TY 2018 Form 990

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) Ann Hooper...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(2) Brian H Noyes...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(3) William A Burke...................................................................... Chairman	1.00 ................. 0.00	X	X	0	0	0
(4) Brett Loffredo MD...................................................................... Trustee	50.00 ................. 0.00	X		240,695	0	40,500
(5) Bruce P Garren...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(6) Christopher Claudio...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(7) Christopher W Emmons...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(8) L Clint Boothby...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(9) Daniel Loiselle MD...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(10) David James Kumaki MD FACP...................................................................... Trustee	1.00 ................. 50.00	X		0	275,814	48,898
(11) Greg Dufour...................................................................... Vice Chairman	1.00 ................. 0.00	X	X	0	0	0
(12) George Isaacson...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(13) Jere G Michelson...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(14) Kathleen A Herlihy MD MHP...................................................................... Trustee	50.00 ................. 0.00	X		258,642	0	51,640
(15) Katherine B Coster...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0
(16) Lisa Tran Beaule MD...................................................................... Trustee	50.00 ................. 0.00	X		528,981	0	69,864
(17) Melissa Smith...................................................................... Trustee	1.00 ................. 0.00	X		0	0	0

(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)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) Morris Fisher........................................................................ Trustee	1.00 .......................0.00	X				0	0
(19) Marie J McCarthy........................................................................ Trustee	1.00 .......................0.00	X				0	0
(20) Nancy Hasenfus MD........................................................................ Trustee	1.00 .......................0.00	X				0	0
(21) Peter Manning MD........................................................................ Trustee	50.00 .......................0.00	X				400,746	13,612
(22) Susannah Swihart........................................................................ Trustee	1.00 .......................0.00	X				0	0
(23) George Hissong........................................................................ Trustee	1.00 .......................0.00	X				0	0
(24) Thomas J Ryan MD........................................................................ Trustee	50.00 .......................0.00	X				524,626	41,020
(25) Heidi Hansen........................................................................ Trustee	1.00 .......................0.00	X				0	0
(26) Katherine Pope MD........................................................................ Trustee	1.00 .......................0.00	X				0	0
(27) Michael Q Simonds........................................................................ Trustee	1.00 .......................0.00	X				0	0
(28) Frank H Frye........................................................................ Trustee	1.00 .......................0.00	X				0	0
(29) Adrian M Moran MD........................................................................ Trustee	50.00 .......................0.00	X				48,559	2,164
(30) Margaret Bush........................................................................ Trustee	1.00 .......................0.00	X				0	0
(31) Lisa Almeder MD........................................................................ Trustee	50.00 .......................0.00	X				218,964	69,019
(32) William L Caron Jr........................................................................ CEO	50.00 .......................0.00		X			1,555,829	120,606
(33) Albert G Swallow III........................................................................ Treasurer	50.00 .......................0.00		X			807,176	96,707
(34) Robert Frank........................................................................ Secretary	50.00 .......................0.00		X			525,684	73,361
(35) Beth Kelsch........................................................................ Asst Secretary	50.00 .......................0.00		X			233,236	62,449
(36) Richard W Petersen........................................................................ MaineHealth President	50.00 .......................0.00		X			1,562,329	104,484
(37) Jeffrey Sanders........................................................................ EVP & COO	50.00 .......................0.00		X			690,339	70,868
(38) Lugene Inzana........................................................................ Sr VP of Finance/CFO	50.00 .......................0.00		X			590,943	44,096
(39) Joel Botler MD........................................................................ CMO	50.00 .......................0.00		X			693,887	120,885
(40) Marjorie Wiggins........................................................................ SVP of Nursing & CNO	50.00 .......................0.00		X			521,570	93,303
(41) Matthew R Sanborn MD........................................................................ Surgeon	50.00 .......................0.00			X		1,422,065	47,652
(42) Robert Ecker MD........................................................................ Surgeon	50.00 .......................0.00			X		1,401,595	72,209
(43) Joseph T Alexander MD........................................................................ Surgeon	50.00 .......................0.00			X		1,247,897	80,239
(44) Dougald MacGillivray MD........................................................................ Surgeon	50.00 .......................0.00			X		1,247,291	68,033
(45) Konrad Barth MD........................................................................ Surgeon	50.00 .......................0.00			X		1,235,793	85,733
(46) Peter Bates MD........................................................................ (Frmr Officer) SVP Medical Affairs	50.00 .......................0.00				X	332,898	52,983

(A) Name and business address	(B) Description of services	(C) Compensation
Spectrum Medical Group 324 Gannett Drive 200 South Portland,ME04106	Medical Service	7,222,057
Consigli Construction Company 72 Summer Street Milford,MA01757	Construction	4,404,003
Chest Medicine Assoc 100 Foden Rd W Bldg Ste 103 S Portland,ME041062351	Medical Service	3,987,662
Healthcare Excellence Inst 21045 N 9th Place 205 Phoenix,AZ850245635	Consulting	3,685,955
USI Insurance Services 4605 Columbus St Virginia Beach,VA234622490	Consulting	3,436,883
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 88

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

MaineHealth

Employer identification number

01-0238552

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 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2018

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2018 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2017 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2018. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2017. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2017. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2018

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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)		(a) 2014	(b) 2015	(c) 2016	(d) 2017	(e) 2018	(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.)..

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

Public support percentage for 2018 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2017 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2018 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2017 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2018. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2017. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2018

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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) 2018

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

Section B. Type I Supporting Organizations

Yes

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2018

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	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

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2018

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 2018 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-2018	(iii) Distributable Amount for 2018
1 Distributable amount for 2018 from Section C, line 6
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2018:
a From 2013.......
b From 2014.......
c From 2015.......
d From 2016.......
e From 2017.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2018 distributable amount
i Carryover from 2013 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2018 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2018 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2018, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2018. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2019. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2014......
b Excess from 2015.....
c Excess from 2016.....
d Excess from 2017.....
e Excess from 2018.....

Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018

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

Schedule A (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Name of the organization

MaineHealth

Employer identification number

01-0238552

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2

Name of organization MaineHealth

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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 3

Name of organization MaineHealth		Employer identification number 01-0238552

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) (2018)

Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Page 4


Name of organization MaineHealth			Employer identification number 01-0238552
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

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 Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

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

MaineHealth

Employer identification number

01-0238552

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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) 2018

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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) 2015	(b) 2016	(c) 2017	(d) 2018	(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) 2018

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)

Yes

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

20,000

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

65,587

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

160,921

Total. Add lines 1c through 1i ....................................................................................................

246,508

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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 1:	Part IIB, Line 1f Grant to No on Question 1 in support of lobbying activities that opposed the proposed enactment of a payroll tax and non-wage income tax to fund a program called the Universal Home Care Program. Grant to Maine Economic Growth Coalition in support of Question 4 for a bond issuance to directly support Maine's public universities and the State's future workforce and economic prosperity. Part IIB, Line 1g Lobbied state legistlators and executive branch officials on matters of concern to MaineHealth, our local health systems, and our patients. Part IIB, Line 1i Amount represents portion of dues paid to various organizations that relate to lobbying expense: Maine Hospital Association - $86,042 American Hospital Association - $54,752 National Association of Children's Hospitals - $17,635 Maine State Chamber of Commerce - $300 MHCA - $2,091 National Rural Health Association - $101

Return Reference

Explanation

Part II-B, Line 1:

Part IIB, Line 1f Grant to No on Question 1 in support of lobbying activities that opposed the proposed enactment of a payroll tax and non-wage income tax to fund a program called the Universal Home Care Program. Grant to Maine Economic Growth Coalition in support of Question 4 for a bond issuance to directly support Maine's public universities and the State's future workforce and economic prosperity. Part IIB, Line 1g Lobbied state legistlators and executive branch officials on matters of concern to MaineHealth, our local health systems, and our patients. Part IIB, Line 1i Amount represents portion of dues paid to various organizations that relate to lobbying expense: Maine Hospital Association - $86,042 American Hospital Association - $54,752 National Association of Children's Hospitals - $17,635 Maine State Chamber of Commerce - $300 MHCA - $2,091 National Rural Health Association - $101

Schedule C (Form 990 or 990EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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.
SchDMd Bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MaineHealth

Employer identification number

01-0238552

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 .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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	1
b	Total acreage restricted by conservation easements ....................	2b	54.00
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

5.00

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

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.

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

$ 52,228

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:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2018

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ....	102,712,122	100,061,713	93,775,123	95,914,866	109,296,215
b	Contributions ...	12,325,688	2,437,017	254,233	209,664	1,193,188
c	Net investment earnings, gains, and losses	-1,591,717	6,156,967	11,533,363	3,650,641	-9,299,173
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	5,566,598	5,943,575	5,501,006	6,000,048	5,275,364
f	Administrative expenses ....
g	End of year balance ......	107,879,495	102,712,122	100,061,713	93,775,123	95,914,866

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

66.830 %

Temporarily restricted endowment SchDMd Bullet

33.170 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

Yes

(ii) related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	54,286,824		54,286,824
b	Buildings ....	1,063,516,301	598,211,984	465,304,317
c	Leasehold improvements	32,185,414	11,392,933	20,792,481
d	Equipment ....	972,928,291	716,545,997	256,382,294
e	Other .....	176,516,630		176,516,630
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				973,282,546

Schedule D (Form 990) 2018

Page 3

Part VII

InvestmentsOther 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) Hedge Funds	87,754,891	C
(B) Limited Parnterships	76,727,949	C
(C) Real Estate	45,335,793	C
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	209,818,633

Part VIII

InvestmentsProgram 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.)

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) AR under reimbursement regulations				91,691,648
(2) Other assets				16,017,250
(3) Due from affiliates				32,980,361
(4) Charitable remainder trust				578,000
(5) Prepaid capital costs				158,564,324
(6) Escrow of debt service				7,455,920
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				307,287,503

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
Accrued retirement benefits	322,191,472
Investments held for members	58,207,858
A/P under reimbursement regs	138,263,485
Notes payable to affiliates	119,163,763
Due to affiliates	33,823,239
Asset retirement obligation	17,148,980
Swap agreements	11,210,943
Leases payable	12,011,970
Other liabilities	172,037
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	712,193,747
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) 2018

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
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
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
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
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

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
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
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
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

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 II, Line 9:	In 2002 Spring Harbor Hospital acquired a 54-acre parcel of land designated as a conservation easement which was conveyed as part of a land purchase upon which the hospital was built.
Part III, Line 4:	MaineHealth's artwork creates a healing and comfortable environment for our patients and visitors.
Part IV, Line 2b:	The organization maintains cash accounts for clients who are incapable of managing their Social Security or SSI payments. The payments are deposited into the account and a Social Secutity Representive Payee manages the account for them.
Part V, Line 4:	Current year contributions include $9,900,931 that represent endowment funds that were transferred from related organizations as a result of unification. The endowed funds support the following types of activities: Tufts scholarship program, training and education of nurses, MMC research and education programs, supporting the salary of endowed Chair of Pediatrics and free bed funding.
Part X, Line 2:	The Internal Revenue Service has previously determined that the System and its subsidiaries (except Maine Medical partners (MMP)(a subsidiary of MaineHealth) are organizations as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the IRC. Maine Medical Partners (MMP) had significant net operating loss carryovers as of September 30, 2019 and 2018. A valuation allowance has been provided for the entire deferred tax benefit for the net operating losses, due to uncertainty of realization. MMP did not have material taxable income in 2019 or 2018. Accordingly, a provision for income taxes has not been made in the accompanying consolidated financial statements. The System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgement occurs. The System did not recognize the effect of any income tax positions in either 2019 or 2018. On December 22, 2017, the President signed into law H.R. 1, originally known as the Tax Cuts and Jobs Act. The new law includes several provisions that result in substantial changes to the tax treatment of tax-exempt organizations and their donors. The Institute has reviewed these provisions and the potential impact and concluded the enactment of H.R. 1 will not have a material effect on the operations of the organization.

Schedule D (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
MaineHealth

Employer identification number

01-0238552

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,	0	0	Investments	68,059,145
















3a	Sub-total .....	0	0		68,059,145
b	Total from continuation sheets to Part I ...				0
c	Totals (add lines 3a and 3b)	0	0		68,059,145

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018

Schedule F (Form 990) 2018

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

(c) Region	(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement
Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso,	Research	25,865	Wire Transfer
Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso,	Research	25,551	Wire Transfer
Sub-Saharan Africa - Angola, Benin, Botswana, Burkina Faso,	Research	19,408	Wire Transfer

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......	3
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2018

Schedule F (Form 990) 2018Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2018

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2018

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation
Part I, Line 1	All subrecipient grants listed on Part II, Line 1 were recognized on the System for Award Managment website (sam.gov) as non-profit organizations.

Schedule F (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

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 arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization
MaineHealth

Employer identification number

01-0238552

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.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

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?

YesNo

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)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2018

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.

		(a) Event #1 Radiothon (event type)	(b) Event #2 BBCH Golf Open (event type)	(c) Other events 18 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	350,976	304,550	874,494	1,530,020
2	Less: Contributions . . . .	350,976	238,682	687,839	1,277,497
3	Gross income (line 1 minus line 2) . . . . . .		65,868	186,655	252,523

4	Cash prizes . . . . .
5	Noncash prizes . . . .	659	4,212	4,187	9,058
6	Rent/facility costs . . . .		36,960	25,773	62,733
7	Food and beverages . . .	1,159	15,583	2,716	19,458
8	Entertainment . . . .
9	Other direct expenses . . .	7,137	22,659	99,116	128,912
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				220,161
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				32,362

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.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

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

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

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2018

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

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? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

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

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

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 provide any additional information. See instructions.

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MaineHealth

Employer identification number

01-0238552

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 17500.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	17,572,376		17,572,376	0.840 %
b	Medicaid (from Worksheet 3, column a) . . . . .	220,784,169	188,540,072	32,244,097	1.550 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	238,356,545	188,540,072	49,816,473	2.390 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	2,306,711	153,335	2,153,376	0.100 %
f	Health professions education (from Worksheet 5) . . .	107,543,440	12,735,191	94,808,249	4.560 %
g	Subsidized health services (from Worksheet 6) . . . .	147,903,928	67,013,137	80,890,791	3.890 %
h	Research (from Worksheet 7) .	33,851,488	24,348,779	9,502,709	0.460 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	4,151,366		4,151,366	0.200 %
j	Total. Other Benefits . .	295,756,933	104,250,442	191,506,491	9.210 %
k	Total. Add lines 7d and 7j .	534,113,478	292,790,514	241,322,964	11.600 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018

Schedule H (Form 990) 2018

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	1,000	1,000	0 %
3	Community support	254,740	254,740	0.010 %
4	Environmental improvements
5	Leadership development and training for community members	107,077	107,077	0.010 %
6	Coalition building
7	Community health improvement advocacy	21,250	21,250	0 %
8	Workforce development	3,430,078	3,430,078	0.160 %
9	Other
10	Total	3,814,145	3,814,145	0.180 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

45,341,838

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

425,326,550

Enter Medicare allowable costs of care relating to payments on line 5.....

