STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

MAINEGENERAL HEALTH: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MAINEGENERAL HEALTH (EIN 04-3369649)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-11
IRS object ID
201701319349301015
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-11T08:31:35-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman Noyes LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1280 Fore StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043369649EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MaineGeneral HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMAINBusinessNameControlTxt
Phone2076261000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 Medical Center ParkwayAddressLine1Txt
CityAugustaCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04330ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTerry BrannPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone2076261000PhoneNum
Signature2017-05-11SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonE Drew CheneyPreparerPersonNm
PTINP00182972PTIN
Phone2078792100PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCharles HaysPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 Medical Center ParkwayAddressLine1Txt
CityAugustaCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04330ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$12,460,778GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption9706GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mainegeneral.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionTo enhance, every day, the health of the people in the greater Kennebec Valley.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent15VotingMembersIndependentCnt
Total Employee113TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$33,930PYContributionsGrantsAmt
CY Contributions Grants$57,251CYContributionsGrantsAmt
PY Program Service Revenue$11,041,214PYProgramServiceRevenueAmt
CY Program Service Revenue$11,947,272CYProgramServiceRevenueAmt
PY Investment Income$562,870PYInvestmentIncomeAmt
CY Investment Income$110,788CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,638,014PYTotalRevenueAmt
CY Total Revenue$12,115,311CYTotalRevenueAmt
PY Grants And Similar Paid$251,547PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$265,565CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,918,788PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$7,710,872CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$649,692CYTotalFundraisingExpenseAmt
PY Other Expenses$2,946,527PYOtherExpensesAmt
CY Other Expenses$4,020,876CYOtherExpensesAmt
PY Total Expenses$11,116,862PYTotalExpensesAmt
CY Total Expenses$11,997,313CYTotalExpensesAmt
PY Revenues Less Expenses$521,152PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$117,998CYRevenuesLessExpensesAmt
Total Assets BOY$28,898,943TotalAssetsBOYAmt
Total Assets EOY$33,827,185TotalAssetsEOYAmt
Total Liabilities BOY$21,891,796TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,307,010TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,007,147NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,520,175NetAssetsOrFundBalancesEOYAmt
MissionReported on Page 1.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,268,423ExpenseAmt
Grant$265,565GrantAmt
Revenue$11,947,272RevenueAmt
DescMaineGeneral Health provides administrative services for tax-exempt subsidiaries and develops and implements overall goals and strategies for the system-wide delivery of necessary health care services in an efficient and coordinated manner.Desc
Total Program Service Expenses$3,268,423TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document538IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee113EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member15IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Jeremy StorerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2078618660PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 Medical Center ParkwayAddressLine1Txt
CityAugustaCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04330ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Peter Alfond
Director1.001.00Yes (X)$0$0$0
Michael Clark MD
Director1.001.00Yes (X)$0$0$0
Stephanie Calkins MD
Director & Chair1.001.00Yes (X)$0$13,800$288Yes (X)
Douglas Cutchin
Director1.001.00Yes (X)$0$0$0
Cathy DeMerchant
Director1.001.00Yes (X)$0$0$0
Elissa Emmons
Director1.001.00Yes (X)$0$0$0
Daniel Doornbos MD
Director1.001.00Yes (X)$0$308,704$20,623
Paul Gagliardi MD
Director1.001.00Yes (X)$0$6,759$806
Peter Guzzetti DO DDS
Director1.001.00Yes (X)$0$25,000$0
David Flanagan
Director1.001.00Yes (X)$0$0$0
David Hay MD
Director1.001.00Yes (X)$0$631,502$16,527
Charles Hays
President & CEO50.005.00Yes (X)$773,458$0$22,099Yes (X)
Jeffrey Hubert
Director2.001.00Yes (X)$0$0$0
