2025-05-14T13:32:58-05:00 2024-06-30 010494526 Baker Newman Noyes LLC 280 Fore Street Portland ME 04101 990 2023-07-01 320265031 MaineGeneral Health and Affiliates MAIN 2076261000 35 Medical Center Parkway Augusta ME 04330 Terrance Brann Jr Chief Financial Officer 2076261000 2025-05-14 0 Nicholas Porto P01310283 2078792100 2023 2025-03-06 01:10:19Z See Schedule O Term Care at Graybirch Nathan Howell 35 Medical Center Parkway Augusta ME 04330 802673376 1 1 9706 X www.mainegeneral.org X 1997 ME MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families and our communities. 25 22 0 219 377928 0 30989127 35137149 658875742 702106859 3280085 4161973 1569887 1794214 694714841 743200195 500 3000 0 0 368185833 405271003 0 0 867401 339823247 327727148 708009580 733001151 -13294739 10199044 662735988 682186037 380241333 382474260 282494655 299711777 X See Schedule O. 0 1 520942842 2500 658483527 See Schedule O. 27615172 500 28124057 See Schedule O. 16286021 16607659 See Schedule O. 564844035 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 1 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 1 X 395 0 1 0 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 25 22 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X Jeremy Storer 2078618660 35 Medical Center Parkway Augusta ME 04330 George Polkinghorn Physician 50.00 1.00 X 1184072 0 55834 Joan Kheder Physician 50.00 1.00 X 1048956 0 36898 Ian Patten Physician 50.00 1.00 X 1065225 0 18449 Fady Asslo Physician 50.00 1.00 X 1030524 0 49221 Sakdhisapol Katanyutanon Physician 50.00 1.00 X 1001759 0 37765 Charles Hays President & CEO (Former) 5.00 50.00 X 0 741923 50571 Terry Brann Treasurer & Chief Financial Officer 5.00 50.00 X 0 445717 37303 Amy Rico MD Director 50.00 1.00 X 408622 0 50696 Jennifer Riggs CEO MGCC 50.00 1.00 X X 401586 0 44023 Marci Alexander Esquire Board Secretary 5.00 40.00 X 0 342980 25912 Deirdre Heersink DO Director 50.00 1.00 X 327236 0 26340 Nathan Howell President & CEO 5.00 50.00 X X 0 333385 1198 Stephanie Bartholomew MD Director 1.00 1.00 X 52037 0 666 Gary Peachey Director & Vice Chair 1.00 1.00 X 0 0 0 Greg Feero MD Director (part Year) 1.00 1.00 X 0 0 0 James LaLiberty Director & Chair (Part Year) 2.00 1.00 X X 0 0 0 Janice Kassman Director 1.00 1.00 X 0 0 0 Joe Purington Director 2.00 1.00 X 0 0 0 John Diefenderfer DO Director 2.00 50.00 X 0 0 0 Matthew Tardiff Director & Chair 2.00 1.00 X X 0 0 0 Michelle Pelletier Director 2.00 1.00 X 0 0 0 Nicole Trufant Director 2.00 1.00 X 0 0 0 Peter Mills Director 1.00 1.00 X 0 0 0 Scott Bullock Director 1.00 1.00 X 0 0 0 Scott Small Director 2.00 1.00 X 0 0 0 Claudia Glynn FNP-C Director, MGCC 1.00 1.00 X 0 0 0 Andrew B MacLean JD Director, MGCC 2.00 1.00 X X 0 0 0 Ann M Davis RN Director, MGCC 1.00 1.00 X 0 0 0 Erin Sheets PhD Director, MGCC & Vice Chair 1.00 1.00 X 0 0 0 Jennifer Baldwin Director, MGCC 1.00 1.00 X 0 0 0 Lynn Cote FMP-BC Director, MGCC 1.00 1.00 X 0 0 0 Pamela J Trinward Director, MGCC 1.00 1.00 X 0 0 0 Shannon Gauvin DHA MSN BSN RN FA Director, MGCC 1.00 1.00 X 0 0 0 Shannon Lockwood Director, MGCC 1.00 1.00 X 0 0 0 Sherry Rogers Director, MGCC & Chair 1.00 1.00 X X 0 0 0 Stephen Dickey RN FNP Director, MGCC 2.00 1.00 X 0 0 0 6520017 1864005 434876 540 1 1 0 MaineDartmouth Family Medicine Residency 15 East Chestnut Street Augusta ME 04330 Residency Services 21545480 Kennebec Anesthesia Associates 35 Medical Center Parkway Augusta ME 043308160 Healthcare Services 10746770 Allscripts Healthcare LLC 24630 Network Place Chicago IL 606731246 Software Services 5251682 AMN Healthcare Inc PO Box 281923 Atlanta GA 303841923 Software Services 4892265 Medical Solutions LLC PO Box 310737 Des Moines IA 503310737 Temporary Labor 2359450 60 61764 71368 237957 17277850 17488210 5089741 35137149 Hospital Revenues 621990 567171383 566793455 377928 Physician Practice Rev 621110 90203540 90203540 Long Term Care Revenue 623000 28124277 28124277 Hospice and Homecare R 621610 12911580 12911580 Behavioral Health and 621400 3696079 3696079 702106859 2807531 2807531 658348 0 658348 658348 658348 60725518 80310 59209456 241930 1516062 -161620 1354442 -161620 1516062 168077 71368 21795 146282 146282 Joint Venture 621990 989584 989584 989584 743200195 703215243 377928 4469875 3000 3000 1404747 951276 453471 326541730 267587616 58954114 10143054 8305637 1837417 45107078 36935920 8171158 22074394 18075612 3998782 34282523 33461404 821119 217961 217961 8000 8000 100237 100237 59815466 47858934 11934419 22113 965824 869881 95943 1414939 517756 895608 1575 26508263 1895757 24612506 18660738 15251304 3386840 22594 1297576 1036297 261279 1242624 1065069 177555 8217279 8217279 24466084 18769766 5696318 838455 838455 Drugs and Solutions 66261456 66261456 Medical Supplies 49377456 49377456 State Tax on Revenue 11770612 11770612 Maintenance Service Con 4762998 4762998 17518657 