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        <PersonNm>Mark E Battista MD</PersonNm>
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        <PersonNm>Edward W Miles</PersonNm>
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        <PersonNm>Joseph Carter</PersonNm>
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        <PersonNm>Maureen Conley</PersonNm>
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        <PersonNm>Kathleen Perkins</PersonNm>
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        <PersonNm>Christopher Schwabe</PersonNm>
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        <PersonNm>Lee Yellott</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Eric Dimbleby</PersonNm>
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        <PersonNm>Carol Park</PersonNm>
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        <PersonNm>Reed Thorndahl</PersonNm>
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      <GrossReceiptsRltdActivitiesAmt>127767987</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.70810</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.69670</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>Part II, Section A, Line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>In 2014, it was determined that monies received from various government agencies were contingent on the Organization providing services. As a result, the 2014 totals for this line are substantially lower than in prior years when the government monies were deemed grants.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
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    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039600001">
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        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotalGrassrootsLobbyingGrp>
      <TotalDirectLobbyingGrp>
        <FilingOrganizationsTotalAmt>2390</FilingOrganizationsTotalAmt>
      </TotalDirectLobbyingGrp>
      <TotalLobbyingExpendGrp>
        <FilingOrganizationsTotalAmt>2390</FilingOrganizationsTotalAmt>
      </TotalLobbyingExpendGrp>
      <OtherExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>45249921</FilingOrganizationsTotalAmt>
      </OtherExemptPurposeExpendGrp>
      <TotalExemptPurposeExpendGrp>
        <FilingOrganizationsTotalAmt>45252311</FilingOrganizationsTotalAmt>
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      <LobbyingNontaxableAmountGrp>
        <FilingOrganizationsTotalAmt>1000000</FilingOrganizationsTotalAmt>
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      <GrassrootsNontaxableGrp>
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      </GrassrootsNontaxableGrp>
      <TotLbbyngGrassrootMnsNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyngGrassrootMnsNonTxGrp>
      <TotLbbyExpendMnsLbbyngNonTxGrp>
        <FilingOrganizationsTotalAmt>0</FilingOrganizationsTotalAmt>
      </TotLbbyExpendMnsLbbyngNonTxGrp>
      <AvgLobbyingNontaxableAmountGrp>
        <CurrentYearMinus3Amt>1000000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>1000000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>1000000</CurrentYearMinus1Amt>
        <CurrentYearAmt>1000000</CurrentYearAmt>
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      </AvgLobbyingNontaxableAmountGrp>
      <LobbyingCeilingAmt>6000000</LobbyingCeilingAmt>
      <AvgTotalLobbyingExpendGrp>
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        <CurrentYearMinus2Amt>1703</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>578</CurrentYearMinus1Amt>
        <CurrentYearAmt>2390</CurrentYearAmt>
        <TotalAmt>5198</TotalAmt>
      </AvgTotalLobbyingExpendGrp>
      <AvgGrassrootsNontaxableGrp>
        <CurrentYearMinus3Amt>250000</CurrentYearMinus3Amt>
        <CurrentYearMinus2Amt>250000</CurrentYearMinus2Amt>
        <CurrentYearMinus1Amt>250000</CurrentYearMinus1Amt>
        <CurrentYearAmt>250000</CurrentYearAmt>
        <TotalAmt>1000000</TotalAmt>
      </AvgGrassrootsNontaxableGrp>
      <GrassrootsCeilingAmt>1500000</GrassrootsCeilingAmt>
    </IRS990ScheduleC>
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      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>922758</OtherCostOrOtherBasisAmt>
        <BookValueAmt>922758</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>16544139</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>10720192</DepreciationAmt>
        <BookValueAmt>5823947</BookValueAmt>
      </BuildingsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>2389642</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1828008</DepreciationAmt>
        <BookValueAmt>561634</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>1490932</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1440088</DepreciationAmt>
        <BookValueAmt>50844</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>7359183</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Resident Security Deposits</Desc>
        <Amt>5230</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>Estimated Third Party Settlements</Desc>