Mark Johnston
Director1.001.00Yes (X)$0$0$0
Joey Joseph
Director1.001.00Yes (X)$0$0$0
Janice Kassman
Director1.001.00Yes (X)$0$0$0
James LaLiberty
Director1.001.00Yes (X)$0$0$0
Barbara Mayer
Director1.001.00Yes (X)$0$0$0
Roy Miller MD
Director1.001.00Yes (X)$0$0$0
Gary Peachey
Director & Vice Chair1.001.00Yes (X)$0$0$0Yes (X)
Gordon Pow
Director2.001.00Yes (X)$0$0$0
Tobi Schneider Esq
Director1.001.00Yes (X)$0$0$0
William Sprague
Director1.001.00Yes (X)$0$0$0
Terry Brann
Chief Financial Officer50.005.00$247,469$0$15,393Yes (X)
Julie Greene
Board Secretary45.005.00$48,802$0$14,526Yes (X)
Barbara Crowley MD
Executive Vice President50.005.00$346,135$0$21,771Yes (X)
Marci Alexander
General Counsel50.005.00$201,069$0$8,742Yes (X)
Nona Boyink
CEO MGCC, MGRLTC, MGRC5.0045.00$199,932$0$13,936Yes (X)
Rebecca Lamey
Senior VP Human Resources50.005.00$196,126$0$25,075Yes (X)
Nicole McSweeney
VP of Development and Communications50.000.00$134,973$0$11,925Yes (X)
Michael Koziol
Former Senior VP & CFO0.000.00$294,558$0$2,924Yes (X)
Scott Bullock
Former President Ex-Oficio0.000.00$379,986$0$9,124Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,822,508TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$985,765TotReportableCompRltdOrgAmt
Total Other Compensation$183,759TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
RSM US LLP
5155 Paysphere cCircleCHICAGOIL60674Accounts Receivable Management and Consu$843,397
Baker Newman & Noyes LLC
280 Fore StreetPortlandME04112Audit, Consulting and Tax Services$214,128
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$57,251AllOtherContributionsAmt
Total Contributions$57,251TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management fee revenue561000$11,635,312$11,635,312
Other561000$186,066$186,066
Rental Revenue532000$125,894$125,894
FieldValueIRS element (for citing)
Total Program Service Revenue$11,947,272TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$107,009TotalRevenueColumnAmt
Exclusion$107,009ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$349,246SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$345,467SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$3,779SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,779TotalRevenueColumnAmt
Exclusion$3,779ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,115,311TotalRevenueColumnAmt
Related Or Exempt Func Income$11,947,272RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$110,788ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$238,890TotalAmt
Program Services$238,890ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$26,675TotalAmt
Program Services$26,675ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,026,471TotalAmt
Management And General$1,026,471ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,381,658TotalAmt
Program Services$1,710,544ProgramServicesAmt
Management And General$3,289,945ManagementAndGeneralAmt
Fundraising$381,169FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$234,590TotalAmt
Program Services$62,620ProgramServicesAmt
Management And General$158,016ManagementAndGeneralAmt
Fundraising$13,954FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$639,802TotalAmt
Program Services$170,784ProgramServicesAmt
Management And General$430,961ManagementAndGeneralAmt
Fundraising$38,057FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$428,351TotalAmt
Program Services$114,341ProgramServicesAmt
Management And General$288,531ManagementAndGeneralAmt
Fundraising$25,479FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,315TotalAmt
Management And General$47,315ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$140,875TotalAmt
Management And General$140,875ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$711,320TotalAmt
Program Services$151,824ProgramServicesAmt
Management And General$545,543ManagementAndGeneralAmt
Fundraising$13,953FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$10,022TotalAmt
Program Services$10,022ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$254,070TotalAmt
Program Services$116,303ProgramServicesAmt
Management And General$19,337ManagementAndGeneralAmt
Fundraising$118,430FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$134,474TotalAmt
Management And General$134,474ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$437,723TotalAmt
Program Services$386,752ProgramServicesAmt
Management And General$38,004ManagementAndGeneralAmt
Fundraising$12,967FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$42,014TotalAmt
Program Services$7,875ProgramServicesAmt
Management And General$32,122ManagementAndGeneralAmt
Fundraising$2,017FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$81,291TotalAmt
Program Services$24,428ProgramServicesAmt
Management And General$43,718ManagementAndGeneralAmt
Fundraising$13,145FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$11,500TotalAmt
