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        <PersonNm>John Diefenderfer DO</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Gary Peachey</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Janice Kassman</PersonNm>
        <TitleTxt>Director (Part Year)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Joe Purington</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Matthew Tardiff</PersonNm>
        <TitleTxt>Director &amp; Chair</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tobias Parkhurst</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Dorcas Riley</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Duane Scott</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Courtney Yeager</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Michelle Pelletier</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Nicole Trufant</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Bullock</PersonNm>
        <TitleTxt>Director</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Small</PersonNm>
        <TitleTxt>Director &amp; Vice Chair</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Claudia Glynn FNP-C</PersonNm>
        <TitleTxt>Director, MGCC</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew B MacLean JD</PersonNm>
        <TitleTxt>Director, MGCC</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Ann M Davis RN</PersonNm>
        <TitleTxt>Director, MGCC (Part Year)</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Erin Sheets PhD</PersonNm>
        <TitleTxt>Director, MGCC &amp; Vice Chair</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jennifer Baldwin</PersonNm>
        <TitleTxt>Director, MGCC (Part Year)</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lynn Cote FMP-BC</PersonNm>
        <TitleTxt>Director, MGCC</TitleTxt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Pamela J Trinward</PersonNm>
        <TitleTxt>Director, MGCC (Part Year)</TitleTxt>
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        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Shannon Gauvin DHA MSN BSN RN FA</PersonNm>
        <TitleTxt>Director, MGCC</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Shannon Lockwood</PersonNm>
        <TitleTxt>Director, MGCC</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Sherry Rogers</PersonNm>
        <TitleTxt>Director, MGCC &amp; Chair</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Victoria Abbot</PersonNm>
        <TitleTxt>Director, MGCC</TitleTxt>
        <AverageHoursPerWeekRt>2.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
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      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Erin Fogg</PersonNm>
        <TitleTxt>Director, MGCC</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>4.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
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      <TotReportableCompRltdOrgAmt>1667808</TotReportableCompRltdOrgAmt>
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      <IndivRcvdGreaterThan100KCnt>520</IndivRcvdGreaterThan100KCnt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MaineDartmouth Family Medicine Residency</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>15 East Chestnut Street</AddressLine1Txt>
            <CityNm>Augusta</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04330</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Residency Services</ServicesDesc>
        <CompensationAmt>21545480</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Kennebec Anesthesia Associates</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>35 Medical Center Parkway</AddressLine1Txt>
            <CityNm>Augusta</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>043308160</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Healthcare Services</ServicesDesc>
        <CompensationAmt>10746770</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Allscripts Healthcare LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>24630 Network Place</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>606731246</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software Services</ServicesDesc>
        <CompensationAmt>5251682</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>AMN Healthcare Inc</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO Box 281923</AddressLine1Txt>
            <CityNm>Atlanta</CityNm>
            <StateAbbreviationCd>GA</StateAbbreviationCd>
            <ZIPCd>303841923</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Software Services</ServicesDesc>
        <CompensationAmt>4892265</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>Augusta East Development Co LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>6 East Chestnut Street Suite L01</AddressLine1Txt>
            <CityNm>Augusta</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04330</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>Property Manager</ServicesDesc>
        <CompensationAmt>2216270</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>60</CntrctRcvdGreaterThan100KCnt>
      <FederatedCampaignsAmt>59563</FederatedCampaignsAmt>
      <FundraisingAmt>88463</FundraisingAmt>
      <RelatedOrganizationsAmt>238128</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>9838185</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>19619406</AllOtherContributionsAmt>