10093407 7425250 733001151 564844035 167289715 867401 17458086 18486954 2593157 6537522 544721 16283869 100478739 102620547 10097437 9970830 11794128 12961743 694793439 339931000 356241204 354862439 109676326 116202118 25029659 17019995 424810 28822531 26815210 662735988 682186037 45100597 63509160 387097 173987 278160218 266078197 503455 1074126 56089966 51638790 380241333 382474260 X 207585449 196578869 74909206 103132908 282494655 299711777 662735988 682186037 X 10199044 7617825 -599747 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 29805 0 0 0 29805 0 Part II-B, Line 1: MaineGeneral Health and Affiliates is a member of various healthcare related associations that do lobbying activities regarding legislation that has a direct impact on healthcare organizations. The healthcare associations have reported the percentage of association dues that were spent on lobbying activities. 77539997 23792000 8056957 3000 3318478 143722 105923754 83167317 6701458 5949320 500 16372606 104992 79339997 95268259 1196761 -13329864 500 1648984 118355 81367317 79284035 777876 17454845 500 2213995 34002 95268259 39072660 41372492 720760 5350 1827033 49364 79284165 0.02910 0.64590 0.32500 1 0 3798593 3798593 425802463 154909543 270892920 16185243 8713076 7472167 217327748 167475061 49852687 31679392 8833320 22846072 354862439 Workers Comp Accrual 1104875 Curr Portion Accrued Insur Res 8873033 Curr Portion Lease Liability 4603046 Acc Pension Cost Net Curr Port 10680648 Other Long-Term Liabilities 26307681 FIN47 Environmental Liability 69507 51638790 X Part V, Line 4: The intended uses for MaineGeneral Health and Affiliates' Endowments and Quasi Endowments are as follows: Charity Care at the Organization's hospital and the Harold Alfond Center for Cancer Care. Funding educational programs for the Organization's nurses and other employees. Part X, Line 2: The Company and its affiliates have been determined to be tax-exempt organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for income taxes has been recorded in the accompanying consolidated financial statements for these tax-exempt organizations. The Captive is a limited liability company (LLC) under the Federal Income Tax Code and as an LLC passes its income or loss for federal and state tax purposes to its members. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Company has evaluated the tax positions taken on its filed tax returns. The Company has concluded no uncertain income tax positions exist at June 30, 2024. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investment in Baxter Street Offshore Fund, LTD. Equity Fund. 7106620 0 0 0 0 0 0 7106620 0 7106620 0 0 0 0 0 0 Day of Hope 239445 71368 168077 900 11302 9593 239445 71368 168077 900 11302 9593 21795 146282 1 1 1 X 1 X 1 1 1 0 1 1 12267552 195692 12071860 0.01650 123805186 104730141 19075045 0.02600 136072738 104925833 31146905 0.04250 6615261 1260523 5354738 0.00730 173651 173651 0.00020 46346176 19362431 26983745 0.03680 53135088 20622954 32512134 0.04430 189207826 125548787 63659039 0.08680 2978468 435522 2542946 0.00350 2978468 435522 2542946 0.00350 1 31625350 0 234462292 359519044 -125056752 X 1 1 2 Augusta & Waterville MRI Owners LLC MRI imaging services at the Augusta Hospital and Waterville facilities. 0.50000 0.00000 0.50000 8 Maine Mobile MRI Services Associates LP Leasing of MRI equipment. 0.16670 0.00000 0.83300 1 1 MaineGeneral Medical Center 35 Medical Center Parkway Augusta ME 04330 www.mainegeneral.org 38948 X X X X X MaineGeneral Medical Center 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X www.mainegeneral.org X www.mainegeneral.org/about-us/community-health/community-health-needs-asses X 1 23 1 www.mainegeneral.org 0 1 X 150.000000000000 200.000000000000 X X X X X X 1 1 X X X X 1 X www.mainegeneral.org X www.mainegeneral.org X www.mainegeneral.org X X X X X X X 1 X 0 X X X X 1 X 0 0 MaineGeneral Medical Center 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. MaineGeneral Medical Center Part V, Section B, Line 6a: Maine Health, Central Maine Healthcare and Northern Light Healthcare systems. MaineGeneral Medical Center Part V, Section B, Line 6b: Maine Department of Health and Human Services; Center for Disease Control. MaineGeneral Medical Center Part V, Section B, Line 11: Goals, Strategies, Measures Each project team met between June and November 2022 to develop goals, strategies and measurements. Prevention and Support of Chronic Disease/Food and Nutrition: This workgroup identified diabetes and chronic pain as its focus areas with two main goals: integrating registered dietitians and hands-on skill development for patients with the practices; and engaging medical staff in learning experiences on nutrition, food preparation and motivational interviewing. Examples of some strategies to achieve these goals: developing a teaching kitchen