MAINEGENERAL HEALTH: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- MAINEGENERAL HEALTH (EIN 04-3369649)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-13
- IRS object ID
- 201401339349300405
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-13T06:11:52-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010494526 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman Noyes | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 280 Fore Street | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 04101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043369649 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MaineGeneral Health | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MAIN | NameControl |
| Phone | 2076261000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Medical Center Parkway | AddressLine1 |
| City | Augusta | City |
| State | ME | State |
| ZIP Code | 04330 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael Koziol | Name |
| Title | Senior Vice President & CFO | Title |
| Phone | 2076261000 | Phone |
| Date Signed | 2014-05-07 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | E Drew Cheney | Name |
| PTIN | P00182972 | PTIN |
| Phone | 2078792100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | Charles Hays | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Medical Center Parkway | AddressLine1 |
| City | Augusta | City |
| State | ME | State |
| ZIP Code | 04330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12864688 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 9706 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mainegeneral.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | To enhance, every day, the health of people in the greater Kennebec Valley. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 23 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 124 | TotalNbrEmployees |
| Total Nbr Volunteers | 21 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 59330 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 29962 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 14326284 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12173933 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 160498 | InvestmentIncomePriorYear |
| Investment Income Current Year | 552786 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 611090 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 15157202 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12756681 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 44097 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 45844 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10391913 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 9427413 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 923800 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 4080826 | OtherExpensePriorYear |
| Other Expenses Current Year | 2835299 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 14516836 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12308556 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 640366 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 448125 | RevenuesLessExpensesCY |
| Total Assets BOY | 16417099 | TotalAssetsBOY |
| Total Assets EOY | 19082886 | TotalAssetsEOY |
| Total Liabilities BOY | 11279024 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 12338427 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 5138075 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 6744459 | NetAssetsOrFundBalancesEOY |
| Mission Description | Reported on Page 1 | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 5416806 | Expense |
| Grants | 45844 | Grants |
| Revenue | 12173933 | Revenue |
| Description | MaineGeneral 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. | Description |
| Total Program Service Expense | 5416806 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 575 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 124 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 23 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mary Griswold Controller | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2076261289 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Medical Center Parkway | AddressLine1 |
| City | Augusta | City |
| State | ME | State |
| ZIP Code | 04330 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Peter Alfond | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Conrad Ayotte | |||||||||
| Director and Vice Chair | 2.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| Douglas Boyink MD | |||||||||
| Director | 10.00 | 0.00 | X | 0 | 260377 | 29345 | |||
| Scott Bullock | |||||||||
| Director & President Emeritus | 50.00 | 0.00 | X | 710814 | 0 | 24708 | |||
| Stephanie Calkins MD | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 37600 | 1668 | |||
| Douglas Cutchin | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Charles Danielson MD MPH | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Mark Ford | |||||||||
| Director | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| Peter Guzzetti DO DDS | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 24000 | 0 | |||
| David Hay MD | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 638102 | 22101 | |||
| Charles Hays | |||||||||
| President & CEO | 50.00 | 0.00 | X | 351769 | 0 | 16363 | X | ||
