2013-04-29T07:00:50-05:00 2012-06-30 010494526 Baker Newman & Noyes 280 Fore Street Portland ME 04101 990 2011-07-01 320265031 MaineGeneral Health and Affiliates MAIN 2076261000 6 East Chestnut Street Augusta ME 043305717 Michael Koziol 2076261000 2013-04-06 E Drew Cheney P00182972 2078792100 2011 2016-02-25 16:41:14Z See Schedule O Care at Graybirch Charles Hays 6 East Chestnut Street Augusta ME 043305717 630279371 1 1 9706 X www.mainegeneral.org X 1997 ME See Schedule O. 42 30 4330 420 1673410 168391 6471575 16544008 402402520 432151705 5439239 -16496435 14700512 2696613 429013846 434895891 14925 5755 0 0 215656665 226341778 0 0 1057363 191807501 199341643 407479091 425689176 21534755 9206715 376506086 707126351 137621204 468725164 238884882 238401187 X See Schedule O. 0 0 323742448 5255 390261106 See Schedule O. 18579388 19266256 See Schedule O. 17741288 500 19416065 See Schedule O. 2874509 4228255 MaineGeneral Retirement Community provides various stages of assisted living support to an elderly community. The company provides independent living cottage and lodge units, assisted living units as well as an Alzheimer's unit. 2874509 4228255 362937633 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 1 586 0 1 4330 1 1 1 0 0 0 0 1 1 1 1 0 0 0 X 42 30 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X X Mary Griswold Controller 2076261000 6 East Chestnut Street Augusta ME 04330 Peter Alfond 1.00 X 0 0 0 Douglas Boyink MD 10.00 X 266417 0 28755 Conrad Ayotte 2.00 X 0 0 0 Diane Campbell MD 1.00 X 0 0 0 Scott Bullock 50.00 X X 0 601967 223927 Stephanie Calkins MD 1.00 X 24000 0 1020 Douglas Cutchin 1.00 X 0 0 0 Charles Danielson MD MPH 1.00 X 0 0 0 Mark Ford 2.00 X 0 0 0 Peter Guzzetti DO DDS 1.00 X 27083 0 0 Jeffrey Hubert 2.00 X 0 0 0 Robert Marden Esq 2.00 X X 0 0 0 Barbara Mayer 2.00 X 0 0 0 Roy Miller MD 1.00 X 0 0 0 Elizabeth Mitchell Esq 1.00 X 0 0 0 Gordon Pow 2.00 X 0 0 0 Tobi Schneider Esq 1.00 X 0 0 0 William Sprague 1.00 X X 0 0 0 Douglas Terp 2.00 X 0 0 0 Barbara Woodlee EdD 1.00 X 0 0 0 Charles Hays 50.00 X X 0 312203 16874 Nona Boyink 50.00 X X 182896 0 25255 Richard Fein DO 1.00 X 0 0 0 Alicia Forster MD 1.00 X 1200 0 128 Michael Griffin MD 13.00 X 0 0 0 Thomas Keating MD 50.00 X 196579 0 31686 Reynerio Sepe Lanoy MD 1.00 X 222022 0 30089 Rev Cynthia N Lepley 1.00 X 0 0 0 Elizabeth S Miller 1.00 X 0 0 0 Judith A Plano Esq 1.00 X 0 0 0 James Clair 1.00 X 0 0 0 Danielle D Martin 1.00 X 0 0 0 Pamela J Trinward 1.00 X 0 0 0 Robert Bond 1.00 X 0 0 0 Mildred Stengel 1.00 X 0 0 0 Richard Jordan 1.00 X 0 0 0 Rev William DeWolfe 1.00 X 0 0 0 Judith Shreiner 1.00 X 0 0 0 Kenneth Harvey 1.00 X 0 0 0 Rebecca Colwell 45.00 X 129628 0 22124 Karen Tobias 45.00 X 0 55438 12707 Michael Koziol 50.00 X 0 283197 19107 Anthony Mancini MD 50.00 X 973700 0 45063 Jose Ramirez MD 50.00 X 633224 0 39447 Marc Golden MD 50.00 X 611207 0 38977 Bruce Gomberg MD 50.00 X 607022 0 37575 John Thaller MD 50.00 X 515301 0 39195 4390279 1252805 611929 203 0 1 0 Robins & Morton 19 Greenwood Park Winthrop ME 04364 Construction 17320392 Maine Dartmouth Family Medicine Residenc 15 E Chestnut Street Augusta ME 043305796 Residency Services 9905817 Maine Medical Center 443 Congress Street 5th Floor Portland ME 041013546 Healthcare Services 686238 Kozak and Gayer PA 160 Capitol Street Augusta ME 043305796 Legal Services 501779 Huy Trieu MD 11 Cunningham Road Freeport ME 04032 Healthcare Services 453589 12 70980 20000 196000 2791053 13465975 239119 16544008 Hospital Revenues 621990 389140300 388540007 600293 Long Term Care Revenue 623000 19335211 19335211 Hospice and Homecare R 621610 16821614 16821614 Retirement Community R 623990 4061167 4061167 Behavioral Health and 621990 2444642 2444642 348771 80854 267917 432151705 1673575 1673575 232533 0 232533 232533 232533 174131073 3048000 168416081 26933002 5714992 -23885002 -18170010 -18170010 7623 20000 24397 -16774 -16774 30000 10000 20000 20000 Joint Ventures 621500 2000778 1655654 345124 Management and Financi 