2018-05-18T07:08:06-05:00 2017-06-30 010494526 Baker Newman Noyes LLC 280 Fore Street Portland ME 04101 990 2016-07-01 320265031 MaineGeneral Health and Affiliates MAIN 2076261000 35 Medical Center Parkway Augusta ME 04330 Terrance Brann Chief Financial Officer 2076261000 2018-05-18 E Drew Cheney P00182972 2078792100 2016 2022-09-23 18:48:47Z See Schedule O at Glenridge Charles Hays 35 Medical Center Parkway Augusta ME 04330 554353974 1 0 9706 X www.mainegeneral.org X 1997 ME See schedule O. 43 30 5097 457 1051127 52766 6666944 6878396 486538057 481464008 1701928 5913696 1670584 1201418 496577513 495457518 0 0 0 0 259077090 273468289 0 0 633192 234620877 238915984 493697967 512384273 2879546 -16926755 675946654 645274807 449548697 420489197 226397957 224785610 X MaineGeneral Health and Affiliates' mission is to enhance, every day, the health of the people in the greater Kennebec Valley. 0 0 406554571 442679316 See Schedule O. 20459419 18586719 See Schedule O. 20141832 17854857 See Schedule O. 2818450 6781932 MaineGeneral Retirement Community provides various stages of assisted living support to an elderly community. The company provided 36,255 days of independent living in the various lodge and cottage units and 8,030 days of assisted living in the assisted living and Alzheimer's units. 2818450 6781932 449974272 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 1 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 0 0 0 1 554 1 1 5097 1 1 1 0 0 0 0 0 0 0 0 0 X 43 30 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 Peter Alfond Director 1.00 1.00 X 0 0 0 Alane O'Connor Director 1.00 1.00 X 0 0 0 Barbara Mayer Director 1.00 1.00 X 0 0 0 Cathy DeMerchant Director 1.00 1.00 X 0 0 0 Charles Hays President & CEO 5.00 50.00 X X 0 555529 24450 Daniel Doornbos MD Director 50.00 1.00 X 335756 0 21766 David Flanagan Director 1.00 1.00 X 0 0 0 David Hay MD Director 50.00 1.00 X 502148 0 24672 Douglas Cutchin Director 1.00 1.00 X 0 0 0 Elissa Emmons Director 1.00 1.00 X 0 0 0 Gary Peachey Director & Chair 1.00 2.00 X X 0 0 0 Gordon Pow Director 1.00 2.00 X 0 0 0 James Clair Director 1.00 1.00 X 0 0 0 James LaLiberty Director 1.00 1.00 X 0 0 0 Janice Kassman Director 1.00 1.00 X 0 0 0 Jeffrey Hubert Director & Vice Chair 1.00 2.00 X X 0 0 0 Joey Joseph Director 1.00 2.00 X 0 0 0 Mark Johnston Director 1.00 1.00 X 0 0 0 Mathew Tardiff Director 1.00 2.00 X 0 0 0 Michael Clark MD Director 1.00 1.00 X 0 0 0 Nate Cotnoir Director 1.00 2.00 X 0 0 0 Paul Gagliardi MD Director 1.00 1.00 X 0 0 0 Scott Small Director 1.00 2.00 X 0 0 0 Stephanie Calkins MD Director 5.00 1.00 X 29300 0 27 William Sprague Director 1.00 2.00 X 0 0 0 Nona Boyink CEO MGCC, MGRLTC, MGRC 13.00 1.00 X X 0 153495 11459 Jennifer Riggs CEO MGCC 50.00 1.00 X X 200415 0 17828 Richard Fein DO Director, MGCC 50.00 1.00 X 147268 0 17434 Lynn Duby Director, MGCC 1.00 1.00 X 0 0 0 Reynerio Sepe Lanoy MD Director, MGCC 50.00 1.00 X 257548 0 15037 Rep Henry Beck Esq Director, MGCC 1.00 1.00 X 0 0 0 Sherry Rogers Director, MGCC 1.00 1.00 X 0 0 0 Andrew B MacLean JD Director, MGCC & Vice Chair 1.00 1.00 X X 0 0 0 Ann M Davis RN Director, MGCC 4.00 1.00 X 14246 0 285 Mariah A Gleaton JD Director, MGCC 1.00 1.00 X 0 0 0 Claudia Glynn FNP-C Director, MGCC 5.00 1.00 X 13187 0 264 Kirsten LC Figueroa Director, MGCC 1.00 1.00 X 0 0 0 Pamela J Trinward Director, MGCC & Chair 1.00 1.00 X X 0 0 0 Laurie Bourgoin Director, MGRC & Chair 18.00 1.00 X X 64363 0 8853 Stephen Clark Director, MGRC 1.00 1.00 X 0 0 0 Kenneth Harvey Director, MGRC 1.00 1.00 X 0 0 0 Richard Jordan Director, MGRC 1.00 1.00 X 0 0 0 Judith Shreiner Director, MGRC 1.00 1.00 X 0 0 0 Nicole McSweeney Director, MGRC 1.00 1.00 X 0 149399 12476 Rita Oellers Director, MGRC 1.00 1.00 X 0 0 0 Edna Smith Director, MGRC 1.00 1.00 X 0 0 0 Paul Stein Director, CEO MGRC 50.00 5.00 X X 262149 0 24485 Mildred Stengel Director, MGRC 1.00 1.00 X 0 0 0 Constance McDonald Director, MGRC 2.00 1.00 X 7025 0 141 Peter Mills Director 1.00 1.00 X 0 0 0 Terry Brann Treasurer & Chief Financial Officer 5.00 50.00 X 0 292889 17151 Julie Greene Board Secretary 1.00 45.00 X 0 48307 15368 Elizabeth Burgess Secretary, MGCC 40.00 1.00 X 35881 0 8628 Diane Flagg Secretary, MGRC 40.00 1.00 X 45751 0 2629 Joseph Lopes Physician 50.00 1.00 X 735162 0 11517 Sakdhisapol Katanyutanon Physician 50.00 1.00 X 805903 0 20282 Sean McGarr Physician 50.00 1.00 X 824367 0 19786 Anthony Perrone Physician 50.00 1.00 X 979920 0 22360 Anthony Mancini Physician 50.00 1.00 X 676747 0 25757 5937136 1199619 322655 309 0 1 0 Maine Dartmouth Family Medicine