MAINEGENERAL HEALTH: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
MAINEGENERAL HEALTH (EIN 04-3369649)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-30
IRS object ID
201921509349300732
Schema version
2017v2.3
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)
Return2019-05-30T12:02:28-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1280 Fore StreetAddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN043369649EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTerrance Brann JrPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone2076211000PhoneNum
Signature2019-05-30SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonE Drew CheneyPreparerPersonNm
PTINP00182972PTIN
Phone2078792100PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address63.165.188.194IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-05-30IPDt
IP Tm13:00:28IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdCE2895FC93DDA8DDE5B4A657B685F4EA81127994AtSubmissionCreationDeviceId
At Submission Filing Device IdCE2895FC93DDA8DDE5B4A657B685F4EA81127994AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCharles HaysPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 Medical Center ParkwayAddressLine1Txt
CityAugustaCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04330ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$11,140,754GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption9706GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mainegeneral.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionTo enhance, every day, the health of our patients, our families and our communities.ActivityOrMissionDesc
Voting Members Governing Body22VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee86TotalEmployeeCnt
Total Volunteers19TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$79,924PYContributionsGrantsAmt
CY Contributions Grants$36,204CYContributionsGrantsAmt
PY Program Service Revenue$10,599,020PYProgramServiceRevenueAmt
CY Program Service Revenue$10,497,486CYProgramServiceRevenueAmt
PY Investment Income$453,914PYInvestmentIncomeAmt
CY Investment Income$174,745CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$11,132,858PYTotalRevenueAmt
CY Total Revenue$10,708,435CYTotalRevenueAmt
PY Grants And Similar Paid$265,449PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$282,687CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$7,900,937PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,138,519CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$722,911CYTotalFundraisingExpenseAmt
PY Other Expenses$2,483,648PYOtherExpensesAmt
CY Other Expenses$2,154,195CYOtherExpensesAmt
PY Total Expenses$10,650,034PYTotalExpensesAmt
CY Total Expenses$10,575,401CYTotalExpensesAmt
PY Revenues Less Expenses$482,824PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$133,034CYRevenuesLessExpensesAmt
Total Assets BOY$28,052,477TotalAssetsBOYAmt
Total Assets EOY$32,158,014TotalAssetsEOYAmt
Total Liabilities BOY$20,868,217TotalLiabilitiesBOYAmt
Total Liabilities EOY$24,066,871TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$7,184,260NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$8,091,143NetAssetsOrFundBalancesEOYAmt
MissionReported on page 1.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$3,016,778ExpenseAmt
Grant$282,687GrantAmt
Revenue$10,497,486RevenueAmt
DescMaineGeneral Health provides administrative services for tax-exempt subsidiaries and develops and implements overall goals and strategies for the system-wide delivery of necessary health care services in an efficient and coordinated manner.Desc
Total Program Service Expenses$3,016,778TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document551IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee86EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members22GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Stephanie Calkins MD
Director1.003.00Yes (X)$0$22,140$340
James Clair
Director1.001.00Yes (X)$0$0$0
Michael Clark MD
Director1.001.00Yes (X)$0$0$0
Nate Cotnoir
Director2.001.00Yes (X)$0$0$0
Cathy DeMerchant
Director1.001.00Yes (X)$0$0$0
Daniel Doornbos MD
Director1.0050.00Yes (X)$0$359,090$22,109
Elissa Emmons
Director1.001.00Yes (X)$0$0$0
David Flanagan
Director1.001.00Yes (X)$0$0$0
Paul Gagliardi MD
Director1.001.00Yes (X)$0$0$0
David Hay MD
Director1.0050.00Yes (X)$0$482,825$24,867
Charles Hays
President & CEO50.005.00Yes (X)$649,339$0$23,415Yes (X)
Jeffrey Hubert
Director & Vice Chair2.001.00Yes (X)$0$0$0Yes (X)
Joey Joseph
Director2.001.00Yes (X)$0$0$0
Janice Kassman
Director1.001.00Yes (X)$0$0$0
James LaLiberty
Director1.001.00Yes (X)$0$0$0
Barbara Mayer
Director1.001.00Yes (X)$0$0$0
Peter Mills
Director1.001.00Yes (X)$0$0$0
Alane O'Connor
Director1.001.00Yes (X)$0$0$0
Gary Peachey
Director & Chair2.001.00Yes (X)$0$0$0Yes (X)
Scott Small
Director2.001.00Yes (X)$0$0$0
William Sprague
