MAINEGENERAL HEALTH: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MAINEGENERAL HEALTH (EIN 04-3369649)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-04-26
IRS object ID
201231179349300203
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-04-26T06:57:19-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1280 Fore StreetAddressLine1
CityPortlandCity
StateMEState
ZIP Code04101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

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 Signed2012-04-26DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameE Drew CheneyName
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line16 East Chestnut StreetAddressLine1
CityAugustaCity
StateMEState
ZIP Code043305717ZIPCode
FieldValueIRS element (for citing)
Gross Receipts18770571GrossReceipts
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 Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members16NbrIndependentVotingMembers
Total Nbr Employees124TotalNbrEmployees
Total Nbr Volunteers21TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year224013ContributionsGrantsPriorYear
Contributions Grants Current Year42109ContributionsGrantsCurrentYear
Program Service Revenue Prior Year12364611ProgramServiceRevenuePriorYear
Program Service Revenue CY12784851ProgramServiceRevenueCY
Investment Income Prior Year503381InvestmentIncomePriorYear
Investment Income Current Year572661InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year13092005TotalRevenuePriorYear
Total Revenue Current Year13399621TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17771GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year9593419SalariesEtcPriorYear
Salaries Etc Current Year10005509SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year925430TotalFundrsngExpCurrentYear
Other Expense Prior Year2925153OtherExpensePriorYear
Other Expenses Current Year2992149OtherExpensesCurrentYear
Total Expenses Prior Year12518572TotalExpensesPriorYear
Total Expenses Current Year13015429TotalExpensesCurrentYear
Revenues Less Expenses Prior Year573433RevenuesLessExpensesPriorYear
Revenues Less Expenses CY384192RevenuesLessExpensesCY
Total Assets BOY16565227TotalAssetsBOY
Total Assets EOY16898576TotalAssetsEOY
Total Liabilities BOY11014276TotalLiabilitiesBOY
Total Liabilities EOY10245563TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5550951NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6653013NetAssetsOrFundBalancesEOY
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
Expense5399048Expense
Grants17771Grants
Revenue12784343Revenue
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 Expense5399048TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
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 Footnote0ReportFin48Footnote
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 Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096616NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees124NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members16NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (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 Staff, Augusta10.00X027554929187
Scott B Bullock
President & CEO50.00X569459041945X
Stephanie Calkins MD
Director & Assistant Chief of Staff, Waterville1.00X0216001188
Diane Campbell MD
Director1.00X0815038039
Douglas Cutchin
Director1.00X000
Charles Danielson MD MPH
Director & Chief of Staff, Waterville1.00X000
Mark Ford
Director2.00X000
Peter Guzzetti DO DDS
Director & President of the Medical Staff1.00X0220000
Jeffrey Hubert
Director1.00X000
Robert Marden
Director & Chair2.00X000
Barbara Mayer
Director2.00X000
Roy Miller MD
Director1.00X000
Elizabeth Mitchell Esq
Director1.00X000
Gordon Pow
Director1.00X000
Brian Rines PhD
Director1.00X000
Tobi Schneider Esq
Director1.00X000
William Sprague
Director & Vice Chair1.00X000
Douglas Terp
Director1.00X000
Barbara Woodlee Ed D
Director1.00X000
Karen Tobias
Board Secretary45.0057158014515X
Michael Koziol
Senior VP & CFO50.00260080018978X
Barbara Crowley MD
Employee50.00317262041063X
Charles W Hays
Employee50.00265700016179X
Steven Diaz MD
Chief Medical Officer50.00236836055492X
Gail M Evans
Senior VP, Marketing & Strategy50.00187833020721X
Sharon Woodward
Senior VP, Patient Services & CNO50.00189266025985X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2083594TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs400652TotalReportableCompFrmRltdOrgs
Total Other Compensation273292TotalOtherCompensation
Number Individuals GT100 K17NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
PricewaterhouseCoopers
PO Box 7247-8001PhiladelphiaPA191708001Audit services320993
Baker Newman & Noyes
280 Fore StreetPortlandME04101Consulting services157456
FieldValueIRS element (for citing)
Number Of Contractors GT100 K2NumberOfContractorsGT100K
All Other Contributions42109AllOtherContributions
Total Contributions42109TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Management Fee Revenue5610001271871812718718
Purchase Refunds5610006613366133
FieldValueIRS element (for citing)
Total Program Service Revenue12784851TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column266475TotalRevenueColumn
Exclusion$266,475ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5677136Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5370442Securities
Other508Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities306694Securities
Other-508Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column306186TotalRevenueColumn
Related Or Exempt Function Income-508RelatedOrExemptFunctionIncome
Exclusion$306,694ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column13399621TotalRevenueColumn
Related Or Exempt Function Income12784343RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$573,169ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total17771Total
Program Services17771ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1156148Total
Management And General1156148ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7089220Total
Program Services3457481ProgramServices
Management And General3072508ManagementAndGeneral
Fundraising559231Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total717288Total
Program Services349828ProgramServices
Management And General310877ManagementAndGeneral
Fundraising56583Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total561226Total
Program Services273715ProgramServices
Management And General243239ManagementAndGeneral
Fundraising44272Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total481627Total
Program Services234894ProgramServices
Management And General208740ManagementAndGeneral
Fundraising37993Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total250011Total
Management And General250011ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total233252Total
Management And General233252ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total649167Total
Program Services130489ProgramServices
Management And General425353ManagementAndGeneral
Fundraising93325Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total57127Total
Program Services55508ProgramServices
Management And General1619ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total341617Total
Program Services144839ProgramServices
Management And General150081ManagementAndGeneral
Fundraising46697Fundraising