        <Amt>2909641</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>2914871</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>46066455</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>135</NetUnrealizedGainsInvstAmt>
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      <RevenueSubtotalAmt>46066320</RevenueSubtotalAmt>
      <InvestmentExpensesNotIncldAmt>1846</InvestmentExpensesNotIncldAmt>
      <RevenueNotReportedFinclStmtAmt>1846</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>46068166</TotalRevenuePerForm990Amt>
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      <ExpensesSubtotalAmt>45250465</ExpensesSubtotalAmt>
      <InvestmentExpensesNotIncld2Amt>1846</InvestmentExpensesNotIncld2Amt>
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      <TotalExpensesPerForm990Amt>45252311</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
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        <OfficesCnt>5</OfficesCnt>
        <EmployeeCnt>74</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services - Malaria Prevention &amp; Treatment</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Indoor residual spraying, insecticide &amp; drug resistance monitoring, bed net distribution, Malaria care for children</SpecificServicesProvidedTxt>
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      <AccountActivitiesOutsideUSGrp>
        <RegionTxt>Sub-Saharan Africa</RegionTxt>
        <OfficesCnt>3</OfficesCnt>
        <EmployeeCnt>54</EmployeeCnt>
        <TypeOfActivitiesConductedTxt>Program Services - Water Supply &amp; Sanitation</TypeOfActivitiesConductedTxt>
        <SpecificServicesProvidedTxt>Improving sanitation knowledge at the community level</SpecificServicesProvidedTxt>
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      <SubtotalOfficesCnt>9</SubtotalOfficesCnt>
      <SubtotalEmployeesCnt>134</SubtotalEmployeesCnt>
      <ContinutationTotalOfficeCnt>0</ContinutationTotalOfficeCnt>
      <ContinutationTotalEmployeeCnt>0</ContinutationTotalEmployeeCnt>
      <TotalOfficeCnt>9</TotalOfficeCnt>
      <TotalEmployeeCnt>134</TotalEmployeeCnt>
      <SubtotalSpentAmt>20054193</SubtotalSpentAmt>
      <ContinuationSpentAmt>0</ContinuationSpentAmt>
      <TotalSpentAmt>20054193</TotalSpentAmt>
      <TransferToForeignCorpInd>0</TransferToForeignCorpInd>
      <InterestInForeignTrustInd>0</InterestInForeignTrustInd>
      <ForeignCorpOwnershipInd>1</ForeignCorpOwnershipInd>
      <PassiveForeignInvestmestCoInd>0</PassiveForeignInvestmestCoInd>
      <ForeignPartnershipInd>0</ForeignPartnershipInd>
      <BoycottCountriesInd>0</BoycottCountriesInd>
    </IRS990ScheduleF>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Mark E Battista MD</PersonNm>
        <TitleTxt>President &amp; CEO</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Edward W Miles</PersonNm>
        <TitleTxt>CFO</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Joseph Carter</PersonNm>
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        <DeferredCompensationFlngOrgAmt>6202</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>19837</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>359695</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Maureen Conley</PersonNm>
        <TitleTxt>Director of MCD Communities</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
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        <DeferredCompensationFlngOrgAmt>7808</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>231566</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kathleen Perkins</PersonNm>
        <TitleTxt>Director of Public Health</TitleTxt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Christopher Schwabe</PersonNm>
        <TitleTxt>Health Economist</TitleTxt>
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        <OtherCompensationFilingOrgAmt>3248</OtherCompensationFilingOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>266612</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Lee Yellott</PersonNm>
        <TitleTxt>Chief of Party</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>1637</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>13102</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>153327</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Eric Dimbleby</PersonNm>
        <TitleTxt>Director of IT</TitleTxt>
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        <BonusFilingOrganizationAmount>13000</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>354</OtherCompensationFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>164922</TotalCompensationFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Mark Battista participated in a supplemental nonqualified retirement plan. Amounts related to this plan, reported on Page 2 of Schedule J, include $90,750 in column B(iii).</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a discretionary bonus program for its employees. Any such bonus payments are non-fixed in nature and are awarded at the discretion of organizational management. Awarding of bonuses or other performance payments is based on the performance of the individual employee based on criteria specific to the position of the employee and the division where the employee is assigned.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 1</FormAndLineReferenceDesc>