Residenc 15 E Chestnut Street Augusta ME 04330 Residency Services 12454734 Allscripts Healthcare Solutions Inc PO Box 8538-0133 Philadelphia PA 191710133 Software Services 4404972 Kennebec Anesthesia Associates 35 Medical Center Parkway Augusta ME 04330 Healthcare Services 4080000 RSM US LLP 5155 Paysphere Circle Chicago IL 60679 Accounts Receivable Consulting 2575550 Augusta East Redevelopment Co LLC 6 E Chestnut Streeet Augusta ME 04330 Building Rental 2109734 60 70753 121711 237224 3193841 3254867 823359 6878396 Hospital Revenues 621990 362119983 361457187 662796 Physician Practice Rev 621110 76212584 76212584 Long Term Care Revenue 623000 18414250 18414250 Hospice and Homecare R 621610 17854857 17854857 Retirement Community R 623990 4175196 4175196 2687138 2298807 388331 481464008 1576878 1576878 905344 0 905344 905344 905344 48860013 14325487 44410087 14438595 4449926 -113108 4336818 4336818 86067 121711 37774 48293 48293 30000 10000 20000 20000 Joint Ventures 623990 227781 227781 227781 495457518 485902824 1051127 1625171 1717202 1388110 329092 221620920 207189428 14431492 8047953 7294397 753556 27065284 25277778 1787506 15016930 14090292 926638 23736325 23103133 633192 300175 300175 18426 18426 214752 214752 34123120 28797127 5325993 903909 903909 1383539 1292064 91475 16610950 15663345 947605 15662665 14385752 1276913 1240977 1177419 63558 960102 854592 105510 20089085 20089085 30594926 22542206 8052720 1948935 1948935 Drugs and Solutions 31080555 31080555 Medical Supplies 30479298 30479298 State Tax on Revenue 9545890 9545890 Maintenance Service Con 5486509 5486509 14535846 12221764 2314082 512384273 449974272 61776809 633192 398107 745443 19342306 27364435 1573363 748136 110209525 87845385 5645394 5275431 9438750 8406363 646623076 248504759 413206228 398118317 79596149 89262444 31787940 23421941 2261372 2130908 2487520 1956004 675946654 645274807 64407679 44993021 2396162 2654143 296739662 293793212 10266921 8721111 2821067 5616068 72917206 64711642 449548697 420489197 X 203085092 199813315 4728349 4978321 18584516 19993974 226397957 224785610 675946654 645274807 X -16926755 3604857 11709551 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 56820 0 0 0 56820 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. 30604907 2252410 3047329 3250 2163060 33738336 31176338 2227069 -233010 0 2565490 30604907 30722138 1650993 -319863 2500 874430 31176338 96181870 5988472 3468726 3000 74913930 30722138 84994462 21398575 3127831 3500 13335498 96181870 0.28150 0.59260 0.12590 1 0 4229061 4229061 430756291 106759128 323997163 4664079 2509745 2154334 193777713 134348535 59429178 13195932 4887351 8308581 398118317 Workers Comp Accrual 1676604 Curr Portion Accrued Insur Res 7604353 Acc Pension Cost Net Curr Port 33926145 Deferred Revenue Refundable- 17716564 Purchase Deposits- 46000 Security Deposits- 142475 Other Long-Term Liabilities 3375719 FIN47 Environmental Liability 223782 64711642 X Part V, Line 4: The intended uses for MaineGeneral Health and Affiliates' Endowments and Quasiendowments are as follows: Charity care at the Organization's hospital and the Harold Alfond Cancer Center. Funding educational programs for the Organization's nurses and other employees. Funding capital expenditures. Funding scholarships for individuals interested in careers in the healthcare profession. 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 a 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 the Financial Accounting Standards Board, 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 returns. The Company has concluded no uncertain income tax positions exist at June 30, 2017. The Company's tax years from 2014 through 2017 are considered to be open and potentially subject to examination by the Internal Revenue Service. Central America and the Caribbean 0 0 Investment in Franklin Templeton Global Multisector bond fund. 3168868 0 0 0 0 0 0 3168868 0 3168868 0 0 1 0 0 0 Walk for Hope 151300 96506 54794 0 13401 4731 4585 Farm, Forks and Friends 56478 25205 31273 0 0 5667 1101 2500 5789 207778 121711 86067 13401 10398 1101 2500 10374 37774 48293 30000 10000 1 1.00000 30000 10000 10000 20000 ME 1 0 0 0 1.00000 MaineGeneral Medical Center Auxiliary 35 Medical Center Parkway Augusta ME 04330 0 Loraine McCabe 0 Among the activities of the Medical Center's auxiliary is running an annual lottery. Lottery proceeds are for the benefit of Medical Center projects and operations. X 0 1 1 X 1 X 1 X 225.000000000000 1 1 0 1 1 18091733 216131 17875602 0.03490 80782967 68349896 12433071 0.02430 98874700 68566027 30308673 0.05920 1912848 581433 1331415 0.00260 39785 27051 12734 0.00000 14802593 8497356 6305237 0.01230 16755226 9105840 7649386 0.01490 115629926 77671867 37958059 0.07410 5 1239322 91368 1147954 0.00220 5 1239322 91368 1147954 0.00220 0 14210307 0 161432561 163652593 -2220032 X 1 1 2 Augusta & Watervile Mobile MRI Owners LLC MRI imaging services at the Augusta Hospital and Waterville facilities. 