      <NoncashContributionsAmt>13952359</NoncashContributionsAmt>
      <TotalContributionsAmt>29843745</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>Hospital Revenues</Desc>
        <BusinessCd>621190</BusinessCd>
        <TotalRevenueColumnAmt>588336082</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>588024744</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>311338</UnrelatedBusinessRevenueAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Physician Practice Rev</Desc>
        <BusinessCd>621110</BusinessCd>
        <TotalRevenueColumnAmt>113277373</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>113277373</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Long Term Care Revenue</Desc>
        <BusinessCd>623000</BusinessCd>
        <TotalRevenueColumnAmt>29222043</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>29222043</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Hospice and Homecare R</Desc>
        <BusinessCd>621610</BusinessCd>
        <TotalRevenueColumnAmt>11614721</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>11614721</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>Behavioral Health and</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>3682399</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>3682399</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalOthProgramServiceRevGrp>
        <TotalRevenueColumnAmt>1080811</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>1080811</RelatedOrExemptFuncIncomeAmt>
      </TotalOthProgramServiceRevGrp>
      <TotalProgramServiceRevenueAmt>747213429</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>3154313</TotalRevenueColumnAmt>
        <ExclusionAmt>3154313</ExclusionAmt>
      </InvestmentIncomeGrp>
      <GrossRentsGrp>
        <RealAmt>559307</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>0</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>559307</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>559307</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>559307</RelatedOrExemptFuncIncomeAmt>
      </NetRentalIncomeOrLossGrp>
      <GrossAmountSalesAssetsGrp>
        <SecuritiesAmt>67922112</SecuritiesAmt>
        <OtherAmt>931290</OtherAmt>
      </GrossAmountSalesAssetsGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <SecuritiesAmt>62312171</SecuritiesAmt>
        <OtherAmt>968782</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>5609941</SecuritiesAmt>
        <OtherAmt>-37492</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>5572449</TotalRevenueColumnAmt>
        <ExclusionAmt>5572449</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <FundraisingGrossIncomeAmt>45858</FundraisingGrossIncomeAmt>
      <ContriRptFundraisingEventAmt>88463</ContriRptFundraisingEventAmt>
      <FundraisingDirectExpensesAmt>62702</FundraisingDirectExpensesAmt>
      <NetIncmFromFundraisingEvtGrp>
        <TotalRevenueColumnAmt>-16844</TotalRevenueColumnAmt>
        <ExclusionAmt>-16844</ExclusionAmt>
      </NetIncmFromFundraisingEvtGrp>
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        <Desc>Joint Venture</Desc>
        <BusinessCd>621990</BusinessCd>
        <TotalRevenueColumnAmt>702772</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>702772</RelatedOrExemptFuncIncomeAmt>
      </OtherRevenueMiscGrp>
      <OtherRevenueTotalAmt>702772</OtherRevenueTotalAmt>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>787029171</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>748164170</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>311338</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>8709918</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticIndividualsGrp>
        <TotalAmt>500</TotalAmt>
        <ProgramServicesAmt>500</ProgramServicesAmt>
      </GrantsToDomesticIndividualsGrp>
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        <FormAndLineReferenceDesc>MaineGeneral Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 5: The CHNA was a collaborative effort including the State of Maine Center for Disease Control, Maine Health System, MaineGeneral Health, Central Maine Health and Northern Light Health System. As a result of this collaboration significant statistical data from federal and state sources were used to identify state wide and community focused health needs. Through this collaboration it was ensured that broad interests of the local community were represented; stakeholder feedback was solicited on prioritizing significant health needs and identified local assets and resources that could address health priorities. The planning process included the district liaison from the Maine CDC and representatives from participating Maine hospitals in the region. The leaders reached out to community benefit leadership among other local not-for-profit hospitals, local public health departments, and other organizations and community sectors whose work impacts the health of the communities in the district and/or county. This outreach resulted in the formation of committees which reflected the populations that need to be engaged and included individuals with diverse expertise or community roles, including representatives from the following sectors:Public healthCommunity health coalitionsHealthcare providers, including oral and behavioral healthcare providers, Minority populations (e.g. Maine NAACP members, Latino student club and immigrant services), Business and civic leadership (e.g. local employers, civic organizations and community leaders), Funding agencies (e.g. local philanthropic organizations, bank and credit union services), local and state government, non-profit organizations, including hospitals, colleges and universities and low-income and/or medically underserved people.The MSCHNA committee collected input as resources allowed through the best methods determined locally. Suggestions for obtaining feedback from organizations and groups included but were not limited to community forums, key informant interviews, focus groups, written or electronic surveys and group presentations with structured feedback.</ExplanationTxt>