| Jeffrey Hubert | |||||||||
| Director | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| Mark Johnston | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| James Laliberty | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Robert Marden | |||||||||
| Director | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| Barbara Mayer | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Roy Miller MD | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Elizabeth Mitchell Esq | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Gary Peachey | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Gordon Pow | |||||||||
| Director | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| Tobi Schneider Esq | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| William Sprague | |||||||||
| Director & Chair | 2.00 | 0.00 | X | 0 | 0 | 0 | X | ||
| Douglas Terp | |||||||||
| Director | 2.00 | 0.00 | X | 0 | 0 | 0 | |||
| Karen Tobias | |||||||||
| Board Secretary | 45.00 | 0.00 | 56681 | 0 | 13635 | X | |||
| Michael Koziol | |||||||||
| Senior Vice President/CFO | 50.00 | 0.00 | 296670 | 0 | 17913 | X | |||
| Barbara Crowley MD | |||||||||
| Executive Vice President | 50.00 | 0.00 | 342102 | 0 | 32780 | X | |||
| Steven Diaz MD | |||||||||
| VP/Chief Medical Officer | 25.00 | 25.00 | 148605 | 128528 | 25758 | X | |||
| Sharon Woodward | |||||||||
| Senior VP/Chief Nursing Officer | 50.00 | 0.00 | 202806 | 0 | 27978 | X | |||
| Daniel Burgess | |||||||||
| Chief Information Officer | 50.00 | 0.00 | 177926 | 0 | 24393 | X | |||
| Rebecca Lamey | |||||||||
| Senior VP Human Resources | 50.00 | 0.00 | 179591 | 0 | 32396 | X | |||
| Gail Evans | |||||||||
| Former Employee | 50.00 | 0.00 | 227283 | 0 | 10415 | X | |||
| Kevin Brooks | |||||||||
| Former Employee | 50.00 | 0.00 | 198004 | 0 | 17664 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2892251 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1088607 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 297117 | TotalOtherCompensation |
| Number Individuals GT100 K | 15 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| IMA Consulting | |||||
| 3 Christy Drive Suite 100 | Chadds Ford | PA | 19317 | Consulting | 653074 |
| Baker Healthcare Consulting Inc | |||||
| 4251 Reliable Parkway | Chicago | IL | 606860042 | Consulting | 218970 |
| Baker Newman Noyes | |||||
| 280 Fore Street | Portland | ME | 04112 | Auditing, Consulting, Tax | 169090 |
| Stroudwater Associates | |||||
| 50 Sewall Street Suite 102 | Portland | ME | 04102 | Consulting | 151835 |
| Pierce Atwood LLP | |||||
| One Monument Square | Portland | ME | 04101 | Legal | 130957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| All Other Contributions | 29962 | AllOtherContributions |
| Total Contributions | 29962 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Management fee revenue | 561000 | 12061855 | 12061855 |
| Rental revenue | 532000 | 112078 | 112078 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12173933 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 367826 | TotalRevenueColumn |
| Exclusion | $367,826 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 292967 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 108007 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 184960 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 184960 | TotalRevenueColumn |
| Exclusion | $184,960 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12756681 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12173933 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $552,786 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45844 | Total |
| Program Services | 45844 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1495897 | Total |
| Management And General | 1495897 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6339594 | Total |
| Program Services | 3343259 | ProgramServices |
| Management And General | 2423395 | ManagementAndGeneral |
| Fundraising | 572940 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 562696 | Total |
| Program Services | 296744 | ProgramServices |
| Management And General | 215768 | ManagementAndGeneral |
| Fundraising | 50184 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 578153 | Total |
| Program Services | 304895 | ProgramServices |
| Management And General | 221008 | ManagementAndGeneral |
| Fundraising | 52250 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 451073 | Total |
| Program Services | 237880 | ProgramServices |
| Management And General | 172427 | ManagementAndGeneral |
| Fundraising | 40766 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 149533 | Total |
| Management And General | 149533 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 104500 | Total |
| Management And General | 104500 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 618284 | Total |
| Program Services | 106111 | ProgramServices |
| Management And General | 484058 | ManagementAndGeneral |
| Fundraising | 28115 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11786 | Total |
| Program Services | 9786 | ProgramServices |
| Management And General | 2000 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325023 | Total |
| Program Services | 99076 | ProgramServices |
| Management And General | 91436 | ManagementAndGeneral |
| Fundraising | 134511 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 496260 | Total |