561000 460076 460076 2460854 434895891 433171682 1673410 -16493209 5755 5755 202992 30430 172562 180103205 170403882 9699323 9378245 8823944 554301 24557585 23213041 1344544 12099751 11460507 639244 24705728 23648365 1057363 526040 526040 149068 149068 24829695 22860913 1968782 829203 829203 1905797 1733922 171875 6647526 285473 6362053 14777087 13973515 803572 1442537 1380413 62124 676427 579581 96846 1823665 1823665 250000 250000 19779725 12775466 7004259 4033012 4033012 Medical Supplies 26075000 26075000 Bad Debt Writeoffs 23071362 23071362 Drugs and Solutions 19842501 19842501 State Tax on Revenue 7875522 7875522 20101748 15643538 4458210 425689176 362937633 61694180 1057363 10614 315199 24603219 19011801 4305327 20973331 40549708 83118383 83936 47224 4694903 4005167 4417791 4533393 407500307 173751345 158107358 233748962 122807125 329280715 2851246 2453101 14074859 9639075 376506086 707126351 36253916 75372437 2396315 2363652 35238303 313117061 20024800 15699494 1360619 43707870 60811901 137621204 468725164 X 214454449 186546465 8593135 36528611 15837298 15326111 238884882 238401187 376506086 707126351 X 9206715 -9690410 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 37857 0 0 0 37857 0 Explanation of Lobbying Activities: 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. 67498904 18436863 -152687 500 788118 0 84994462 47265328 17548714 3703471 14925 1003615 0 67498973 27928069 17940070 3496146 15000 2083957 0 47265328 32392351 2719506 -4909162 15610 2259016 0 27928069 0.63700 0.18000 0.18300 1 0 4411306 4411306 261705098 63743052 197962046 3826590 905944 2920646 132227750 105575379 26652371 5329563 3526970 1802593 233748962 Accrued insurance reserves 6489078 Accrued pension 39805545 Deferred fees - Refundable 11820046 Other long term liabilities 2253824 Deposits 443408 60811901 Description of Intended Use of Endowment Funds: Part V, Line 4: The intended uses for MaineGeneral Health and Affiliates' Endowments and Quasiendowments are as follows: Charity care at the Organization's hospitals and the Harold Alfond Cancer Center. Funding educational programs for the Organization's nurses and other employees. Funding capital expenditures, including a new hospital. Funding scholarships for individuals interested in careers in the healthcare profession. Description of Uncertain Tax Positions Under FIN 48: Part X: All entities included in the consolidated financial statements 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. 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. The Company has concluded no uncertain income tax positions exist at June 30, 2012. The Company's tax years from 2009 through 2012 are open and subject to examination. Walk for Hope 21940 20000 1940 0 277 4531 306 19283 Auction to support Hospice Program 5683 0 5683 0 0 0 0 0 27623 20000 7623 277 4531 306 19283 24397 -16774 30000 10000 1 1.00000 30000 10000 10000 20000 ME 1 0 0 0 1.00000 0.00000 MaineGeneral Medical Center Auxiliary 6 East Chestnut Street Augusta ME 04330 0 Sandy Small Hughes 0 X 0 1 1 X 1 X 175.000000000000 1 X 225.000000000000 1 1 0 1 1 13339470 404639 12934831 0.03210 79069899 67920118 11149781 0.02770 92409369 68324757 24084612 0.05980 1159719 481920 677799 0.00170 1615807 11940 1603867 0.00400 9628457 5556331 4072126 0.01010 12403983 6050191 6353792 0.01580 104813352 74374948 30438404 0.07560 540 19258 1298301 2019 1296282 0.00320 540 19258 1298301 2019 1296282 0.00320 10468323 0 154199672 169602329 -15402657 X 1 1 1 Augusta Mobile MRI Owners LLC MRI imaging services at the Augusta Hospital facility. 0.50000 0.00000 0.50000 2 Waterville Mobile MRI Owners LLC MRI imaging services at the Waterville Hospital facility. 0.50000 0.00000 0.50000 3 MaineGeneral Cardiac Catheterization Lab LLC Cardiac catheterization services at the Augusta Hospital facility 0.50000 0.00000 0.50000 1 1 MaineGeneral Medical Center

6 East Chestnut Street Augusta ME 04330