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        <FormAndLineReferenceDesc>MaineGeneral Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 6a: Maine Health, Central Maine Healthcare and Northern Light Healthcare systems.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MaineGeneral Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 6b: Maine Department of Health and Human Services; Center for Disease Control.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MaineGeneral Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 11: Behavioral HealthThe goals for this health priority include keeping people in treatment to improve outcomes. MaineGeneral's Addiction Medicine practice strives to provide empathic, non-judgmental care to all and to reduce gaps in care. During FY24, Addiction Medicine served 595 individuals with 5,539 visits between the Augusta and Waterville practices. Overall, the new patient retention rate was 31 percent, exceeding the national retention rate of 30 percent. The MGH Assertive Community Treatment (ACT) Team takes an evidence-based approach to serving adults with severe and persistent mental illness who may also have an SUD and often have medical complications. In FY24, the ACT Team served 148 individuals, an increase of 5 individuals from the previous year. By working with clients and providing support, medication and connection to resources, the ACT Team strives to address housing and employment needs as well as decrease hospitalizations and ED visits. In FY24: 92% of ACT clients had no or decreased hospitalizations 75% of ACT clients had no or decreased ED visits 97% of referrals received face-to-face evaluation within 7 business days 100% of clients had their housing and employment needs assessedTo ensure patients receive treatment and are at the right level of care for their risk level, MGH screens for a variety of mental health and substance use disorders, including depression, alcohol, tobacco and other drugs, including prescribed over-the-counter medications and illicit substances, and provides Medication Assisted Treatment (MAT) throughout its primary care system. Internally, the Harm Reduction Program team trained 84 MaineGeneral medical staff and presented educational information at 38 medical staff orientations, including information on how stigma affects both delivery of services and an individual's ability to engage in them. To decrease drug-overdose deaths and reduce stigma, the Harm Reduction Program provides broad community education and outreach and coordinates a robust Naloxone distribution program. CancerThe Harold Alfond Center for Cancer Care provides cancer treatment to more than 12 percent of the state's cancer population and is a critical community resource. The Cancer Center seeks to reach more people with cancer screenings and screening assessments, especially those in rural areas where access and transportation are barriers.In FY24, the Cancer Center continued its focus on partnering with primary care to increase low-dose lung screening (LDLS) referrals. In FY24, 2,816 screenings (initial and follow-up) were performed at MaineGeneral. To improve access for patients in rural communities, the Cancer Center partnered with Redington-Fairview General Hospital in Skowhegan and Franklin Memorial Hospital in Farmington to participate in clinical trials and genetic screening. In FY24, five patients in Farmington were eligible for clinical trials and three patients enrolled. In Skowhegan for the same time period, nine people were eligible and seven patients enrolled. For both Farmington and Skowhegan, 76 people were referred for genetic screening.Overall, the Cancer Center focused on increasing access to genetic counseling and services in 2024. Of 243 breast cancer patients screened in FY24, 128 were identified as meeting the criteria for genetic counseling. Of the 158 prostate cancer patients screened, 96 were referred for genetic counseling. Physical ActivityThe focus area for this health priority is youth and non-competitive sports with the goals of promoting alternative physical activity and healthy behavior while youth are at school and promoting physical activity to parents, as well as integrating 5-2-1-0 Let's Go! into primary care well child visits. MaineGeneral's Peter Alfond Prevention and Healthy Living Center (PAPHLC) offers robust programming in physical movement, healthy cooking and eating, and mind/body as well as evidence-based programs such as the National Diabetes Prevention Program. A team of health educators and community coordinators, supported by instructors based in the community, plan programming with consideration for underserved people and communitiesPromoting 5-2-1-0 Let's Go! in primary care practices is a way to engage the whole family in healthy behaviors. The 