—Other ...        
18 Collectibles .....        
19 Food inventory ...        
20 Drugs and medical supplies .        
21 Taxidermy ......        
22 Historical artifacts ....        
23 Scientific specimens ..        
24 Archeological artifacts ...        
25 Other Right pointing arrow large image ( Quilts ) X 1 50,000 FMV
26 Other Right pointing arrow large image ( Quilts ) X 1 15,000 FMV
27 Other Right pointing arrow large image ( Gas Cards ) X 1 60,000 FMV
28 Other Right pointing arrow large image ( Quilts ) X 1 20,000 FMV
Other Right pointing arrow large image ( Food ) X 7 10,495 fmv
Other Right pointing arrow large image ( gift cards ) X 19 1,850 fmv
Other Right pointing arrow large image ( toys ) X 2 1,179 fmv
29
Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement
29
 
Yes
No
30a
During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that
it must hold for at least three years from the date of the initial contribution, and which is not required to be used
for exempt purposes for the entire holding period? ..................
30a
 
No
b
If "Yes," describe the arrangement in Part II.
31
Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?
31
Yes
 
32a
Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash
contributions? ..........................
32a
 
No
b
If "Yes," describe in Part II.
33
If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,
describe in Part II.
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 51227J
Schedule M (Form 990) (2015)
Schedule M (Form 990) (2015)
Page 2
Part II
Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.
Return Reference Explanation
Schedule M (Form 990) (2015)

