TY 2017 Form 990 Schedule R

efile Public Visual Render ObjectId: 201902199349300070 - Submission: 2019-08-07 TIN: 22-2514163

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.
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Attach to Form 990.
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Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2017

Open to Public Inspection

Name of the organization

Eastern Maine Healthcare Systems EMHSF
EMHS Foundation EMHSF

Employer identification number

22-2514163

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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)Eastern Maine Healthcare Systems EMHS 43 Whiting Hill Rd Brewer,ME04412 01-0527066	Supporting organization for healthcare affiliates	ME	501(c)(3)	12 Type II	N/A	Yes
(2)Eastern Maine Medical Center EMMC PO Box 404 489 State Street Bangor,ME044020404 01-0211501	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes
(3)Eastern Maine Healthcare Real Estate 43 Whiting Hill Rd Brewer,ME04412 01-0391036	Leases real estate	ME	501(c)(2)		EMHS	Yes
(4)Rosscare 43 Whiting Hill Road Ste 400 Brewer,ME04412 01-0391038	Provide services to elderly	ME	501(c)(3)	PF	EMHS	Yes
(5)Rosscare Nursing Homes Inc 43 Whiting Hill Road Ste 400 Brewer,ME04412 01-0430751	Operation of nursing homes	ME	501(c)(3)	10	Rosscare	Yes
(6)Acadia Hospital Corp AHC 43 Whiting Hill Road Brewer,ME04412 01-0459837	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes
(7)Eastern Maine Medical Center Auxiliary 43 Whiting Hill Road Brewer,ME04412 01-0377901	Fundraising for exempt Eastern Maine Medical Center	ME	501(c)(3)	10	EMMC	Yes
(8)Acadia Healthcare Inc AHI 43 Whiting Hill Road Brewer,ME04412 22-3183888	Provide healthcare services	ME	501(c)(3)	10	AHC	Yes
(9)Norumbega Medical Specialists LTD 43 Whiting Hill Road Ste 400 Brewer,ME04412 01-0465231	Provide patient care and education	ME	501(c)(3)	10	EMMC	Yes
(10)Inland Hospital 200 Kennedy Memorial Drive Waterville,ME04901 01-0217211	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes
(11)Lakewood 220 Kennedy Memorial Drive Waterville,ME04901 01-0421234	Provide skilled and long-term nursing care	ME	501(c)(3)	3	Inland Hospital	Yes
(12)CA Dean Memorial Hospital Pritham Ave PO Box 1129 Greenville,ME044411129 04-3341666	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes
(13)Sebasticook Valley Health SVH 447 North Main Street Pittsfield,ME04967 01-0263628	Critical care hospital	ME	501(c)(3)	3	EMHS	Yes
(14)The Aroostook Medical Center TAMC PO Box 151 140 Academy Street Presque Isle,ME047690151 01-0372148	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes
(15)Horizon Health Services PO Box 151 140 Academy Street Presque Isle,ME047690151 01-0504393	Provide patient care	ME	501(c)(3)	3	TAMC	Yes
(16)Blue Hill Memorial Hospital 57 Water Street Blue Hill,ME046145231 01-0227195	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes
(17)Sebasticook Valley Family Practice Assoc 447 North Main Street Pittsfield,ME04967 01-0357854	Provide patient care	ME	501(c)(3)	10	SVH	Yes
(18)Restoration Health LLC 43 Whiting Hill Road Brewer,ME04412 35-2449986	Provide mental & behavioral hlth svcs	ME	501(c)(3)	10	AHI	Yes
(19)Mercy Hospital 144 State Street Portland,ME04101 01-0211534	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes
(20)VNA Home Health & Hospice 50 Foden Road South Portland,ME04106 01-0246804	Provide home health and hospice services	ME	501(c)(3)	10	EMHS	Yes
(21)WorkHealth LLC 43 Whiting Hill Road Brewer,ME04412 47-4315094	Provide healthcare services	ME	501(c)(3)	12 Type II	EMHS	Yes
(22)Maine Coast Regional Health Facilities 50 Union Street Ellsworth,ME04605 01-0198331	Provide healthcare services	ME	501(c)(3)	3	EMHS	Yes
(23)Maine Coast Medical Realty 50 Union Street Ellsworth,ME04605 01-0390918	Lease medical facilities	ME	501(c)(3)	12 Type I	MCMH	Yes
(24)Lifestages Physician Services LLC 50 Foden Road South Portland,ME04106 82-1043752	Provide home health and hospice services	ME	501(c)(3)	10	VNA	Yes
(25)Beacon Health LLC 43 Whiting Hill Road Brewer,ME04412 45-2967056	Accountable care organization	ME	501(c)(3)	12 Type II	EMHS	Yes
(26)Beacon Rural Health LLC 43 Whiting Hill Road Brewer,ME04412 47-4483187	Accountable Care Organization	ME	501(c)(3)	12 Type II	EMHS	Yes
(27)Beacon Health ACO Holdings LLC 43 Whiting Hill Road Brewer,ME04412 36-4903784	Accountable Care Organization	ME	501(c)(3)	12 Type II	EMHS	Yes
(28)LTC LLC 43 Whiting Hill Road Brewer,ME04412 01-0211501	Operation of Nursing Homes	ME	501(c)(3)	3	EMMC	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2017