477,998,859

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-52,672,309

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2018

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?8Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)									Facility reporting group
1	Maine Medical Center 22 Bramhall Street Portland,ME04102 See Part V, Section C 38910	X	X	X	X		X	X	A
2	Southern Maine Health Care - Biddeford One Medical Center Drive Biddeford,ME04005 See Part V, Section C 39032	X	X					X	A
3	Penobscot Bay Medical Center 6 Glen Cove Drive Rockport,ME04856 See Part V, Section C 38936	X	X					X	A
4	Waldo County General Hospital 118 Northport Ave Belfast,ME04915 See Part V, Section C 39054	X	X			X		X	A
5	LincolnHealth 35 Miles Street Damariscotta,ME04543 See Part V, Section C 38979	X				X		X	A
6	Franklin Memorial Hospital 111 Franklin Health Commons Farmington,ME04938 See Part V, Section C 39266	X	X					X	A
7	Spring Harbor Hospital 123 Andover Road Westbrook,ME04092 See Part V, Section C 39254	X							A
8	Stephens Memorial Hospital Association 181 Main Street Norway,ME04268 See Part V, Section C 39215	X				X		X	A

Schedule H (Form 990) 2018

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 18

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Section C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 18

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Part V, Section C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2018

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 175.000000000000% and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Part V, Section C

The FAP application form was widely available on a website (list url):

See Part V, Section C

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 6

Part VFacility Information (continued)

Billing and Collections

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs

Made a reasonable effort to orally notify individuals about the FAP and FAP application process

Processed incomplete and complete FAP applications

Made presumptive eligibility determinations

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2018

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	Facility Reporting Group - A
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2018

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
Part V, Section A:	Facility Information, Website AddressMaine Medical Center: mainehealth.org/maine-medical-centerSouthern Maine Health Care - Biddeford: mainehealth.org/southern-maine-health-careSouthern Maine Health Care - Sanford: mainehealth.org/southern-maine-health-carePenobscot Bay Medical Center: mainehealth.org/pen-bay-medical-centerWaldo County General Hospital: mainehealth.org/waldo-county-general-hospitalLincolnHealth: mainehealth.org/lincolnhealthFranklin Memorial Hospital: mainehealth.org/franklin-community-health-networkSpring Harbor Hospital: mainehealth.org/maine-behavioral-healthcareStephens Memorial Hospital Association: mainehealth.org/western-maine-health
Part V, Section B, Line 5:	Community input was taken into account when conducting the CHNA, including those with special knowledge of or expertise in public health. This included individuals from the following facilities: City of Portland - Health and Human Services Department, The Opportunity Alliance, Mercy Health System, VNA Home Health Hospice, Maine Centers for Disease Control and the United Way of Greater Portland.
Part V, Section B, Line 6a:	The CHNA was conducted through a partnership between MaineHealth, Central Maine Healthcare, Easter Maine Healthcare systems (EMHS), MaineGeneral Health (MGH), and the Maine Department of Health and Human Services.
part V, Section B, Line 11:	For the 2019 CHNA, the organization has identified priorities and developed strategies to address the significant needs identified in its most recently conducted CHNA and provided reasons if identified needs are not being addressed. Please see the 2019 Community Health Needs Assessment and the 2019-2021 Implementation Plan at https://mainehealth.org/ healthy-communities/community-health-needs-assessment for details.
Part V, Section B, Line 7a & 10a:	The 2019 CHNA and 2019-2021 CHNA Implementation Plans are posted on the following website: https://mainehealth.org/healthy-communities/community-health-needs-assessment
Part V, Section B, Line 16a, 16b, 16c:	The Financial Assistance Policy (Free Care Policy and Billing and Collection Policy), free care application and plain language summary are available on the following website: https://mainehealth.org/patients-visitors/billing-insurance/financial-assistance/free-care.

Schedule H (Form 990) 2018

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?133
Name and address		Type of Facility (describe)
1	1 - MMC Scarborough Campus 100 Campus Drive Scarborough,ME04074	General Medical and Surgical
2	2 - MMC Scarborough Surgical Center 84 Campus Drive Scarborough,ME04074	General Medical and Surgical
3	3 - Neurosurgery & Spine and Neurology 49 Spring Street Scarborough,ME04074	Neurosurgery, Spine and Neurology Care
4	4 - MMC Brighton Campus 335 Brighton Avenue Portland,ME04102	Emergency Care
5	5 - Cardiology 99 Campus Drive Lewiston,ME04240	Cardiology
6	6 - Pediatric Surgery & Specialty Care 887 Congress Street Portland,ME04102	Pediatrics
7	7 - MMC Falmouth Campus 5 Bucknam Road Falmouth,ME04105	General Medicine
8	8 - Cardiology 96 Campus Drive Scarborough,ME04074	Cardiology
9	9 - Mental Health Services 66 Bramhall Street Portland,ME04102	Mental Health Services
10	10 - MMC Sanford IV Therapy 27 Industrial Avenue Sanford,ME04073	IV Therapy
11	11 - Orthopedics 119 Gannett Drive South Portland,ME04106	Orthopedic Care
12	12 - Women's Health 489 State Street Bangor,ME04401	Women's Healthcare
13	13 - Cardiothoracic Surgery 818 Congress Street Portland,ME04102	Cardiothoracic Surgery
14	14 - Coastal Cancer Treatment Center 175 Congress Avenue Bath,ME04350	Cancer Treatment Center
15	15 - Otolaryngology 1250 Forest Avenue Portland,ME04103	Otolaryngology
16	16 - Urology 199 Main Street Norway,ME04268	Urology
17	17 - McGeachy Hall 216 Vaughan Street Portland,ME04102	Mental Health Services
18	18 - Cape Elizabeth Internal Medicine 155 Spurwink Avenue Cape Elizabeth,ME04107	General Medicine
19	19 - MMC Family Medicine 272 Congress Street Portland,ME04101	General Medicine
20	20 - MMC Biddeford IV Therapy 26 West Cole Road Suite 101 Biddeford,ME04005	IV Therapy
21	21 - Urology 110 Brickhill Ave Suite 100 South Portland,ME04106	Urology
22	22 - Westbrook Primary Care 1 Harnois Avenue Suite 2A Westbrook,ME04092	General Medicine
23	23 - MMP Surgical Care Casco Bay 10 Andover Road Portland,ME04102	General Medical and Surgical
24	24 - Otolaryngology 43 Baxter Boulevard Portland,ME04101	Otolaryngology
25	25 - Endocrinology 175 US Route One Scarborough,ME04074	Endocrinology and Diabetes
26	26 - Maine Transplant Program 19 West Street Portland,ME04102	Kidney and Pancreas Transplant
27	27 - Scarborough Internal Family Medicine 300 Professional Drive Scarborough,ME04074	General Medicine
28	28 - Lakes Region Primary Care 584 Roosevelt Trail Windham,ME04062	General Medicine
29	29 - Cardiology 35 Medical Center Parkway Suite 101 Augusta,ME04330	Cardiology
30	30 - South Portland Primary Care 75B John Roberts Road South Portland,ME04106	General Medicine
31	31 - Women's Health 102 Campus Drive Unit 116 Scarborough,ME04074	Women's Healthcare
32	32 - ME Inst for Sleep & Breathing Disorders 930 Congress Street Portland,ME04102	Sleep and Breathing Disorders
33	33 - Pediatric Care 1577 Congress Street Portland,ME04102	Pediatrics
34	34 - Cardiology 4 Glen Cove Drive Suite 108 Rockport,ME04856	Cardiology
35	35 - Otolaryngology 30 West Cole Road Biddeford,ME04005	Otolaryngology
36	36 - Pediatric Surgery 46 First Park Drive Oakland,ME04963	Pediatrics
37	37 - Cardiology 149 North Street Waterville,ME04901	Cardiology
38	38 - Saco Pediatrics 4 Scamman Street Suite 51 Saco,ME04072	Pediatrics
39	39 - Yarmouth Pediatrics 45 Forest Falls Drive Suite 1A Yarmouth,ME04096	Pediatrics
40	40 - Endocrinology and Diabetes Center 963 Sabattus Street Lewiston,ME04240	Endocrinology and Diabetes
41	41 - Ambulatory Clinic Services 48-52 Gilman Street Portland,ME04102	General Medicine
42	42 - Center for Tobacco Independence 315 Park Avenue Second Floor Portland,ME04101	Tobacco Treatment Center
43	43 - Women's Health 84 Marginal Way Suite 900 Portland,ME04103	Women's Healthcare
44	44 - Otolaryngology 55 Main Street Bridgton,ME04009	Otolaryngology
45	45 - MMC Preble St Learning Collaborative 20 Portland Street Portland,ME04101	General Medicine
46	46 - Otolaryngology 193 Main Street Norway,ME04268	Otolaryngology
47	47 - Oncology 265 Western Avenue South Portland,ME04106	Oncology
48	48 - SMHC Billing Dept 4 Shape Drive Kennebunk,ME04043	Physician Services Billing
49	49 - SMHC Dermatology 26A West Cole Rd Biddeford,ME04005	Physician Services - Dermatology
50	50 - SMHC Newton Center 35 July Street Sanford,ME04073	Nursing Home
51	51 - SMHC Oncology 26 West Cole Rd Biddeford,ME04005	Physician Services - Oncology
52	52 - SMHC Oncology 27 Industrial Park Rd Sanford,ME04073	Physician Services - Oncology
53	53 - SMHC Phys Svcs 13 Industrial Park Road Saco,ME04072	Family Medicine Physician Services
54	54 - SMHC Phys Svcs - Anc Facility 2 Livewell Drive Kennebunk,ME04043	Phys Offices, Anc Svcs, Minor Procedures
55	55 - SMHC Phys Svcs - Infectious Disease 2 Medical Center Drive Biddeford,ME04005	Infectious Disease Physician Services
56	56 - SMHC Phys Svcs - Internal Medicine 72 Main Street Kennebunk,ME04043	Internal Medicine Physician Services
57	57 - SMHC Phys Svcs - Partial Hospital Pro 235 Main Street Biddeford,ME04005	Substance Abuse, Psychiatry
58	58 - SMHC Phys Svcs - Pediatrics 3 Shape Drive Kennebunk,ME04043	Pediatric Physician Services
59	59 - SMHC Phys Svcs - Sports Performance 1 Emile Levasseur Drive Sanford,ME04073	Physician Services - Sports Performance
60	60 - SMHC Phys Svcs & Anc Facility 9 Healthcare Drive Biddeford,ME04005	Physician Offices and Diagnostic Service
61	61 - SMHC Phys Svcs & Rehab Therapy 45 Barra Road Biddeford,ME04005	Int Med, Orth Surg, Neurology, & Rehab
62	62 - SMHC Phys Svcs & Walk in Care Fac 655 Main Street Saco,ME04072	Pediatrics & Osteopathic Manipulation
63	63 - SMHC Phys Svcs Goodall Med Off Bld 25 A June Street Sanford,ME04073	Phys. Svcs, Anc. Svcs & Minor Procedures
64	64 - SMHC Phys Svcs Anc Svcs Walk-in 10 Goodall Drive East Waterboro,ME04030	Family Med Phys Svcs, Anc Svcs, Walk-in
65	65 - SMHC Sports Medicine 12 Thornton Avenue Saco,ME04072	Sports Medicine Clinic
66	66 - SMHC Wellness Center 13 July Street Sanford,ME04073	Rehab Therapy & Occupational Medicine
67	67 - Pen Bay Occupational Therapy 4 Glen Cove Drive Rockport,ME04856	Occupational Therapy
68	68 - Pen Bay Physical Therapy 4 Glen Cove Drive Rockport,ME04856	Physical Therapy
69	69 - Pen Bay Physical Therapy 116 Union Street Rockport,ME04856	Physical Therapy
70	70 - Pen Bay Physical Therapy 40 Washington Road Waldoboro,ME04572	Physical Therapy
71	71 - Pen Bay Physicians & Associates 4 Glen Cove Drive Rockport,ME04856	Physician Practices
72	72 - The Knox Center for Long Term Care 6 White Street Rockland,ME04841	Long-Term Care Facility
73	73 - Arthur Jewell Community Health Ctr 55 Reynolds Rd Brooks,ME04921	General medical
74	74 - Donald S Walker Health Center 43 West Main Street Liberty,ME04949	General medical
75	75 - Lincolnville Health Center 2399 Atlantic Highway Lincolnville,ME04849	General medical
76	76 - Stockton Springs Reg Health Center 11 Cape Jellison Rd Stockton Springs,ME04981	General medical
77	77 - Lincoln Medical Partners 42 Belvedere Road Newcastle,ME04553	Administration
78	78 - LMP Family Medicine 230 Kalers Corner Waldoboro,ME04572	Outpatient Clinic
79	79 - LMP Family Medicine 49 Hooper Street Wiscasset,ME04578	Outpatient Clinic
80	80 - LMP General Surgery 5 Miles Center Way Damariscotta,ME04543	Outpatient Clinic
81	81 - LMP Ophthalmology 71 Main Street Newcastle,ME04553	Outpatient Clinic
82	82 - LMP Orthopedics 5 Miles Center Way Damariscotta,ME04543	Outpatient Clinic
83	83 - LMP Primary Care 24 Miles Center Way Damariscotta,ME04543	Outpatient Clinic
84	84 - St Andrews Village 145 Emery Lane Boothbay Harbor,ME04538	Long-Term Care Facility
85	85 - The Family Care Center 14 St Andrews Lane Boothbay Harbor,ME04538	Outpatient Clinic
86	86 - The Women's Center 5 Miles Center Way Damariscotta,ME04543	Outpatient Clinic
87	87 - Franklin Health Behavioral Services 131 Franklin Health Commons Farmington,ME04938	Behavioral Health Practice
88	88 - Franklin Health Farmington Fam Practi 111 Franklin Health Commons Farmington,ME04938	Family Practice
89	89 - Franklin Health Internal Medicine 111 Franklin Health Commons Farmington,ME04938	Internal Medicine Practice
90	90 - Franklin Health Livermore Falls Fam P 21 Main Street Livermore Falls,ME04254	Family Practice
91	91 - Franklin Health Orthopaedics 111 Franklin Health Commons Farmington,ME04938	Orthopaedic Practice
92	92 - Franklin Health Pediatrics 111 Franklin Health Commons Farmington,ME04938	Pediatrician Practice
93	93 - Franklin Health Primary Care Practice 131 Franklin Health Commons Farmington,ME04938	Primary Care Practice
94	94 - Franklin Health Surgery 111 Franklin Health Commons Farmington,ME04938	General Surgery Practice
95	95 - Franklin Health Urology 126 Middle Street Farmington,ME04938	Urology Practice
96	96 - Franklin Health Women's Care 111 Franklin Health Commons Farmington,ME04938	OB/GYN
97	97 - NorthStar 1001 Carriage Road Carrabasset Valley,ME04947	Ambulance Base
98	98 - NorthStar 111 Franklin Health Commons Farmington,ME04938	Ambulance Base
99	99 - NorthStar 119 Federal Road Livermore,ME04254	Ambulance Base
100	100 - NorthStar 138C Park Street Phillips,ME04966	Ambulance Base
101	101 - NorthStar 15 School Street Rangeley,ME04970	Ambulance Base
102	102 - Outpatient Services at Livermore Fall 21 Main Street Livermore Falls,ME04254	Outpatient Clinic
103	103 - ACT 106 Gilman Street Portland,ME04101	Assertive Community Treatment team
104	104 - ACT 576 St John Street Portland,ME04101	Assertive Community Treatment team
105	105 - Administration 77-79 Atlantic Place South Portland,ME04106	Administration offices
106	106 - Alfred St Apartments 20 Alfred Street Biddeford,ME04005	Apartments with supported housing services
107	107 - Bacon Street Apartments 72 Bacon Street Biddeford,ME04005	Sing. room supp. housing
108	108 - Bangor Office 268 State Street Bangor,ME04474	Outpatient counseling offices
109	109 - Beach Street Offices & CSU 31 Beach Street Saco,ME04072	Res. Crisis Stabilization Unit & Admin
110	110 - Belfast Apartments 31 Midcoast Drive Belfast,ME04915	Apartments, 1 office and common area
111	111 - Belfast Office 15 Midcoast Drive Belfast,ME04915	Outpatient office
112	112 - Biddeford Recovery Center 15 York Street Biddeford,ME04005	Peer recovery center
113	113 - Brunswick Office 11 Medical Center Drive Brunswick,ME04011	Outpatient counseling offices
114	114 - CADD 236 Gannett Drive South Portland,ME04106	Center of Autism & Developmental Disorders
115	115 - Cedar Street 125 Cedar Street Rockland,ME04841	3 bed single room occupancy
116	116 - Core 66 Baribeau Drive Brunswick,ME04086	Assertive Community Treatment team offices
117	117 - Core 18 Beluedere Road Damariscotta,ME04543	Assertive Community Treatment team
118	118 - Crescent Place 15 Crescent Street Biddeford,ME04005	6 bed group home
119	119 - Damariscotta Miles Campus LincolnHea 35 Miles Street Damariscotta,ME04543	Outpatient counseling offices
120	120 - Grace Street 47 Grace Street Rockland,ME04841	3 bed single room occupancy
121	121 - High Street Residence 5 High Street Sanford,ME04073	Sing. room supp. housing & file storage
122	122 - Main Street Biddeford 235 Main Street Biddeford,ME04005	Substance use outpatient counseling office
123	123 - Norway Office 193 Main Street Norway,ME04268	Outpatient counseling offices
124	124 - Owls Head 38 West Keag Road Owls Head,ME04854	7 bed single room occupancy
125	125 - Pleasant Street 407 Pleasant Street Rockland,ME04841	3 bed single room occupancy
126	126 - Portland Office 165 Lancaster St Portland,ME04101	Outpatient counseling offices
127	127 - Rockland Office 12 Union Street Rockland,ME04841	Outpatient office & peer recovery center
128	128 - Sanford Recovery Center 19 Washington Street Sanford,ME04073	Peer recovery center
129	129 - Sherry Sabo Center 2 Springbrook Drive Biddeford,ME04005	Outpatient counseling offices
130	130 - Springvale Office 474 Main Street Springvale,ME04083	Outpatient counseling offices
131	131 - The Elms 1-8 Sherry Lane North Berwick,ME03906	Apartments with supported housing services
132	132 - Warren Street Apartments 28 Warren Street Rockland,ME04841	Apartments, office & Common area for staff
133	133 - Woodbridge 19 Woodbridge Road York,ME03909	7 bed group home