5-2-1-0 Let's Go! Program is an initiative aimed at promoting healthy lifestyles among children and families to combat childhood obesity. It encourages daily habits of consuming five serving of fruits and vegetables; limiting screen time to two hours; engaging in one hour of physical activity; and avoiding sugary drinks by drinking water or low-fat milk. The program, developed by MaineHealth, offers resources for schools, childcare centers, health care practices and communities to support these healthy behaviors. MaineGeneral reviews the 5-2-1-0 Let's Go! Program with parents during well-child visits. For FY24, 5-2-1-0 Let's Go! information was shared at 30.31 percent of well-child visits.Prevention and Support for Chronic Disease, Food Nutrition &amp; DiabetesThe focus area for this health priority is diabetes and food and nutrition. For this priority, the goals are to integrate registered dietitians (RD) and hands-on skill development for patients within the walls of the practices and to engage medical staff in learning experiences on nutrition, food preparation and motivational interviewing.Work continued in FY24 on adapting the "Eat to Treat" curriculum from Boston Medical Center on a readily accessible platform for MGH medical staff in collaboration with the MGH residency practice, Maine-Dartmouth Family Medicine Residency. In FY24, the PAPHLC continued to offer healthy living programming to address chronic disease and to promote community and individual engagement in health and well-being. To promote health and well-being and decrease chronic disease and early mortality, 2,891 community members and patients participated in PAPHLC healthy living classes in FY24, covering chronic disease self-management, healthy cooking and eating and mind/body practice. Of that total, 47 classes focused on chronic disease management, totaling 587 sessions and 432 participants. In FY24, 35 people attended Living Well with Diabetes and 70 people participated in the National Diabetes Prevention Program.Social Determinants of Health (SDoH): Food Insecurity and TransportationWhile SDoH encompass many aspects of life such as where people live, work and play, the focus of this priority area for the CHIP is on food insecurity and transportation as these factors greatly influence access to care and health outcomes.Through our partnership with Good Shepherd Food Bank, the Community Health &amp; Hunger Program at MaineGeneral continued to reach more patients experiencing challenges with food security. In addition to nearly all primary care locations, 14 specialty locations participated in screening patients for food insecurity, providing emergency food bags, and connecting them to sustainable food resources in the community. Screening questions are integrated into the Social Determinants of Health tool and thus routinely assessed at each annual wellness visit and on an as-needed basis. With broader screening across a variety of practices, we identified more individuals in need. In FY24, 29,294 patients at MaineGeneral primary and specialty care practices were screened for food insecurity. Of that number screened in FY24, 9.2 percent screened positive. In FY24, 1,692 food resource guides were distributed as well as 1,442 emergency food bags and 1,126 emergency food bags.In FY24, MaineGeneral addressed regional transportation and access to care through an ongoing partnership with the Kennebec Valley Community Action Program (KVCAP) for outpatient services, as well as collaborated with regional transportation companies to ensure viable transport for inpatients with acute needs. Through an expanded partnership with Delta Ambulance's wheelchair van, 2,166 additional transports were provided for long-term care doctor appointments or Cancer Center patient transport needs. MaineGeneral also administrated and coordinated seven programs funded through grants and endowments to support patient transport needs, with transportation assistance provided to cancer patients, those with a diagnosis of Alzheimer's Disease, as well as those who are uninsured or underinsured. Conclusion Collaboration is essential to the success of our FY24 Community Health Implementation Plan (CHIP). The significant community needs we face cannot and should not be addressed in isolation. We are deeply grateful to our community partners who help bridge the gap between the health care we provide and the broader supports people need, as well as to the Peter Alfond Endowment for its support of our community health programming. Additionally, we extend our gratitude to the Maine CDC and Maine Shared CHNA Steering Committee.</ExplanationTxt>
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        <FormAndLineReferenceDesc>MaineGeneral Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 13h: If an individual does not meet the criteria to defer determination, but the Medical Center is unable to determine the coverage of the individual and has a reasonable basis for believing that the individual may be covered by insurance or eligible for federal or state medical assistance programs, it may defer the determination concerning uncompensated services until such coverage is determined or denied.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>MaineGeneral Medical Center</FormAndLineReferenceDesc>
