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        <NameOfContractor>
          <NameBusiness>
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          <AddressUS>
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        <UnrelatedBusinessRevenue>0</UnrelatedBusinessRevenue>
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      <CompCurrentOfficersDirectors>
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        <ProgramServices>196692</ProgramServices>
        <ManagementAndGeneral>963540</ManagementAndGeneral>
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      <OtherSalariesAndWages>
        <Total>17503175</Total>
        <ProgramServices>15615917</ProgramServices>
        <ManagementAndGeneral>1887258</ManagementAndGeneral>
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      <PensionPlanContributions>
        <Total>188469</Total>
        <ProgramServices>188469</ProgramServices>
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      <OtherEmployeeBenefits>
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        <ProgramServices>746157</ProgramServices>
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        <ProgramServices>4975</ProgramServices>
        <ManagementAndGeneral>205229</ManagementAndGeneral>
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      <FeesForServicesLegal>
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        <ProgramServices>30365</ProgramServices>
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      <FeesForServicesAccounting>
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        <ProgramServices>46340</ProgramServices>
        <ManagementAndGeneral>164132</ManagementAndGeneral>
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      <FeesForServicesLobbying>
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        <ManagementAndGeneral>1703</ManagementAndGeneral>
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      <FeesForServicesInvstMgmntFees>
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        <ManagementAndGeneral>3020</ManagementAndGeneral>
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        <ProgramServices>3553847</ProgramServices>
        <ManagementAndGeneral>132239</ManagementAndGeneral>
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      <Advertising>
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        <ProgramServices>13179</ProgramServices>
        <ManagementAndGeneral>1020</ManagementAndGeneral>
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        <ProgramServices>2142368</ProgramServices>
        <ManagementAndGeneral>125365</ManagementAndGeneral>
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        <Total>2878</Total>
        <ProgramServices>1250</ProgramServices>
        <ManagementAndGeneral>1628</ManagementAndGeneral>
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      <Occupancy>
        <Total>2571867</Total>
        <ProgramServices>2141553</ProgramServices>
        <ManagementAndGeneral>430314</ManagementAndGeneral>
      </Occupancy>
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        <Total>1418274</Total>
        <ProgramServices>1371406</ProgramServices>
        <ManagementAndGeneral>46868</ManagementAndGeneral>
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      <ConferencesMeetings>
        <Total>156706</Total>
        <ProgramServices>140744</ProgramServices>
        <ManagementAndGeneral>15962</ManagementAndGeneral>
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      <Interest>
        <Total>173693</Total>
        <ProgramServices>172843</ProgramServices>
        <ManagementAndGeneral>850</ManagementAndGeneral>
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      <DepreciationDepletion>
        <Total>841170</Total>
        <ProgramServices>681929</ProgramServices>
        <ManagementAndGeneral>159241</ManagementAndGeneral>
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      <Insurance>
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        <ProgramServices>436089</ProgramServices>
        <ManagementAndGeneral>19209</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Medical Supplies/Food</Description>
        <Total>2152341</Total>
        <ProgramServices>2152341</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Service Provider Tax</Description>
        <Total>898407</Total>
        <ProgramServices>898407</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
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      <OtherExpenses>
        <Description>Client Activities</Description>
        <Total>437666</Total>
        <ProgramServices>437666</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>Miscellaneous</Description>
        <Total>288666</Total>
        <ProgramServices>210892</ProgramServices>
        <ManagementAndGeneral>77774</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>40438942</Total>
        <ProgramServices>35260397</ProgramServices>
        <ManagementAndGeneral>5178545</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
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      <CashNonInterestBearing>
        <BOY>1123644</BOY>
        <EOY>579556</EOY>
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      <SavingsAndTempCashInvestments>
        <BOY>4916728</BOY>
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        <EOY>3101912</EOY>
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        <EOY>83000</EOY>
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        <BOY>187658</BOY>
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        <CurrentTaxYearMinus1Year>22797686</CurrentTaxYearMinus1Year>
        <CurrentTaxYear>21717995</CurrentTaxYear>
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        <NamePerson>Mark E Battista MD</NamePerson>
        <Title>President</Title>
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        <NamePerson>Edward W Miles</NamePerson>
        <Title>CFO/Asst. Treasurer</Title>
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        <NamePerson>Joseph Carter</NamePerson>
        <Title>Director International</Title>
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        <NamePerson>Maureen Conley</NamePerson>
        <Title>Director of Operations</Title>
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        <NamePerson>Christopher Schwabe</NamePerson>
        <Title>Fin/Health Economist</Title>
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        <NamePerson>Kathleen Perkins</NamePerson>
        <Title>Director of Public Health &amp; Business</Title>
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      <Form990ScheduleJPartIII>
        <ReturnReference>Part I, Line 4b</ReturnReference>
        <Explanation>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).</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <GeneralExplanation>
        <Identifier>Total Employees</Identifier>
        <ReturnReference>Form 990, Part I, Line 5</ReturnReference>
        <Explanation>In addition to the 765 employees for whom a W2 was issued during 2012, MCD also employs a variable number of workers (ranging from 80 to several hundred within 2012) in several African countries; some are core employees working full-time, others are seasonal.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 6</ReturnReference>
        <Explanation>There shall be not more than thirty three (33) members of the Corporation. The Organizations who appoint one member as its representative are Bingham Program, Maine Cancer Society, Maine Dental Association, Maine Heart Association, Maine Hospital Association, Maine Medical Association, Maine Municipal Association, Maine Osteopathic Association, Maine State Nurses' Association and the University of Maine. Up to eighteen members shall be elected at large by the members and shall include representatives from health organizations, hospital boards and trustees, educators, governmental agencies, allied health professions, and the general public.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section A, line 7a</ReturnReference>
        <Explanation>The Corporation shall have a board of directors consisting of nineteen (19) members who shall be elected by the members from among themselves at their annual meeting.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 11</ReturnReference>
        <Explanation>The CFO and accounting manager review the final draft. Upon their review and resolution of any questions, the 990 is forwarded to the CEO for final review and resolution of any questions. Once all questions have been resolved, the return is finalized and sent to the IRS. The filing is subsequently distributed to the Board of Directors at the next scheduled meeting for their review.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 12c</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section B, line 15</ReturnReference>
        <Explanation>For the executive team, compensation is determined by the CEO based upon performance evaluations. Periodically (the last was in 2012), outside studies may be reviewed to determine an approximate range of compensation for executive team members. For the CEO, compensation is determined initially by the personnel committee of the board based upon a performance evaluation and then by the full board upon recommendation of the personnel committee. Periodically (the last was in 2012), external and independent comparative compensation data may be relied upon to determine an approximate range.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <ReturnReference>Form 990, Part VI, Section C, line 19</ReturnReference>
        <Explanation>The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
  </ReturnData>
</Return>