Schedule H (Form 990) 2018

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
Part I, Line 7:	The costing methodology for the amounts reported in Part I, Line 7 of the Schedule H is based on a ratio of patient care cost to charges. This cost to charge ratio was derived from Worksheet 2, Ratio of Patient Care Cost-to-Charges provided in the instructions for Schedule H.
Part II, Community Building Activities:	Community Support- MaineHealth is deeply involved in disaster planning at the local and state levels. One of three state Regional Resource Centers for Emergency Preparedness is located at MMC, and the hospital has a full-time director of emergency preparedness.- MaineHealth is a dues paying member of Greater Portland Chamber of Commerce and Maine State Chamber of Commerce- SARSSM (Sexual Assault Response Services of Maine)- Southern Maine Regional Resource Center for Health Emergency Preparedness - Coordinated all Emergency Preparedness Activities of the Southern 4 Counties of Maine including: York, Cumberland, Sagadahoc and Lincoln. This includes both regional Hospitals, and over 300 Medical Centers, Laboratories, Clinics Ambulatory Center, Physician Practices, Long Term Care Centers, Home Health Agencies in our region. This includes Public Healthcare Emergency Preparedness.- Community Nurse Support - Nurse Liaison for the Town of Scarborough teaching Basic Life Support and attending panel discussions. Physicians from Falmouth and South Portland Pediatrics offices providing educational opportunity and open discussion for local school RNs.Leadership Development and Training for Community Members- Doc4aDay Program- Medical Explorers- Project Medical Education (PME)- Heathcare Professional Pipeline ProgramWorkforce Development- CNA training program- Summer volunteers- Nutrition & food students from Maine colleges- Hanley leadership development- UNE elective course on medication transactions at MMC- Introductory pharmacy student experiential learning program- Nurse practitioners and physician assistant clinical intership site- Portland Family Medicine medical assistant extern mentoring site- Student mursing precepting- Training of nurse practitioner students - psychiatry- Rehab medicine educational program- UNE trauma and recovery class for social work- Course instruction at USM for social work and psychiatry- Social work student intership supervision- Outpatient psychiatry training
Part III, Line 2:	See Part III, Line 4 - Bad Debt Expense Footnote to the Financial Statements.
Part III, Line 4:	MaineHealth does not have a specific footnote in the financial statements that describes "bad debt expense." However, reference is made within the footnotes to a bad debt policy in a couple of instances. Within the footnote describing "Net Patient Service Revenue", the following explains the Provision for Bad Debts:"For receivables associated with self-pay patients, the MaineHealth records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates and the amounts actually collected after all reasonable collection efforts have been exhausted is written off against the allowance for bad debts."Bad debt expense represents healthcare services MaineHealth has provided without compensation. As a tax-exempt organization, MaineHealth provides necessary patient care regardless of the patient's ability to pay for the services. MaineHealth cannot determine the amount of bad debt expense that could be reasonably attributable to patients who likely would qualify for financial assistance under the Hospital's free care policy. In addition, bad debt expense also includes amounts for services provided to individuals experiencing difficult personal or economic circumstances related to a portion of our community based patient population. Their medical bills often place these individuals in untenable positions where they are not able to handle their personal debt and then their new medical debt. However, because of their income level, they do not qualify for free care. By providing necessary healthcare services to those individuals either who fail to apply for financial assistance or who are experiencing difficult personal or economic circumstances, MaineHealth believes that bad debt expense should be included as a community benefit.
Part III, Line 8:	Medicare allowable costs were calculated using a cost to charge ratio. MaineHealth believes that the Medicare shortfall should be included as a community benefit because MaineHealth has a clear mission commitment to serving elderly patients and adults with disabilities through the provision of specific subsidized programs developed to help improve the health status of these patients. If these critical subsidized programs were not provided by MaineHealth, they would become the obligation of the Federal Government.
Part III, Line 9b:	Patients who qualify for free care have their account balance adjusted accordingly once free care has been approved. As a tax-exempt hospital, MaineHealth provides necessary patient care regardless of the patient's ability to pay for the services.
Part VI, Line 2:	The organization prepares a Community Health Needs Assessment (CHNA) every three years. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA.
Part VI, Line 3:	Free Care information is provided in the Admitting and Emergency Registration locations in the following manner:- Postings including Free Care and Monthly Payment Plan- Handouts- InterviewsIf the patient is self-pay, under insured or can't afford to pay theirhospital bill, they may receive a Financial Counseling Packet and/orreferred to financial counseling from the registration staff or ChangeHealthcare, an outside vendor who helps manage the self- pay accounts. Thepacket includes:- Information on MaineHealth's financial policies- Financial assistance information including Free Care Program, MonthlyPayment Plan Program, and Care Partners, MedAccess and other communityresource needs.- Program applications and instructions for MaineHealth's Free CareProgram, and Monthly Payment Plan Application- Contact information for assistance with applications, bills or financialconcernsSelf-pay or underinsured patients registering in person or via a phoneinterview receive financial counseling including information on ourfinancial assistance programs. Registration staff or Change Healthcareprovide forms and assist with completing financial assistance applicationsand providing follow up contact information.MaineHealth's Web site includes on line Registration and Patient Billinginformation:- Billing Process- Free Care- Monthly Payment Plan- Patient Statement- Price Information- Contact Us and QuestionsPrimary language, deaf and hard of hearing and interpreter needs are assessed during the registration interview and services are provided as needed.If a patient does not respond at pre-registration, registration, or whilereceiving care, all of these programs are explained again by the Single Billing Office staff. The intent of these efforts is to ensure that the patient is fully informed of and able to take advantage of these assistance programs.
Part VI, Line 4:	The Community Health Needs Assessment describes the geographic area anddemographic constituents it services. See https://mainehealth.org/healthy-communities/community-health-needs-assessment for the completed CHNA.
Part VI, Line 5:	MaineHealth's day-to-day operations as a tax-exempt organization include many system-wide initiatives in the state of Maine and the Northern New England region. Clinical services range fromoutpatient clinics for a diverse population to full inpatient and surgicalservices to a regional trauma center and a neuroscience institute. Many ofour services and specialties are not available elsewhere in the state or in our region. We have programs in undergraduate, graduate, post-graduate, and continuing education, engage in clinical research, and support organizations and efforts whose missions augment or complement ours. We strive to be a good "institutional citizen" of our region and state. With these programs, MaineHealth hopes to fill existing local gaps while making a positive impact in the communities we serve. These programs include: Subsidized Health Services, Community-Based Clinical Services, Community Education Services, Health Care Support Services, Community Building Activities, Medical Education and Research.MaineHealth made a net asset transfer to its wholly owned subsidiary, Maine Medical Partners, in the amount of $83,000,000 to cover the losses related to mission-critical physician practices to ensure access for the community to such specialties as trauma surgery, neurosurgery, urology, various pediatric specialties, and high-risk obstetrics.
Part VI, Line 6:	MaineHealth is a not-for-profit family of leading high-quality providersand other healthcare organizations working together so their communitiesare the healthiest in America. Ranked among the nation's top 100 integrated healthcare delivery networks, MaineHealth is governed by a board of trustees consisting of community and business leaders from its southern, central and western Maine regional service areas. The collaboration of MaineHealth members makes it possible to offer an extensive range of clinical integration and community health programs, many aimed at improving access to preventive and primary care services. MaineHealth includes the following member organizations: The Memorial Hospital at North Conway, N.H., MaineHealth Care at Home, NorDx and MaineHealth Accountable Care Organization. The strategic affiliates of MaineHealth are MaineGeneral Medical Center, Mid Coast Hospital and St. Marys Regional Medical Center.
Part VI, Line 7, Reports Filed With States	ME
Part V, Section B, Line 16i:	Internal Revenue Code Section 501(r)(4) requires that translations of the financial assistance policy, financial assistance application form and plain language summary be available on the hospital's website. For FY 2019, the translated financial assistance policy was not available on the hospital's website for the entirety of the twelve months ending September 30, 2019. The free care and billing and collection policies (collectively the financial assistance policy) were translated into the required language and posted to the website in March 2019. The organization has established an annual process to evaluate its demographic patient information to ensure that the required documents are translated into the necessary languages (the lesser of 1,000 or 5% of the community served by the hospital).Despite not meeting the requirements of 501(r)(4) for the entirety of the fiscal year, patients and families with limited English proficiency did have access to several interpreter services options to provide assistance with their health care encounters, including assistance with various forms and applications. These options include oral telephonic capabilities, remote video services as well as live interpreters through multiple contracts with outside agencies.

Schedule H (Form 990) 2018

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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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MaineHealth

Employer identification number
01-0238552

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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	(h) Purpose of grant or assistance
(1) Beth Israel Deaconess Medical Center 330 Brookline Avenue Boston,MA022155491	04-2103881	501(c)(3)	65,029	Research
(2) Brown University Controllers Office Box J Providence,RI02912	05-0258809	501(c)(3)	10,465	Research
(3) DiMagi Inc 585 Massachusetts Ave Suite 4 Cambridge,MA02139	83-0343298	501(c)(3)	74,454	Research
(4) Harvard Pilgrim Health Care Inc 93 Worcester Street Wellesley,MA024819181	04-2452600	501(c)(3)	45,957	Research
(5) Indiana University 400 E 7th Street Rm 501 Bloomington,IN474053004	35-6001673	501(c)(3)	11,566	Research
(6) Maine Dartmouth Family Medicine Residency 15 East Chestnutt Street Augusta,ME04330	01-0369195	501(c)(3)	7,787	Research
(7) Massachusetts General Hospital 55 Fruit Street Boston,MA02114	04-2697983	501(c)(3)	371,034	Research
(8) Northern Light Eastern Maine Medical Center 489 State Street Bangor,ME044016674	01-0211501	501(c)(3)	7,250	Research
(9) President and Fellows of Harvard College 1033 Massachusetts Avenue 3rd Fl Cambridge,MA02138	04-2103580	501(c)(3)	16,133	Research
(10) Regents of the University of Michigan 500 S State Street Ann Arbor,MI48109	38-6006309	501(c)(3)	347,385	Research
(11) Tufts University 169 Holland Street Attn Tax Dept Somerville,MA02144	04-2103634	501(c)(3)	393,659	Research
(12) University California San Francisco 220 Montogmery St Fl 5 San Francisco,CA94104	94-6036493	501(c)(3)	124,872	Research
(13) University of Maine System acting through the University of Maine 5717 Corbett Hall Orono,ME044695717	01-6000769	501(c)(3)	66,211	Research
(14) University of New England 11 Hills Beach Road Biddeford,ME04005	01-0211810	501(c)(3)	25,930	Research
(15) University of Pittsburgh 123 University Place University Club B-21 Pittsburgh,PA152132303	25-0965591	501(c)(3)	27,842	Research
(16) University of Southern Maine 5703 Alumni Hall Ste 101 Orono,ME04469	01-6000769	501(c)(3)	247,502	Research
(17) University of Texas Southwestern Medical Center 5323 Harry Hines Blvd Dallas,TX75390	75-2556007	501(c)(3)	699,620	Research
(18) University of Vermont 85 S Prospect St Rm 333 Burlington,VT05405	03-0179440	501(c)(3)	2,450,858	Research
(19) Yale University PO Box 208239 New Haven,CT065208239	06-0646973	501(c)(3)	527,845	Research
(20) Worcester Polytechnic Institute 100 Institute Road Worcester,MA016092280	04-2121659	501(c)(3)	29,030	Research

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2018

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 noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) Scholarship	247	1,709,003
(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

Part I, Line 2:

For the Research Grants to Organizations, these represent subrecipient grants. A subrecipient agreement is signed by both MMC and the subrecipient stating the amount of the award, the award name, the name of the Federal Agency, requirements imposed by laws, regulations and the provisions of the grant agreement. The monthly subrecipient invoices are reviewed and approved by the Principal Investigator prior to payment to verify the Federal funds are used for authorized purposes and are included in the award budget. Other contributions are reviewed by Senior Management and are granted to organizations within our community that promote our shared values. For the Nursing and Healthcare Scholarships, as an application requirement, each scholarship applicant must provide confirmation of enrollment in a Nursing or healthcare related program. For the Medical Education Scholarships for students in the Maine Track of the MMC. TUSM Medical School Program, MMC transfers the scholarship funds to the Tufts School of Medicine (Tufts) financial aid department for distribution to the students. Tufts handles any oversignt to ensure that the funds are used as intended. MMC's role is limited to matching eligible students with scholarship selection criteria and determining who receives each scholarship award.