Director2.001.00Yes (X)$0$0$0
Matthew Tardiff
Director2.001.00Yes (X)$0$0$0
Terrance Brann Jr
Treasurer & Chief Financial Officer50.005.00$283,559$0$18,942Yes (X)
Julie Greene
Board Secretary40.000.00$49,126$0$14,768Yes (X)
Barbara Crowley MD
Chief Transformation Officer50.005.00$353,273$0$18,049Yes (X)
Marci Alexander
General Counsel50.005.00$208,656$0$9,085Yes (X)
Nicole McSweeney
Chief Marketing and Philanthropy Officer50.000.00$147,947$0$12,616Yes (X)
Rebecca Lamey
Chief Human Resources Officer50.000.00$136,165$0$12,283Yes (X)
Kevin Ward
Director of Employee Health Services50.000.00$128,942$0$19,806Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,957,007TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$864,055TotReportableCompRltdOrgAmt
Total Other Compensation$176,280TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Baker Newman Noyes
280 Fore StreetPortlandME04112Audit and Consulting Services$136,195
Hathaway Mill MT LLC
One Canal Plaza 5th FloorPortlandME04101Property Leasing$107,075
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
All Other Contributions$36,204AllOtherContributionsAmt
Total Contributions$36,204TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Management Fees561000$10,342,277$10,342,277
Other Revenue561000$155,209$155,209
FieldValueIRS element (for citing)
Total Program Service Revenue$10,497,486TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$116,009TotalRevenueColumnAmt
Exclusion$116,009ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$491,055SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$432,319SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$58,736SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$58,736TotalRevenueColumnAmt
Exclusion$58,736ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,708,435TotalRevenueColumnAmt
Related Or Exempt Func Income$10,497,486RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$174,745ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$236,062TotalAmt
Program Services$236,062ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$46,625TotalAmt
Program Services$46,625ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$759,503TotalAmt
Management And General$759,503ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,001,378TotalAmt
Program Services$1,839,576ProgramServicesAmt
Management And General$3,687,123ManagementAndGeneralAmt
Fundraising$474,679FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$273,992TotalAmt
Program Services$74,551ProgramServicesAmt
Management And General$180,204ManagementAndGeneralAmt
Fundraising$19,237FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$662,705TotalAmt
Program Services$180,316ProgramServicesAmt
Management And General$435,861ManagementAndGeneralAmt
Fundraising$46,528FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$440,941TotalAmt
Program Services$119,976ProgramServicesAmt
Management And General$290,007ManagementAndGeneralAmt
Fundraising$30,958FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$46,101TotalAmt
Management And General$46,101ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$102,000TotalAmt
Management And General$102,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$6,900TotalAmt
Management And General$6,900ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$628,420TotalAmt
Program Services$11,800ProgramServicesAmt
Management And General$598,641ManagementAndGeneralAmt
Fundraising$17,979FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,830TotalAmt
Management And General$6,830ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$80,955TotalAmt
Program Services$9,342ProgramServicesAmt
Management And General$5,806ManagementAndGeneralAmt
Fundraising$65,807FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$255,516TotalAmt
Program Services$241,711ProgramServicesAmt
Fundraising$13,805FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$37,017TotalAmt
Program Services$6,303ProgramServicesAmt
Management And General$30,069ManagementAndGeneralAmt
Fundraising$645FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$80,542TotalAmt
Program Services$15,737ProgramServicesAmt
Management And General$52,522ManagementAndGeneralAmt
Fundraising$12,283FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$25,436TotalAmt
Program Services$25,436ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$14,595TotalAmt
Management And General$14,595ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
Professional Membership$503,767$503,767
Recruitment$200,831$200,831
Institutional Dues$53,650$53,650
Special Projects-Human$43,700$43,700

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$67,935TotalAmt
Program Services$8,512ProgramServicesAmt
Management And General$18,433ManagementAndGeneralAmt
Fundraising$40,990FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$10,575,401TotalAmt
Program Services$3,016,778ProgramServicesAmt