0.50000 0.00000 0.50000 3 Maine Mobile MRI Services Associates LP Leasing of MRI equipment. 0.16670 0.00000 0.83330 1 1 MaineGeneral Medical Center 35 Medical Center Parkway Augusta ME 04330 www.mainegeneral.org X X X X X X MaineGeneral Medical Center 1 0 0 1 X X X X X X X X 16 1 1 1 1 X www.mainegeneral.org X 1 16 1 www.mainegeneral.org 1 0 1 X 150.000000000000 225.000000000000 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: Community engagement using shared CHNA reports for local and regional planning is a critical part of the needs assessment and health improvement planning process. For some, working with a community means engaging community partners at the organizational or agency level, and for others it entails working with individual community members or working with community leaders who represent specific populations. Both types of engagement satisfy the IRS and Public Health Accreditation Board. Community feedback was used to collaboratively create 3-year implementation strategies, also called implementation plans.The process, co-led by Maine CDC District Liaisons and representatives from Maine SHNAPP not-for-profit hospitals, achieved the following: Ensured broad interests of the local community were represented; Obtained stakeholder input on identifying significant health needs based on review of data; Solicited stakeholder feedback on prioritizing significant health needs; and Identified local assets and resources that could address local health priorities.Preparing for Community EngagementThe planning process included the District Liaison from the Maine CDC and representatives from participating Maine SHNAPP 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. The committees established for this purpose or a current body may carry out the commitments. 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 health Community health coalitions Healthcare providers, including oral and behavioral health care providers Minority populations (e.g. Maine NAACP members, Latino student club, immigrant services) Business and civic leadership (e.g. local employers, civic organizations, community leaders) Funding agencies (e.g. local philanthropic organizations, bank and credit union services) Local and state governmentNon-profit organizations, including hospitals Colleges and Universities Low-income and/or medically underserved peopleObtaining Local Community Engagement InputThe SHNAPP 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: Additional Community Forums Key Informant Interviews: Interviews are focused conversations. They are used to learn about assumptions and perceptions in our communities about health issues, resources, and actions. Focus Groups: Focus groups are discussions led by a trained facilitator among a small group of people. Members of the group share opinions about the topic at hand and offer suggestions. Written or Electronic Surveys: Surveys provide a consistent and structured method for asking questions among a selected group of people. People responding to surveys share their experience or feedback at their convenience without the potential influence of responding to a person. Group Presentations with Structured Feedback: Instead of a forum or focus group, a presentation of an issue using prepared slides or handouts can be planned during a regularly scheduled meeting of a group such as a Rotary Club, school booster club, public health nursing staff meeting, or patient advisory board, etc. with the goal of gaining input through nominal group process or a variation to obtain individual votes and recommendations. MaineGeneral Medical Center Part V, Section B, Line 6a: Maine Health, Central Maine Healthcare and Eastern Maine Healthcare Systems. MaineGeneral Medical Center Part V, Section B, Line 6b: Maine Department of Health and Human Services. MaineGeneral Medical Center Part V, Section B, Line 11: MaineGeneral Medical Center Implementation StrategyCounty: Kennebec and SomersetPriority: Chronic DiseaseGoal: Prevention and Management of Chronic Disease (Diabetes, CardiovascularDisease and Cancer) via health system strategies.Strategies/ Activities:Implement Primary Care Demonstration Project Team