        <ExplanationTxt>Part V, Section B, Line 16j: MGMC will provide policy documents to other local community agencies (including but not limited to KVCAP, Bread of Life Ministries, Family Violence Project and Mid-Maine Homeless Shelter) that can assist with informing and notifying residents of the community served by the hospital who are most likely to require financial assistance about the program.</ExplanationTxt>
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            <BusinessNameLine1Txt>1 - MaineGeneral Rehabilitation and LTC</BusinessNameLine1Txt>
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            <AddressLine1Txt>37 Graybirch Drive</AddressLine1Txt>
            <CityNm>Augusta</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
            <ZIPCd>04330</ZIPCd>
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          <FacilityTxt>Long-term care and residential care facility</FacilityTxt>
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            <AddressLine1Txt>35 Medical Center Parkway</AddressLine1Txt>
            <CityNm>Augusta</CityNm>
            <StateAbbreviationCd>ME</StateAbbreviationCd>
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          <FacilityTxt>Homecare, hospice, behavioral health and substance abuse facilities</FacilityTxt>
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        <FormAndLineReferenceDesc>Part I, Line 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>Charity care is billed at no more than the "amount generally billed" i.e. the average of the commercial rates and Medicare rates for emergency and other medically necessary services, and is included in net patient service revenues. Cost and expenses incurred in providing these services are included in operating expenses. Charges for services rendered to individuals from whom payment is expected and ultimately not received are written off and included as a reduction of revenue as part of the provision for bad debts. The organization's bad debt expense cost is calculated using gross charges less discounts generally allowed all private pay patients. We currently allow a discount of 18% for all self paid patient bills. If bills are paid promptly other discounts are allowed.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Ln 7 Col(f):</FormAndLineReferenceDesc>
        <ExplanationTxt>Bad debt expense is treated as a reduction of gross patient revenues according to generally accepted accounting principles.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part II, Community Building Activities:</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Health and Affiliates offers a variety of classes and community health outreach events to support and build our community. Such events range from cancer survivor classes, a safe babysitter program and parenting education. The organization provides a wide range of programs to support a healthy and well educated community throughout all ages and health care situations. The organization offers diabetes care and smoking cessation classes, along with support groups for area individuals with a variety of health problems including Alzheimer's disease, bariatric surgery needs, brain injury, stroke and hospice. Space is provided free of charge and in some cases the support groups are managed and staffed by MaineGeneral employees.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part III, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>A provision for charges for services rendered to individuals from whom payment is expected and ultimately not received is written off and included as a reduction of operating revenues, recorded as provision for bad debts. The organization's bad debt expense is calculated using gross charges, reduced to reflect discounts allowed to all private payment patients.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part III, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>In May 2014, the FASB issued a new standard related to revenue recognition. MGH adopted the new standard effective July 1, 2018, using the full retrospective method. The adoption of the new standard did not have an impact on the recognition of revenues for any periods prior to adoption. The most significant impact of adopting the new standard is the presentation of the consolidated statements of operations where the "provision for bad debt" is no longer presented as a separate line item and "net patient service revenue" is presented net of estimated implicit price concession revenue deductions. The related presentation of "allowances for doubtful accounts" has also been eliminated from the consolidated balance sheets as a result of the adoption of the new standard.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part III, Line 9b:</FormAndLineReferenceDesc>