Management And General$6,835,712ManagementAndGeneralAmt
Fundraising$722,911FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$461,537BOYAmt
EOY$5,580,075EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,679,993BOYAmt
EOY$4,885EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,017BOYAmt
EOY$5,808EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$128,238BOYAmt
EOY$143,773EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$799,971BOYAmt
EOY$1,499,810EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$374,918LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$272,075LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$128,280BOYAmt
EOY$102,843EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,934,110BOYAmt
EOY$14,437,490EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,223,254BOYAmt
EOY$2,644,447EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,674,077BOYAmt
EOY$7,738,883EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$28,052,477BOYAmt
EOY$32,158,014EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,941,501BOYAmt
EOY$8,813,859EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,926,716BOYAmt
EOY$15,253,012EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$20,868,217BOYAmt
EOY$24,066,871EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$6,246,554BOYAmt
EOY$7,153,947EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$367,897BOYAmt
EOY$364,357EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$569,809BOYAmt
EOY$572,839EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,184,260BOYAmt
EOY$8,091,143EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$28,052,477BOYAmt
EOY$32,158,014EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$133,034ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$206,100NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$567,749OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformationGrp (4 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
MaineGeneral Medical Center
0433696533Yes (1)$10,342,277$0
MaineGeneral Community Care
01052438410Yes (1)$0$0
MaineGeneral Rehabilitation & Long Term Care
22278919210Yes (1)$0$0
MaineGeneral Retirement Community
01062719410Yes (1)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total4SupportedOrganizationsTotalCnt
Support Sum$10,342,277SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,461,044BeginningYearBalanceAmt
Contributions$46,466ContributionsAmt
Investment Earnings Or Losses$397,279InvestmentEarningsOrLossesAmt
Grants Or Scholarships$303,528GrantsOrScholarshipsAmt
Other Expenditures$22,519OtherExpendituresAmt
End Year Balance$6,578,742EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,958,009BeginningYearBalanceAmt
Contributions$78,792ContributionsAmt
Investment Earnings Or Losses$755,246InvestmentEarningsOrLossesAmt
Grants Or Scholarships$265,449GrantsOrScholarshipsAmt
Other Expenditures$65,554OtherExpendituresAmt
End Year Balance$6,461,044EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,804,453BeginningYearBalanceAmt
Contributions$1,797,751ContributionsAmt
Investment Earnings Or Losses$772,371InvestmentEarningsOrLossesAmt
Grants Or Scholarships$247,268GrantsOrScholarshipsAmt
Other Expenditures$1,706,445OtherExpendituresAmt
End Year Balance$6,420,862EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.85750BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.05540PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.08710TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,233OtherCostOrOtherBasisAmt
Depreciation$109,112DepreciationAmt
Book Value$88,121BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$177,685OtherCostOrOtherBasisAmt
Depreciation$162,963DepreciationAmt
Book Value$14,722BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$102,843TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Parametric Defensive Equity Fund, LLC$554,047F
Baxter Street Offshore Fund$520,570F
NHIT Credit Asset Trust$372,886F
FTGM Plus Fund Ltd$292,987F
SSGA Real Asset NL CFT$310,842F
Grosvenor Institutional Partners, L.P.$593,115F
FieldValueIRS element (for citing)
Total Book Value Securities$2,644,447TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescDue From AffiliatesDesc
Book Value$7,738,883BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$7,738,883TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Accrued Health Insurance$2,355,279
Accrued Dental Insurance$116,183
Workers Comp Accrual$77,350
Acc Pension Cost Net Curr Port$2,205,425
Accrued Exec Deferred Comp$141,521
Section 457 Plan$10,357,254
FieldValueIRS element (for citing)
Total Liability$15,253,012TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:MaineGeneral Health's intended uses of endowment funds are: 1. to provide funds for scholarships; 2. to fund educational programs; 3. to self-fund workers compensation claims and related expenses.