Based Care pilot project within MaineGeneral Primary Care.Implement Care Management Platform by Kennebec Regional Health Alliance, and implement standardization of care management to improve population health.Utilize MaineGeneral Outpatient Staff Education Center to develop outpatient clinical staff education plan to assure competent workforce to implement population health strategies.Expand PICH Clinical Community Linkages Project to include screening for social determinants of health and chronic disease risk and referral to new evidence based services and resources to improve health.Expand and sustain the use of Community Health Workers in linking patients and practices to chronic disease management prevention and treatment resources in the MGH service area.Resources Committed: MG Primary Care budgets for Team Based Care, Care Management Platform and Staff Education Center.PICH Clinical Community Linkages work funded by Center for Disease Control from July 1, 2016 to September 30, 2017Center for Prevention and Healthy Living funding from Peter Alfond Endowment, MaineGeneral Community Health FundSIM grant from July 1, 2016 to Sept 30, 2016Additional resources committed by Spectrum Generation, KV YMCA, Alfond Youth Center, and Greater Somerset Public Health for chronic disease support servicesResources Needed:Grant funding to expand primary care, care management, and community linkages activities and evaluate expansion of these strategiesAdditional funds needed to support community health workers, and evidence based programs and service ($200,000/ year).Leadership engagement with business leaders, insurers, governmental leadership (local and state), social service agenciesOutcomes/ what will be measured:Increased patient panels per practice and providerImproved patients experience scores in outpatient practicesImproved chronic disease indicators (Blood pressure, Pre-diabetes, Diabetes, Depression, COPD)Maintain readmission rates for AMI, CHF, PN, COPDIncreased referral to evidence based prevention services and social determinants of health resources in the communityIncreased enrollment and utilization of evidence based prevention intervention and health education services delivered by MGMCIncreased screening rates for breast, cervical, colon and lung cancerMaineGeneral Medical Center Implementation StrategyCounty: KennebecPriority: ObesityGoal: Prevention and Management obesity via physical movement and healthy eating policies, programs and services.Strategies/ Activities:Expand and sustain evidence based health cooking and physical movement programs.Develop and implement 3 year communication plan targeting providers, business, insurers, governmental leadership, social service agencies and the public re the benefits of local physical movement and healthy eating polices programs and services.Primary care practices will develop proactive outreach plan and implement work flow and electronic health system changes to better serve populations of patients with obesity risk.Expand obesity prevention activities via WIC (Women Infant and Children program) and primary care.Increase collaboration with community agencies such as Alfond Youth Center, YMCA and Spectrum Generation to assure obesity prevention programs are sustained in the community.Resources Committed:Peter Alfond EndowmentAlfond Communication FundsWIC ResourcesClinical community linkages work to be funded by PICH grant funding from the Center for Disease Control from July 1, 2016 to September 30, 2017Resources Needed:Grant funding for program expansion ($200,000/year)Leadership engagement with business leaders, insurers, governmental leadership (local and state), social service agenciesOutcomes/ what will be measured:Improved obesity and physical activity indicators of adults and children (overweight, obesity, sedentary lifestyle)Increased obesity prevention policy, program and service participation indicatorsImproved WIC prevention indicatorsMaineGeneral Medical Center Implementation StrategyCounty KennebecPriority Tobacco Use and ExposureGoal Reduce lung disease mortality, by reducing disease risk factors for COPD and Lung cancer via primary care and community based strategies.Strategies/ Activities:Expand tobacco exposure screening and referrals to lung disease risk reduction and screening services via primary care.Implement use of community health workers "CHWs" to educate low income communities about lung cancer risk and link them to cessation, primary care, prevention services and lung cancer screening.Expand access and referral to cessation services