Additional Data


Software ID: 15000324
Software Version: 2015v3.0
SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2015
Open to Public
Inspection
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Return Reference Explanation
Form 990, Part III, Line 4d: Other Program Services Description OTHER PROGRAM SERVICES 4: In summary of her visit, Skahan shared, "There was a lot of interest from Secretary Vilsack and other leaders at the White House in developing impact investing for addiction. Everyone across the country is looking for solutions. The contacts I made may set the stage for significant funds and perhaps expansion to other vulnerable populations. Within greater Bangor, the Community Health Leadership Board (CHLB), which includes leaders from Acadia Hospital, Eastern Maine Medical Center, and EMHS, is addressing the opioid crisis using a two-pronged approach. The first approach focused on developing responsible standardized parameters for how to prescribe opiate medication for pain.Vijay Amarendran, MD, MS, medical director, Adult Outpatient Services, Acadia Hospital explained, "Opiates are a great treatment for people with chronic pain, but when given as a prescription for chronic pain, some people can get addicted to the opiates. Those with the Community Health Leadership Board enlisted the help of clinical providers in their organizations to make recommendations for safe prescribing practices for opiates and are now in the process of disseminating this information to all the providers in the area so everyone follows the same guidelines."The second area of focus for the CHLB is access to appropriate treatment. Dr. Amarendran discussed how the CHLB has developed a grant to support training more primary care providers to safely prescribe Suboxone, a narcotic typically used to control dependence on opioid pain relievers. "The idea is that more primary care providers will be able to prescribe the treatment quicker, whereas now, the list to get into treatment can be weeks or sometimes months. The sooner we can get someone into treatment the better their chances are for a successful recovery.In Hancock County, the Down East Substance Treatment Network (DESTN), led by Healthy Acadia, is on a similar mission to increase the number of providers that can prescribe Suboxone, as well as to decrease the clinical variation in treatments, and ensuring counseling is part of the treatment plan. Both Blue Hill Memorial Hospital and Maine Coast Memorial Hospital participate in this effort. John Ronan, FACHE, president of Blue Hill Memorial Hospital and interim president at Maine Coast Memorial Hospital says, "Maine Coast Memorial Hospital, Blue Hill Memorial Hospital, Mount Desert Island Hospital, along with law enforcement, Healthy Acadia, and several other caring individuals and organizations have come together to do this critical work for Hancock County. We are developing a hub and spokes model to help community organizations better coordinate treatment for patients and we are making tremendous progress. We have engaged providers and have training in place to allow patients to receive continued treatment at their primary care provider-it's about ensuring better access to treatment at the time it is needed for all who need it.The Greater Portland Addiction Collaborative, the Community Health Leadership Board, and the Down East Substance Treatment Network are just three committed groups looking to make a difference in three very hard hit areas of Maine. For EMHS and its member organizations, the priority to be involved is paramount and vital to our mission to improve the health and well-being of the communities we serve, but we know it cannot be done by one organization alone to have a lasting effect. As Deborah Carey Johnson, RN, CEO of EMMC summarized, "We have a very serious problem and it touches everyone in every setting-in our homes, schools, and workplaces. Collectively, as a state, we know we need to fix it, but it is so huge that it will take a lot of people working together to be able to make a difference.TLC-Providing more than just exceptional care While a volunteer pushing a cart filled with magazines, books, and crossword puzzles is a familiar site in many hospital hallways, one EMHS hospital is raising the bar on customer service. At Blue Hill Memorial Hospital, it is not uncommon to see a nurse walking a dog, an executive chef providing a to-go container of homemade soup, and occasionally, a care manager hand-delivering musical instruments. These gestures are all part of Blue Hill's commitment to deliver the absolute best in tender loving care-or as some say, "a little extra TLC.At this coastal hospital, however, TLC means a little bit more than providing exceptional care. Among the patients receiving these services at Blue Hill Memorial Hospital are those in the Transitional Level of Care program (TLC). These patients may be people who are recovering from injuries, illness, or surgery; those recovering from strokes or heart conditions; even those requiring pain management assistance.The TLC team, made up of physicians, nurses, registered dieticians, and physical, occupational, speech, and respiratory therapists, offers a full range of services that are specifically tailored to meet the needs of individual patients and their loved ones. These services are designed to promote rapid and lasting recovery, which allows people to return home and get back to living their lives as soon as possible.Many older patients in the coastal region in need of some extra support and attention have benefited from this service. Board certified internist and geriatrician and hospitalist at Blue Hill, Ron Prokoptus, MD, who is highly skilled in the complex needs of senior patients, explained, "We have a variety of on-site services that cater to each patients unique needs and are essential elements of an inpatient skilled nursing program, such as pharmacy, diagnostic imaging, laboratory, and social workers to help with paperwork and transitioning to life outside the hospital. We recognize that each patient is different and each comes with their own life experience; our goal is to work with them to get them back on a path of good health."In addition to being pet-friendly, offering nutritious meals featuring local organic ingredients, and flexible visiting hours, all of Blue Hill's staff members contribute to making sure people feel right at home so they can heal in a safe, caring, and therapeutic environment.Ruth Calas, director of philanthropy and crochet master, lovingly produces cozy blankets and hand-delivers them to patients and their families. The smiles and conversations she receives give her a personal boost and complement the job she does every day, working with donors near and far to raise funds for Blue Hill Memorial Hospital. This summer, before heading to work at Blue Hill Family Medicine, Zoe Tenney, FNP, kindly cut and donated beautiful flowers from her own garden. The colorful bounty brought the joy of summer inside to those who weren't able to be outside. And, when the staff learned that one patient's life-long passion was music and that the piano was most near and dear, they arranged to have one rolled right into the room.It's these stories that illustrate that at Blue Hill Memorial Hospital, TLC truly means something more. It is a kind of deep devotion that drives everyone at Blue Hill Memorial to go above and beyond and bring it all together for their patients, neighbors, friends, and family living in the close, tight knit communities of the Blue Hill peninsula, Deer Isle, and beyond. OTHER PROGRAM SERVICES 5: Defining Care:Beacon Health supports consistent, personalized, and compassionate careSupporting people so that they may