curriculum and related engagement strategies focused on diabetes and chronic pain; and delivering CME nutrition education to MGH medical staff. Behavioral Health/Substance Use Disorder: This workgroup identified the following goals: keeping people in treatment to improve outcomes; reducing stigma; working with external partners to optimize resources; and ensuring treatment is available to those with SUD/OUD and alcohol use disorder. Examples of strategies to achieve these goals include developing a transportation system to help people keep appointments and maintain treatment; increasing educational opportunities for leaders to coach teams on stigma and bias; and using the SUD and BH collaboratives to engage external partners for a community-based continuum of care. Physical Activity: This workgroup identified youth (ages 7-14) and non-competitive sport as the focus area with the following goals: promoting physical activity among youth participating in youth-oriented community organizations; promoting alternative physical activity and healthy behavior while youth are at school; and promoting physical activity directly to parents. This approach will leverage existing relationships MGH has with schools and community-based organizations and will require Healthy Living staff to be redirected to serve more youth. Examples of strategies to achieve goals are adding alternative physical activity and healthy behavior resources in partner schools to engage youth not involved in organized sports; and integrating 5-2-1-0 Let's Go into all primary care well-child visits to engage medical staff, parents and youth. Transportation: This workgroup's two goals focused on optimizing the current Delta transport program for inpatient and ED patients transitioning to the next level of care; and expanding the transportation program to include rides to ambulatory care visits to reduce no shows, ED use and hospital readmission. A program coordinator was identified as needed to achieve these goals. Cancer: This workgroup focused on the need to increase screening for cancer and continue engagement efforts with Farmington and Skowhegan to serve rural residents. The goals developed are improving access for rural residents to cancer and hematology services; reaching more people with cancer screenings and expanding the types and methods of screenings people get; and developing a whole-person approach to cancer care that integrates non-traditional care into medical treatment and supports people on their journey. Examples of strategies include expanding clinical trials to Farmington and Skowhegan to better serve those communities and decrease cancer burden; expanding virtual health; strengthening relationships with primary care to increase cancer screenings; increasing community and workplace screening events to reach those who may not have a PCP; and developing holistic and non-traditional care to offer in the expanded cancer center. Implementation These goals and strategies were developed with engagement of leaders in existing clinical and administrative units. A leader will be assigned for each priority area, and teams will report to the senior leadership team twice per year on their progress toward achieving the goals of this community health implementation plan. MaineGeneral Medical Center 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. MaineGeneral Medical Center 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. 2 1 - MaineGeneral Rehabilitation and LTC 37 Graybirch Drive Augusta ME 04330 Long-term care and residential care facility 2 - MaineGeneral Community Care 35 Medical Center Parkway Augusta ME 04330 Homecare, hospice, behavioral health and substance abuse facilities Part I, Line 7: 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. Part I, Ln 7 Col(f): Bad debt expense is treated as a reduction of gross patient revenues according to generally accepted accounting principles. Part II, Community Building Activities: 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. Part III, Line 2: 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. Part III, Line 4: 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. Part III, Line 9b: 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. Part VI, Line 3: 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. Part VI, Line 4: 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. Part VI, Line 5: 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. Part VI, Line 6: 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. Part VI, Line 7, Reports Filed With States ME X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 George Polkinghorn Physician 598851 0 579525 0 5696 0 33100 0 22734 0 1239906 0 0 0 Joan Kheder Physician 517557 0 508909 0 22490 0 25945 0 10953 0 1085854 0 0 0 Ian Patten Physician 549805 0 493506 0 21914 0 16382 0 2067 0 1083674 