Program Services$11,500ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,591TotalAmt
Program Services$20,580ProgramServicesAmt
Management And General$11ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$10,785TotalAmt
Management And General$10,785ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
Purchased Services - Ge$1,187,513$1,187,513
Professional Membership$504,683$504,683
Recruitment$154,702$154,702
Institutional Dues$69,896$69,896

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$202,102TotalAmt
Program Services$60,583ProgramServicesAmt
Management And General$110,998ManagementAndGeneralAmt
Fundraising$30,521FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$11,997,313TotalAmt
Program Services$3,268,423ProgramServicesAmt
Management And General$8,079,198ManagementAndGeneralAmt
Fundraising$649,692FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,508,054BOYAmt
EOY$2,495,424EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,047,452BOYAmt
EOY$8,565,719EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,638BOYAmt
EOY$13,658EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$52,628BOYAmt
EOY$125,171EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$242,068BOYAmt
EOY$219,041EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$375,942LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$226,194LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$122,828BOYAmt
EOY$149,748EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,105,330BOYAmt
EOY$10,512,305EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,065,181BOYAmt
EOY$2,733,665EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,751,764BOYAmt
EOY$9,012,454EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,898,943BOYAmt
EOY$33,827,185EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,335,058BOYAmt
EOY$13,970,610EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,556,738BOYAmt
EOY$14,336,400EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$21,891,796BOYAmt
EOY$28,307,010EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,198,975BOYAmt
EOY$4,705,124EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$244,652BOYAmt
EOY$246,649EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$563,520BOYAmt
EOY$568,402EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,007,147BOYAmt
EOY$5,520,175EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,898,943BOYAmt
EOY$33,827,185EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$117,998ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$200,310NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,404,660OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type2Yes (X)SupportingOrgType2Ind
Supported Organizations4SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
MaineGeneral Medical Center
0433696533Yes (1)$0$0
MaineGeneral Community Care
0105243849Yes (1)$0$0
MaineGeneral Rehabilitation & Long Term Care
2227891929Yes (1)$0$0
MaineGeneral Retirement Community
0106271949Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd
FieldValueIRS element (for citing)
Majority Dir Trst Supported OrgYes (1)MajorityDirTrstSupportedOrgInd

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,381,422BeginningYearBalanceAmt
Contributions$56,622ContributionsAmt
Investment Earnings Or Losses-$140,778InvestmentEarningsOrLossesAmt
Grants Or Scholarships$26,675GrantsOrScholarshipsAmt
Other Expenditures$312,582OtherExpendituresAmt
End Year Balance$5,958,009EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,340,862BeginningYearBalanceAmt
Contributions$34,007ContributionsAmt
Investment Earnings Or Losses$273,542InvestmentEarningsOrLossesAmt
Grants Or Scholarships$39,066GrantsOrScholarshipsAmt
Other Expenditures$227,923OtherExpendituresAmt
End Year Balance$6,381,422EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,804,453BeginningYearBalanceAmt
Contributions$1,797,751ContributionsAmt
Investment Earnings Or Losses$772,371InvestmentEarningsOrLossesAmt
Grants Or Scholarships$247,268GrantsOrScholarshipsAmt
Other Expenditures$1,786,445OtherExpendituresAmt
End Year Balance$6,340,862EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,372,616BeginningYearBalanceAmt
Contributions$19,144ContributionsAmt
Investment Earnings Or Losses$687,203InvestmentEarningsOrLossesAmt
Grants Or Scholarships$258,297GrantsOrScholarshipsAmt
Other Expenditures$16,213OtherExpendituresAmt
End Year Balance$5,804,453EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,589,796BeginningYearBalanceAmt
Contributions$24,845ContributionsAmt
Investment Earnings Or Losses-$76,577InvestmentEarningsOrLossesAmt
Grants Or Scholarships$27,690GrantsOrScholarshipsAmt
Other Expenditures$137,758OtherExpendituresAmt