live their healthiest lives means thinking differently about how care is delivered. Its about being a valued partner-a partner with patients, caregivers, communities, and employees. The best way to do this is to show people they are cared for each and every day. Beacon Health, the population health member of EMHS, works with EMHS primary care practices to deliver this principle of consistent, personalized, and compassionate care."Beacon Health is the team approach to healthcare delivery. Patients know us and feel comfortable reaching out to any of us to get the support they need, when they need it, explains Emily Cianchette, family nurse practitioner, at SVH Family Care in Pittsfield.Six years ago, Beacon Health was created by EMHS to support our work in transforming healthcare. We chose to become an Accountable Care Organization (ACO) and began by focusing on two discrete patient populations, Medicare beneficiaries and the employees and dependents on the EMHS Health Plan. Our goal was simple: make healthcare more interactive, proactive, and affordable so that future generations have access to the highest quality care they deserve, close to home.A foundational element to achieving that goal is the embedded care coordination program and the collaboration with frontline providers and patients. "We are offering services now that can help patients in ways that truly make a difference in their quality of life, Emily continues.By bringing together the experts, Beacon Health is able to promote be
Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder Eastern Maine Healthcare Systems Foundation (the "Corporation") is a Maine nonprofit corporation. Eastern Maine Healthcare Systems (EMHS), also a Maine nonprofit corporation, is the sole corporate member of the Corporation.
Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body Each year at their annual meeting, the directors elect replacements for those directors whose terms are expiring Election of directors is subject to ratification by the EMHS Board of Directors.
Form 990, Part VI, Line 7b: Describe Decisions of Governing Body Approval by Members or Shareholders The EMHS President has authority to appoint and remove the CEO of the Corporation. EMHS also has joint and superior authority to approve, disapprove or initiate action with respect to the following matters: I.amendments to the corporations Articles of Incorporation or Bylaws;II.changes in legal form of organization of the Corporation;III.election of the Directors/Trustees of the Corporation;IV.action concerning the Corporations operating budget and capital expenditures;V.the Corporations acquisition of assets or assumption of liabilities of an unaffiliated third party;VI.transfer of 5% or more of the assets of the Corporation;VII.financing transactions concerning the Corporation; VIII.merger, consolidation, sale, lease, mortgage, pledge or other disposition of all or substantially all assets of the Corporation; IX.action concerning the Corporations role in the EMHS Strategic Plan;X.action concerning the Corporations participation in key strategic affiliations with third parties not affiliated with EMHS; andXI.dissolution of the Corporation.
Form 990, Part VI, Line 11b: Form 990 Review Process Form 990 is reviewed by the CEO of EMHS Foundation. It is also provided to each board member either electronically or in hard copy with an opportunity to ask questions prior to filing with the IRS.
Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts 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 arms 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 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 arms length transactions.
Form 990, Part VI, Line 15a: Compensation Review & Approval Process - CEO, Top Management The CEO of EMHS Foundation and the system President/CEO (President) who serves on the board ex-officio are employed by the system parent, Eastern Maine Healthcare Systems (EMHS). The EMHS Executive Performance Management Committee (the Committee) is responsible to monitor and evaluate the performance of the EMHS President, to set compensation of the EMHS President, and to review recommendations of the EMHS President with respect to compensation of the Chief Executive Officer of the direct subsidiaries, and other direct reports to the President. The Committee is comprised entirely of independent Directors per EMHS bylaws. Process:The Committee meets regularly throughout the fiscal year at the discretion of the Committee chair as well as on call of the Chair of the EMHS board. In carrying out its duties pursuant to the Bylaws, the Committee:-Assures that the executive compensation program is administered in a manner consistent with the EMHS executive compensation philosophy.-Reviews and updates the EMHS executive compensation philosophy which serves as the foundation on which all current and future executive compensation decisions are made.-Assures that value of compensation provided by EMHS does not exceed the value of services provided by the executive.-Reviews annual incentive compensation criteria for eligible executives, as defined by the EMHS President.-Reviews periodic compensation survey information and provides expert input to proposed changes to the executive compensation program.-Assures that a formal and timely performance management system is in place for executives.-Reviews incentive compensation criteria scoring and associated pay schedules for officers and key employees.-Provides any public statements regarding executive compensation practices at EMHS deemed appropriate.-Maintains minutes of the meetings and communicates actions to the EMHS Board of Directors.To accomplish this, the committee uses an external consultant with access to comparative data from independent sources and include national as well as regional data points. The EMHS President reviews all direct report compensation actions with the committee. In addition, the EMHS President ensures that any subsidiary policies and practices governing executive compensation are consistent with the committee's philosophy and practices statement.
Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees EMHS Foundation does not pay employees directly. All staff and officers are employed by EMHS, the Systems parent organization and are purchased service by EMHS Foundation.
Form 990, Part VI, Line 19: Other Organization Documents Publicly Available EMHS Foundation makes its governing documents, conflict of interest policy and financial statements available to the public upon request.
Other Changes In Net Assets Or Fund Balances - Other Decreases Release of Restricted Investment in NEHHC = -$275779
Other Changes In Net Assets Or Fund Balances - Other Increases Transfer From Exempt Subsidiary - EMHS = $38676
Other Changes In Net Assets Or Fund Balances - Other Increases Transfer From Exempt Subsidiary - MCMH = $5289185
Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Exempt Subsidiary- CAD = $9228
Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Exempt Subsidiary -Mercy = $1451003
Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt subsidiary-AHC = $4034
Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Exempt Subsidiary-Inland = $58783
Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from Exempt Subsidiary-TAMC = $55239
Other Changes In Net Assets Or Fund Balances - Other Increases Transfer from exempt subsidiary-VNA = $300000
Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary -EMHS = -$392226
Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary -SVH = -$273
Other Changes In Net Assets Or Fund Balances - Other Decreases Transfer to exempt subsidiary -VNA = -$342934
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2015