        <ExplanationTxt>In accordance with the Affordable Care Act, individuals, once identified as eligible for the Organization's uncompensated care program, will be billed no more than the amount generally billed i.e. the average of the three best, negotiated commercial rates and Medicare rates for emergency and other medically necessary services.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Part VI, Line 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>For inpatient stays, the Medical Center Patient Registration Department provides a written notice regarding the availability of the uncompensated services program to inpatients upon admission or, in the case of an emergency, before discharge.In those rare cases where the notice was not given to the patient at admission or upon discharge due to unavoidable circumstances, a charity care notice was sent with the initial patient bill.All outpatient departments including provider based practices provide patients access to the written notice of availability of the uncompensated services program at the time of service. Initial patient bills include a notification to patients on the availability of the uncompensated services program. Subsequent patient billings also include notices to patients about the availability of the program. During this process, if it appears that a patient is qualified for the government programs, the program application is provided to the patient and a patient financial services representative provides any assistance required in educating the patient on properly preparing the application.Current income guidelines are displayed in all business offices, main patient registration areas and emergency departments. The posted guidelines are updated annually based on changes in the federal poverty guidelines. The Hospital makes all reasonable efforts to communicate the contents of the income guidelines to persons that it has reason to believe cannot read the notice.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Medical Center's service area consists of a population of approximately 180,000 residents covering 120 square miles living in 82 communities. This population represents 100% of Kennebec County, 87% of Somerset County, 24% of Waldo County and 35% of Knox County population. The primary service area (PSA) is defined as the zip codes where MGH has the majority of discharges. The secondary service area (SSA) is defined as zip codes where MGH has 15% or greater, but less than a majority of total discharges.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Health and Affiliates supports the health of the community by being involved with several of the non-profit organizations in the area. Several of our staff serve on the board of directors of these organizations, as well as volunteer their time in other capacities for local non-profit organizations. Our staff also commit their time to serving in several health care leadership organizations. They provide their knowledge and experience to promote higher quality health care throughout our community.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Health and Affiliates includes:MaineGeneral Medical Center, which provides a wide variety of hospital, primary care, specialty care and emergency care services to the community.MaineGeneral Community Care, which provides homecare, hospice, behavioral health and substance abuse services.MaineGeneral Rehabilitation and Long Term Care, which provides long term, skilled nursing and residential care services. It also provides Alzheimer's residential and day care services.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part VI, Line 7, Reports Filed With States</FormAndLineReferenceDesc>
        <ExplanationTxt>ME</ExplanationTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Terry Brann</PersonNm>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Jennifer Riggs</PersonNm>
        <TitleTxt>CEO MGCC</TitleTxt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
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      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Amy Rico MD</PersonNm>
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        <PersonNm>Marci Alexander Esquire</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Deirdre Heersink DO</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephen Dickey RN FNP</PersonNm>
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        <PersonNm>Charles Hays</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors is responsible for determining the compensation package (base salary, performance incentive pay plan and other benefits and perquisites) for the Chief Executive Officer. They have an independent executive compensation consultant who advises the Board after completing an evaluation the compensation and benefits provided to its Chief Executive Officer - this includes. using comparability data, expert compensation studies and other means as well as their findings and opinion regarding the reasonableness of the maximum total remuneration that could be earned. Paid executives who hold voting privileges may not vote or participate in discussions regarding their compensation; however, they may answer questions that will help the Board in its deliberations. For other officer and key employee positions, the Chief Executive Officer is responsible for determining the base compensation for all his direct reports, while the Board of Directors is responsible for the variable compensation. An independent compensation consultant advises the CEO using comparability data, expert compensation studies and other means. This, together with the Chief Executive Officer's compensation, was last reviewed in April 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>A portion of compensation is at risk and variable and is based on the quality of job performance.</ExplanationTxt>
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    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="RetDoc1042800001">
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        <NameOfInterested>
          <PersonNm>Kathryn L York</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Child of Charles Hays</RelationshipDescriptionTxt>
