MAINEGENERAL HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MAINEGENERAL HEALTH (EIN 04-3369649)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-04-29
IRS object ID
201311199349300101
Schema version
2011v1.2
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)
Timestamp2013-04-29T07:00:50-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010494526EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman NoyesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1280 Fore StreetAddressLine1
CityPortlandCity
StateMEState
ZIP Code04101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN043369649EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMichael KoziolName
TitleSr Vice President & CFOTitle
Phone2076261000Phone
Date Signed2013-04-05DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameE Drew CheneyName
PTINP00182972PTIN
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16 East Chestnut StreetAddressLine1
CityAugustaCity
StateMEState
ZIP Code043305717ZIPCode
FieldValueIRS element (for citing)
Gross Receipts15869417GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number9706GroupExemptionNumber
Organization501c3XOrganization501c3
Web Sitewww.mainegeneral.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionMaineGeneral Health exercises general supervision over tax-exempt subsidiaries and develops and implements overall goals and strategies for the system-wide delivery of necessary health care services in an efficient and coordinated manner.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees132TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year42109ContributionsGrantsPriorYear
Contributions Grants Current Year59330ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12784851ProgramServiceRevenuePriorYear
Program Service Revenue CY14326284ProgramServiceRevenueCY
Investment Income Prior Year572661InvestmentIncomePriorYear
Investment Income Current Year771588InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year13399621TotalRevenuePriorYear
Total Revenue Current Year15157202TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year17771GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY44097GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year10005509SalariesEtcPriorYear
Salaries Etc Current Year10391913SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1057363TotalFundrsngExpCurrentYear
Other Expense Prior Year2992149OtherExpensePriorYear
Other Expenses Current Year4080826OtherExpensesCurrentYear
Total Expenses Prior Year13015429TotalExpensesPriorYear
Total Expenses Current Year14516836TotalExpensesCurrentYear
Revenues Less Expenses Prior Year384192RevenuesLessExpensesPriorYear
Revenues Less Expenses CY640366RevenuesLessExpensesCY
Total Assets BOY16898576TotalAssetsBOY
Total Assets EOY16417099TotalAssetsEOY
Total Liabilities BOY10245563TotalLiabilitiesBOY
Total Liabilities EOY11279024TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY6653013NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5138075NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionMaineGeneral Health's primary mission is to enhance, every day, the health of the people of the greater Kennebec Valley Region. MaineGeneral Health follows this mission with a forward-looking vision of focusing on clinical excellence, customer satisfaction, financial stability, and positively impacting the health of the community each day.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense6317720Expense
Grants44097Grants
Revenue14326284Revenue
DescriptionMaineGeneral Health exercises general supervision over and provides administrative services for tax-exempt subsidiaries. MaineGeneral Health develops and implements overall goals and strategies for the system-wide delivery of necessary health care services in an efficient and coordinated manner. MaineGeneral Health keenly focuses on preventive care and supports many ongoing health services throughout surrounding communities.Description
Total Program Service Expense6317720TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096673NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees132NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMary Griswold ControllerNamePerson
Telephone Number2076261289TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Peter Alfond
Director1.00X000
Conrad Ayotte
Director2.00X000
Douglas Boyink MD
Director & Chief of Staff10.00X026641728755
Scott Bullock
President & CEO50.00X6019670223927X
Stephanie Calkins MD
Director & Asst. Chief of Staff1.00X0240001020
Diane Campbell MD
Director1.00X014334722045
Douglas Cutchin
Director1.00X000
Charles Danielson MD MPH
Director & President, Medical Staff1.00X000
Mark Ford
Director2.00X000
Peter Guzzetti DO DDS
Director & Asst. Chief of Staff1.00X0270830
Jeffrey Hubert
Director2.00X000
Robert Marden Esq
Director & Chair2.00X000X
Barbara Mayer
Director2.00X000
Roy Miller MD
Director1.00X000
Elizabeth Mitchell Esq
Director1.00X000
Gordon Pow
Director2.00X000
Tobi Schneider Esq
Director1.00X000
William Sprague
Director & Vice Chair1.00X000X
Douglas Terp
Director2.00X000
Brian Rines
Director1.00X000
Barbara Woodlee EdD
Director1.00X000
Karen Tobias
Board Secretary45.0055438012707X
Michael Koziol
Senior Vice President & CFO50.00283197019107X
Barbara Crowley MD
Employee50.00330116036537X
Charles Hays
Employee50.00312203016874X
Steven Diaz MD
Chief Medical Officer50.00261317035916X
Gail Evans
Senior VP Marketing & Strategy50.00199297020735X
Sharon Woodward