Additional Data


Software ID: 15000324
Software Version: 2015v3.0
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2015
Open to Public Inspection
Name of the organization
Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF
Employer identification number

22-2514163
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1)Eastern Maine Healthcare Systems EMHS
43 Whiting Hill Rd

Brewer,ME04412
01-0527066 		Supporting organization for healthcare affiliates ME 501(c)(3) 11 Type II N/A
Yes
 
(2)Eastern Maine Medical Center EMMC
PO Box 404 489 State Street

Bangor,ME044020404
01-0211501 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(3)Eastern Maine Healthcare Real Estate
43 Whiting Hill Rd

Brewer,ME04412
01-0391036 		Leases real estate ME 501(c)(2)   EMHS
 
Yes
 
(4)Rosscare
43 Whiting Hill Road Ste 400

Brewer,ME04412
01-0391038 		Provide services to elderly ME 501(c)(3) PF EMHS
 
Yes
 
(5)Rosscare Nursing Homes Inc
43 Whiting Hill Road Ste 400

Brewer,ME04412
01-0430751 		Operation of nursing homes ME 501(c)(3) 9 Rosscare
 
Yes
 
(6)Acadia Hospital Corp AHC
43 Whiting Hill Road

Brewer,ME04412
01-0459837 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(7)Eastern Maine Medical Center Auxiliary
43 Whiting Hill Road

Brewer,ME04412
01-0377901 		Fundraising for exempt Eastern Maine Medical Center ME 501(c)(3) 9 EMMC
 
Yes
 
(8)Acadia Healthcare Inc AHI
43 Whiting Hill Road

Brewer,ME04412
22-3183888 		Provide healthcare services ME 501(c)(3) 9 AHC
 
Yes
 
(9)Norumbega Medical Specialists LTD
43 Whiting Hill Road Ste 400

Brewer,ME04412
01-0465231 		Provide patient care and education ME 501(c)(3) 9 EMMC
 
Yes
 
(10)Inland Hospital
200 Kennedy Memorial Drive

Waterville,ME04901
01-0217211 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(11)Lakewood A Continuing Care Center
220 Kennedy Memorial Drive

Waterville,ME04901
01-0421234 		Provide skilled and long-term nursing care ME 501(c)(3) 3 Inland Hospital
 
Yes
 
(12)CA Dean Memorial Hospital
Pritham Ave PO Box 1129

Greenville,ME044411129
04-3341666 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(13)Sebasticook Valley Health SVH
447 North Main Street

Pittsfield,ME04967
01-0263628 		Critical care hospital ME 501(c)(3) 3 EMHS
 
Yes
 
(14)The Aroostook Medical Center TAMC
PO Box 151 140 Academy Street

Presque Isle,ME047690151
01-0372148 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(15)TAMC Title Corp
PO Box 151 140 Academy Street

Presque Isle,ME047690151
01-0389226 		Real estate holding company ME 501(c)(2)   TAMC
 
Yes
 
(16)Horizon Health Services
PO Box 151 140 Academy Street

Presque Isle,ME047690151
01-0504393 		Provide patient care ME 501(c)(3) 3 TAMC
 
Yes
 
(17)Blue Hill Memorial Hospital
57 Water Street

Blue Hill,ME046145231
01-0227195 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(18)Meadow Wood LLC
43 Whiting Hill Road

Brewer,ME04412
27-2935243 		Provide patient care ME 501(c)(3) 9 AHI
 
Yes
 
(19)Sebasticook Valley Family Practice Assoc
447 North Main Street

Pittsfield,ME04967
01-0357854 		Provide patient care ME 501(c)(3) 9 SVH
 
Yes
 
(20)Restoration Health LLC
43 Whiting Hill Road

Brewer,ME04412
35-2449986 		Provide mental & behavioral hlth svcs ME 501(c)(3) 9 AHI
 
Yes
 
(21)Mercy Hospital
144 State Street

Portland,ME04101
01-0211534 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(22)Mercy Health System of Maine
144 State Street

Portland,ME04101
01-0484074 		Supporting org for healthcare affiliates ME 501(c)(3) 11 Type III Funt Int EMHS
 
Yes
 
(23)VNA Home Health & Hospice
50 Foden Road

South Portland,ME04106
01-0246804 		Provide home health and hospice services ME 501(c)(3) 9 EMHS
 
Yes
 
(24)WorkHealth LLC
43 Whiting Hill Road

Brewer,ME04412
47-4315094 		Provide healthcare services ME 501(c)(3) 11 Type II EMHS
 
Yes
 
(25)Maine Coast Healthcare Corporation
50 Union Street

Ellsworth,ME04605
22-3176167 		Provide dental services ME 501(c)(3) 11, Type II EMHS
 
Yes
 
(26)Maine Coast Regional Health Facilities
50 Union Street

Ellsworth,ME04605
01-0198331 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(27)Maine Coast Medical Realty
50 Union Street