via WIC, and MG counseling.Resources Committed:MaineGeneral Community Health FundBristol Meyer Squibb Foundation Lung Cancer Prevention and Screening contractFree ME from Lung Cancer Foundation fundsClinical community linkages work to be funded by PICH grant funding from the Center for Disease Control from July 1, 2016 to September 30, 2017WIC Contract fundsResources Needed:Grant funding or payment of Community Health worker staff time ( $100,000)IT technical support for report writing assuring accurate data re tobacco exposure and referral to services for quality improvement and program evaluationOutcomes/ what will be measured:Increased % of patients screened and referred to lung disease risk reduction servicesIncreased % of patients age 55 + patients receiving Low Dose CT Lung cancer screening% of MaineGeneral Primary Care practices and providers implementing lung disease screening and referral interventionsMaineGeneral Medical Center Implementation StrategyCounty: KennebecPriority: Substance Use DisorderGoal: Reduction in overdose mortality, by implementation of health systems strategiesReducing number of pain prescriptions per capita, substance use risk screening, and provision of treatment in primary care.Strategies/ Activities:Establish a comprehensive medical staff plan for opiate prescribing, pain management, risk reduction and opiate treatment of patients.Implement outreach plan for provider education on guidelines for safe opioid prescribing, use of Maine Prescription Drug Monitoring (PMP) system, screening and referral for opiate dependence services.Implement public education campaign on MG standards of care for pain management, and commitment to prevention and treatment.Implement overdose prevention and naloxone education in all MaineGeneral clinical settings targeting patients and families at increased risk.Expand medication assisted treatment capacity by providing provider and primary care office staff training.Complete feasibility study to expand integrated harm reduction services to Waterville area.Resources Committed:ROOR HRSA Grant( July 1 to October 1, 2016)Maine General Community Health FundResources Needed:Grant funding to coordinate implementation of Community Education Campaign,( $200,000)Funds to coordinate implementation of comprehensive plan of medical staff education, including waiver training, new guidelines for safe opioid prescribing, PMP updates, and treatment resources($200,000)Outcomes/ what will be measured:Increased # of providers utilizing PMP, new prescribing guidelines for safe opioid prescribing, and community education materials.Increased % MGH practices where office based opioid treatment services are provided.MaineGeneral Medical Center Implementation StrategyCounty: KennebecPriority: Access to CareGoal: Increasing access to primary care, oral health and mental health services.Strategies/ Activities:Expand use of Community Health Workers to address access to care barriers related to medical care and oral health.Expand Center for Prevention and Health living HUB staffing to support linking Emergency Department, Express Care, and Care Management Platform patients with no PCPs to appropriate follow up and primary care.Expand the integration of mental health services in primary care settings.Implement stigma education for medical staff and primary care regarding mental illness and barriers to access to care.Implement collaboration strategies and referrals between oral health services.All of the priorities identified by the community forums and events were included in the CHIP. The following health issues were identified by surveillance data but not selected for the CHIP:Falls, Traumatic brain Injury, Overall mortality ratesThere is a lack of detailed data, evidence-based programs, expertise within the system and financial resources to address these. 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. 3 1 - MaineGeneral Rehabilitation & LTC 37 Graybirch Drive Augusta ME 04330 Long-term care and residential care facility 2 - MaineGeneral Retirement Community 60 Balsam Drive Ste 1 Hallowell ME 04347 Retirement community 3 - MaineGeneral Community Care 10 Water Street Waterville ME 04901 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. Costs 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 an operating expense as part of the provision for bad debts.The organization's bad debt expense cost is calculated using a ratio of total patient related expense over gross charges. This is applied to total provision for bad debts, which is recorded at gross charges. Part I, Ln 7 Col(f): A provision for charges for services rendered to individuals from whom payment is expected and ultimately not received is written off and included as an operating expense as part of the provision for bad debts. The organization's bad debt expense is calculated using a ratio of total expenses over gross charges. This is applied to total provision for bad debts which is recorded at gross charge less any applicable discounts. 