        <TransactionAmt>93681</TransactionAmt>
        <TransactionDesc>Employee Compensation</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="RetDoc1042900001">
      <SecuritiesPubliclyTradedGrp>
        <NonCashCheckboxInd>X</NonCashCheckboxInd>
        <ContributionCnt>10</ContributionCnt>
        <NoncashContributionsRptF990Amt>13952359</NoncashContributionsRptF990Amt>
        <MethodOfDeterminingRevenuesTxt>Fair Market Value</MethodOfDeterminingRevenuesTxt>
      </SecuritiesPubliclyTradedGrp>
      <AnyPropertyThatMustBeHeldInd>0</AnyPropertyThatMustBeHeldInd>
      <ReviewProcessUnusualNCGiftsInd>1</ReviewProcessUnusualNCGiftsInd>
      <ThirdPartiesUsedInd>1</ThirdPartiesUsedInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 32b:</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Health solicits and processes all donations for all affiliates. MaineGeneral Health and Affiliates uses an investment broker to receive and sell all stock gifts as soon as practicable.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part I, Item C</FormAndLineReferenceDesc>
        <ExplanationTxt>DBA: MaineGeneral Employee Assistance Program DBA: MaineGeneral Express Care DBA: MaineGeneral Gastroenterology DBA: MaineGeneral Inpatient Detoxification DBA: MaineGeneral Intensive Outpatient Treatment DBA: MaineGeneral Neurology DBA: MaineGeneral Obstetrics and Gynecology DBA: MaineGeneral Outpatient Psychiatry DBA: MaineGeneral Residential Services DBA: MaineGeneral Surgery DBA: MaineGeneral Rehabilitation and Long Term Care at Graybirch. DBA: MaineGeneral Rehabilitation and Long Term Care at Glenridge. DBA: MaineGeneral Community Care DBA: MaineGeneral Homecare and Hospice DBA: MaineGeneral Harm Reduction Program DBA: MaineGeneral Assertive Community Treatment DBA: MaineGeneral Incontinence Program DBA: MaineGeneral Kidney Care DBA: MaineGeneral Midwifery Services DBA: MaineGeneral Occupational Therapy DBA: MaineGeneral Sports Medicine DBA: Alfond Center for Health DBA: Thayer Center for Health DBA: Augusta Family Medicine DBA: Gardiner Family Medicine DBA: Winthrop Family Medicine DBA: MaineGeneral Counseling DBA: MaineGeneral Speech Therapy DBA: MaineGeneral Allergy &amp; Asthma DBA: MaineGeneral Inpatient Psychiatric DBA: MaineGeneral Ear, Nose and Throat DBA: MaineGeneral Diabetes and Nutrition DBA: MaineGeneral Hearing Evaluations &amp; Treatment DBA: MaineGeneral Horizon Clinic DBA: MaineGeneral Internal Medicine DBA: MaineGeneral Medical Center DBA: MaineGeneral Medical Center Physical Rehabilitation Unit DBA: MaineGeneral Mental Health and Substance Abuse Services DBA: MaineGeneral Orthopaedics DBA: MaineGeneral Physiatry DBA: MaineGeneral Pulmonology DBA: MaineGeneral Urology DBA: MaineGeneral Anticoagulation Clinic DBA: MaineGeneral Bariatric Center DBA: Alzheimer's Care Center DBA: Glenridge Living Community DBA: The Inn at City Hall DBA: Early Learning Center DBA: MaineGeneral WIC DBA: MaineGeneral Hospice Volunteers of Kennebec Valley DBA: MaineGeneral Hospice DBA: MaineGeneral Homecare DBA: MaineGeneral Next Step Needle Exchange DBA: MaineGeneral Prevention and Healthy Living Center DBA: Peter Alfond Prevention and Healthy Living Resource Center DBA: MaineGeneral Podiatry DBA: MaineGeneral Eye Center DBA: MaineGeneral Palliative Care DBA: Mid-Maine Medicine DBA: Oakland Family Medicine DBA: Elmwood Primary Care DBA: Winthrop Pediatric and Adolescent Medicine DBA: Kennebec Pediatrics DBA: Harold Alfond Center for Cancer Care DBA: Workplace Health DBA: Family Medicine Institute DBA: Edmund Ervin Pediatric Center DBA: Comfort Care at Glenridge DBA: Healthreach Network DBA: MaineDartmouth Family Practice</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Medical Center is a non-profit acute care hospital with facilities in both Augusta and Waterville, Maine, that provides comprehensive healthcare services to the community, regardless of a patient's ability to pay. Both campuses provide emergency and outpatient lab and diagnostic services. The Augusta campus also provides critical care, a full range of inpatient and outpatient surgical services, substance abuse and mental health services, cancer care, maternal, newborn and child health services and inpatient diagnostic services. During the fiscal year ending June 30, 2025 MaineGeneral Medical Center provided care for 9,554 inpatients, 10,622 inpatient and outpatient surgeries, 1,387 births, 123,932 oncology procedures, 643,156 laboratory procedures, 164,297 diagnostic imaging procedures and 62,630 emergency procedures. MaineGeneral Medical Center also provides physician care services through hospital based physician practices throughout Kennebec County. These physician practices include primary care as well as a wide variety of specialty services. During fiscal year 2025 the MaineGeneral Physician practices provided 620,878 primary care Relative Value Units (RVUS), 334,606 medical specialty RVUS and 755,229 RVUS for various other specialty care RVUS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part III, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Community Care operates a homecare and hospice program throughout the Kennebec Valley and surrounding areas. During the fiscal year ending June 30, 2025, MaineGeneral Community Care provided 27,844 days of homecare services and 35,970 days of hospice care. The company also provides several community support programs for mental health and substance abuse treatment. MaineGeneral Community Care provided 8,374 service hours of outpatient counseling, 4,380 days of service through the women's residential care programs; and 9,554 visits through the ACT program.