X X X X X MaineGeneral Medical Center 1 11 1 1 175.000000000000 1 225.000000000000 1 X X X X X X 1 1 X X X X X X 1 X X 1 X X X X X X 1 X 0 0 3 MaineGeneral Rehabilitation & Nursing

37 Graybirch Drive Augusta ME 04330

Long-term care and residential care facility MaineGeneral Retirement Community

60 Balsam Drive Ste 1 Hallowell ME 04347

Retirement community HealthReach Network

10 Water Street Waterville ME 04901

Homecare, hospice, behavioral health and substance abuse facilities Part I, Line 7: Charity care is measured based on services provided at established rates, 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, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 23071362. Part II: 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: 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 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. Part III, Line 8: The shortfall above reflects the amount of unreimbursed cost the organization funded to benefit the health of the community. The organization's Medicare allowable cost of care is calculated using a ratio of total expenses over gross charges. This is applied to total expenses and adjusted by actual Medicare payor mix percentage. 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 best, or an average of the three best, negotiated commercial rates or Medicare rates for emergency and other medically necessary services. MaineGeneral Medical Center Part V, Section B, Line 19d: MaineGeneral Medical Center charges the same gross charge rates for all services provided, regardless of payment source. If patients are uninsured we will make every effort to assist them in filling out the paperwork for qualification to the MaineCare system. If they do not qualify for MaineCare we will help them to apply for our charity care program. If they do not qualify for either MaineCare or charity care we do provide payment plans to pay over time and discounts for complete payment of their bill. Part VI, Line 2: OneMaine Health, a collaboration between Eastern Maine Healthcare Systems, MaineGeneral Health and MaineHealth, released Maine's first comprehensive, statewide community health needs assessment in April 2011.The community health needs assessment examined health status, use of health services, access and barriers to care and other factors affecting the health of Maine people.MaineGeneral Health and Affiliates has used the community health needs assessment to support the need for continuing initiatives that it has provided over the past several years in specific healthcare areas and has, as necessary, expanded its focus to other areas of community health need. 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: The Medical Center's primary service area includes Kennebec County, with Augusta and Waterville making up the largest portion of the population. The service area also includes parts of Waldo, Lincoln, Somerset and Sagadahoc counties. 86% of residents have a family physician. 16% of the population is self-insured or uninsured. 15% of the population is over 65 and 21% of the population is under 18. 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. HealthReach Network, which provides homecare, hospice, behavioral health and substance abuse services.MaineGeneral Rehabilitation and Nursing 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.All of the affiliates provide care regardless of an individual's ability to pay. Reports Filed With States Part VI, Line 7 ME 1 Educational Scholarships 3 5755 0 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: MaineGeneral 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. X 1 1 X X X X 0 0 0 0 0 0 0 1 0 Douglas Boyink MD 244739 0 19020 0 2658 0 20137 0 8618 0 295172 0 0 0 Scott Bullock 0 457537 0 25000 0 119430 0 202970 0 20957 0 825894 0 0 Charles Hays 0 306513 0 0 0 5690 0 13475 0 3399 0 329077 0 0 Nona Boyink 173400 0 0 0 9496 0 9128 0 16127 0 208151 0 0 0 Thomas Keating MD 195759 0 0 0 820 0 10767 0 20919 0 228265 0 0 0 Reynerio Sepe Lanoy MD 199608 0 18333 0 4081 0 7409 0 22680 0 252111 0 0 