| Program Services | 445734 | ProgramServices |
| Management And General | 41338 | ManagementAndGeneral |
| Fundraising | 9188 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63392 | Total |
| Program Services | 34214 | ProgramServices |
| Management And General | 21053 | ManagementAndGeneral |
| Fundraising | 8125 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 152063 | Total |
| Program Services | 49437 | ProgramServices |
| Management And General | 82016 | ManagementAndGeneral |
| Fundraising | 20610 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77922 | Total |
| Program Services | 77922 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 93195 | Total |
| Program Services | 78800 | ProgramServices |
| Management And General | 10988 | ManagementAndGeneral |
| Fundraising | 3407 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14289 | Total |
| Management And General | 14289 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Professional Membership | 475544 | 159296 | 313498 | 2750 |
| Recruitment | 153126 | 110923 | 42203 | |
| Institutional Dues | 71442 | 71442 | ||
| Minor Equipment | 18793 | 7033 | 11101 | 659 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10147 | Total |
| Program Services | 9852 | ProgramServices |
| Fundraising | 295 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12308556 | Total |
| Program Services | 5416806 | ProgramServices |
| Management And General | 5967950 | ManagementAndGeneral |
| Fundraising | 923800 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439076 | BOY |
| EOY | 4560168 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2470153 | BOY |
| EOY | 1733457 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439 | BOY |
| EOY | 63 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40967 | BOY |
| EOY | 70650 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 331034 | BOY |
| EOY | 496762 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 702206 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 517607 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 277794 | BOY |
| EOY | 184599 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6200595 | BOY |
| EOY | 6815845 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6657041 | BOY |
| EOY | 5221342 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16417099 | BOY |
| EOY | 19082886 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3047804 | BOY |
| EOY | 6256897 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 938020 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7293200 | BOY |
| EOY | 6081530 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11279024 | BOY |
| EOY | 12338427 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4440785 | BOY |
| EOY | 6009144 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 165402 | BOY |
| EOY | 201859 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 531888 | BOY |
| EOY | 533456 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5138075 | BOY |
| EOY | 6744459 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16417099 | BOY |
| EOY | 19082886 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 448125 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 286162 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 872097 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type2 | X | SupportingOrg509a3Type2 |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (5 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| MaineGeneral Medical Center | |||||
| 043369653 | 3 | 1 | 1 | 1 | $0 |
| HealthReach Network | |||||
| 010524384 | 9 | 1 | 1 | 1 | $0 |
| MaineGeneral Rehabilitation & Long Term Care | |||||
| 222789192 | 9 | 1 | 1 | 1 | $0 |
| MaineGeneral Retirement Community | |||||
| 010627194 | 9 | 1 | 1 | 1 | $0 |
| MaineGeneral Health Associates | |||||
| 222516766 | 9 | 1 | 1 | 1 | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 5 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 0 | SumOfAmounts |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5372616 | BeginningOfYearBalance |
| Contributions | 19144 | Contributions |
| Investment Earnings Or Losses | 687203 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 258297 | GrantsOrScholarships |
| Other Expenditures | 16213 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 5804453 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5589796 | BeginningOfYearBalance |
| Contributions | 24845 | Contributions |
| Investment Earnings Or Losses | -76577 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 27690 | GrantsOrScholarships |
| Other Expenditures | 137758 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 5372616 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 5600320 | BeginningOfYearBalance |
| Contributions | 23144 | Contributions |
| Investment Earnings Or Losses | 1033434 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 17771 | GrantsOrScholarships |
| Other Expenditures | 1049331 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 5589796 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 4909719 | BeginningOfYearBalance |
| Contributions | 189201 | Contributions |
| Investment Earnings Or Losses | 697657 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 196257 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 5600320 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6099484 | BeginningOfYearBalance |