Senior VP Patient Services & CNO50.00193807026882X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2237342TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs460847TotalReportableCompFrmRltdOrgs
Total Other Compensation444505TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
IMA Consulting
3 Christy Drive Suite 100Chadds FordPA19317Consulting653074
Pricewaterhouse Coopers
PO Box 7247-8001PhiladelphiaPA191708001Auditing329401
Baker Newman Noyes
280 Fore StreetPortlandME04112Consulting230214
Baker Healthcare Consulting Inc
4251 Reliable ParkwayChicagoIL606860042Consulting219751
Pierce Atwood LLP
One Monument SquarePortlandME04101Legal210196
FieldValueIRS element (for citing)
Number Of Contractors GT100 K11NumberOfContractorsGT100K
All Other Contributions59330AllOtherContributions
Total Contributions59330TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Management fee revenue5610001422829614228296
Rental revenue5320009798897988
FieldValueIRS element (for citing)
Total Program Service Revenue14326284TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column160498TotalRevenueColumn
Exclusion$160,498ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1323305Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities710563Securities
Other1652Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities612742Securities
Other-1652Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column611090TotalRevenueColumn
Exclusion$611,090ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column15157202TotalRevenueColumn
Related Or Exempt Function Income14326284RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$771,588ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total44097Total
Program Services44097ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1240447Total
Management And General1240447ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7340534Total
Program Services4091416ProgramServices
Management And General2632658ManagementAndGeneral
Fundraising616460Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total661806Total
Program Services368872ProgramServices
Management And General237355ManagementAndGeneral
Fundraising55579Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total659389Total
Program Services367525ProgramServices
Management And General236488ManagementAndGeneral
Fundraising55376Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total489737Total
Program Services272966ProgramServices
Management And General175643ManagementAndGeneral
Fundraising41128Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total199359Total
Management And General199359ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total325115Total
Management And General325115ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total22495Total
Management And General22495ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1593653Total
Program Services106961ProgramServices
Management And General1375849ManagementAndGeneral
Fundraising110843Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total57546Total
Program Services57487ProgramServices
Management And General59ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total248829Total
Program Services155250ProgramServices
Management And General67567ManagementAndGeneral
Fundraising26012Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total418651Total
Program Services225587ProgramServices
Management And General147946ManagementAndGeneral
Fundraising45118Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total75919Total
Program Services37728ProgramServices
Management And General29375ManagementAndGeneral
Fundraising8816Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total129252Total
Program Services56637ProgramServices
Management And General53926ManagementAndGeneral
Fundraising18689Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total74358Total
Program Services74358ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total89635Total
Program Services72680ProgramServices
Management And General13298ManagementAndGeneral
Fundraising3657Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total10381Total
Management And General10381ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Professional Membership445072155016290056
Recruitment116198115631567
Educational Assistance8472784727
Special Projects7171571715

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total117921Total
Program Services30782ProgramServices
Management And General83169ManagementAndGeneral
Fundraising3970Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total14516836Total
Program Services6317720ProgramServices
Management And General7141753ManagementAndGeneral
Fundraising1057363Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY505626BOY
EOY439076EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3073330BOY
EOY2470153EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY563BOY
EOY439EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY26767BOY
EOY40967EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY777568BOY
EOY331034EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis738711LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec460917LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY362190BOY
EOY277794EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6483303BOY
EOY6200595EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5669229BOY
EOY6657041EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16898576BOY
EOY16417099EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2600925BOY
EOY3047804EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY1598020BOY