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 and support groups, breastfeeding classes, sibling 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 4: For receivables associated with self-pay patients(which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the Medical Center records a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between standard rates (or discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. The organization's bad debt expense is calculated using a ratio of total expenses over gross charges. This is applied to total provision for bad debts which is recorded at gross charges less any applicable discounts.A significant portion of the uncollectable patient balances relate to individuals and families which are uninsured and with income levels over the uncompensated care guidelines. The write-off of these uncompensated balances provides community benefit for patients and families that can not afford to pay for their healthcare costs in addition to their other living expenses. Part III, Line 9b: In accordance with the Affordable Care Act and the IRS 990 rules, 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 2: MaineGeneral representatives participated in 12 of 16 community engagement forums and events held in the Central Public Health District between Sept. 11, 2015 and March 23, 2016. These forums and events involved individuals who represent the broad interest of the community.Sectors attending included: public health, medical staff leadership, nurses, social workers, health care administration, local and state government, low income community representatives, community health coalitions, non-profit agencies, behavioral health service providers, public schools, local police and the faith community. Appendix A includes the 16 completed community engagement reporting forms that list those attending and additional details regarding the sharing of data, and the input provided by those attending. Appendix B outlines the summary of these community engagement reporting forms within the Central Public Health District (Kennebec and Somerset counties).These community engagement forums and events were an essential component of the Maine Shared Health Needs Assessment Planning Process (SHNAPP) Community Health Needs Assessment (CHNA), allowing for community members to review state and local health data and identify the next steps required to address the identified community health priorities. Participants in some of the forums met in small, focused groups to discuss opportunities for collaboration on specific priority issues. Other engagement events involved questions, suggestions and discussion about possible implementation strategies that a hospital system could lead or contribute to in some way.In addition, MaineGeneral convened its Community Health Improvement Committee (CHIC) board of directors committee and invited key stakeholders with expertise in mental health and substance use disorders, chronic disease, obesity, tobacco use and access to care. The CHIC scheduled a series of meetings which were attended by representatives from MaineGeneral Community Care, MaineGeneral Quality Department, Emergency Department medical staff, Family Medicine Residency staff, MaineGeneral leadership, MaineGeneral Health Board of Directors, and the Center for Prevention and Healthy Living. The CHIC then developed MaineGeneral's Community Health Implementation Plan based on the results of the series of meetings. The Community Health Implementation Plan includes goals, strategies, outcomes and resources committed and needed for each of the five priority areas identified. Chronic disease Obesity Tobacco use and exposure Access to care Substance use disordersThe CHIC selected strategies the health care system is uniquely positioned to address. In addition it identified the community partners MaineGeneral will be working with to address the priority areas. All of the priorities identified by the community forums and events were included in the CHIP. 