Schedule I (Form 990) 2018

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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

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MaineHealth

Employer identification number

01-0238552

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

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 .........

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? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2018

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Brett Loffredo MD Trustee	(i) (ii)	233,992 ------------- 0	0 ------------- 0	6,703 ------------- 0	26,618 ------------- 0	13,882 ------------- 0	281,195 ------------- 0	0 ------------- 0
2David James Kumaki MD FACP Trustee	(i) (ii)	0 ------------- 242,678	0 ------------- 9,419	0 ------------- 23,717	0 ------------- 24,226	0 ------------- 24,672	0 ------------- 324,712	0 ------------- 0
3Kathleen A Herlihy MD MHP Trustee	(i) (ii)	215,964 ------------- 0	11,250 ------------- 0	31,428 ------------- 0	25,251 ------------- 0	26,389 ------------- 0	310,282 ------------- 0	0 ------------- 0
4Lisa Tran Beaule MD Trustee	(i) (ii)	508,199 ------------- 0	10,646 ------------- 0	10,136 ------------- 0	37,603 ------------- 0	32,261 ------------- 0	598,845 ------------- 0	0 ------------- 0
5Peter Manning MD Trustee	(i) (ii)	387,243 ------------- 0	0 ------------- 0	13,503 ------------- 0	9,625 ------------- 0	3,987 ------------- 0	414,358 ------------- 0	0 ------------- 0
6Thomas J Ryan MD Trustee	(i) (ii)	518,972 ------------- 0	0 ------------- 0	5,654 ------------- 0	32,470 ------------- 0	8,550 ------------- 0	565,646 ------------- 0	0 ------------- 0
7Lisa Almeder MD Trustee	(i) (ii)	218,046 ------------- 0	0 ------------- 0	918 ------------- 0	43,113 ------------- 0	25,906 ------------- 0	287,983 ------------- 0	0 ------------- 0
8William L Caron Jr CEO	(i) (ii)	1,057,674 ------------- 0	307,230 ------------- 0	190,925 ------------- 0	81,804 ------------- 0	38,802 ------------- 0	1,676,435 ------------- 0	0 ------------- 0
9Albert G Swallow III Treasurer	(i) (ii)	564,176 ------------- 0	155,463 ------------- 0	87,537 ------------- 0	67,016 ------------- 0	29,691 ------------- 0	903,883 ------------- 0	0 ------------- 0
10Robert Frank Secretary	(i) (ii)	430,474 ------------- 0	63,000 ------------- 0	32,210 ------------- 0	56,103 ------------- 0	17,258 ------------- 0	599,045 ------------- 0	0 ------------- 0
11Beth Kelsch Asst Secretary	(i) (ii)	211,008 ------------- 0	20,936 ------------- 0	1,292 ------------- 0	35,834 ------------- 0	26,615 ------------- 0	295,685 ------------- 0	0 ------------- 0
12Richard W Petersen MaineHealth President	(i) (ii)	882,200 ------------- 0	252,000 ------------- 0	428,129 ------------- 0	73,605 ------------- 0	30,879 ------------- 0	1,666,813 ------------- 0	0 ------------- 0
13Jeffrey Sanders EVP & COO	(i) (ii)	523,189 ------------- 0	152,619 ------------- 0	14,531 ------------- 0	36,312 ------------- 0	34,556 ------------- 0	761,207 ------------- 0	0 ------------- 0
14Lugene Inzana Sr VP of Finance/CFO	(i) (ii)	461,980 ------------- 0	117,466 ------------- 0	11,497 ------------- 0	11,000 ------------- 0	33,096 ------------- 0	635,039 ------------- 0	0 ------------- 0
15Joel Botler MD CMO	(i) (ii)	484,969 ------------- 0	72,729 ------------- 0	136,189 ------------- 0	87,652 ------------- 0	33,233 ------------- 0	814,772 ------------- 0	0 ------------- 0
16Marjorie Wiggins SVP of Nursing & CNO	(i) (ii)	350,384 ------------- 0	54,528 ------------- 0	116,658 ------------- 0	71,848 ------------- 0	21,455 ------------- 0	614,873 ------------- 0	0 ------------- 0
17Matthew R Sanborn MD Surgeon	(i) (ii)	1,233,631 ------------- 0	0 ------------- 0	188,434 ------------- 0	11,000 ------------- 0	36,652 ------------- 0	1,469,717 ------------- 0	0 ------------- 0
18Robert Ecker MD Surgeon	(i) (ii)	1,233,933 ------------- 0	0 ------------- 0	167,662 ------------- 0	35,630 ------------- 0	36,579 ------------- 0	1,473,804 ------------- 0	0 ------------- 0
19Joseph T Alexander MD Surgeon	(i) (ii)	1,038,607 ------------- 0	0 ------------- 0	209,290 ------------- 0	48,347 ------------- 0	31,892 ------------- 0	1,328,136 ------------- 0	0 ------------- 0
20Dougald MacGillivray MD Surgeon	(i) (ii)	1,149,960 ------------- 0	0 ------------- 0	97,331 ------------- 0	37,561 ------------- 0	30,472 ------------- 0	1,315,324 ------------- 0	0 ------------- 0
21Konrad Barth MD Surgeon	(i) (ii)	1,033,071 ------------- 0	0 ------------- 0	202,722 ------------- 0	48,743 ------------- 0	36,990 ------------- 0	1,321,526 ------------- 0	0 ------------- 0
22Peter Bates MD (Frmr Officer) SVP Medical Affairs	(i) (ii)	203,201 ------------- 0	37,160 ------------- 0	92,537 ------------- 0	37,690 ------------- 0	15,293 ------------- 0	385,881 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2018

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
Part III - Other Additional Information	Top management officials that are compensated by related organizations used one or more of the methods at Part I, Line 3 to establish the compensation of top management.

Schedule J (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MaineHealth

Employer identification number
01-0238552

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	17,998,986	See Part VI		X		X		X
B	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	85,963,004	See Part VI		X		X		X
C	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQW5	07-18-2018	183,854,035	See Part VI		X		X		X
D	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	08-01-2018	36,735,000	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	4,287,472	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	7,427,323	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	1,349,217	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQL9	12-28-2017	8,909,963	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	03-31-2014	4,800,000	Bldgs and Facilities		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	09-25-2014	3,125,535	Equipment		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	6,774,309	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	23,271,305	See Part VI		X		X	X
	Finance Authority of Maine	01-0392006	000000000	07-25-2013	15,742,390	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	15,930,820	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427NM4	11-30-2011	10,452,958	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	12,359,721	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	6,079,722	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	8,469,460	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	5,616,753	See Part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,630,000		3,500,000		385,000		645,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	17,998,986		85,967,973		187,297,626		36,735,000
4 Gross proceeds in reserve funds .............	1,753,301		953,929		4,557		2,635
5 Capitalized interest from proceeds .............					7,590,313
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	186,573		1,271,033		2,002,269		537,368
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	4,746,775		41,929,758		113,408,984
11 Other spent proceeds .............	17,812,413		42,754,483		1,144,107		36,197,632
12 Other unspent proceeds .............					64,296,060
13 Year of substantial completion .............	2014		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.100 %		0 %		0.100 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........					0 %
6 Total of lines 4 and 5 .............	0.100 %		0 %		0.100 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X	X
b Name of provider ..........							See Part VI
c Term of hedge .........							1790.0000000000 %
d Was the hedge superintegrated? ......								X
e Was the hedge terminated? ........								X

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 07/24/2019 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 06/28/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 11/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017
Additional Information (Bonds 1-4) "Entity 1"	- Part I, column (f), bond A - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, and 11/15/2001 - Part I, column (f), bond B - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility - Part I, column (f), bond C - Build, renovate, and equip hospital facility - Part I, column (f), bond D - Refund bonds issued 5/22/2008 Series 2011A bonds - With respect to Part I column (e), and Part II lines 1-12 (column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I, column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) - With respect to Part I column (e), and Part II lines 1-12 (column B), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) and Series 2018A bonds (issued 7/18/2018) - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. Part II, line 4, column A - The amount shown here consists of $1,402,045 in a debt service reserve fund, plus $351,256 of debt service fund deposits. Part II, line 4, column B through D - The amount shown here consists of debt service fund deposits Part III has not been completed with respect to the bonds shown in column A, since the bonds being refinanced by such bonds were issued before 2003 Part IV, lines 4b and 4c, column D - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC and each having a term of 17.9 years
Additional Information (Bonds 5-8) "Entity 2"	- Part I, column (f), bond A - -Bond issued 6/28/12: Refund bonds issued 5/19/1999 and 8/3/2000 - Part I, column (f), bond B - Bond issued 7/24/14: Refund bonds issued 10/16/2003 and 6/3/2004 - Part I, column (f), bond C - Bond issued 6/28/16: Refund bond issued 9/7/2006 - Part I, column (f), bond D - Bond issued 12/28/17: Refund bonds issued 11/1/2007 and 6/19/2008 Schedule K, Part IV, Arbitrage, Line 2c: (a) Issuer Name: Maine Health & Higher Educational Facilities Authority Date the Rebate Computation was performed: 06/28/2017 MHHEFA Series 2012A, 2014A, 2016 and 2017B Bonds: Pooled Financing - The institution's share of pooled financings constitutes less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the institution's share of such pooled financings, not with respect to 100% of each issue. Part II, Line 4, column A - The amount shown here consists of $267,900 in debt service reserve fund, plus $29,987 of debt service fund deposits. Part II, Line 4, column B - The amount shown here consists of $755,200 in debt service reserve fund, plus $189,033 of debt service fund deposits. Part II, Line 4 column C - The amount shown here consists of $179,600 in debt service reserve fund, plus $44,196 of debt service fund deposits. Part II, Line 4, column D - The amount shown here consists of $782,100 in debt service reserve fund, plus $197,798 of debt service fund deposits. Part III Part III has not been completed with respect to the refunding bonds issued 6/28/2012, since the bonds being refinanced by such bonds were issued before 2003. Part IV, Line 6, column A The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 9-12) "Entity 3"	- Part I, column (f), bond C - Refund bonds issued 12/10/1998 - Part I, column (f), bond D - Refund bonds issued 7/30/2002 Part I column (e) and Part II lines 1-12 (bond C and bond D) The bond issue is a pooled financing and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f) and all of Parts II and III have been answered with respect to the institution's share of the pooled financing, not with respect to 100% of the issue. Part II, Line 4, column C - The amount shown here consists of $612,600 in a debt service reserve fund, plus $148,521 of debt service fund deposits. Part II, line 4, column D - The amount shown here consists of $1,686,475 in a debt service reserve fund, plus $415,148 of debt service fund deposits. Part III has not been completed with respect to the bonds shown in column D, since the bonds being refinanced by such bonds were issued before 2003. Part IV, line 2c, column D - The date of the calculation was 6/28/2017. Part IV, line 6, column D - The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 13-16) "Entity 4"	- Part I, column (f), Bond A - To finance buildings and equipment - Part I, column (f), Bond B - To refund bonds issued 9/7/2006 - Part I, column (f), Bond C - To refund bonds issued 2/22/2001 - Part I, column (f), Bond D - To refund bonds issued 9/7/2006 Part I column (e) and Part II lines 1-12 (bond B, C and D) These issues are part of a pooled financing, and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III (column B, C and D), have been answered with respect to the institution's share of such pooled financing, not with respect to 100% of the issue. Part I, column (e), bond A - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. Part II, line 4, column B - The amount shown here consists of $2,100,250 in debt service reserve fund, plus $521,742 of debt service fund deposits. Part II, Line 4, column C - The amount shown here consists of $552,869 in debt service reserve fund, plus $172,354 of debt services deposits. Part II, Line 4, column D - The amount shown here consists of $654,850 in debt service reserve fund, plus $217,536 of debt services deposits. Part III, column C - Part III has not been completed with respect to the refunding bonds issued 11/30/11, since the bonds being refinanced by such bonds were issued before 2003. Part IV, column C, line 2c (Bond C) - the rebate calculation for the 2011C bonds conducted on 11/30/16 concluded that there was no rebate liability. Part IV, line 6, column B - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount.
Additional Information (Bonds 16-19) "Entity 5"	-Part I, column (f), Bond A - Construction, renovation, and equipping of medical office building -Part I, column (f), Bond B and C - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, 11/15/2001 Part I column (e) and Part II lines 1-12 (bond A) With respect to Part I columns (e) and (f), Part II lines 1-12 (column A), and Part III (Column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Part II line 14 has been answered with respect to the issue as a whole, rather than the institution's allocable portion; the institution's allocable portion of the bonds did not include any refunding component. Part I column (e) and Part II lines 1-12 (bond B and C) With respect to Part I columns (e) and (f), Part II lines 1-12 (column B and C), and Part III (Column B and C), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Bond A - The difference between the issue price (Part I) and total proceeds (Part II, line 3) in column A is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). Part II, line 4, column A - The amount shown here consists of debt service fund deposits. Part II, line 4 column B - the amount shown here consists of $672,062 in a debt service reserve fund, plus $169,778 of debt service fund deposits. Part II, line 4 column C - the amount shown here consists of $515,650 in a debt service reserve fund, plus $132,098 of debt service fund deposits. Part III, column B and C - Part III has not been completed, since the refunded bonds were issued before 2003.