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part III, Line 4c</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Rehabilitation and Long Term Care provides long-term care, assisted living, respite and day care services to the community. Graybirch and Glenridge nursing facilities in Augusta, Maine provided 78,924 days of skilled and residential care services to residents requiring long-term care services during the fiscal year ending June 30, 2025. The Alzheimer's Care Center in Gardiner, Maine provides residential care, respite and day care services to residents with memory loss. The center provided 10,853 days of residential care services and 12,913 hours of service in the day care program during the fiscal year ending June 30, 2025. In addition, MaineGeneral Rehabilitation and Long Term Care provides assisted living services to residents living at the Inn at City Hall in Augusta, Maine.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part V, Line 2a</FormAndLineReferenceDesc>
        <ExplanationTxt>All affiliates have a pay agent agreement with MaineGeneral Health (EIN 04-3369649). As such, all employees are reported as employees of MaineGeneral Health for W-2 and W-3 purposes. They are reported on MaineGeneral Health's separate Form 990.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>Final drafts of Forms 990 were available thirty days prior to the filing deadline in order to be formally reviewed by the President and Chief Executive Officer and Chief Financial Officer, the Compliance Officer, the entire senior management team, the Finance Committee and the Board of Directors. Forms 990 and related attachments were provided to and reviewed by the Finance Committee in April 2025 and by the Board of Directors in May 2026.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Health and Affiliates' Conflict of Interest Policy requires disclosure of any actual or potential conflict of interest to the Board Chair. Interested persons are prohibited from participating in the governing body's deliberations and decisions regarding any transactions when they have a conflict of interest. If the Board or Committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, the Board or Committee shall investigate and then determine by a majority vote whether a conflict of interest exists and whether a violation is grounds for removal from the Board or Committee. There are formal records of these proceedings. In addition, each director, officer and member of the board is required to annually complete and sign a Conflict of Interest Disclosure Statement. Employees must disclose in writing to their supervisors any conflicts of interest prior to engaging in transactions or taking positions with MaineGeneral Health and Affiliates. In addition, these disclosures must be approved by the supervisor's manager or, as applicable, the Board Chair, in conjunction with the Human Resources Compliance Officer. If management has reasonable cause to believe that an employee has intentionally failed to disclose a conflict of interest, appropriate disciplinary or corrective action up to and including termination shall be taken. In addition, upon hire or promotion to a management position, all management employees shall complete a Conflict of Interest Disclosure Statement, which will be submitted to the Ethics and Compliance Department for review and reporting to the Chief Compliance Officer, who will record and report each validated conflict of interest to the Board.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors is responsible for determining the compensation package for the Chief Executive Officer. An independent compensation consultant advises the Board using comparability data, expert compensation studies and other means. Paid executives who hold voting privileges may not vote or participate in discussions regarding their compensation; however, they may answer questions that will help the Board in its deliberations. For other officer and key employee positions, the Chief Executive Officer is responsible for determining the base compensation for all his direct reports, while the Board of Directors is responsible for the variable compensation. An independent compensation consultant advises the CEO using comparability data, expert compensation studies and other means. This, together with the Chief Executive Officer's compensation, was last reviewed in April 2023.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Health and Affiliates makes its governing documents, conflict of interest policy and financial statements, whether or not audited, available to the general public by use of the organization's website and providing copies immediately upon request. In addition, the Controller distributes financial statements and budgets on a quarterly and annual basis to designated third parties.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>Additional minimum pension liability -3173159.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990 Part XII, Line 2c.</FormAndLineReferenceDesc>
        <ExplanationTxt>MaineGeneral Health did not change its oversight process or selection process during the current tax year.</ExplanationTxt>
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