| Contributions | 127387 | Contributions |
| Investment Earnings Or Losses | -1103372 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 17018 | GrantsOrScholarships |
| Other Expenditures | 196762 | OtherExpenditures |
| Administrative Expenses | 0 | AdministrativeExpenses |
| End Of Year Balance | 4909719 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.87300 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.09200 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.03500 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 148779 | OtherCostOrOtherBasis |
| Depreciation | 44100 | Depreciation |
| Book Value | 104679 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 553427 | OtherCostOrOtherBasis |
| Depreciation | 473507 | Depreciation |
| Book Value | 79920 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 184599 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due from affiliates | Description |
| Book Value | 5221342 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 5221342 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Self-insurance reserves - health | $2,506,414 |
| Self-insurance reserves - dental | $179,526 |
| Workers compensation accrual | $62,685 |
| Accrued pension costs | $2,032,473 |
| Accrued deferred compensation | $848,413 |
| Other long-term liabilities | $452,019 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 6081530 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | 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 provide a source of funds for an executive deferred compensation plan and 4. to self-fund workers compensation claims and related expenses. |
| Description of Uncertain Tax Positions Under FIN 48: | 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. 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, 2013. The Company's tax years from 2010 through 2013 are open and subject to examination. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Scholarships | TypeOfGrant |
| Number Of Recipients | 54 | NumberOfRecipients |
| Amount Of Cash Grant | 38181 | AmountOfCashGrant |
| Amount Of Non Cash Assistance | 0 | AmountOfNonCashAssistance |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: MaineGeneral Health offers several different types of scholarships, which are awarded based on requirements established by the donors funding the scholarships. Any individual in MaineGeneral Health's service area may apply for a scholarship by completing a required application, including school transcripts, a statement of need, financial disclosures, and other information. The majority of these scholarships are offered to students pursuing a career in nursing or another healthcare related field of study. Before scholarship funds are disbursed to a student, the student must provide documented evidence of the successful completion of the required coursework at the end of each term. MaineGeneral Health retains complete files for each scholarship award as substantiation of the amount of scholarship funding for each individual. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Douglas Boyink MD | ||||||||||||||
| Director | 0 | 237820 | 0 | 19964 | 0 | 2593 | 0 | 22415 | 0 | 6930 | 0 | 289722 | 0 | 0 |
| Scott Bullock | ||||||||||||||
| Director & President Emeritus | 432546 | 0 | 269449 | 0 | 8819 | 0 | 11964 | 0 | 12744 | 0 | 735522 | 0 | 0 | 0 |
| David Hay MD | ||||||||||||||
| Director | 0 | 384908 | 0 | 251456 | 0 | 1738 | 0 | 11326 | 0 | 10775 | 0 | 660203 | 0 | 0 |
| Charles Hays | ||||||||||||||
| President & CEO | 346430 | 0 | 0 | 0 | 5339 | 0 | 13587 | 0 | 2776 | 0 | 368132 | 0 | 0 | 0 |
| Michael Koziol | ||||||||||||||
| Senior Vice President/CFO | 295391 | 0 | 0 | 0 | 1279 | 0 | 10885 | 0 | 7028 | 0 | 314583 | 0 | 0 | 0 |
| Barbara Crowley MD | ||||||||||||||
| Executive Vice President | 335626 | 0 | 0 | 0 | 6476 | 0 | 25333 | 0 | 7447 | 0 | 374882 | 0 | 0 | 0 |
| Steven Diaz MD | ||||||||||||||
| VP/Chief Medical Officer | 148386 | 128330 | 0 | 0 | 219 | 198 | 8155 | 5463 | 6519 | 5621 | 163279 | 139612 | 0 | 0 |
| Sharon Woodward | ||||||||||||||
| Senior VP/Chief Nursing Officer | 200954 | 0 | 0 | 0 | 1852 | 0 | 21121 | 0 | 6857 | 0 | 230784 | 0 | 0 | 0 |
| Daniel Burgess | ||||||||||||||
| Chief Information Officer | 177926 | 0 | 0 | 0 | 0 | 0 | 9759 | 0 | 14634 | 0 | 202319 | 0 | 0 | 0 |
| Rebecca Lamey | ||||||||||||||
| Senior VP Human Resources | 174568 | 0 | 0 | 0 | 5023 | 0 | 17950 | 0 | 14446 | 0 | 211987 | 0 | 0 | 0 |
| Gail Evans | ||||||||||||||
| Former Employee | 227283 | 0 | 0 | 0 | 0 | 0 | 6738 | 0 | 3677 | 0 | 237698 | 0 | 0 | 0 |
| Kevin Brooks | ||||||||||||||
| Former Employee | 197704 | 0 | 0 | 0 | 300 | 0 | 8395 | 0 | 9269 | 0 | 215668 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | Part I, Line 1a: Scott B. Bullock $4,903 Treated as taxable compensation Barbara Crowley, M.D. $4,346 Treated as taxable compensation Charles Hays $4,815 Treated as taxable compensation |
| Part I, Lines 4a-b | Part I, Line 4b: Supplemental nonqualified retirement plan - Scott Bullock - Amounts paid $269,449. Benefits are fully vested and nonforfeitable under a 2000 Supplemental Retirement Plan and a 2005 Supplemental Retirement Plan. Under a 2010 Supplemental Retirement Plan, amounts credited to the account for the first two contract years and the earnings thereon vested and were distributed on January 15, 2012. For the 2012 contract year, the amount credited and the earnings thereon became fully vested and nonforfeitable on December 31, 2012. Severance Payments - Gail Evans - Amounts paid $87,696; Kevin Brooks - Amounts paid $34,905 |