Schedule K (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MaineHealth

Employer identification number
01-0238552

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	17,998,986	See Part VI		X		X		X
B	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	85,963,004	See Part VI		X		X		X
C	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQW5	07-18-2018	183,854,035	See Part VI		X		X		X
D	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	08-01-2018	36,735,000	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	4,287,472	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	7,427,323	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	1,349,217	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQL9	12-28-2017	8,909,963	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	03-31-2014	4,800,000	Bldgs and Facilities		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	09-25-2014	3,125,535	Equipment		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	6,774,309	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	23,271,305	See Part VI		X		X	X
	Finance Authority of Maine	01-0392006	000000000	07-25-2013	15,742,390	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	15,930,820	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427NM4	11-30-2011	10,452,958	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	12,359,721	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	6,079,722	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	8,469,460	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	5,616,753	See Part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,630,000		3,500,000		385,000		645,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	17,998,986		85,967,973		187,297,626		36,735,000
4 Gross proceeds in reserve funds .............	1,753,301		953,929		4,557		2,635
5 Capitalized interest from proceeds .............					7,590,313
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	186,573		1,271,033		2,002,269		537,368
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	4,746,775		41,929,758		113,408,984
11 Other spent proceeds .............	17,812,413		42,754,483		1,144,107		36,197,632
12 Other unspent proceeds .............					64,296,060
13 Year of substantial completion .............	2014		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.100 %		0 %		0.100 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........					0 %
6 Total of lines 4 and 5 .............	0.100 %		0 %		0.100 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X	X
b Name of provider ..........							See Part VI
c Term of hedge .........							1790.0000000000 %
d Was the hedge superintegrated? ......								X
e Was the hedge terminated? ........								X

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 07/24/2019 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 06/28/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 11/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017
Additional Information (Bonds 1-4) "Entity 1"	- Part I, column (f), bond A - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, and 11/15/2001 - Part I, column (f), bond B - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility - Part I, column (f), bond C - Build, renovate, and equip hospital facility - Part I, column (f), bond D - Refund bonds issued 5/22/2008 Series 2011A bonds - With respect to Part I column (e), and Part II lines 1-12 (column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I, column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) - With respect to Part I column (e), and Part II lines 1-12 (column B), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) and Series 2018A bonds (issued 7/18/2018) - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. Part II, line 4, column A - The amount shown here consists of $1,402,045 in a debt service reserve fund, plus $351,256 of debt service fund deposits. Part II, line 4, column B through D - The amount shown here consists of debt service fund deposits Part III has not been completed with respect to the bonds shown in column A, since the bonds being refinanced by such bonds were issued before 2003 Part IV, lines 4b and 4c, column D - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC and each having a term of 17.9 years
Additional Information (Bonds 5-8) "Entity 2"	- Part I, column (f), bond A - -Bond issued 6/28/12: Refund bonds issued 5/19/1999 and 8/3/2000 - Part I, column (f), bond B - Bond issued 7/24/14: Refund bonds issued 10/16/2003 and 6/3/2004 - Part I, column (f), bond C - Bond issued 6/28/16: Refund bond issued 9/7/2006 - Part I, column (f), bond D - Bond issued 12/28/17: Refund bonds issued 11/1/2007 and 6/19/2008 Schedule K, Part IV, Arbitrage, Line 2c: (a) Issuer Name: Maine Health & Higher Educational Facilities Authority Date the Rebate Computation was performed: 06/28/2017 MHHEFA Series 2012A, 2014A, 2016 and 2017B Bonds: Pooled Financing - The institution's share of pooled financings constitutes less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the institution's share of such pooled financings, not with respect to 100% of each issue. Part II, Line 4, column A - The amount shown here consists of $267,900 in debt service reserve fund, plus $29,987 of debt service fund deposits. Part II, Line 4, column B - The amount shown here consists of $755,200 in debt service reserve fund, plus $189,033 of debt service fund deposits. Part II, Line 4 column C - The amount shown here consists of $179,600 in debt service reserve fund, plus $44,196 of debt service fund deposits. Part II, Line 4, column D - The amount shown here consists of $782,100 in debt service reserve fund, plus $197,798 of debt service fund deposits. Part III Part III has not been completed with respect to the refunding bonds issued 6/28/2012, since the bonds being refinanced by such bonds were issued before 2003. Part IV, Line 6, column A The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 9-12) "Entity 3"	- Part I, column (f), bond C - Refund bonds issued 12/10/1998 - Part I, column (f), bond D - Refund bonds issued 7/30/2002 Part I column (e) and Part II lines 1-12 (bond C and bond D) The bond issue is a pooled financing and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f) and all of Parts II and III have been answered with respect to the institution's share of the pooled financing, not with respect to 100% of the issue. Part II, Line 4, column C - The amount shown here consists of $612,600 in a debt service reserve fund, plus $148,521 of debt service fund deposits. Part II, line 4, column D - The amount shown here consists of $1,686,475 in a debt service reserve fund, plus $415,148 of debt service fund deposits. Part III has not been completed with respect to the bonds shown in column D, since the bonds being refinanced by such bonds were issued before 2003. Part IV, line 2c, column D - The date of the calculation was 6/28/2017. Part IV, line 6, column D - The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 13-16) "Entity 4"	- Part I, column (f), Bond A - To finance buildings and equipment - Part I, column (f), Bond B - To refund bonds issued 9/7/2006 - Part I, column (f), Bond C - To refund bonds issued 2/22/2001 - Part I, column (f), Bond D - To refund bonds issued 9/7/2006 Part I column (e) and Part II lines 1-12 (bond B, C and D) These issues are part of a pooled financing, and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III (column B, C and D), have been answered with respect to the institution's share of such pooled financing, not with respect to 100% of the issue. Part I, column (e), bond A - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. Part II, line 4, column B - The amount shown here consists of $2,100,250 in debt service reserve fund, plus $521,742 of debt service fund deposits. Part II, Line 4, column C - The amount shown here consists of $552,869 in debt service reserve fund, plus $172,354 of debt services deposits. Part II, Line 4, column D - The amount shown here consists of $654,850 in debt service reserve fund, plus $217,536 of debt services deposits. Part III, column C - Part III has not been completed with respect to the refunding bonds issued 11/30/11, since the bonds being refinanced by such bonds were issued before 2003. Part IV, column C, line 2c (Bond C) - the rebate calculation for the 2011C bonds conducted on 11/30/16 concluded that there was no rebate liability. Part IV, line 6, column B - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount.
Additional Information (Bonds 16-19) "Entity 5"	-Part I, column (f), Bond A - Construction, renovation, and equipping of medical office building -Part I, column (f), Bond B and C - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, 11/15/2001 Part I column (e) and Part II lines 1-12 (bond A) With respect to Part I columns (e) and (f), Part II lines 1-12 (column A), and Part III (Column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Part II line 14 has been answered with respect to the issue as a whole, rather than the institution's allocable portion; the institution's allocable portion of the bonds did not include any refunding component. Part I column (e) and Part II lines 1-12 (bond B and C) With respect to Part I columns (e) and (f), Part II lines 1-12 (column B and C), and Part III (Column B and C), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Bond A - The difference between the issue price (Part I) and total proceeds (Part II, line 3) in column A is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). Part II, line 4, column A - The amount shown here consists of debt service fund deposits. Part II, line 4 column B - the amount shown here consists of $672,062 in a debt service reserve fund, plus $169,778 of debt service fund deposits. Part II, line 4 column C - the amount shown here consists of $515,650 in a debt service reserve fund, plus $132,098 of debt service fund deposits. Part III, column B and C - Part III has not been completed, since the refunded bonds were issued before 2003.

Schedule K (Form 990) 2018

Additional Data

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MaineHealth

Employer identification number
01-0238552

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	17,998,986	See Part VI		X		X		X
B	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	85,963,004	See Part VI		X		X		X
C	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQW5	07-18-2018	183,854,035	See Part VI		X		X		X
D	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	08-01-2018	36,735,000	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	4,287,472	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	7,427,323	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	1,349,217	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQL9	12-28-2017	8,909,963	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	03-31-2014	4,800,000	Bldgs and Facilities		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	09-25-2014	3,125,535	Equipment		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	6,774,309	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	23,271,305	See Part VI		X		X	X
	Finance Authority of Maine	01-0392006	000000000	07-25-2013	15,742,390	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	15,930,820	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427NM4	11-30-2011	10,452,958	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	12,359,721	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	6,079,722	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	8,469,460	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	5,616,753	See Part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,630,000		3,500,000		385,000		645,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	17,998,986		85,967,973		187,297,626		36,735,000
4 Gross proceeds in reserve funds .............	1,753,301		953,929		4,557		2,635
5 Capitalized interest from proceeds .............					7,590,313
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	186,573		1,271,033		2,002,269		537,368
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	4,746,775		41,929,758		113,408,984
11 Other spent proceeds .............	17,812,413		42,754,483		1,144,107		36,197,632
12 Other unspent proceeds .............					64,296,060
13 Year of substantial completion .............	2014		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.100 %		0 %		0.100 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........					0 %
6 Total of lines 4 and 5 .............	0.100 %		0 %		0.100 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X	X
b Name of provider ..........							See Part VI
c Term of hedge .........							1790.0000000000 %
d Was the hedge superintegrated? ......								X
e Was the hedge terminated? ........								X

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 07/24/2019 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 06/28/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 11/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017
Additional Information (Bonds 1-4) "Entity 1"	- Part I, column (f), bond A - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, and 11/15/2001 - Part I, column (f), bond B - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility - Part I, column (f), bond C - Build, renovate, and equip hospital facility - Part I, column (f), bond D - Refund bonds issued 5/22/2008 Series 2011A bonds - With respect to Part I column (e), and Part II lines 1-12 (column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I, column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) - With respect to Part I column (e), and Part II lines 1-12 (column B), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) and Series 2018A bonds (issued 7/18/2018) - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. Part II, line 4, column A - The amount shown here consists of $1,402,045 in a debt service reserve fund, plus $351,256 of debt service fund deposits. Part II, line 4, column B through D - The amount shown here consists of debt service fund deposits Part III has not been completed with respect to the bonds shown in column A, since the bonds being refinanced by such bonds were issued before 2003 Part IV, lines 4b and 4c, column D - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC and each having a term of 17.9 years
Additional Information (Bonds 5-8) "Entity 2"	- Part I, column (f), bond A - -Bond issued 6/28/12: Refund bonds issued 5/19/1999 and 8/3/2000 - Part I, column (f), bond B - Bond issued 7/24/14: Refund bonds issued 10/16/2003 and 6/3/2004 - Part I, column (f), bond C - Bond issued 6/28/16: Refund bond issued 9/7/2006 - Part I, column (f), bond D - Bond issued 12/28/17: Refund bonds issued 11/1/2007 and 6/19/2008 Schedule K, Part IV, Arbitrage, Line 2c: (a) Issuer Name: Maine Health & Higher Educational Facilities Authority Date the Rebate Computation was performed: 06/28/2017 MHHEFA Series 2012A, 2014A, 2016 and 2017B Bonds: Pooled Financing - The institution's share of pooled financings constitutes less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the institution's share of such pooled financings, not with respect to 100% of each issue. Part II, Line 4, column A - The amount shown here consists of $267,900 in debt service reserve fund, plus $29,987 of debt service fund deposits. Part II, Line 4, column B - The amount shown here consists of $755,200 in debt service reserve fund, plus $189,033 of debt service fund deposits. Part II, Line 4 column C - The amount shown here consists of $179,600 in debt service reserve fund, plus $44,196 of debt service fund deposits. Part II, Line 4, column D - The amount shown here consists of $782,100 in debt service reserve fund, plus $197,798 of debt service fund deposits. Part III Part III has not been completed with respect to the refunding bonds issued 6/28/2012, since the bonds being refinanced by such bonds were issued before 2003. Part IV, Line 6, column A The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 9-12) "Entity 3"	- Part I, column (f), bond C - Refund bonds issued 12/10/1998 - Part I, column (f), bond D - Refund bonds issued 7/30/2002 Part I column (e) and Part II lines 1-12 (bond C and bond D) The bond issue is a pooled financing and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f) and all of Parts II and III have been answered with respect to the institution's share of the pooled financing, not with respect to 100% of the issue. Part II, Line 4, column C - The amount shown here consists of $612,600 in a debt service reserve fund, plus $148,521 of debt service fund deposits. Part II, line 4, column D - The amount shown here consists of $1,686,475 in a debt service reserve fund, plus $415,148 of debt service fund deposits. Part III has not been completed with respect to the bonds shown in column D, since the bonds being refinanced by such bonds were issued before 2003. Part IV, line 2c, column D - The date of the calculation was 6/28/2017. Part IV, line 6, column D - The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 13-16) "Entity 4"	- Part I, column (f), Bond A - To finance buildings and equipment - Part I, column (f), Bond B - To refund bonds issued 9/7/2006 - Part I, column (f), Bond C - To refund bonds issued 2/22/2001 - Part I, column (f), Bond D - To refund bonds issued 9/7/2006 Part I column (e) and Part II lines 1-12 (bond B, C and D) These issues are part of a pooled financing, and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III (column B, C and D), have been answered with respect to the institution's share of such pooled financing, not with respect to 100% of the issue. Part I, column (e), bond A - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. Part II, line 4, column B - The amount shown here consists of $2,100,250 in debt service reserve fund, plus $521,742 of debt service fund deposits. Part II, Line 4, column C - The amount shown here consists of $552,869 in debt service reserve fund, plus $172,354 of debt services deposits. Part II, Line 4, column D - The amount shown here consists of $654,850 in debt service reserve fund, plus $217,536 of debt services deposits. Part III, column C - Part III has not been completed with respect to the refunding bonds issued 11/30/11, since the bonds being refinanced by such bonds were issued before 2003. Part IV, column C, line 2c (Bond C) - the rebate calculation for the 2011C bonds conducted on 11/30/16 concluded that there was no rebate liability. Part IV, line 6, column B - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount.
Additional Information (Bonds 16-19) "Entity 5"	-Part I, column (f), Bond A - Construction, renovation, and equipping of medical office building -Part I, column (f), Bond B and C - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, 11/15/2001 Part I column (e) and Part II lines 1-12 (bond A) With respect to Part I columns (e) and (f), Part II lines 1-12 (column A), and Part III (Column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Part II line 14 has been answered with respect to the issue as a whole, rather than the institution's allocable portion; the institution's allocable portion of the bonds did not include any refunding component. Part I column (e) and Part II lines 1-12 (bond B and C) With respect to Part I columns (e) and (f), Part II lines 1-12 (column B and C), and Part III (Column B and C), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Bond A - The difference between the issue price (Part I) and total proceeds (Part II, line 3) in column A is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). Part II, line 4, column A - The amount shown here consists of debt service fund deposits. Part II, line 4 column B - the amount shown here consists of $672,062 in a debt service reserve fund, plus $169,778 of debt service fund deposits. Part II, line 4 column C - the amount shown here consists of $515,650 in a debt service reserve fund, plus $132,098 of debt service fund deposits. Part III, column B and C - Part III has not been completed, since the refunded bonds were issued before 2003.