0 Rebecca Colwell 129009 0 0 0 619 0 6996 0 15128 0 151752 0 0 0 Michael Koziol 0 281997 0 0 0 1200 0 10625 0 8482 0 302304 0 0 Anthony Mancini MD 270400 0 702690 0 610 0 15473 0 29590 0 1018763 0 0 0 Jose Ramirez MD 300019 0 331910 0 1295 0 16797 0 22650 0 672671 0 0 0 Marc Golden MD 400005 0 210305 0 897 0 17434 0 21543 0 650184 0 0 0 Bruce Gomberg MD 434054 0 161060 0 11908 0 18512 0 19063 0 644597 0 0 0 John Thaller MD 359258 0 142843 0 13200 0 19231 0 19964 0 554496 0 0 0 Part I, Line 1a Tax Gross-up Payments: Nona Boyink $9,496 Treated as taxable compensation Rebecca Colwell 619 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. Maine Health and Higher Education Facilities Authority 010314384 560425PZ7 2003-10-16 36540048 Refinance 1993 Maine Health and Higher Education Facilities Authority Bonds 0 0 0 Maine Health and Higher Education Facilities Authority 010314384 560425XD7 2006-02-02 53803882 Build Cancer Center and renovate emergency rooms in Augusta and Waterville 0 0 0 Maine Health and Higher Education Facilities Authority 010314384 560425V72 2011-08-11 280812878 Build a New Regional Hospital in North Augusta. 0 0 0 7798275 763994 7902567 122678 0 1 0 1 44329813 5703670 274637 3094733 35021485 2008 0 0 0 1 280812878 58300712 47284409 82018584 136287845 0 0 0 1 0 0 0 0 0.00000 0.02470 0.02470 1 0 0 0 0 0.00260 0.00260 0 0 0 0 0 1 1 0 0 1 FSA 7012023.000000000000 0 0 0 0 0 0 1 FSA 7012035.000000000000 0 0 0 0 0 0 1 Natixis 7012041.000000000000 0 0 0 X Waterville Pediatrics Professional Corporation with over 5% interest owned by Charles Danielson. 229570 Payment for professional services. 0 Michelle Ayotte Employee of the Organization and daughter of Conrad Ayotte 13274 Employee compensation. 0 Megan Gasbarrone Employee of the Organization and daughter of William Sprague 39847 Employee compensation 0 H Winston Kipp Employee of the Organization and husband of Christine Kipp 74850 Employee compensation 0 Charles Calkins Employee of the Organization and husband of Stephanie Calkins 17766 Employee compensation 0 X 20 64255 Fair Market Value X 1 166614 Sales Price X Power Wheel Chair 1 1700 Fair Market Value X Computer 1 1500 Fair Market Value X Lingraphica Speach Device 1 5050 fair Market Value 1 0 1 1 Third Party Use: Part I, Line 32b: MaineGeneral Health and Affiliates uses two investment brokers to receive and sell all stock gifts as soon as practicable. Doing Business As Form 990, Part I, Item C DBA: MaineGeneral Ear, Nose & Throat DBA: MaineGeneral Employee Assistance Program DBA: MaineGeneral Express Care DBA: MaineGeneral Gastroenterology DBA: MaineGeneral Health Plan Pharmacy DBA: MaineGeneral Inpatient Detoxification DBA: MaineGeneral Inpatient Psychiatric Treatment 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 & Nursing Care at Graybirch . DBA: MaineGeneral Rehabilitation & Nursing Care at Glenridge. DBA: MaineGeneral Thoracic & Vascular Surgery. DBA: MaineGeneral Vascular & General Surgery. DBA: HealthReach Hospice DBA: HealthReach Homecare DBA: HealthReach Retired and Senior Volunteer Program DBA: HealthReach Harm Reduction Program DBA: Women, Infants and Children Nutrition Program DBA: MaineGeneral Assertive Community Treatment DBA: MaineGeneral Allergy & Asthma DBA: MaineGeneral Hearing Evaluations & Hearing Aids DBA: MaineGeneral Incontinence Program DBA: MaineGeneral Kidney Care DBA: MaineGeneral Midwifery Services DBA: MaineGeneral Occupational Therapy DBA: MaineGeneral Physical Therapy DBA: MaineGeneral Speech Therapy DBA: MaineGeneral Sports Medicine DBA: MaineGeneral Counseling Services Description of Organization Mission: Form 990, Part I, Line 1 MaineGeneral Health and Affiliate's mission is to enhance, every day, the health of the people of the greater Kennebec Valley region. Management follows this mission with a forward-looking vision of focusing on clinical excellence, customer satisfaction, financial stability and positively impacting the health of the community. Briefly Describe the