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 the 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, 20% of Lincoln County, 8% of Sagadahoc County and 3% of the 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 & Long Term Care, which provides long term, skilled nursing and residential care services. It also provides Alzheimer's residential care and Alzheimer's day care services.MaineGeneral Retirement Community, which provides independent and assisted living services, as well as an Alzheimer's care unit. Part VI, Line 7, Reports Filed With States ME X 1 1 X X X X 0 0 0 0 0 0 0 1 0 Charles Hays President & CEO 0 546777 0 0 0 8752 0 10444 0 14006 0 579979 0 0 Daniel Doornbos MD Director 258863 0 75500 0 1393 0 8974 0 12792 0 357522 0 0 0 David Hay MD Director 374086 0 126323 0 1739 0 9622 0 15050 0 526820 0 0 0 Nona Boyink CEO MGCC, MGRLTC, MGRC 0 146368 0 0 0 7127 0 5929 0 5530 0 164954 0 0 Jennifer Riggs CEO MGCC 184553 0 15335 0 527 0 7043 0 10785 0 218243 0 0 0 Richard Fein DO Director, MGCC 134722 0 12000 0 546 0 5550 0 11884 0 164702 0 0 0 Reynerio Sepe Lanoy MD Director, MGCC 237371 0 20000 0 177 0 8035 0 7002 0 272585 0 0 0 Nicole McSweeney Director, MGRC 0 139936 0 9378 0 85 0 5650 0 6826 0 161875 0 0 Paul Stein Director, CEO MGRC 241533 0 20516 0 100 0 9882 0 14603 0 286634 0 0 0 Terry Brann Treasurer & Chief Financial Officer 0 269421 0 23328 0 140 0 9867 0 7284 0 310040 0 0 Joseph Lopes Physician 547579 0 186680 0 903 0 8766 0 2751 0 746679 0 0 0 Sakdhisapol Katanyutanon Physician 360904 0 444608 0 391 0 7608 0 12674 0 826185 0 0 0 Sean McGarr Physician 573409 0 229703 0 21255 0 3946 0 15840 0 844153 0 0 0 Anthony Perrone Physician 333883 0 626037 0 20000 0 7392 0 14968 0 1002280 0 0 0 Anthony Mancini Physician 383647 0 291320 0 1780 0 10600 0 15157 0 702504 0 0 0 Part I, Line 1a Charles Hays $7,334 Treated as taxable compensation Barbara Crowley, M.D. $2,523 Treated as taxable compensation Nona Boyink $3,737 Treated as taxable compensation Part I, Line 7 A portion of compensation is at risk and variable and is based on the quality of job performance. A Maine Health and Higher Education Facilities Authority 010314384 560427WV4 2013-05-23 70834003 Refinance 2003D Maine Health and Higher Education Facilities Authority Bonds 0 0 1 B Maine Health and Higher Education Facilities Authority 010314384 5604274R4 2015-07-30 30539538 Refinance 2006 Maine Health and Higher Education Facilities Authority Bonds 0 0 1 C Maine Health and Higher Education Facilities Authority 010314384 560427MR4 2011-08-11 280812878 Build a New Regional Hospital in North Augusta. 0 0 1 A 1900000 3180000 2739130 6164394 3254955 35170 2013 0 1 0 1 B 1850000 24235000 23486516 2688809 243881777 295477 2015 0 1 0 1 C 335000 280812878 11016303 47284409 5215393 249198363 2013 0 0 0 1 A 0 1 0 0 0.00430 0.02640 0.03070 0 0 1 B 0 1 0 0 0.00660 0.00660 0 0 1 C 0 0 0 0 0.01420 0.02640 0.04060 0 0 1 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 0 0 1 0 0 1 NATIXIS FUNDING CORP 30.000000000000 1 0 1 A 1 B 1 C 1 Date Rebate Computation Performed Issuer Name: Maine Health and Higher Education Facilities Authority Date the Rebate Computation was Performed: 08/29/2016 Terrance Flanagan Employee and brother of David Flanagan 284192 Employee compensation 0 Kathryn Hays Employee and daughter of Charles Hays 60527 Employee compensation 0 Charles V Hays Employee and son of Charles Hays 25145 Employee compensation 0 Allyson Pow Employee and daughter of Gordon Pow 63010 Employee compensation 0 Gary Peachey Corporation owned by Gary Peachey 131107 Vendor payments. 0 X 11 823359 FMV X 13 3020 FMV X Piano 1 5500 FMV X Various 1 130 FMV 0 1 1 Part I, Column (b): For Schedule M we are reporting the number of contributions rather than the number of items contributed. 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 Health Plan Pharmacy 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 Nursing Care at Glenridge. DBA: MaineGeneral Rehabilitation and Nursing Care at Graybirch. DBA: MaineGeneral Community Care DBA: MaineGeneral Homecare and Hospice DBA: MaineGeneral Retired Senior Volunteer Program 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 Retirement Community DBA: Granite Hill Estates DBA: Martha Ballard Assisted Living Center DBA: MaineGeneral Counseling DBA: MaineGeneral Speach Therapy DBA: MaineGeneral Allergy & Asthma DBA: MaineGeneral Vascular Surgery DBA: MaineGeneral Thoracic Surgery DBA: MaineGeneral Inpatient Psychiatric DBA: MaineGeneral Ear, Nose and Throat DBA: MaineGeneral Diabetes & Nutrition Center 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: 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: Gray Birch DBA: Glenridge DBA: MaineGeneral WIC DBA: MaineGeneral RSVP DBA: MaineGeneral Hospice Volunteers of Kennebec Valley DBA: MaineGeneral Hospice DBA: MaineGeneral Homecare DBA: MaineGeneral Next Step Needle Exchange DBA: Eat-Easy, Appetizing & Tonight DBA: Prevention and Healthy Living DBA: MaineGeneral Podiatry DBA: MaineGeneral Eye Center DBA: MaineGeneral Palliative Care DBA: Mid-Maine Medicine DBA: jackman Area Long Term Care DBA: Renew! 