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MaineHealth

Employer identification number
01-0238552

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	17,998,986	See Part VI		X		X		X
B	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	85,963,004	See Part VI		X		X		X
C	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQW5	07-18-2018	183,854,035	See Part VI		X		X		X
D	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	08-01-2018	36,735,000	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	4,287,472	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	7,427,323	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	1,349,217	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQL9	12-28-2017	8,909,963	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	03-31-2014	4,800,000	Bldgs and Facilities		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	09-25-2014	3,125,535	Equipment		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	6,774,309	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	23,271,305	See Part VI		X		X	X
	Finance Authority of Maine	01-0392006	000000000	07-25-2013	15,742,390	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	15,930,820	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427NM4	11-30-2011	10,452,958	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	12,359,721	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	6,079,722	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	8,469,460	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	5,616,753	See Part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,630,000		3,500,000		385,000		645,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	17,998,986		85,967,973		187,297,626		36,735,000
4 Gross proceeds in reserve funds .............	1,753,301		953,929		4,557		2,635
5 Capitalized interest from proceeds .............					7,590,313
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	186,573		1,271,033		2,002,269		537,368
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	4,746,775		41,929,758		113,408,984
11 Other spent proceeds .............	17,812,413		42,754,483		1,144,107		36,197,632
12 Other unspent proceeds .............					64,296,060
13 Year of substantial completion .............	2014		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.100 %		0 %		0.100 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........					0 %
6 Total of lines 4 and 5 .............	0.100 %		0 %		0.100 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X	X
b Name of provider ..........							See Part VI
c Term of hedge .........							1790.0000000000 %
d Was the hedge superintegrated? ......								X
e Was the hedge terminated? ........								X

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 07/24/2019 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 06/28/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 11/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017
Additional Information (Bonds 1-4) "Entity 1"	- Part I, column (f), bond A - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, and 11/15/2001 - Part I, column (f), bond B - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility - Part I, column (f), bond C - Build, renovate, and equip hospital facility - Part I, column (f), bond D - Refund bonds issued 5/22/2008 Series 2011A bonds - With respect to Part I column (e), and Part II lines 1-12 (column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I, column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) - With respect to Part I column (e), and Part II lines 1-12 (column B), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) and Series 2018A bonds (issued 7/18/2018) - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. Part II, line 4, column A - The amount shown here consists of $1,402,045 in a debt service reserve fund, plus $351,256 of debt service fund deposits. Part II, line 4, column B through D - The amount shown here consists of debt service fund deposits Part III has not been completed with respect to the bonds shown in column A, since the bonds being refinanced by such bonds were issued before 2003 Part IV, lines 4b and 4c, column D - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC and each having a term of 17.9 years
Additional Information (Bonds 5-8) "Entity 2"	- Part I, column (f), bond A - -Bond issued 6/28/12: Refund bonds issued 5/19/1999 and 8/3/2000 - Part I, column (f), bond B - Bond issued 7/24/14: Refund bonds issued 10/16/2003 and 6/3/2004 - Part I, column (f), bond C - Bond issued 6/28/16: Refund bond issued 9/7/2006 - Part I, column (f), bond D - Bond issued 12/28/17: Refund bonds issued 11/1/2007 and 6/19/2008 Schedule K, Part IV, Arbitrage, Line 2c: (a) Issuer Name: Maine Health & Higher Educational Facilities Authority Date the Rebate Computation was performed: 06/28/2017 MHHEFA Series 2012A, 2014A, 2016 and 2017B Bonds: Pooled Financing - The institution's share of pooled financings constitutes less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the institution's share of such pooled financings, not with respect to 100% of each issue. Part II, Line 4, column A - The amount shown here consists of $267,900 in debt service reserve fund, plus $29,987 of debt service fund deposits. Part II, Line 4, column B - The amount shown here consists of $755,200 in debt service reserve fund, plus $189,033 of debt service fund deposits. Part II, Line 4 column C - The amount shown here consists of $179,600 in debt service reserve fund, plus $44,196 of debt service fund deposits. Part II, Line 4, column D - The amount shown here consists of $782,100 in debt service reserve fund, plus $197,798 of debt service fund deposits. Part III Part III has not been completed with respect to the refunding bonds issued 6/28/2012, since the bonds being refinanced by such bonds were issued before 2003. Part IV, Line 6, column A The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 9-12) "Entity 3"	- Part I, column (f), bond C - Refund bonds issued 12/10/1998 - Part I, column (f), bond D - Refund bonds issued 7/30/2002 Part I column (e) and Part II lines 1-12 (bond C and bond D) The bond issue is a pooled financing and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f) and all of Parts II and III have been answered with respect to the institution's share of the pooled financing, not with respect to 100% of the issue. Part II, Line 4, column C - The amount shown here consists of $612,600 in a debt service reserve fund, plus $148,521 of debt service fund deposits. Part II, line 4, column D - The amount shown here consists of $1,686,475 in a debt service reserve fund, plus $415,148 of debt service fund deposits. Part III has not been completed with respect to the bonds shown in column D, since the bonds being refinanced by such bonds were issued before 2003. Part IV, line 2c, column D - The date of the calculation was 6/28/2017. Part IV, line 6, column D - The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 13-16) "Entity 4"	- Part I, column (f), Bond A - To finance buildings and equipment - Part I, column (f), Bond B - To refund bonds issued 9/7/2006 - Part I, column (f), Bond C - To refund bonds issued 2/22/2001 - Part I, column (f), Bond D - To refund bonds issued 9/7/2006 Part I column (e) and Part II lines 1-12 (bond B, C and D) These issues are part of a pooled financing, and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III (column B, C and D), have been answered with respect to the institution's share of such pooled financing, not with respect to 100% of the issue. Part I, column (e), bond A - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. Part II, line 4, column B - The amount shown here consists of $2,100,250 in debt service reserve fund, plus $521,742 of debt service fund deposits. Part II, Line 4, column C - The amount shown here consists of $552,869 in debt service reserve fund, plus $172,354 of debt services deposits. Part II, Line 4, column D - The amount shown here consists of $654,850 in debt service reserve fund, plus $217,536 of debt services deposits. Part III, column C - Part III has not been completed with respect to the refunding bonds issued 11/30/11, since the bonds being refinanced by such bonds were issued before 2003. Part IV, column C, line 2c (Bond C) - the rebate calculation for the 2011C bonds conducted on 11/30/16 concluded that there was no rebate liability. Part IV, line 6, column B - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount.
Additional Information (Bonds 16-19) "Entity 5"	-Part I, column (f), Bond A - Construction, renovation, and equipping of medical office building -Part I, column (f), Bond B and C - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, 11/15/2001 Part I column (e) and Part II lines 1-12 (bond A) With respect to Part I columns (e) and (f), Part II lines 1-12 (column A), and Part III (Column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Part II line 14 has been answered with respect to the issue as a whole, rather than the institution's allocable portion; the institution's allocable portion of the bonds did not include any refunding component. Part I column (e) and Part II lines 1-12 (bond B and C) With respect to Part I columns (e) and (f), Part II lines 1-12 (column B and C), and Part III (Column B and C), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Bond A - The difference between the issue price (Part I) and total proceeds (Part II, line 3) in column A is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). Part II, line 4, column A - The amount shown here consists of debt service fund deposits. Part II, line 4 column B - the amount shown here consists of $672,062 in a debt service reserve fund, plus $169,778 of debt service fund deposits. Part II, line 4 column C - the amount shown here consists of $515,650 in a debt service reserve fund, plus $132,098 of debt service fund deposits. Part III, column B and C - Part III has not been completed, since the refunded bonds were issued before 2003.

Schedule K (Form 990) 2018

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Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax-Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part Ⅵ, line 24a. Provide descriptions,
explanations, and any additional information in Part Ⅵ.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization
MaineHealth

Employer identification number
01-0238552

Part Ⅰ

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	17,998,986	See Part VI		X		X		X
B	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	85,963,004	See Part VI		X		X		X
C	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQW5	07-18-2018	183,854,035	See Part VI		X		X		X
D	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	08-01-2018	36,735,000	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	4,287,472	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	7,427,323	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	1,349,217	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042RQL9	12-28-2017	8,909,963	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	03-31-2014	4,800,000	Bldgs and Facilities		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	000000000	09-25-2014	3,125,535	Equipment		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427W77	07-24-2014	6,774,309	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427EU4	06-28-2012	23,271,305	See Part VI		X		X	X
	Finance Authority of Maine	01-0392006	000000000	07-25-2013	15,742,390	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	15,930,820	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427NM4	11-30-2011	10,452,958	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	56042REW8	06-28-2016	12,359,721	See Part VI		X		X	X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427Y75	01-07-2015	6,079,722	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	8,469,460	See Part VI		X		X		X
	Maine Health & Higher Ed Facilities Auth	01-0314384	560427LW4	08-31-2011	5,616,753	See Part VI		X		X		X

Part Ⅱ

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	5,630,000		3,500,000		385,000		645,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	17,998,986		85,967,973		187,297,626		36,735,000
4 Gross proceeds in reserve funds .............	1,753,301		953,929		4,557		2,635
5 Capitalized interest from proceeds .............					7,590,313
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	186,573		1,271,033		2,002,269		537,368
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	4,746,775		41,929,758		113,408,984
11 Other spent proceeds .............	17,812,413		42,754,483		1,144,107		36,197,632
12 Other unspent proceeds .............					64,296,060
13 Year of substantial completion .............	2014		2016
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X		X			X	X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X		X		X
16 Has the final allocation of proceeds been made? ..........	X		X			X	X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X		X		X

Part Ⅲ

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............	X			X	X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2018

Page 2

Part Ⅲ

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? .............		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.100 %		0 %		0.100 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........					0 %
6 Total of lines 4 and 5 .............	0.100 %		0 %		0.100 %
7 Does the bond issue meet the private security or payment test? ...		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X		X

Part Ⅳ

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X	X		X		X
b Exception to rebate? ........		X		X		X		X
c No rebate due? .........	X			X		X		X
If "Yes" to line 2c, provide in Part Ⅵ the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X		X		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X	X
b Name of provider ..........							See Part VI
c Term of hedge .........							1790.0000000000 %
d Was the hedge superintegrated? ......								X
e Was the hedge terminated? ........								X

Schedule K (Form 990) 2018

Page 3

Part Ⅳ

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X		X		X

Part Ⅴ

Procedures To Undertake Corrective Action

---------------------------------------------------------------------------------------------------------------	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X		X		X

Part Ⅵ

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
Date Rebate Computation Performed	Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 07/24/2019 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 06/28/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 11/30/2016 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017 Issuer Name: Maine Health & Higher Ed. Facilities Auth. Date the Rebate Computation was Performed: 09/22/2017
Additional Information (Bonds 1-4) "Entity 1"	- Part I, column (f), bond A - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, and 11/15/2001 - Part I, column (f), bond B - Refund bonds issued 5/22/2008; build, renovate, and equip hospital facility - Part I, column (f), bond C - Build, renovate, and equip hospital facility - Part I, column (f), bond D - Refund bonds issued 5/22/2008 Series 2011A bonds - With respect to Part I column (e), and Part II lines 1-12 (column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I, column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) - With respect to Part I column (e), and Part II lines 1-12 (column B), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Series 2014 bonds (issued 1/7/2015) and Series 2018A bonds (issued 7/18/2018) - The difference between the issue price (Part I) and total proceeds (Part II, line 3) is due to investment earnings. Part II, line 4, column A - The amount shown here consists of $1,402,045 in a debt service reserve fund, plus $351,256 of debt service fund deposits. Part II, line 4, column B through D - The amount shown here consists of debt service fund deposits Part III has not been completed with respect to the bonds shown in column A, since the bonds being refinanced by such bonds were issued before 2003 Part IV, lines 4b and 4c, column D - There are two separate hedging contracts identified with these bonds, both with Morgan Stanley Capital Services LLC and each having a term of 17.9 years
Additional Information (Bonds 5-8) "Entity 2"	- Part I, column (f), bond A - -Bond issued 6/28/12: Refund bonds issued 5/19/1999 and 8/3/2000 - Part I, column (f), bond B - Bond issued 7/24/14: Refund bonds issued 10/16/2003 and 6/3/2004 - Part I, column (f), bond C - Bond issued 6/28/16: Refund bond issued 9/7/2006 - Part I, column (f), bond D - Bond issued 12/28/17: Refund bonds issued 11/1/2007 and 6/19/2008 Schedule K, Part IV, Arbitrage, Line 2c: (a) Issuer Name: Maine Health & Higher Educational Facilities Authority Date the Rebate Computation was performed: 06/28/2017 MHHEFA Series 2012A, 2014A, 2016 and 2017B Bonds: Pooled Financing - The institution's share of pooled financings constitutes less than 100% of each issue. Part I columns (e) and (f), and all of Parts II and III, have been answered with respect to the institution's share of such pooled financings, not with respect to 100% of each issue. Part II, Line 4, column A - The amount shown here consists of $267,900 in debt service reserve fund, plus $29,987 of debt service fund deposits. Part II, Line 4, column B - The amount shown here consists of $755,200 in debt service reserve fund, plus $189,033 of debt service fund deposits. Part II, Line 4 column C - The amount shown here consists of $179,600 in debt service reserve fund, plus $44,196 of debt service fund deposits. Part II, Line 4, column D - The amount shown here consists of $782,100 in debt service reserve fund, plus $197,798 of debt service fund deposits. Part III Part III has not been completed with respect to the refunding bonds issued 6/28/2012, since the bonds being refinanced by such bonds were issued before 2003. Part IV, Line 6, column A The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 9-12) "Entity 3"	- Part I, column (f), bond C - Refund bonds issued 12/10/1998 - Part I, column (f), bond D - Refund bonds issued 7/30/2002 Part I column (e) and Part II lines 1-12 (bond C and bond D) The bond issue is a pooled financing and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f) and all of Parts II and III have been answered with respect to the institution's share of the pooled financing, not with respect to 100% of the issue. Part II, Line 4, column C - The amount shown here consists of $612,600 in a debt service reserve fund, plus $148,521 of debt service fund deposits. Part II, line 4, column D - The amount shown here consists of $1,686,475 in a debt service reserve fund, plus $415,148 of debt service fund deposits. Part III has not been completed with respect to the bonds shown in column D, since the bonds being refinanced by such bonds were issued before 2003. Part IV, line 2c, column D - The date of the calculation was 6/28/2017. Part IV, line 6, column D - The "yes" answer here refers to the debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement fund. It is our understanding that the Authority appropriately restricts the investment yield on the excess amounts.
Additional Information (Bonds 13-16) "Entity 4"	- Part I, column (f), Bond A - To finance buildings and equipment - Part I, column (f), Bond B - To refund bonds issued 9/7/2006 - Part I, column (f), Bond C - To refund bonds issued 2/22/2001 - Part I, column (f), Bond D - To refund bonds issued 9/7/2006 Part I column (e) and Part II lines 1-12 (bond B, C and D) These issues are part of a pooled financing, and the institution's portion constitutes less than 100% of the issue. Part I columns (e) and (f), and all of Parts II and III (column B, C and D), have been answered with respect to the institution's share of such pooled financing, not with respect to 100% of the issue. Part I, column (e), bond A - The issue price shown on Form 8038 was $17,500,000. However, this issue was structured as a draw-down loan, and the full eligible amount was not drawn. The amount shown here equals the full amount actually borrowed. Part II, line 4, column B - The amount shown here consists of $2,100,250 in debt service reserve fund, plus $521,742 of debt service fund deposits. Part II, Line 4, column C - The amount shown here consists of $552,869 in debt service reserve fund, plus $172,354 of debt services deposits. Part II, Line 4, column D - The amount shown here consists of $654,850 in debt service reserve fund, plus $217,536 of debt services deposits. Part III, column C - Part III has not been completed with respect to the refunding bonds issued 11/30/11, since the bonds being refinanced by such bonds were issued before 2003. Part IV, column C, line 2c (Bond C) - the rebate calculation for the 2011C bonds conducted on 11/30/16 concluded that there was no rebate liability. Part IV, line 6, column B - The "yes" answer here refers to a debt service reserve fund that (in the aggregate for the entire issue, including the institution's portion plus all other participating institutions) exceeds the amount qualifying as a reasonably required reserve or replacement funds. It is our understanding that the Authority appropriately restricts the investment yield on the excess amount.
Additional Information (Bonds 16-19) "Entity 5"	-Part I, column (f), Bond A - Construction, renovation, and equipping of medical office building -Part I, column (f), Bond B and C - Refund bonds issued 7/9/1998, 12/10/1998, 5/19/1999, 11/15/2001 Part I column (e) and Part II lines 1-12 (bond A) With respect to Part I columns (e) and (f), Part II lines 1-12 (column A), and Part III (Column A), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Part II line 14 has been answered with respect to the issue as a whole, rather than the institution's allocable portion; the institution's allocable portion of the bonds did not include any refunding component. Part I column (e) and Part II lines 1-12 (bond B and C) With respect to Part I columns (e) and (f), Part II lines 1-12 (column B and C), and Part III (Column B and C), the institution is reporting its allocable portion of this bond issue, the remainder of which is allocable to affiliated entities. For purposes of Part I column (i), the institution has assumed that this arrangement does not constitute a "pooled financing." Bond A - The difference between the issue price (Part I) and total proceeds (Part II, line 3) in column A is due to investment earnings (increase in proceeds) and a small portion of what would have been investment proceeds that was used to retire principal of the bonds (reduction in proceeds). Part II, line 4, column A - The amount shown here consists of debt service fund deposits. Part II, line 4 column B - the amount shown here consists of $672,062 in a debt service reserve fund, plus $169,778 of debt service fund deposits. Part II, line 4 column C - the amount shown here consists of $515,650 in a debt service reserve fund, plus $132,098 of debt service fund deposits. Part III, column B and C - Part III has not been completed, since the refunded bonds were issued before 2003.