0 0 0 Fady Asslo Physician 509539 0 498485 0 22500 0 26600 0 22621 0 1079745 0 0 0 Sakdhisapol Katanyutanon Physician 546374 0 432549 0 22836 0 26562 0 11203 0 1039524 0 0 0 Charles Hays President & CEO (Former) 0 637238 0 0 0 104685 0 33088 0 17483 0 792494 0 0 Terry Brann Treasurer & Chief Financial Officer 0 414813 0 0 0 30904 0 26100 0 11203 0 483020 0 0 Amy Rico MD Director 383787 0 21458 0 3377 0 32373 0 18323 0 459318 0 0 0 Jennifer Riggs CEO MGCC 358274 0 0 0 43312 0 32901 0 11122 0 445609 0 0 0 Marci Alexander Esquire Board Secretary 0 335149 0 0 0 7831 0 18611 0 7301 0 368892 0 0 Deirdre Heersink DO Director 295457 0 12500 0 19279 0 24042 0 2298 0 353576 0 0 0 Nathan Howell President & CEO 0 287260 0 40000 0 6125 0 0 0 1198 0 334583 0 0 Part I, Line 1a Charles Hays $59,596 Treated as taxable compensation. Part I, Line 3 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. Part I, Line 7 A portion of compensation is at risk and variable and is based on the quality of job performance. Kathryn L York Child of Charles Hays 97052 Employee Compensation 0 Charles Hays Child of Charles Hays 13589 Employee Compensation 0 X 5 5089741 Fair Market Value 0 1 1 Part I, Line 32b: 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. Form 990, Part I, Item C 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 & Asthma DBA: MaineGeneral Inpatient Psychiatric DBA: MaineGeneral Ear, Nose and Throat DBA: MaineGeneral Diabetes and Nutrition DBA: MaineGeneral Hearing Evaluations & 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: aineGeneral 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 Healthy Living Resource Center DBA: MaineGeneral Podiatry DBA: MaineGeneral Eye Center DBA: MaineGeneral Palliative Care DBA: Mid-Maine Medicine DBA: Renew! A Shop for Women 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: Edmund Ervin Pediatric Center DBA: Comfort Care at Glenridge DBA: Healthreach Network DBA: MaineDartmouth Family Practice Form 990, Part III, line 3 MaineGeneral Virtual Health ceased operation on 6/30/2023. Form 990 Part III, Line 4a 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, 2024 MaineGeneral Medical Center provided care for 8,980 inpatients, 9,868 inpatient and outpatient surgeries, 1,232 births, 116,087 oncology procedures, 615,125 laboratory procedures, 153,062 diagnostic imaging procedures and 58,887 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 2024 the MaineGeneral Physician practices provided 558,648 primary care Relative Value Units (RVUS), 323,292 medical specialty RVUS and 641,266 RVUS for various other specialty care RVUS. Form 990 Part III, Line 4b MaineGeneral Community Care operates a homecare and hospice program throughout the Kennebec Valley and surrounding areas. During the fiscal year ending June 30, 2024, MaineGeneral Community Care provided 32,226 days of homecare services and 41,609 days of hospice care. The company also provides several community support programs for mental health and substance abuse treatment. MaineGeneral Community Care provided 7,051 service hours of outpatient counseling, 3,268 days of service through the women's residential care programs; and 9,182 visits through the ACT program. Form 990 Part III, Line 4c 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 78,746 days of skilled and residential care services to residents requiring long-term care services during the fiscal year ending June 30, 2024. The Alzheimer's Care Center in Gardiner, Maine provides residential care, respite and day care services to residents with memory loss. The center provided 10,858 days of residential care services and 14,457 hours of service in the day care program during the fiscal year ending June 30, 2024. In addition, MaineGeneral Rehabilitation and Long Term Care provides assisted living services to residents living at the Inn at City Hall in Augusta, Maine. Form 990 Part V, Line 2a 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. Form 990, Part VI, Section B, line 11b 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 2025. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15 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. Form 990, Part VI, Section C, line 19 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. Form 990, Part XI, line 9: Additional Pension Liability -599747. Form 990 Part XII, Line 2c. MaineGeneral Health did not change its oversight process or selection process during the current tax year. Kennebec Risk LLC 463 Mountain View Drive Suite 301 3 Colchester VT 05446 455473855 Captive Insurance Company VT 4858381 17681283 MaineGeneral Medical Center MaineGeneral Health 35 Medical Center Parkway Augusta ME 04330 043369649 Provider of management support service to non-profit healthcare subsidiaries ME 501(c)(3) Line 12b, II N/A 0 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0