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Schedule R (Form 990) 2017

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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	(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 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) Meridan Mobile Health LLC 43 Whiting Hill Road Brewer,ME04412 01-0512673	Ambulance	ME	AHS				No			No
(2) M Drug LLC 43 Whiting Hill Road Brewer,ME04412 27-2175482	Pharmacy	ME	AHS				No			No
(3) Alliance Health Documentation LLC 43 Whiting Hill Road Brewer,ME04412 46-2751855	Transcription	ME	AHS				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(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) Affiliated Healthcare Systems AHS 43 Whiting Hill Road Brewer,ME04412 01-0385322	Holding co.	ME	EMHS	C			Yes
(2) Affiliated Healthcare Management 43 Whiting Hill Road Brewer,ME04412 01-0349339	Hlthcr mgmt	ME	AHS	C			Yes
(3) Affiliated Laboratory Inc 43 Whiting Hill Road Brewer,ME04412 01-0381283	Clinical lab	ME	AHS	C			Yes
(4) Affiliated Materiel Services 43 Whiting Hill Road Brewer,ME04412 01-0381189	Purchasing	ME	AHS	C			Yes
(5) Maine Coast Physician Affiliates 50 Union Street Ellsworth,ME04605 01-0479952	Patient Care	ME	MCMH	C			Yes
(6) Beacon Direct 43 Whiting Hill Road Brewer,ME04412 37-1864965	Healthcare Self-funded TPA	ME	EMHS	C			Yes

Schedule R (Form 990) 2017

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Schedule R (Form 990) 2017

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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) ............................

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

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

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) ............................

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

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

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) ............................

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

Yes

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

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) Eastern Maine Healthcare Systems EMHS	m	294,971	FMV
(2) Eastern Maine Medical Center EMMC	a	72,908	FMV
(3) Eastern Maine Medical Center EMMC	l	1,827,672	FMV
(4) Eastern Maine Medical Center EMMC	r	5,526,276	FMV
(5) Acadia Hospital Corp AHC	l	95,144	FMV
(6) Acadia Hospital Corp AHC	r	96,370	FMV
(7) Inland Hospital	l	182,054	FMV
(8) Lakewood	r	53,600	FMV
(9) CA Dean Memorial Hospital	l	58,550	FMV
(10) CA Dean Memorial Hospital	r	294,462	FMV
(11) Sebasticook Valley Health SVH	l	92,399	FMV
(12) Sebasticook Valley Health SVH	r	339,999	FMV
(13) Sebasticook Valley Health SVH	s	885,667	FMV
(14) The Aroostook Medical Center TAMC	l	119,844	FMV
(15) The Aroostook Medical Center TAMC	r	139,192	FMV
(16) The Aroostook Medical Center TAMC	s	5,075,075	FMV
(17) Blue Hill Memorial Hospital	l	196,691	FMV
(18) Blue Hill Memorial Hospital	r	107,218	FMV
(19) Blue Hill Memorial Hospital	s	100,000	FMV
(20) Mercy Hospital	l	436,465	FMV
(21) Mercy Hospital	r	411,884	FMV
(22) VNA Home Health & Hospice	l	214,073	FMV
(23) VNA Home Health & Hospice	r	162,441	FMV
(24) Maine Coast Regional Health Facilities	l	189,341	FMV
(25) Maine Coast Regional Health Facilities	r	493,919	FMV

Schedule R (Form 990) 2017

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Schedule R (Form 990) 2017

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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) 2017

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Schedule R (Form 990) 2017

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Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2017

Additional Data

Software ID:	17005038
Software Version:	2017v2.2