Organization's Mission: Form 990, Part III, Line 1 MaineGeneral Health and Affiliate's mission is to enhance, every day, the health of the people of the greater Kennebec Valley region. Management follows this mission with a forward-looking vision of focusing on clinical excellence, customer satisfaction, financial stability and positively impacting the health of the community. Description Program Service Accomplishment: 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 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 and outpatient diagnostic services. In addition, the Jackman Region Health Center, in Northern Somerset County, which is a part of MaineGeneral Medical Center, provides physician office services and an 18-bed nursing home. During the fiscal year ending June 30, 2012 MaineGeneral Medical Center provided care for 11,194 inpatients, 4,416 inpatient and 25,125 outpatient surgeries, 914 births, 64,409 oncology procedures, 808,549 laboratory procedures, 139,144 diagnostic imaging procedures, and 98,857 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 2012 the MaineGeneral Physician Practices provided 64,666 adult primary care visits, 28,145 pediatric primary care visits, 9,403 express care visits and 90,632 visits for various specialty care practices. Description of Program Service Accomplishment: Form 990, Part III, Line 4b HealthReach Network operates a homecare and hospice program throughout the Kennebec Valley and surrounding areas. During the fiscal year ending June 30, 2012, HealthReach Network provided 66,945 days of homecare services and 40,249 days of hospice care. The company also provides several community support programs for mental health and substance abuse treatment. HealthReach provided 8,086 service hours of outpatient counseling, 5,774 days of service through the men's and women's residential care programs; and 6,999 visits through the ACT program during the fiscal year ending June 30, 2012. Description of Program Service Accomplishment: Form 990, Part III, Line 4c MaineGeneral Rehabilitation and Nursing 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 83,298 days of skilled and residential care services to residents requiring long-term care services during the fiscal year ending June 30, 2012. The Alzheimer's Care Center in Gardiner, Maine provides residential care, respite, and day care services to residents with memory loss. The center provided 10,912 days of residential care services and 10,992 hours of service in the day care program during the fiscal year ending June 30, 2012. In addition, MaineGeneral Rehabilitation operates an early learning center that provides child care services to employees' children and provides assisted living services to residents living at the Inn at City Hall in Augusta, Maine. Form 990, Part VI, Section A, line 2 Douglas Boyink and Nona Boyink have a family relationship. Form 990, Part VI, Section B, line 11 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 March 2013 and by the Board of Directors in April 2013. In addition, both the Finance Committee and Board were provided formal education on the contents and layouts of Forms 990 and of organizational policies and procedures related to Form 990. 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 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 2009 and will be reviewed again in November of 2012. 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 organazation'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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized losses on investments: -8425300. Additional pension liability -18144407. Change in pledged donation balance 16879297. Total to Form 990, Part XI, Line 5: -9690410. 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. MaineGeneral Health 6 East Chestnut Street Augusta ME 04330 043369649 Provider of management support service to non-profit healthcare subsidiaries ME 501(c)(3) Line 11b, II N/A 0 0 0 1 0 1 0 0 0 0 1 0 1 0 1 1 0 0 0