Part X, Line 2:The Company and its affiliates have been determined to be tax-exempt organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for income taxes has been recorded in the accompanying consolidated financial statements for these tax-exempt organizations. The Captive is a limited liability company (LLC) under the Federal Income Tax Code and as a LLC passes its income or loss for federal and state tax purposes to its members. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Company has evaluated the tax positions taken on its filed returns. The Company has concluded no uncertain income tax positions exist at June 30, 2018. The Company's tax years from 2015 through 2018 are considered to be open and potentially subject to examination by the Internal Revenue Service.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,00Investment in Franklin Templeton Global Multisector Plus bond fund.$3,866,147
Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,00Investment in Baxter Street Offshore Fund, LD. Equity fund.$6,869,249
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$10,735,396SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$10,735,396TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule F, Part IV Question 4FormAndLineReferenceDesc
ExplanationMaineGeneral Health is the legal owner of 100% certain investments of which its commonly-controlled affiliates are partial beneficial owners. The amounts reported on Schedule F and on Form 926 represent the total of these investments, of which MaineGeneral Health is the 100% legal owner and the partial beneficial owner.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1MaineGeneral Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line135 Medical Center ParkwayAddressLine1Txt
CityAugustaCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04330ZIPCd
FieldValueIRS element (for citing)
Recipient EIN043369653RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$236,062CashGrantAmt
Purpose Of GrantSupport for Community Health programs.PurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarshipsGrantTypeTxt
Recipient57RecipientCnt
Cash Grant$46,625CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Daniel Doornbos MD
Director$0$304,618$0$53,000$0$1,472$0$9,275$0$12,834$0$381,199$0$0
David Hay MD
Director$0$374,385$0$105,771$0$2,669$0$9,856$0$15,011$0$507,692$0$0
Charles Hays
President & CEO$596,716$0$44,000$0$8,623$0$9,315$0$14,100$0$672,754$0$0$0
Terrance Brann Jr
Treasurer & Chief Financial Officer$283,469$0$0$0$90$0$10,800$0$8,142$0$302,501$0$0$0
Barbara Crowley MD
Chief Transformation Officer$346,263$0$0$0$7,010$0$10,540$0$7,509$0$371,322$0$0$0
Marci Alexander
General Counsel$208,354$0$0$0$302$0$8,367$0$718$0$217,741$0$0$0
Nicole McSweeney
Chief Marketing and Philanthropy Off$147,867$0$0$0$80$0$5,763$0$6,853$0$160,563$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aCharles Hays $7,145 Treated as taxable compensation Barbara Crowley, M.D. $2,484 Treated as taxable compensation
Part I, Line 3The Board of Directors is responsible for determining the compensation package for the Chief Executive Officer. An independent compensation consultant advises the Board using comparability data, expert compensation studies and other means. Paid executives who hold voting privileges may not vote or participate in discussions regarding their compensation; however, they may answer questions that will help the Board in its deliberations. For other officer and key employee positions, salary structures are developed and maintained based on national compensation data for healthcare organizations. The Chief Executive Officer's compensation was last reviewed in November 2016.
Part I, Line 7A portion of compensation is at risk and variable and is based on the quality of job performance.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Terrance Flanagan
Employee and brother of David Flanagan$289,402Employee compensation0
Kathryn Hays
Employee and daughter of Charles Hays$57,669Employee compensation0
Charles V Hays
Employee and son of Charles Hays$29,354Employee compensation0
Jeffrey Brann
Employee and son of Terry Brann$19,306Employee compensation0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bAll Forms 990 and related attachments were reviewed by appropriate members of senior management, the Finance Committee, and the Board of Directors before the filings were sent to the Internal Revenue Service. Final drafts of Forms 990 were available thirty days prior to the filing deadline in order to be formally reviewed by the Chief Financial Officer, the Compliance Officer, the entire senior management team, the Finance Committee, and the Board of Directors. Forms 990 and related attachments were provided to and reviewed by the Finance Committee in April 2019 and by the Board of Directors in May 2019.