Ellsworth,ME04605
01-0390918 		Lease medical facilities ME 501(c)(3) 11, Type I MCMH
 
Yes
 
(28)Maine Coast Healthcare Foundation
50 Union Street

Ellsworth,ME04605
56-2344952 		Raise and manage funds for exempt org ME 501(c)(3) 11, Type I MCMH
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) Beacon Health LLC

43 Whiting Hill Road
Brewer,ME04412
45-2967056 		Accountable care organization ME EMHS
  		        No     No  
(2) Beacon Rural Health LLC

43 Whiting Hill Road
Brewer,ME04412
47-4483187 		Accountable care organization ME EMHS
  		        No     No  










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Affiliated Healthcare Systems AHS

43 Whiting Hill Road
Brewer,ME04412
01-0385322 		Holding co. ME EMHS
  		C       Yes  
(2) Affiliated Healthcare Management

43 Whiting Hill Road
Brewer,ME04412
01-0349339 		Hlthcr mgmt ME AHS
  		C       Yes  
(3) Affiliated Laboratory Inc

43 Whiting Hill Road
Brewer,ME04412
01-0381283 		Clinical lab ME AHS
  		C       Yes  
(4) Affiliated Materiel Services

43 Whiting Hill Road
Brewer,ME04412
01-0381189 		Purchasing ME AHS
  		C       Yes  
(5) Meridan Mobile Health LLC

43 Whiting Hill Road
Brewer,ME04412
01-0512673 		Ambulance ME AHS
  		C       Yes  
(6) Maine Network for Health

PO Box 2813
Bangor,ME044022813
01-0496352 		Support srv ME EMHS
  		C       Yes  
(7) Dirigo Pines Retirement Community LLC

9 Alumni Drive
Orono,ME04473
01-0537924 		Holding Co ME AHS
  		C       Yes  
(8) Dirigo Pines Inn LLC

9 Alumni Drive
Orono,ME04473
02-0547749 		Contin Care ME Rosscare
  		C       Yes  
(9) Dirigo Funding LLC

9 Alumni Drive
Orono,ME04473
01-0599968 		Prov finance ME AHS
  		C       Yes  
(10) Dirigo Pines Development Company LLC

9 Alumni Drive
Orono,ME04473
01-0537924 		RetirCottages ME AHS
  		C       Yes  
(11) M Drug LLC

43 Whiting Hill Road
Brewer,ME04412
27-2175482 		Pharmacy ME AHS
  		C       Yes  
(12) Alliance Health Documentation LLC

43 Whiting Hill Road
Brewer,ME04412
46-2751855 		Transcription ME AHS
  		C       Yes  
(13) Maine Coast Physician Affiliates

50 Union Street
Ellsworth,ME04605
01-0479952 		Patient Care ME MCMH
  		C       Yes  
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Eastern Maine Healthcare Systems EMHS

 m 3,301,011 fmv
(2) Eastern Maine Healthcare Systems EMHS

 r 392,226 fmv
(3) Eastern Maine Medical Center EMMC

 a 70,200 fmv
(4) Eastern Maine Medical Center EMMC

 l 2,036,637 fmv
(5) Eastern Maine Medical Center EMMC

 r 4,545,230 fmv
(6) Acadia Hospital Corp AHC

 l 107,000 fmv
(7) Acadia Hospital Corp AHC

 r 67,311 fmv
(8) Inland Hospital

 l 204,000 fmv
(9) Inland Hospital

 r 241,168 fmv
(10) Inland Hospital

 s 58,783 fmv
(11) CA Dean Memorial Hospital

 l 64,000 fmv
(12) CA Dean Memorial Hospital

 r 339 fmv
(13) Sebasticook Valley Health SVH

 l 88,000 fmv
(14) The Aroostook Medical Center TAMC

 l 211,000 fmv
(15) The Aroostook Medical Center TAMC

 r 879,555 fmv
(16) Blue Hill Memorial Hospital

 l 200,000 fmv
(17) Blue Hill Memorial Hospital

 r 111,172 fmv
(18) Mercy Hospital

 l 400,000 fmv
(19) Mercy Hospital

 r 821,957 fmv
(20) VNA Home Health & Hospice

 l 150,000 fmv
(21) VNA Home Health & Hospice

 r 821,115 fmv
(22) VNA Home Health & Hospice

 s 300,000 fmv
(23) Maine Coast Regional Health Facilities

 l 305,600 fmv
(24) Maine Coast Regional Health Facilities

 s 4,450,456 fmv
Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2015
Schedule R (Form 990) 2015
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2015

Additional Data


Software ID: 15000324
Software Version: 2015v3.0