Schedule K (Form 990) 2018

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MaineHealth

Employer identification number

01-0238552

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2018

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) Abigail Abbott	See Part V	108,397	See Part V		No
(2) Alexander Abbott	See Part V	225,186	See Part V		No
(3) Gwendolyn Anderson	See Part V	35,352	See Part V		No
(4) Christina Manning	See Part V	254,465	See Part V		No
(5) Jessika Morin	See Part V	292,456	See Part V		No
(6) Marybeth Hourihan	See Part V	164,107	See Part V		No
(7) Sarah Moran	See Part V	40,641	See Part V		No
(8) Jennifer Caron	See Part V	93,336	See Part V		No
(9) Elliot Bates	See Part V	95,725	See Part V		No
(10) Judith Fisher	See Part V	85,143	See Part V		No
(11) Substantial Contributor	Sub. Contributor	203,262	Employment		No
(12) Substantial Contributor	Sub. Contributor	827,911	Employment		No
(13) Substantial Contributor	Sub. Contributor	231,913	Employment		No
(14) Substantial Contributor	Sub. Contributor	393,231	Employment		No
(15) Substantial Contributor	Sub. Contributor	233,844	Employment		No
(16) Substantial Contributor	Sub. Contributor	148,412	Employment		No
(17) Substantial Contributor	Sub. Contributor	249,918	Employment		No
(18) Substantial Contributor	Sub. Contributor	399,999	Employment		No
(19) Substantial Contributor	Sub. Contributor	234,480	Employment		No
(20) Substantial Contributor	Sub. Contributor	514,316	Employment		No
(21) Substantial Contributor	Sub. Contributor	237,784	Employment		No
(22) Substantial Contributor	Sub. Contributor	3,245,622	Vendor		No
(23) Substantial Contributor	Sub. Contributor	896,550	Vendor		No
(24) Substantial Contributor	Sub. Contributor	468,112	Vendor		No
(25) Substantial Contributor	Sub. Contributor	420,312	Vendor		No
(26) Substantial Contributor	Sub. Contributor	212,421	Vendor		No
(27) Substantial Contributor	Sub. Contributor	196,463,758	Vendor		No
(28) Substantial Contributor	Sub. Contributor	12,740,915	Vendor		No
(29) Substantial Contributor	Sub. Contributor	9,960,200	Vendor		No
(30) Substantial Contributor	Sub. Contributor	8,390,912	Vendor		No
(31) Substantial Contributor	Sub. Contributor	4,260,719	Vendor		No
(32) Substantial Contributor	Sub. Contributor	1,874,160	Vendor		No
(33) Substantial Contributor	Sub. Contributor	876,905	Vendor		No
(34) Substantial Contributor	Sub. Contributor	747,354	Vendor		No
(35) Substantial Contributor	Sub. Contributor	545,199	Vendor		No
(36) Substantial Contributor	Sub. Contributor	386,375	Vendor		No
(37) Substantial Contributor	Sub. Contributor	326,916	Vendor		No
(38) Substantial Contributor	Sub. Contributor	212,116	Vendor		No
(39) Substantial Contributor	Sub. Contributor	134,471	Vendor		No
(40) Substantial Contributor	Sub. Contributor	111,572	Vendor		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference

Explanation

Schedule L, Part IV, Column (b) and (d)

George Isaacson is a member of the Board of Trustees. His daughter, Abigail Abbott, is employed by MMC as a Senior Director. His son in law, Alexander Abbott, is also employed by MMC as a Vice President.Nancy Hasenfus, MD is a member of the Board of Trustees. Her daughter, Gwendolyn Anderson, is employed by Maine Behavioral Healthcare as a Phych Technician.Peter Manning, MD is a member of the Board of Trustees. His wife, Christina Manning, MD is a physician employed by Southern Maine Health Care.Susannah Swihart is a member of the Board of Trustees. Her stepdaughter, Jessika Morin is a physician employed by Southern Maine Health Care.Thomas J. Ryan, MD is a member of the Board of Trustees. His wife, Mary Hourihan, MD is a physician employed by MMC.Adrian Moran, MD was a member of the Board of Trustees. His wife, Sarah Moran, is a Social Worker employed by MMC.William Caron is an ex-officio Trustee of MMC. His daughter in law, Jennifer Caron, is a Research Associate employed by MMC.Peter Bates' son, Elliot Bates, is a Senior Project Manager employed by MMC.Morris Fisher is a member of the Board of Trustees. His wife, Judith Fisher, is employed by MMC.

Schedule L (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete 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 image

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MaineHealth

Employer identification number

01-0238552

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 .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .	X	20	2,071,460	Fair Market Value
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 ( )
26 Other ( )
27 Other ( )
28 Other ( )

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

Yes

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

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any nonstandard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

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) (2018)

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) (2018)

Additional Data

Software ID:
Software Version:

- TIN:

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

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2018

Open to Public
Inspection

Name of the organization

MaineHealth

Employer identification number

01-0238552

Return Reference	Explanation
Form 990, Part V, Line 1a	MaineHealth Services (EIN: 01-0431680), acting on behalf of the MaineHealth System filed 1,645 Form 1099s for the calendar year 2018.
Form 990, Part V, Line 2a	MaineHealth Services (EIN: 01-0431680), acting on behalf of the MaineHealth System filed Form W-3, reporting 18,322 employees, for the calendar year 2018.
Form 990, Part VI, Section A, line 2	Katherine Coster, Christopher Claudio, and Jere Michelson were board members of MaineHealth and Gorham Savings Bank.
Form 990, Part VI, Section A, line 4	On December 14, 2018, the Maine Medical Center Articles of Incorporation were amended to change the name of the corporation from Maine Medical Center to MaineHealth, and a corresponding change was made to the Maine Medical Center Bylaws. Effective January 1, 2019, the MaineHealth (f/k/a Maine Medical Center) Articles of Incorporation were amended and restated to expand the charitable purposes to encompass a larger geographic area and to significantly restructure the Board of Trustees in connection with an internal corporate restructuring by which several affiliated corporations merged into the corporation. Corresponding changes were made to the organization's Bylaws.
Form 990, Part VI, Section A, line 6	MaineHealth Services (EIN: 01-0431680) is the sole Member of the organization.
Form 990, Part VI, Section A, line 7a	The sole Member of the organization has the responsibility for the election of the members of the governing body.
Form 990, Part VI, Section A, line 7b	There are decisions by the governing body that require the approval of its sole member. They include: 1. The adoption of operating and capital budgets 2. The approval of any significant strategic plan for programs or facilities 3. The authorization of debt incurred, assumed, or guaranteed by MaineHealth in excess of $1,000,000 and its subsidiaries in excess of $1,000,000 other than as provided for in annual capital and operating budgets 4. The authorization for any acquisition, disposition, organization or investment in any other corporation, partnership, limited liability company or joint venture 5. The authorization for any sale, assignment, transfer, mortgage or encumbrance of any properties or assets having an aggregate value in excess of $1,000,000 6. The authorization for any merger or consolidation involving MaineHealth or its subsidiaries as a constituent entity or any sale or other disposition of substantially all of the assets of MaineHealth or its subsidiaries 7. The authorization for the institution of any bankruptcy, insolvency or reorganization proceedings 8. The authorization for the capital investment in any individual, entity, or project in the form of cash or either tangible or intangible property in excess of $1,000,000 9. The amendment of the Articles of Incorporation; 10. The selection, annual election, evaluation, and termination of MaineHealth's CEO 11. The authorization for the commencement of litigation by the MaineHeatlh other than routine collection actions 12. The adoption of MaineHealth's Bylaws and any amendments and modifications to MaineHealth's Bylaws
Form 990, Part VI, Section B, line 11b	The MaineHealth CFO reviewed the 990 in detail. The Form 990 is then reviewed by the MaineHealth Executive Committee. Subsequent to the meeting, the 990 was also made available to the full Board of Trustees for MaineHealth. The Board was then given an opportunity to ask questions of the Chairman of the Board, the CEO, or the CFO.
Form 990, Part VI, Section B, line 12c	Conflicts of Interest statements are obtained annually. MaineHealth Services' Audit & Compliance Services Department collects and reviews the responses to these documents and addresses any issues immediately. The results are shared with Board leadership.
Form 990, Part VI, Section B, line 15	Compensation for Top Official & Officers MaineHealth uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO and other key administrative employees. The firm meets with the Executive Committee of the Board of Directors to review each executive's benchmark report. The Executive Committee then deliberates on MaineHealth Services' written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels.
Form 990, Part VI, Section C, line 19	Documents that are required to be open for public inspection are made available upon request.
Form 990, Part XI, line 9:	Equity Transfers to Affiliates -76,246,597. Retirement Benefit Plan Adjustments -132,636,465. Net Assets Transferred as a Result of Unification 496,193,349. PenBay and Goodall Hospital Acquisition Adjustment 29,444,405.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2018

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2018

Open to Public Inspection

Name of the organization

MaineHealth

Employer identification number

01-0238552

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?
(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	Yes	No
(1)MaineHealth Services 110 Free Street Portland,ME04101 01-0431680	Healthcare	ME	501(c)(3)	Line 12c, III-FI	N/A		No
(2)Maine Medical Center Realty Corp 22 Bramhall Street Portland,ME04102 01-0434215	Property management	ME	501(c)(3)	Line 12a, I	MaineHealth	Yes
(3)Maine Behavioral Healthcare 78 Atlantic Place South Portland,ME04106 01-0524834	Hospital	ME	501(c)(3)	Line 3	MaineHealth Services		No
(4)LincolnHealth Group 6 St Andrews Lane Boothbay Harbor,ME04538 26-1475629	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth Services		No
(5)Western Maine Health Care Corp 181 Main Street Norway,ME04268 01-0411788	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth Services		No
(6)Geriatric Resource Network 110 Free Street Portland,ME04101 01-0542842	Healthcare	ME	501(c)(3)	Line 7	MaineHealth Services		No
(7)MaineHealth Care at Home 15 Industrial Park Saco,ME04072 22-2571902	Home health	ME	501(c)(3)	Line 10	MaineHealth Services		No
(8)NorDx 301A US Route One Scarborough,ME04074 01-0511356	Lab	ME	501(c)(3)	Line 10	MaineHealth Services		No
(9)Coastal Healthcare Alliance PO Box 287 Belfast,ME04915 22-2494475	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth Services		No
(10)MaineHealth Cardiology 110 Free Street Portland,ME04101 45-2525629	Healthcare	ME	501(c)(3)	Line 10	MaineHealth Services		No
(11)The Memorial Hospital 3073 White Mountain Highway North Conway,NH03860 02-0222156	Hospital	NH	501(c)(3)	Line 3	MaineHealth Services		No
(12)Southern Maine Health Care PO Box 626 Biddeford,ME04005 01-0179500	Hospital	ME	501(c)(3)	Line 3	MaineHealth Services		No
(13)Franklin Community Health Network 111 Franklin Health Commons Farmington,ME04938 22-3209406	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth Services		No
(14)St Joseph's Rehab & Residence 1133 Washington Avenue Portland,ME04103 01-0339489	Nursing home	ME	501(c)(3)	Line 10	MaineHealth		No
(15)LincolnHealth Cove's Edge 35 Miles Street Damariscotta,ME04543 01-0382340	Healthcare	ME	501(c)(3)	Line 3	MaineHealth	Yes
(16)Quarry Hill PO Box 287 Belfast,ME04915 01-0213976	Long term care	ME	501(c)(3)	Line 10	MaineHealth	Yes
(17)Penobscot Bay Physicians & Associates PO Box 287 Belfast,ME04915 01-0530517	Physician services	ME	501(c)(3)	Line 12b, II	MaineHealth	Yes
(18)LincolnHealth Medical Partners Inc 35 Miles Street Damariscotta,ME04543 26-3878235	Physician practices	ME	501(c)(3)	Line 7	MaineHealth	Yes
(19)Western Maine Multi-Medical Specialists 181 Main Street Norway,ME04268 01-0489824	Physician practices	ME	501(c)(3)	Line 10	MaineHealth	Yes
(20)Evergreen Behavioral Services 131 Franklin Health Commons Farmington,ME04938 01-0492747	Mental Health	ME	501(c)(3)	Line 10	MaineHealth	Yes
(21)Healthy Community Coalition 105 Mt Blue Circle Farmington,ME04938 22-3305743	Community services	ME	501(c)(3)	Line 7	MaineHealth	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2018

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
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MaineHealth Accountable Care Organization 110 Free Street Portland,ME04101 45-2929273	Accountable Care Organization	ME	MaineHealth	Related	1,312,209	11,335,879		No		Yes		86.890 %

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?
(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		Yes	No
(1) Maine Medical Partners 22 Bramhall Street Portland,ME04102 01-0442142	Healthcare	ME	MaineHealth	C	204,447,281	21,418,476	100.000 %	Yes
(2) Waldo County Healthcare Mgmt Co PO Box 287 Belfast,ME04915 01-0485133	Management Services	ME	MaineHealth	C	1,165,032	2,658,765	100.000 %	Yes
(3) PBH Management Company PO Box 287 Belfast,ME04915 01-0537278	Management Services	ME	MaineHealth	C	143,302	492,452	100.000 %	Yes

Schedule R (Form 990) 2018

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

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 .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

Yes

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

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) MaineHealth Services	Q	665,000	Fair Market Value
(2) Maine Medical Partners	J	59,912,689	Fair Market Value
(3) Maine Medical Partners	O	174,477,463	Fair Market Value
(4) Maine Medical Partners	P	6,932,037	Fair Market Value
(5) Maine Medical Partners	Q	44,346,251	Fair Market Value
(6) Maine Medical Partners	R	199,187,743	Fair Market Value
(7) Maine Medical Center Realty Corp	K	2,630,018	Fair Market Value
(8) Maine Medical Center Realty Corp	Q	2,208,785	Fair Market Value
(9) Maine Medical Center Realty Corp	O	176,244	Fair Market Value
(10) Maine Medical Center Realty Corp	P	3,050,970	Fair Market Value
(11) Saint Joseph's Rehabilitation and Residence	Q	96,967	Fair Market Value
(12) Saint Joseph's Rehabilitation and Residence	S	216,075	Fair Market Value
(13) Saint Joseph's Rehabilitation and Residence	R	2,225,000	Fair Market Value

Schedule R (Form 990) 2018

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)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2018