Form 990, Part VI, Section B, line 12cMaineGeneral Health's Conflict of Interest Policy requires disclosure of any actual or potential conflict of interest to the Board Chair. Interested persons are prohibited from participating in the governing body's deliberations and decisions regarding any transactions when they have a conflict of interest. If the Board or Committee has reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, the Board or Committee shall investigate and then determine by a majority vote whether a conflict of interest exists and whether the violation is grounds for removal from the Board or Committee. There are formal records of these proceedings. In addition, each director, officer, and member of the Board is required to annually complete and sign a Conflict of Interest Disclosure Statement. Employees must disclose in writing to their supervisors any conflicts of interest prior to engaging in transactions or taking positions with MaineGeneral Health. In addition, these disclosures must be approved by the supervisor's manager or, as applicable, the Board Chair, in conjunction with the Human Resources Compliance Officer. If management has reasonable cause to believe that an employee has intentionally failed to disclose a conflict of interest, appropriate disciplinary or corrective action up to and including termination shall be taken. In addition, upon hire or promotion to a management position, all management employees shall complete a Conflict of Interest Disclosure Statement, which will be submitted to the Ethics and Compliance Department for review and reporting to the Chief Compliance Officer, who will record and report each validated conflict of interest to the Board.
Form 990, Part VI, Section B, line 15The Board of Directors is responsible for determining the compensation package for the Chief Executive Officer. An independent compensation consultant advises the Board using comparability data, expert compensation studies and other means. Paid executives who hold voting privileges may not vote or participate in discussions regarding their compensation; however, they may answer questions that will help the Board in its deliberations. The Chief Executive Officer's compensation was last reviewed in November 2016. For other officer and key employee positions, salary structures are developed and maintained based on compensation data for healthcare organizations provided by an independant compensation consultant. This data is reviwed by the CEO to determine salaries that are consistent with non-profit healthcare organizations of a similar size, mision and complexity to our organization. The salary determinations made by the CEO are submitted to and approved by the board of directors.
Form 990, Part VI, Section C, line 19MaineGeneral Health makes its governing documents, conflict of interest policy and financial statements, whether or not audited, available to the general public by providing copies immediately upon request. The latest two fiscal years of audited financial statements are available on the company's website at www.mainegeneral.org. In addition, the Administrative Director of Finance distributes financial statements and budgets on a quarterly and annual basis to designated third parties.
Form 990, Part XI, line 9:Change In Add Min Pension Liab-Empl 567749.
Form 990 Part XII, Line 2c.MaineGeneral Health did not change its oversight process or selection process during the current tax year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Kennebec Risk LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1463 Mountain View Drive Suite 301AddressLine1Txt
CityColchesterCityNm
State AbbreviationVTStateAbbreviationCd
ZIP05446ZIPCd
FieldValueIRS element (for citing)
EIN455473855EIN
Primary ActivitiesCaptive Insurance CompanyPrimaryActivitiesTxt
Legal Domicile StateVTLegalDomicileStateCd
Total Income$0TotalIncomeAmt
End Of Year Assets$0EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MaineGeneral Medical CenterBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
MaineGeneral Medical Center
35 Medical Center ParkwayAugustaME04330043369653HospitalME501(c)(3)Line 3MaineGeneral HealthYes (1)
MaineGeneral Community Care
35 Medical Center ParkwayAugustaME04330010524384Provider of home care, hospice, and community support servicesME501(c)(3)Line 10MaineGeneral HealthYes (1)
MaineGeneral Rehabilitation & Long-term Care
35 Medical Center ParkwayAugustaME04330222789192Provider of long-term and residential care servicesME501(c)(3)Line 10MaineGeneral HealthYes (1)
MaineGeneral Retirement Community
35 Medical Center ParkwayAugustaME04330010627194Provider of assisted and residential living servicesME501(c)(3)Line 10MaineGeneral HealthYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
MaineGeneral Medical Center
L$10,342,277Fair market value
MaineGeneral Medical Center
B$236,062fair market value

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