End Year Balance$5,372,616EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.86320BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.09540PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.04140TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,234OtherCostOrOtherBasisAmt
Depreciation$76,989DepreciationAmt
Book Value$120,245BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$178,708OtherCostOrOtherBasisAmt
Depreciation$149,205DepreciationAmt
Book Value$29,503BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$149,748TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Paremetric Defensive Equity Fund, LLC$523,099F
MFS International Concentrated Equity$663,033F
NHIT Credit Asset Trust$463,759F
FTGM Plus Fund Ltd$248,110F
SSGA Real Asset NL CFT$292,856F
Grosvenor Institutional Partners, L.P.$542,808F
FieldValueIRS element (for citing)
Total Book Value Securities$2,733,665TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDue from AffiliatesDesc
Book Value$9,012,454BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,012,454TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Accrued Health Insurance$2,651,247
Accrued Dental Insurance$190,943
Workers Comp Accrual$75,765
Acc Pension Cost Net Curr Port$3,560,526
Accrued Exec Deferred Comp$28,898
Other Long-Term Liabilities$537,398
Section 457 Plan$7,291,623
FieldValueIRS element (for citing)
Total Liability$14,336,400TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:MaineGeneral Health's intended uses of endowment funds are: 1. to provide funds for scholarships; 2. to fund educational programs; 3. to self-fund workers compensation claims and related expenses.
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, 2016. The Company's tax years from 2013 through 2016 are considered to be open and potentially subject to examination by the Internal Revenue Service.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestment in Global Multisector Bond Fund.TypeOfActivitiesConductedTxt
Region Total Expenditures$3,133,210RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$3,133,210SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$3,133,210TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MaineGeneral Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 Medical Center ParkwayAddressLine1Txt
CityAugustaCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04330ZIPCd
FieldValueIRS element (for citing)
Recipient EIN043369653RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$238,890CashGrantAmt
Purpose Of GrantSupport for Community Health programs.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient47RecipientCnt
Cash Grant$26,675CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationMaineGeneral Health offers several different types of scholarships, which are awarded based on requirements established by the donors funding the scholarships. Any individual in MaineGeneral Health's service area may apply for a scholarship by completing a required application, including school transcripts, a statement of need, financial disclosures, and other information. The majority of these scholarships are offered to students pursuing a career in nursing or another healthcare related field of study. Before scholarship funds are disbursed to a student, the student must provide documented evidence of the successful completion of the required coursework at the end of each term. MaineGeneral Health retains complete files for each scholarship award as substantiation of the amount of scholarship funding for each individual.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Daniel Doornbos MD
Director$0$254,566$0$52,800$0$1,338$0$9,044$0$11,579$0$329,327$0$0
David Hay MD
Director$0$424,601$0$204,940$0$1,961$0$9,184$0$7,343$0$648,029$0$0
Charles Hays
President & CEO$567,733$0$197,500$0$8,225$0$9,254$0$12,845$0$795,557$0$0$0
Terry Brann
Chief Financial Officer$247,469$0$0$0$0$0$8,717$0$6,676$0$262,862$0$0$0
Barbara Crowley MD
Executive Vice President$339,636$0$0$0$6,499$0$14,759$0$7,012$0$367,906$0$0$0
Marci Alexander
General Counsel$200,794$0$0$0$275$0$8,077$0$665$0$209,811$0$0$0
Nona Boyink
CEO MGCC, MGRLTC, MGRC$190,131$0$0$0$9,801$0$7,366$0$6,570$0$213,868$0$0$0
Rebecca Lamey
Senior VP Human Resources$194,140$0$0$0$1,986$0$11,049$0$14,026$0$221,201$0$0$0
Michael Koziol
Former Senior VP & CFO$76,951$0$0$0$217,607$0$2,150$0$774$0$297,482$0$0$0
Scott Bullock
Former President Ex-Oficio$56,939$0$309,713$0$13,334$0$9,086$0$38$0$389,110$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aCharles Hays $6,780 Treated as taxable compensation Barbara Crowley, M.D. $2,176 Treated as taxable compensation Nona Boyink $7,616 Treated as taxable compensation
Part I, Line 3The 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, salary structures are developed and maintained based on national compensation data for healthcare organizations. The Chief Executive Officer's compensation was last reviewed in November 2016.