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) 2018

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: MaineHealth is a voluntary, not-for-profit community and referral system of hospitals, dedicated to providing high quality health care services to all persons who seek care regardless of their sex, race, religion, age, color, sexual orientation, national origin, physical or emotional disability or social or economic status. MaineHealth is also committed to education at the undergraduate, graduate, post-graduate and continuing education levels for physicians, nurses and allied health personnel, and in-service training for support staff all of which are essential to the delivery of quality patient care. Outreach education to other institutions and agencies is also vital to the fulfillment of the MaineHealth's mission. MaineHealth also supports basic and clinical research as essential to the advancement of health care.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	24
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	14
5	Total number of individuals employed in calendar year 2018 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	1,176
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,686,698
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	61,054,317	68,086,239
9	Program service revenue (Part VIII, line 2g) .........	1,199,064,761	1,933,139,975
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	31,294,341	25,876,176
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	249,398,227	253,067,698
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,540,811,646	2,280,170,088
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	5,162,440	7,330,255
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	700,690,580	1,145,536,150
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 4,246,283
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	626,295,490	927,114,240
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,332,148,510	2,079,980,645
19	Revenue less expenses. Subtract line 18 from line 12.......	208,663,136	200,189,443
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	2,015,529,466	2,923,881,397
21	Total liabilities (Part X, line 26).............	993,247,994	1,360,470,171
22	Net assets or fund balances. Subtract line 21 from line 20.....	1,022,281,472	1,563,411,226

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 1,528,298,394 including grants of $ 1,779,826 ) (Revenue $ 2,151,121,545 )
	Patient CareMaineHealth is a not-for-profit health system dedicated to improving the health of patients and communities by providing high-quality affordable care, educating tomorrow's caregivers, and researching better ways to provide care. MaineHealth includes tertiary care hospitals, critical access hospitals, primary and specialty practice locations, a stand-alone behavioral health hospital, an accountable care organization, an integrated lab company, and a home healthcare organization. (Continued on Schedule O)(Continued from page 2 of 990, Line 4a) These health system resources offer expertise in multiple disciplines including emergency medicine, surgery, radiology, oncology, behavioral health, and a level one trauma center. Summary operating metrics from FY19 are included in the table below: Category CountHospital I/P Discharges (exc. Newborns & Swing Beds) 48,669 Hospital I/P Days (exc. Newborns & Swing Beds) 272,513 Swing Bed Days 3,239 Total Surgeries (IP/OP, exc. Cath Lab & Endo) 53,888 ED Visits (excludes urgent care) 229,351 Nursing Facility Days (Skilled & Intermediate) 149,587 Home Care Visits 161,193 Laboratory Tests 4,333,159 MaineHealth organizations focused on four strategic priorities in FY19: Care Team Well Being, Healthy Communities, Affordable Care and Patient Centered Care. Care Team WellbeingOur employees are our greatest strength, and care team wellbeing is a priority. We focus on team member engagement, protection from burnout, and work-life balance. Each local health system within the MaineHealth organization identified specific goals to achieve care team wellbeing. These goals included establishing a formal physician and nurse retention program, increasing the availability of leadership development workshops, implement a workforce shortage identification policy, and creating a career center. To measure care team wellbeing, MaineHealth selected Gallup to measure care team engagement. A care team engagement survey will be conducted in 2020 and will support measurement and intervention to improve care team wellbeing. Healthy Communities To improve the health of our communities, we focused on developing population health programs to decrease health disparities. Our programs addressed the physical, mental, and behavioral, and socioeconomic determinant aspects of health and well-being. Our program philosophy promoted involvement, engagement, and autonomy so each individual can achieve the highest quality of life. In 2019, MaineHealth:1. Established Opioid Health Homes across our service area, and implemented an Opioid Use Disorder Hub & Spoke Model, allowing the organization to reach hundreds of new patients seeking treatment. 2. Provided social determinants of health training to care managers, conducted poverty awareness testing, and implemented food scarcity screening at pediatric offices in order to identify upstream health concerns. 3. Combined operations of adult and pediatric medical and surgical obesity treatment programs in order to provide surgical treatment to as many eligible adults as possible. Patient Centered CareMaineHealth focuses on continuous improvement in timely access to safe, efficient, effective, and equitable primary and specialty care. Improved communication and coordination of services among health care providers, patients and their caregivers, and community-based resources play a pivotal role in achieving these outcomes. By implementing referral processes, providing education, and establishing a thorough discharge process, MaineHealth has improved access to higher quality, patient centered care. In FY19, MaineHealth increased the number of Colorectal Cancer Screenings by 4.1%, Diabetes Treatments increased by 1.7%, Adverse Childhood Experiences Screening increased by 29.4%, and Congestive Heart Failure Admissions decreased by 13%. MaineHealth focused on providing a streamlined patient experience by investing in a shared patient medical record. In FY19, two additional MaineHealth organizations went live on our Epic medical record, and over the next two years our system will share a single medical record.Affordable CareGrowth in the cost of providing care and reductions in payment lead us to intensely focus on providing the highest quality care at the lowest possible cost. To achieve this goal and position ourselves as a market leader in delivering world-class care at an affordable price, we will foster a culture of innovation. This approach demands that we leverage the latest in technology, engage with our providers and staff, and promote lean processes in caring for our patients. As a way to best reduce cost of care, the MaineHealth System chose to undergo a unification process over the course of FY18, FY19, and continues into FY20. The unification process includes, but is not limited to, integrating services. Centralizing services within our system, why we are share resources efficiently to gain operating efficiencies is a priority as it will benefit patients through operating efficiency measures. To best ensure our Organization is operating efficiently, we set operating margin target goals. The projected FY19 income from operations of $83.2 million equates to an operating margin of 3.05%. This amount exceeds the year end goal of $72.8 million and 2.75. Achieving this result represents an increase over FY18 income from operations of $67.9 million and an operating margin of 2.69%.Finally, these realized efficiencies support realization of charity care. MaineHealth ensures an up-to-date and System-wide applied charity care policy. In FY19, MaineHealth provided $17,572,376 in charity care to our community. Moving forward, we continue to evaluate our charity care policy.

4b	(Code: ) (Expenses $ 107,543,440 including grants of $ ) (Revenue $ 12,735,191 )
	Teaching (Medical Education Program)MaineHealth's flagship hospital, Maine Medical Center, has a long history of educating medical students, residents, and faculty. The Department of Medical Education, with a staff of 50, manages 11 residencies and 10 fellowships, all approved by the Accreditation Council for Graduate Medical Education. Currently there are approximately 250 residents and fellows. Historically, about one-third of MMC's residency graduates have stayed in Maine to practice. Our graduates also go on to outstanding fellowship programs. (Continued on Schedule O)(Continued from page 2 of 990, Line 4b) Established in 2008, the Tufts University School of Medicine - Maine Medical Center Program, known as the "Maine Track," offers a unique and innovative curriculum, exposing students to rural practices and training in a major tertiary medical center. There are 40 matriculants in each TUSM class dedicated to Maine Track. Much of the curriculum is based in Maine, particularly in the 3rd & 4th years of medical school. MMC developed a unique 9-month Longitudinal Integrated Clerkship offered at MMC and in 8 community hospital sites. Additionally clerkship students from the UNE College of Osteopathic Medicine rotate through MMC annually. The Hannaford Center for Safety, Innovation and Simulation is a state-of-the-art 15,000 square-foot training center that utilizes the latest in human medical simulator technology to take medical education to the highest level possible. The center provides learners and faculty with extremely realistic scenarios, allowing them to gain significant skills while greatly reducing patient risk. MMC is the flagship provider for Continuing Medical Education in Maine, accredited through the Maine Medical Association. The goal of the CME program is to provide continuing education of the highest quality for physicians, both on the MMC medical staff and outside the greater Portland community. Launched in 2015, the MMC Institute for Teaching Excellence (MITE) provides faculty development opportunities (e.g., Scholars program) for educators. In addition to offering certificate programs, support for medical education research and a wide variety of high-quality educational opportunities, the Institute hosts a Speaker's Bureau to facilitate dissemination of high-quality faculty development. By promoting academic medicine excellence at all levels of medical education, the Institute and the newly formed MITE Academy seeks to support, nurture and promote all medical educators in the State of Maine. Significant FY2019 accomplishments include: - Development of a pre-medical "pipeline" program- Exploration of teaching the 1st/2nd Maine Track years in Maine- Rural Internal Medicine residency track at Stephens Memorial Hospital- Interprofessional Partnership to Advance Patient Care and Education (iPACE) grant for P2COther active initiatives include:- Joint Masters of Nursing degree with Tufts School of Medicine- Center for Educational Innovation- Integrating CME/OPPE/MOC efforts, national accreditation for CME status

4c	(Code: ) (Expenses $ 33,851,488 including grants of $ 5,550,429 ) (Revenue $ 24,348,779 )
	ResearchMaine Medical Center Research Institute is the research arm of MaineHealth which supports and encourages a broad spectrum of research ranging from basic laboratory-based research to translational and clinical research, to patient-centered outcomes research. The institute is divided into the following divisions: Center for Molecular Medicine, Clinical and Translational Research, the Center for Psychiatric Research, and the Center for Outcomes Research and Evaluation. (Continued on Schedule O)(Continued from page 2 of 990, Line 4c) In 2019, we had roughly $25M in annual grant income and received 35 new grants, allowing our clinical and biomedical researchers to contribute to worldwide body of scientific research. In addition, over 200 Clinical Trial studies took place with the top areas of focus in Oncology, Cardiology, and Neurology. Notably in FY2019, MMCRI became a part of several national clinical trial research networks sponsored by the National Institutes of Health (NIH) in the research areas of cancer, cardiothoracic surgery, emergency care, and lung injuries and sepsis. These awards give researchers an opportunity to collaborate with colleagues and research organizations across the country on large clinical trials as well as to broaden our research and increase innovation at MMCRI. Other FY2019 highlights included: 252 scientific articles published, over 3,700 biospecimens distributed by our BioBank Tissue Repository, 11 patents filed, and 3 biotechnical companies launched.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,669,693,322

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	16,289,745	275,814	1,530,325

1a	Federated campaigns..		1a	1,380,710
b	Membership dues..		1b
c	Fundraising events..		1c	1,277,497
d	Related organizations		1d	5,573,404
e	Government grants (contributions)		1e	22,300,292

f	All other contributions, gifts, grants, and similar amounts not included above		1f	37,554,336

g	Noncash contributions included in lines 1a - 1f:$
h Total. Add lines 1a-1f.......		68,086,239

		Business Code
2a	Net Patient Service Revenue	622110	1,933,139,975	1,933,139,975
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f ....		1,933,139,975

3 Investment income (including dividends, interest, and othersimilar amounts) ......			22,159,274			22,159,274
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	2,390,744	192,044,586
b	Less: cost or other basis and sales expenses	2,474,479	188,243,949
c	Gain or (loss)	-83,735	3,800,637
d	Net gain or (loss).....			3,716,902	3,716,902
8a	Gross income from fundraising events (not including $ 1,277,497of contributions reported on line 1c). See Part IV, line 18 ....
	a		252,523
b	Less: direct expenses ...b		220,161
c	Net income or (loss) from fundraising events..			32,362			32,362
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..
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..
Business Code			Miscellaneous Revenue
11a	Other Revenue		900099	183,960,320	183,753,332	206,988
b	HR and IS Shared Services Rev		900099	67,595,306	67,595,306
c	Dietary Services		561000	1,034,198		1,034,198
d	All other revenue ....			445,512		445,512
e	Total. Add lines 11a–11d ......			253,035,336
12	Total revenue. See Instructions......			2,280,170,088	2,188,205,515	1,686,698	22,191,636

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	5,550,429	5,550,429
2	Grants and other assistance to domestic individuals. See Part IV, line 22	1,709,003	1,709,003
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.	70,823	70,823
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	11,936,638	2,950,800	8,985,838
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	1,354,167	1,354,167
7	Other salaries and wages	864,425,928	647,764,836	213,624,574	3,036,518
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	63,672,505	47,875,960	15,788,881	7,664
9	Other employee benefits .......	143,472,527	107,828,076	35,560,323	84,128
10	Payroll taxes ...........	60,674,385	45,615,924	15,043,549	14,912
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	2,450,873		2,450,873
c	Accounting ...........	1,903,532		1,903,532
d	Lobbying ...........	48,400	48,400
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,382,906		2,382,906
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	90,911,657	77,543,634	13,296,134	71,889
12	Advertising and promotion ....	3,229,318	2,402,733	792,391	34,194
13	Office expenses .......	9,990,628	7,372,191	2,431,254	187,183
14	Information technology ......	29,811,839	22,418,503	7,393,336
15	Royalties ..
16	Occupancy ...........	55,690,452	41,868,095	13,807,563	14,794
17	Travel ............	4,110,620	3,066,968	1,002,416	41,236
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	4,588,042	4,320,612	249,801	17,629
20	Interest ...........	10,927,910	8,217,759	2,710,112	39
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	119,162,119	89,606,090	29,550,945	5,084
23	Insurance ...	7,316,618	5,502,097	1,814,521
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	Medical supplies	347,981,726	347,981,726
b	Other	110,585,859	81,248,765	28,942,165	394,929
c	Outside medical service	59,502,707	59,502,707
d	Hospital tax	32,675,186	32,675,186
e	All other expenses	33,843,848	25,197,838	8,309,926	336,084
25	Total functional expenses. Add lines 1 through 24e	2,079,980,645	1,669,693,322	406,041,040	4,246,283
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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			26,805	1	2,728,094
2	Savings and temporary cash investments .........			440,180,452	2	293,272,373
3	Pledges and grants receivable, net ......			20,984,622	3	32,275,916
4	Accounts receivable, net .............			128,360,555	4	236,101,704
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
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
7	Notes and loans receivable, net ....			626,341	7	1,159,103
8	Inventories for sale or use ........			22,237,803	8	37,300,764
9	Prepaid expenses and deferred charges ......			8,730,348	9	15,316,127
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	2,299,433,460
b	Less: accumulated depreciation	10b	1,326,150,914	531,772,480	10c	973,282,546
11	Investments—publicly traded securities .			604,528,237	11	791,089,992
12	Investments—other securities. See Part IV, line 11 .....			110,757,925	12	209,818,633
13	Investments—program-related. See Part IV, line 11 ..			17,380,799	13	24,248,642
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			129,943,099	15	307,287,503
16	Total assets. Add lines 1 through 15 (must equal line 34)...			2,015,529,466	16	2,923,881,397

17	Accounts payable and accrued expenses .....	116,818,831	17	202,204,857
18	Grants payable ...		18
19	Deferred revenue .........	12,792,513	19	31,855,058
20	Tax-exempt bond liabilities .........	323,667,714	20	402,347,947
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21	232,223
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	11,636,339
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	539,968,936	25	712,193,747
26	Total liabilities. Add lines 17 through 25..	993,247,994	26	1,360,470,171

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	888,632,991	27	1,349,968,723
28	Temporarily restricted net assets ...........	101,731,265	28	128,614,211
29	Permanently restricted net assets	31,917,216	29	84,828,292
	Organizations that do not follow SFAS 117 (ASC 958), check here 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 ...........	1,022,281,472	33	1,563,411,226
34	Total liabilities and net assets/fund balances ........	2,015,529,466	34	2,923,881,397

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No