SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet 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
EASTERN MAINE HEALTHCARE SYSTEMS AHI
ACADIA HEALTHCARE INC AHI
Employer identification number

22-3183888
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










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


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


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

 		(f)
Direct controlling
entity

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

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 Road

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 Corporation 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 Rd

Brewer,ME04412
01-0377901 		Fund raising for exempt Eastern Maine Medical Center ME 501(c)(3) 10 EMMC
 
Yes
 
(8)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
 
(9)EMHS Foundation
43 Whiting Hill Road Ste 400

Brewer,ME04412
22-2514163 		Raise and manage funds for exempt organizations ME 501(c)(3) 12 Type II EMHS
 
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 Avenue 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 		Provide healthcare services 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)Horizons 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)Mercy Hospital
144 State Street

Portland,ME04101
01-0211534 		Provide healthcare services ME 501(c)(3) 3 EMHS
 
Yes
 
(19)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
 
(20)Maine Coast Regional Health Facilities
50 Union Street

Ellsworth,ME04605
01-0198331 		Provide Healthcare Services ME 501(c)(3) 3 EMHS
 
Yes
 
(21)Maine Coast Medical Realty
50 Union Street

Ellsworth,ME04605
01-0390918 		Lease medical facilities ME 501(c)(3) 12 Type I MCMH
 
Yes
 
(22)Work Health LLC
43 Whiting Hill Road

Brewer,ME04412
47-4315094 		Provide Healthcare Services ME 501(c)(3) 12 Type II EMHS
 
Yes
 
(23)Beacon Health LLC
43 Whiting Hill Road

Brewer,ME04412
45-2967056 		Accountable care organization ME 501(c)(3) 12 Type II EMHS
 
Yes
 
(24)Beacon Rural Health LLC
43 Whiting Hill Road

Brewer,ME04412
47-4483187 		Accountable Care organization ME 501(c)(3) 12 Type II EMHS
 
Yes
 
(25)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
 
(26)LTC LLC
43 Whiting Hill Road

Brewer,ME04412
01-0211501 		Operation of nursing homes ME 501(c)(3) 3 EMMC
 
Yes
 
(27)Northern Light Medical Transport
43 Whiting Hill Road

Brewer,ME04412
83-0911574 		Ambulance ME 501(c)(3) 10 EMHS
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Page 2
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
Yes No Yes No
(1) Meridian 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
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) Affiliated Healthcare Systems AHS

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

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

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

43 Whting Hill Road
Brewer,ME04412
01-0381189 		Purchasing ME AHS
  		C corp       Yes  
(5) Beacon Direct

43 Whting Hill Road
Brewer,ME04412
37-1864965 		Healthcare Self-funded TPA ME EMHS
  		C corp       Yes  




Schedule R (Form 990) 2018
Page 3
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
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Eastern Maine Healthcare Systems EMHS

 m 216,383 FMV
(2) Eastern Maine Healthcare Systems EMHS

 p 1,601,799 FMV
(3) Eastern Maine Medical Center EMMC

 l 2,480,457 FMV
(4) Acadia Hospital Corporation AHC

 k 57,612 FMV
(5) Acadia Hospital Corporation AHC

 m 493,945 FMV
(6) Inland Hospital

 l 372,985 FMV
(7) CA Dean Memorial Hospital

 l 127,283 FMV
(8) Blue Hill Memorial Hospital

 l 183,113 FMV
(9) VNA Home Health & Hospice

 l 91,774 FMV
(10) Maine Coast Regional Health Facilities

 l 187,924 FMV
Schedule R (Form 990) 2018
Page 4
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

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




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






























Schedule R (Form 990) 2018
Page 5
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


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