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MAINEGENERAL HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
MAINEGENERAL HEALTH (EIN 04-3369649)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-02
IRS object ID
201101229349300650
Schema version
2009v1.4
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)
Timestamp2011-05-02T09:31:18-05:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1280 Fore StreetAddressLine1
CityPortlandCity
StateMEState
ZIP Code04101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043369649EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MaineGeneral HealthBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMAINNameControl
Phone2076261000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line16 East Chestnut StreetAddressLine1
CityAugustaCity
StateMEState
ZIP Code043305717ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael KoziolName
TitleSenior Vice President and CFOTitle
Phone2076261230Phone
Date Signed2011-05-02DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonScott B BullockNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16 East Chestnut StreetAddressLine1
CityAugustaCity
StateMEState
ZIP Code043305717ZIPCode
FieldValueIRS element (for citing)
Gross Receipts14895785GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9706GroupExemptionNumber
Organization501cXOrganization501c
Web Sitewww.mainegeneral.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionMaineGeneral Health exercises general supervision over 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees122TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year180038ContributionsGrantsPriorYear
Contributions Grants Current Year224013ContributionsGrantsCurrentYear
Program Service Revenue Prior Year13174106ProgramServiceRevenuePriorYear
Program Service Revenue CY12364611ProgramServiceRevenueCY
Investment Income Prior Year-1145769InvestmentIncomePriorYear
Investment Income Current Year503381InvestmentIncomeCurrentYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year12208375TotalRevenuePriorYear
Total Revenue Current Year13092005TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5750GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9816890SalariesEtcPriorYear
Salaries Etc Current Year9593419SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year699547TotalFundrsngExpCurrentYear
Other Expense Prior Year3128659OtherExpensePriorYear
Other Expenses Current Year2925153OtherExpensesCurrentYear
Total Expenses Prior Year12951299TotalExpensesPriorYear
Total Expenses Current Year12518572TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-742924RevenuesLessExpensesPriorYear
Revenues Less Expenses CY573433RevenuesLessExpensesCY
Total Assets BOY15905107TotalAssetsBOY
Total Assets EOY16565227TotalAssetsEOY
Total Liabilities BOY10831412TotalLiabilitiesBOY
Total Liabilities EOY11014276TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5073695NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5550951NetAssetsOrFundBalancesEOY
Mission DescriptionMaineGeneral Health'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 implements overall goals and strategies for the system-wide delivery of necessary health care services in an efficient and coordinated manner.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6947077Expense
Revenue12364611Revenue
DescriptionMaineGeneral Health exercises general supervision over and provides administrative services for tax-exempt subsidiaries. MaineGeneral Health develops and implements overall goals and strategies for the system-wide delivery of necessary health care services in an efficient and coordinated manner. MaineGeneral Health keenly focuses on preventive health and supports many ongoing health services throughout surrounding communities.Description
Total Program Service Expense6947077TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096571NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees122NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Nbr Voting Governing Body Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Mary Griswold ControllerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2076261289TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line16 East Chestnut StreetAddressLine1
CityAugustaCity
StateMEState
ZIP Code043305717ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
William Adams PhD
Director1.00X000
Peter Alfond
Director1.00X000
Conrad Ayotte
Director2.00X000
Diane Campbell MD
Director1.00X0330630
Douglas Cutchin
Director1.00X000
Charles Danielson MD
Director2.00X000
Margaret Griffin MD
Director1.00X000
Peter Guzzetti DO D
Director1.00X030075100
Jeffrey Hubert CPA
Director1.00X000
Frederick LaRochelle M
Director & Chief of Staf1.00X019901623400
Robert Marden
Director1.00X000
Barbara Mayer
Director & Chair2.00X000
Roy Miller MD
Director1.00X000
Elizabeth Mitchell
Director1.00X000
Gordon Pow
Director1.00X000
Brian Rines PhD
Director1.00X000
Tobi Schneider Esq
Director1.00X000
William Sprague
Director1.00X000
Kenneth Viens
Director1.00X000
Barbara Woodlee EdD
Director1.00X000
Scott B Bullock
President & CEO50.00X585466041537
Douglas Boyink MD
Director1.00X026593430268
Douglas Terp
Director1.00X000
Karen Tobias
Board Secretary45.0055678013868X
Michael Koziol
Senior VP & CFO50.00206744014265X
Barbara Crowley MD
Employee50.00297713040520X
Charles W Hays
Employee50.00250073015661X
Steven Diaz MD
Employee50.00230062032053X
Andrew Hertler MD
Employee50.00277234024917X
Gail M Evans
Employee50.00181700020365X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2084670TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs528088TotalReportableCompFrmRltdOrgs
Total Other Compensation256954TotalOtherCompensation
Number Individuals GT100 K16NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1PricewaterhouseCoopers LLPBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 7247-8001AddressLine1
CityPhiladelphiaCity
StatePAState
ZIP Code191708001ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesAuditingDescriptionOfServices
Compensation375516Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
All Other Contributions224013AllOtherContributions
Total Contributions224013TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionManagement Fee RevenueDescription
Business Code561000BusinessCode
Total Revenue Column12364611TotalRevenueColumn
Related Or Exempt Function Income12364611RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue12364611TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column291298TotalRevenueColumn
Exclusion$291,298ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2015863Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1803780Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities212083Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column212083TotalRevenueColumn
Exclusion$212,083ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13092005TotalRevenueColumn
Related Or Exempt Function Income12364611RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$503,381ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total932796Total
Program Services321548ProgramServices
Management And General611248ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6962848Total
Program Services3850888ProgramServices
Management And General2676672ManagementAndGeneral
Fundraising435288Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total733668Total
Program Services405668ProgramServices
Management And General282121ManagementAndGeneral
Fundraising45879Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total475437Total
Program Services262890ProgramServices
Management And General182817ManagementAndGeneral
Fundraising29730Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total488670Total
Program Services270211ProgramServices
Management And General187902ManagementAndGeneral
Fundraising30557Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total120305Total
Management And General120305ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total294178Total
Management And General294178ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total46508Total
Program Services46508ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total184111Total
Program Services48524ProgramServices
Management And General69446ManagementAndGeneral
Fundraising66141Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total336413Total
Program Services144743ProgramServices
Management And General155016ManagementAndGeneral
Fundraising36654Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total130415Total
Program Services75737ProgramServices
Management And General46709ManagementAndGeneral
Fundraising7969Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8847Total
Management And General947ManagementAndGeneral
Fundraising7900Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total75588Total
Program Services75588ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total108766Total
Program Services87303ProgramServices
Management And General17972ManagementAndGeneral
Fundraising3491Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total15763Total
Management And General15763ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Consultant Fees54911645797091146
Professional Membership45160544606936811855
Purchased Services179229878536872922647
Recruitment8009580095
Educational Assistance7879178791

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total265423Total
Program Services206691ProgramServices
Management And General47296ManagementAndGeneral
Fundraising11436Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total12518572Total
Program Services6947077ProgramServices
Management And General4871948ManagementAndGeneral
Fundraising699547Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY100BOY
EOY288102EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1923078BOY
EOY4403693EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY651BOY
EOY24651EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY51779BOY
EOY27372EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
EOY2199714EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY443856BOY
EOY454972EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis865571LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec378995LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY546183BOY
EOY486576EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY5443711BOY
EOY6231002EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7495749BOY
EOY2449145EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY15905107BOY
EOY16565227EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2034456BOY
EOY2524130EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY14756BOY
EOY25268EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2917332BOY
EOY2258020EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY5864868BOY
EOY6206858EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10831412BOY
EOY11014276EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4456304BOY
EOY4868371EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY78995BOY
EOY154783EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY538396BOY
EOY527797EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5073695BOY
EOY5550951EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY15905107BOY
EOY16565227EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Written IRS DeterminationXWrittenIRSDetermination
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MaineGeneral Medical Center
0433696533111$0
HealthReach Network
0105243849111$0
MaineGeneral Rehabilitation & Nursing Care
22278919211111$0
MaineGeneral Health Associates
22251676611111$0
MaineGeneral Retirement Community
0106271949111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance4909719BeginningOfYearBalance
Contributions189201Contributions
Investment Earnings Or Losses697657InvestmentEarningsOrLosses
Grants Or Scholarships0GrantsOrScholarships
Other Expenditures196257OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance5600320EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance6099484BeginningOfYearBalance
Contributions127387Contributions