EOY938020EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6046618BOY
EOY7293200EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY10245563BOY
EOY11279024EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5945744BOY
EOY4440785EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY177890BOY
EOY165402EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY529379BOY
EOY531888EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY6653013BOY
EOY5138075EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16898576BOY
EOY16417099EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses640366ReconcilationRevenueExpenses
Reconcilation Other Changes-2155304ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MaineGeneral Medical Center
0433696533101$0
HealthReach Network
0105243849101$0
MaineGeneral Rehabilitation & Nursing Care
2227891929101$0
MaineGeneral Health Associates
2225167669101$0
MaineGeneral Retirement Community
0106271949101$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts0SumOfAmounts

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5589796BeginningOfYearBalance
Contributions24845Contributions
Investment Earnings Or Losses-76577InvestmentEarningsOrLosses
Grants Or Scholarships27690GrantsOrScholarships
Other Expenditures137758OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance5372616EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5600320BeginningOfYearBalance
Contributions23144Contributions
Investment Earnings Or Losses1033434InvestmentEarningsOrLosses
Grants Or Scholarships17771GrantsOrScholarships
Other Expenditures1049331OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance5589796EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance6099484BeginningOfYearBalance
Contributions127387Contributions
Investment Earnings Or Losses-1103372InvestmentEarningsOrLosses
Grants Or Scholarships17018GrantsOrScholarships
Other Expenditures196762OtherExpenditures
Administrative Expenses0AdministrativeExpenses
End Of Year Balance4909719EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.87000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.09900PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03100TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis148779OtherCostOrOtherBasis
Depreciation34033Depreciation
Book Value114746BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis589932OtherCostOrOtherBasis
Depreciation426884Depreciation
Book Value163048BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings277794TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Due from affiliates5745053
Intercompany notes receivable911988
FieldValueIRS element (for citing)
Total Book Value Other Assets6657041TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Self-insurance reserve - health$2,788,322
Self-insurance reserve - dental$161,084
Workers compensation accrual$53,613
Other long-term liabilities$373,943
Accrued pension costs$3,222,376
Accrued deferred compensation$693,862
FieldValueIRS element (for citing)
Total Of Amounts7293200TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:MaineGeneral Health's intended uses of endowment funds are as follows: 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:All entities included in the consolidated financial statements have been determined to be tax-exempt organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for income taxes has been recorded in the accompanying consolidated financial statements for these tax-exempt organizations. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. The Company has concluded no uncertain income tax positions exist at June 30, 2012. The Company's tax years from 2009 through 2012 are open and subject to examination.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarshipsTypeOfGrant
Number Of Recipients57NumberOfRecipients
Amount Of Cash Grant27690AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedure for Monitoring Grants in the U.S.:Identifier
Return ReferencePart I, Line 2:ReturnReference
ExplanationSchedule 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

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

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Douglas Boyink MD
02447390190200265802013708618029517200
Scott Bullock
457537025000011943002029700209570825894000
Diane Campbell MD
0133683049690469504516017529016539200
Michael Koziol
2819970001200010625084820302304000
Barbara Crowley MD
32390900062070248600116770366653000
Charles Hays
3065130005690013475033990329077000
Steven Diaz MD
2609360003810132490226670297233000
Gail Evans
18818001000001117010833099020220032000
Sharon Woodward
1920530001754018461084210220689000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aScott B. Bullock $4,825 Treated as taxable compensation Barbara Crowley, M.D. $4,004 Treated as taxable compensation
Part I, Line 4bSupplemental nonqualified retirement plan - Scott Bullock - Amounts paid $181,320. Benefits are fully vested and nonforfeitable under a 2000 Supplemental Retirement Plan and a 2005 Supplemental Retirement Plan. Under a new 2010 Supplemental Retirement Plan, benefits have vested/will vest in accordance with the following schedule: (1) the amounts credited to the account for the first two contract years and the earnings thereon vested and were distributed on January 15, 2012 and (2) the amounts credited to the account for the third, fourth, and fifth contract years and the earnings thereon shall vest on December 31, 2014 if still employed. Interest in the account balance shall become fully vested in the event of death or disability.