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: CarePartners DBA: Workplace Health DBA: Family Medicine Institute DBA: Edmund Erwin Pediatric Center Form 990, Part I, Line 1 MaineGeneral Health and Affiliates' mission is to enhance, every day, the health of the people in the greater Kennebec Valley. 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. In addition, the Jackman Region Health Center, in northern Somerset County, which is a part of MaineGeneral Medical Center, provides an 18-bed nursing home. During the fiscal year ending June 30, 2017 MaineGeneral Medical Center provided care for 9,373 inpatients, 2,799 inpatient and 7,059 outpatient surgeries, 1,193 births, 56,006 oncology procedures, 519,072 laboratory procedures, 124,254 diagnostic imaging procedures, and 55,531 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 2017 the MaineGeneral Physician Practices provided 146,642 adult primary care visits, 30,443 pediatric primary care visits, 37,608 express care visits and 244,719 visits for various specialty care practices. 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, regardless of an individual's ability to pay. Graybirch and Glenridge nursing facilities in Augusta, Maine provided 79,498 days of skilled and residential care services to residents requiring long-term care services during the fiscal year ending June 30, 2017. The Alzheimer's Care Center in Gardiner, Maine provides residential care, respite, and day care services to residents with memory loss. The center provided 10,569 days of residential care services and 8,884 hours of service in the day care program during the fiscal year ending June 30, 2017. In addition, MaineGeneral Rehabilitation operates an early learning center that provides child care services to employees and community children and provides assisted living services to residents living at the Inn at City Hall in Augusta, Maine. 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, 2017, MaineGeneral Community Care provided 68,841 days of homecare services and 47,145 days of hospice care. The company also provides several community support programs for mental health and substance abuse treatment. MaineGeneral Community Care provided 6,587 service hours of outpatient counseling, 3,731 days of service through the men's and women's residential care programs; and 5,333 visits through the ACT program during the fiscal year ending June 30, 2017. Form 990, Part VI, Section B, line 11b All Forms 990 and related attachments were reviewed by appropriate members of senior management, the Finance Committee, and the Board of Directors before the filings were sent to the Internal Revenue Service. Final drafts of Forms 990 were available thirty days prior to the filing deadline in order to be formally reviewed by the Senior Vice President 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 2018 and by the Board of Directors in May 2018. 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 the 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 MaineGeneral Health 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, salary structures are developed and maintained based on national compensation data for healthcare organizations. The MaineGeneral Health Chief Executive Officer's compensation was last reviewed in December of 2015. 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 11709551. Form 990, Part XI, Line 2C Change in oversight or selection process during the tax year: MaineGeneral Health and Affiliates did not change its oversight process or selection process during the tax year. Kennebec Risk LLC 100 Bank Street Burlington VT 05401 455473855 Captive Insurance Company VT 3639717 8875821 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 0 1 0 1 0 1 1 0 0 0 MaineGeneral Medical Center 35 Medical Center Parkway Augusta ME 04330 043369653 MAIN MaineGeneral Community Care 35 Medical Center Parkway Augusta ME 04330 010524384 MAIN MaineGeneral Health Rehabilitation & Long Term Care 35 Medical Center Parkway Augusta ME 04330 222789192 MAIN MaineGeneral Retirement Community 35 Medical Center Parkway Augusta ME 04330 010627194 MAIN