        <ExplanationTxt>In September 2014, MCD restated its Articles and Bylaws governing composition of the Board of Directors. Two new classes of Directors were created: Honorary Directors and Local International Directors. Neither of these two categories has voting rights; and in the aggregate, the number of Honorary and Local International Directors may not exceed 16, and there is no minimum number. In 2014 there were no Honorary Directors and three (3) Local International Directors.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Pursuant to a 9-month review of Governance by the MCD Board of Directors the entire Medical Care Development, Inc. by-laws were revised.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>There shall be not less than ten (10) nor more than thirty-three (33) Corporate Members selected by the Board of Directors and which shall be organizations with the interest,resources and capacity to fulfill the roles and duties of Corporate Members as defined in this Article and as may be amended from time to time or otherwise prescribed by the Board of Directors. Each Corporate Member shall appoint an individual representative authorized by the Member to vote and otherwise act on its behalf. The following organizations are Members of the Corporation as of the 2014 Annual Meeting of the Corporation: American Cancer Society, New England Division; American Heart Association, Founders Affiliate; Bingham Program; Maine Dental Association; Maine Hospital Association; Maine Medical Association; Maine Municipal Association; Maine Osteopathic Association; Maine State Nurses' Association; University of Maine.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7a</FormAndLineReferenceDesc>
        <ExplanationTxt>The total number of Directors constituting the Board of Directors shall be not less than ten (10) or more than thirty-five (35) and the number of voting directors shall be not less than ten (10) or more than nineteen (19). Directors shall be elected by the Board of Directors at any regularly-scheduled meeting of the Board of Directors or at a special meeting of the Board of Directors duly called for that purpose.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 7b</FormAndLineReferenceDesc>
        <ExplanationTxt>The governing documents reserve a number of specified powers to the corporate members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11</FormAndLineReferenceDesc>
        <ExplanationTxt>The CFO and Accounting Manager review the near-final draft. The CEO then does a separate review. Upon completion of that review and resolution of any questions, the draft return is forwarded to the Finance Committee for their review, and if needed, a Committee meeting is convened to discuss and resolve any further questions. The resulting draft is finalized, and prior to filing, it is distributed to the voting members of the Board of Directors. The return is subsequently filed with the IRS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Review of conflict of interest is done annually at the board meeting. In addition, the finance department (CFO) is responsible for monitoring and enforcing compliance with the Organization's conflict of interest policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MCD's bylaws require that the compensation of the President " shall be fixed from time to time by the Board of Directors." Each year, following a formal review of the President's performance, the Personnel Committee of the Board of Directors recommends to the full Board of Directors a renewal of the President's employment agreement with updated terms that includes any changes in the President's compensation for the following year. The Committee's Chair and Committee members may review compensation of presidents of other non-profits, the compensation history of MCD's President, and other information including annual industry survey of executive compensation information, in developing that recommendation; the Committee may request a formal, external comparative compensation survey, as was commissioned in 2007, and the Committee reviewed externally-sourced compensation information in 2012. The full Board of Directors provides input on performance and reviews and votes on the entire recommended contract, including compensation. MCD's bylaws require that the President determine reasonable compensation amounts for employees. The President reviews the performance of senior executives annually, and periodically consults industry surveys of executive compensation, 990's of comparable organizations and other sources, to determine such compensation. A formal external comparative compensation survey was commissioned in 2007, and the President reviews externally-sourced compensation data for comparable executive positions periodically.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Medical Care Development, Inc. 11 Parkwood Drive Augusta, ME 04330 EIN: 01-6022787 Medical Care Development, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
  </ReturnData>
</Return>