Part I, Line 7A 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 ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section B, line 11All Forms 990 and related attachments were reviewed by appropriate members of senior management, the Finance Committee, and the Board of Directors before the filings were sent to the Internal Revenue Service. Final drafts of Forms 990 were available thirty days prior to the filing deadline in order to be formally reviewed by the Senior Vice President and Chief Financial Officer, the Compliance Officer, the entire senior management team, the Finance Committee, and the Board of Directors. Forms 990 and related attachments were provided to and reviewed by the Finance Committee in March 2013 and by the Board of Directors in April 2013. In addition, both the Finance Committee and Board were provided formal education on the contents and layouts of Forms 990 and of organizational policies and procedures related to Form 990.
Form 990, Part VI, Section B, line 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 conficts of interest, the Board or Committee shall investigate and then determine by a majority vote whether a conflict of interest exists and whether the violation is grounds for removal from the Board or Committee. There are formal records of these proceedings. In addition, each director, officer, and member of the Board is required to annually complete and sign a Conflict of Interest Disclosure Statement. Employees must disclose in writing to their supervisors any conflicts of interest prior to engaging in transactions or taking positions with MaineGeneral Health. In addition, these disclosures must be approved by the supervisor's manager or, as applicable, the Board Chair, in conjunction with the Human Resources Compliance Officer. If management has reasonable cause to believe that an employee has intentionally failed to disclose a conflict of interest, appropriate disciplinary or corrective action up to and including termination shall be taken. In addition, upon hire or promotion to a management position, all management employees shall complete a Conflict of Interest Disclosure Statement, which will be submitted to the Ethics and Compliance Department for review and reporting to the Chief Compliance Officer, who will record and report each validated conflict of interest to the Board.
Form 990, Part VI, Section B, line 15The Board of Directors is responsible for determining the compensation package for the Chief Executive Officer. An independent compensation consultant advises the Board using comparability data, expert compensation studies and other means. Paid executives who hold voting privileges may not vote or participate in discussions regarding their compensation; however, they may answer questions that will help the Board in its deliberations. For other officer and key employee positions, salary structures are developed and maintained based on national compensation data for healthcare organizations. The Chief Executive Officer's compensation was last reviewed in October 2012.
Form 990, Part VI, Section C, line 18The 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 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 Controller distributes financial statements and budgets on a quarterly and annual basis to designated third parties.
Form 990, Part XI, line 5:Net unrealized losses on investments: -735466. Additional pension liability -1419838. Total to Form 990, Part XI, Line 5: -2155304.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2cMaineGeneral Health did not change its oversight process or selection process during the tax year.Change in oversight or selection process during the tax year:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
MaineGeneral Medical Center
6 East Chestnut StreetAugustaME04330043369653HospitalME501(c)(3)Line 3MaineGeneral Health1
HealthReach Network
6 East Chestnut StreetAugustaME04330010524384Provider of home care, hospice, and community support servicesME501(c)(3)Line 9MaineGeneral Health1
MaineGeneral Rehabilitation & Nursing Care
6 East Chestnut StreetAugustaME04330222789192Provider of long-term and residential care servicesME501(c)(3)Line 9MaineGeneral Health1
MaineGeneral Health Associates
6 East Chestnut StreetAugustaME04330222516766Provider of primary and specialty care physician servicesME501(c)(3)Line 9MaineGeneral Health1
MaineGeneral Retirement Community
6 East Chestnut StreetAugustaME04330010627194Provider of assisted and residential living servicesME501(c)(3)Line 9MaineGeneral Health1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MaineGeneral Medical Center
A54793Fair market value
MaineGeneral Rehabilitation & Nursing Care
A11263Fair market value
MaineGeneral Medical Center
K13876216Fair market value
MaineGeneral Rehabilitation & Nursing Care
K70000Fair market value
MaineGeneral Retirement Community
K20000Fair market value
HealthReach Network
K279503Fair market value

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.