| Part 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 (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | All Forms 990 and related attachments were reviewed by appropriate members of senior management, the Finance Committee, and the Board of Directors before the filings were sent to the Internal Revenue Service. Final drafts of Forms 990 were available thirty days prior to the filing deadline in order to be formally reviewed by the Senior Vice President and Chief Financial Officer, the Compliance Officer, the entire senior management team, the Finance Committee, and the Board of Directors. Forms 990 and related attachments were provided to and reviewed by the Finance Committee in April 2014 and by the Board of Directors in May 2014. | |
| Form 990, Part VI, Section B, line 12c | MaineGeneral 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 15 | The Board of Directors is responsible for determining the compensation package for the Chief Executive Officer. An independent compensation consultant advises the Board using comparability data, expert compensation studies and other means. Paid executives who hold voting privileges may not vote or participate in discussions regarding their compensation; however, they may answer questions that will help the Board in its deliberations. For other officer and key employee positions, salary structures are developed and maintained based on national compensation data for healthcare organizations. The Chief Executive Officer's compensation was last reviewed in December 2012. | |
| Form 990, Part VI, Section C, line 18 | The three most recent Forms 990 (Annual Information Returns) and 990T (Exempt Organization Business Income Tax Returns), along with a copy of the application for a group exemption submitted to the IRS by MaineGeneral Health on behalf of its affiliates, is made available for public inspection without charge at each organization's principal offices during regular business hours (Monday through Friday, 8:00 a.m. until 4:30 p.m.). In addition, when a request for copies of any of these documents is made in person, copies are made available to the requester without charge on the day the request is made. If a written request for a copy of any of these documents is received, the requested documents are mailed without charge within two weeks from the date the request is received. MaineGeneral Health also makes its most recently filed annual information returns widely available by posting the documents on its website. | |
| Form 990, Part VI, Section C, line 19 | MaineGeneral 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 Controller distributes financial statements and budgets on a quarterly and annual basis to designated third parties. | |
| Form 990, Part XI, line 9: | Other pension-related changes 872097. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line c | MaineGeneral Health did not change its oversight process or selection process during the current tax year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kennebec Risk LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 35 Medical Center Parkway | AddressLine1 |
| City | Augusta | City |
| State | ME | State |
| ZIP Code | 04330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 455473855 | EIN |
| Primary Activities | Captive insurance company | PrimaryActivities |
| Legal Domicile State | VT | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MaineGeneral Medical Center | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| MaineGeneral Medical Center | ||||||||||
| 35 Medical Center Parkway | Augusta | ME | 04330 | 043369653 | Hospital | ME | 501(c)(3) | Line 3 | MaineGeneral Health | 1 |
| HealthReach Network | ||||||||||
| 35 Medical Center Parkway | Augusta | ME | 04330 | 010524384 | Provider of home care, hospice, and community support services | ME | 501(c)(3) | Line 9 | MaineGeneral Health | 1 |
| MaineGeneral Rehabilitation & Nursing Care | ||||||||||
| 35 Medical Center Parkway | Augusta | ME | 04330 | 222789192 | Provider of long-term and residential care services | ME | 501(c)(3) | Line 9 | MaineGeneral Health | 1 |
| MaineGeneral Health Associates | ||||||||||
| 35 Medical Center Parkway | Augusta | ME | 04330 | 222516766 | Provider of primary and specialty care physician services | ME | 501(c)(3) | Line 9 | MaineGeneral Health | 1 |
| MaineGeneral Retirement Community | ||||||||||
| 35 Medical Center Parkway | Augusta | ME | 04330 | 010627194 | Provider of assisted and residential living services | ME | 501(c)(3) | Line 9 | MaineGeneral Health | 1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| MaineGeneral Medical Center | ||
| A | 61585 | Fair market value |
| MaineGeneral Rehabilitation & Nursing Care | ||
| A | 4441 | Fair market value |
| MaineGeneral Medical Center | ||
| K | 11755112 | Fair market value |
| MaineGeneral Rehabilitation & Nursing Care | ||
| K | 75600 | Fair market value |
| MaineGeneral Retirement Community | ||
| K | 21600 | Fair market value |
| HealthReach Network | ||
| K | 203040 | Fair market value |
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