Investment Earnings Or Losses-1103372InvestmentEarningsOrLosses
Grants Or Scholarships17018GrantsOrScholarships
Other Expenditures196762OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance4909719EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.87800BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.02800PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.09400TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis17946OtherCostOrOtherBasis
Book Value17946BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis20948OtherCostOrOtherBasis
Depreciation11375Depreciation
Book Value9573BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis148779OtherCostOrOtherBasis
Depreciation14165Depreciation
Book Value134614BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis677898OtherCostOrOtherBasis
Depreciation353455Depreciation
Book Value324443BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings486576TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionDue from affiliatesDescription
Book Value2449145BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets2449145TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Accrued pension costs$2,971,357
Accrued deferred compensation$626,949
Other long-term liabilities$50,480
Self insurance reserve - health$2,299,498
Self insurance reserve - dental$195,639
Workers compensation accrual$62,935
FieldValueIRS element (for citing)
Total Of Amounts6206858TotalOfAmounts
Total Revenue13092005TotalRevenue
Total Expenses12518572TotalExpenses
Excess Or Deficit For Year573433ExcessOrDeficitForYear
Net Unrealized GL On Investments374348NetUnrealizedGLOnInvestments
Other-$470,525OtherAmount
Total Adjustments-96177TotalAdjustments
Excess Or Deficit Per FS477256ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt13466353TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments374348NetUnrealizedGainsInvestments
Revenue Not Rptd F990374348RevenueNotRptdF990
Revenue Subtotal13092005RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99013092005TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt12989097TotExpensesEtcAuditedFinclStmt
Other Expenses Included470525OtherExpensesIncluded
Expenses Not Rptd F990470525ExpensesNotRptdF990
Expenses Subtotal12518572ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99012518572TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds:MaineGeneral Health's intended uses of endowment funds are as follow: 1. to fund community health projects; 2. to annually fund those projects considered to be of the highest priority; 3. to provide funds for scholarships; 4. to fund educational programs; 5. to provide a source of funds for an executive deferred compensation plan; 6. and to self-fund workers compensation claims and related expenses.
Part X, Line 2 - There were no disclosures reporting MaineGeneral Health's liability for uncertain tax positions under FIN 48. Part XI, Line 8 - Pension-related changes other than net periodic pension cost

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Frederick LaRochelle MD
017858801751202916010215013185022241600
Scott B Bullock
3869330001985330208250207120627003000
Douglas Boyink MD
02458530173620271902164308625029620200
Michael Koziol
20602900071507547067180221009000
Barbara Crowley MD
29195200057610244180161020338233000
Charles W Hays
2444770005596012795028660265734000
Steven Diaz MD
229375036503220130320190210262115000
Andrew Hertler MD
2767850004490129510119660302151000
Gail M Evans
18054100011590101290102360202065000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aPart I, Line 1a: Tax Gross-Up Payments Karen Tobias Yes $ 272 Treated as taxable compensation Scott Bullock Yes $2,082 Treated as taxable compensation Barbara Crowley Yes $ 65 Treated as taxable compensation Charles Hays Yes $ 64 Treated as taxable compensation
Part I, Line 4aScott Bullock has a supplemental defined benefit arrangement, and no contributions were made during the 2009 tax year that had not been included on Form W-2 as taxable compensation.
Part I, Line 7Part I, Line 7: A portion of compensation is at risk and variable and is based on the quality of job performance.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 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 2011 and by the Board of Directors in April 2011. 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 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 transations 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. 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 2011.
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. In addition, the Controller distributes financial statements and budgets on a quarterly and annual basis to designated third parties.
Form 990, Part XI, Line 2cMaineGeneral Health did not change its oversight process or selection process during the tax year.Change in oversight or selection process during the tax year

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
MaineGeneral Medical Center
6 East Chestnut StreetAugustaME04330043369653HospitalME170(b)(1)(A)(ii)501(c)(3)MaineGeneral Health
HealthReach Network
6 East Chestnut StreetAugustaME04330010524384Provider of homecare, hospice, and community support servicesME509(a)(2)501(c)(3)MaineGeneral Health
MaineGeneral Rehabilitation & Nursing Care
6 East Chestnut StreetAugustaME04330222789192Provider of long term and residential care servicesME509(a)(3)501(c)(3)MaineGeneral Health
MaineGeneral Health Associates
6 East Chestnut StreetAugustaME04330222516766Provider of primary and specialty care physician servicesME509(a)(3)501(c)(3)MaineGeneral Health
MaineGeneral Retirement Community
6 East Chestnut StreetAugustaME04330010627194Provider of assisted and residential living servicesME509(a)(2)501(c)(3)MaineGeneral Health
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
(1) MaineGeneral Medical Center
A67209
(2) MaineGeneral Rehabilitation & Nursing Care
A18220
(3) HealthReach Network
A697
(4) MaineGeneral Medical Center
K12008405
(5) MaineGeneral Rehabilitation & Nursing Care
K58000
(6) HealthReach Network
K327000