Part I, Line 4bPart I, Line 4b: Supplemental nonqualified retirement plan - Scott Bullock - Amounts paid $642,035. Benefits are fully vested and nonforfeitable under a 2000 Supplemental Retirement Plan and a 2005 Supplemental Retirement Plan. Under a 2010 Supplemental Retirement Plan, amounts credited to the account for the first two contract years and the earnings thereon vested and were distributed on January 15, 2012. For the 2013 contract year, the amount credited and the earnings thereon became fully vested and nonforfeitable on December 31, 2013.
Part I, Line 7A portion of compensation is at risk and variable and is based on the quality of job performance.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Terrance Flanagan
Employee and brother of David Flanagan$280,256Employee compensation0
Megan Gasbarone
Employee and daughter of William Sprague$57,971Employee compensation0
Kathryn Hays
Employee and daughter of Charles Hays$30,031Employee compensation0
Charles V Hays
Employee and son of Charles Hays$24,383Employee compensation0
Allyson Pow
Employee and daughter of Gordon Pow$49,719Employee compensation0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11All 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 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 2017 and by the Board of Directors in May 2017.
Form 990, Part VI, Section B, line 12cMaineGeneral Health's 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. 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 15The 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. The Chief Executive Officer's compensation was last reviewed in November 2016. For other officer and key employee positions, salary structures are developed and maintained based on compensation data for healthcare organizations provided by an independant compensation consultant. This data is reviwed by the CEO to determine salaries that are consistent with non-profit healthcare organizations of a similar size, mision and complexity to our organization. The salary determinations made by the CEO are submitted to and approved by the board of directors.
Form 990, Part VI, Section C, line 19MaineGeneral Health makes its governing documents, conflict of interest policy and financial statements, whether or not audited, available to the general public by providing copies immediately upon request. The latest two fiscal years of audited financial statements are available on the company's website at www.mainegeneral.org. In addition, the Administrative Director of Finance distributes financial statements and budgets on a quarterly and annual basis to designated third parties.
Form 990, Part XI, line 9:Other Pension Related Changes -1404660.
Form 990 Part XII, Line 2c.MaineGeneral Health did not change its oversight process or selection process during the current tax year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Kennebec Risk LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 530AddressLine1Txt
CityBurlingtonCityNm
State AbbreviationVTStateAbbreviationCd
ZIP054020530ZIPCd
FieldValueIRS element (for citing)
EIN455473855EIN
Primary ActivitiesCaptive Insurance CompanyPrimaryActivitiesTxt
Legal Domicile StateVTLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MaineGeneral Medical CenterBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MaineGeneral Medical Center
35 Medical Center ParkwayAugustaME04330043369653HospitalME501(c)(3)Line 3MaineGeneral HealthYes (1)
MaineGeneral Community Care
35 Medical Center ParkwayAugustaME04330010524384Provider of home care, hospice, and community support servicesME501(c)(3)Line 9MaineGeneral HealthYes (1)
MaineGeneral Rehabilitation & Long-term Care
35 Medical Center ParkwayAugustaME04330222789192Provider of long-term and residential care servicesME501(c)(3)Line 9MaineGeneral HealthYes (1)
MaineGeneral Retirement Community
35 Medical Center ParkwayAugustaME04330010627194Provider of assisted and residential living servicesME501(c)(3)Line 9MaineGeneral HealthYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MaineGeneral Medical Center
L$11,462,312Fair market value
MaineGeneral Rehabilitation & Long-term Care
L$75,000Fair market value
MaineGeneral Retirement Community
L$23,000Fair market value
MaineGeneral Community Care
L$75,000Fair market value