Occupancy Occupancy

FieldValueIRS element (for citing)
Total305663Total
Program Services103660ProgramServices
Management And General164537ManagementAndGeneral
Fundraising37466Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total65609Total
Program Services30543ProgramServices
Management And General30969ManagementAndGeneral
Fundraising4097Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total101867Total
Program Services56078ProgramServices
Management And General34405ManagementAndGeneral
Fundraising11384Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total71768Total
Program Services71768ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total100582Total
Program Services77765ProgramServices
Management And General19245ManagementAndGeneral
Fundraising3572Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total12208Total
Management And General12208ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Professional membership5139631564693482889206
Recruitment103603103112491
Educational Assistance102540102540
Minor equipment64918232452006921604
Relocation and moving e92259225

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total9029Total
Program Services118ProgramServices
Management And General8911ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total13015429Total
Program Services5399048ProgramServices
Management And General6690951ManagementAndGeneral
Fundraising925430Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY288102BOY
EOY505626EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4403693BOY
EOY3073330EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY24651BOY
EOY563EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY27372BOY
EOY26767EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY2199714BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY454972BOY
EOY777568EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis761968LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec399778LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY486576BOY
EOY362190EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6231002BOY
EOY6483303EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2449145BOY
EOY5669229EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY16565227BOY
EOY16898576EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2524130BOY
EOY2600925EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY25268BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY2258020BOY
EOY1598020EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6206858BOY
EOY6046618EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11014276BOY
EOY10245563EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4868371BOY
EOY5945744EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY154783BOY
EOY177890EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY527797BOY
EOY529379EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5550951BOY
EOY6653013EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY16565227BOY
EOY16898576EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses384192ReconcilationRevenueExpenses
Reconcilation Other Changes717870ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
MaineGeneral Medical Center
0433696533111$794,231
HealthReach Network
0105243849111$0
MaineGeneral Rehabilitation & Nursing Care
2227891929111$0
MaineGeneral Health Associates
2225167669111$0
MaineGeneral Retirement Community
0106271949111$0
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts794231SumOfAmounts

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Balance0.87200BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.09500PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.03300TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis148779OtherCostOrOtherBasis
Depreciation24099Depreciation
Book Value124680BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis613189OtherCostOrOtherBasis
Depreciation375679Depreciation
Book Value237510BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings362190TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Due from affiliates4111725
Intercompany notes receivable1555895
Deferred issuance costs1609
FieldValueIRS element (for citing)
Total Book Value Other Assets5669229TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
Accrued pension costs$2,105,442
Accrued deferred compensation$738,959
Other long-term liabilities$273,358
Self insurance reserve - health$2,652,881
Self insurance reserve - dental$221,215
Workers compensation accrual$54,763
FieldValueIRS element (for citing)
Total Of Amounts6046618TotalOfAmounts
Total Revenue13399621TotalRevenue
Total Expenses13015429TotalExpenses
Excess Or Deficit For Year384192ExcessOrDeficitForYear
Net Unrealized GL On Investments762743NetUnrealizedGLOnInvestments
Other-$44,873OtherAmount
Total Adjustments717870TotalAdjustments
Excess Or Deficit Per FS1102062ExcessOrDeficitPerFS

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
ExplanationPart 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. Part X, Line 2: There were no disclosures reporting MaineGeneral Health's liability for uncertain tax positions under FIN 48. Part XI. Line 8: Pension-related changes other than net periodic pension costExplanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarshipsTypeOfGrant
Number Of Recipients27NumberOfRecipients
Amount Of Cash Grant17771AmountOfCashGrant
Amount Of Non Cash Assistance0AmountOfNonCashAssistance
Method Of ValuationBookMethodOfValuation

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 (8 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
02510280215280299302056208625030473600
Scott B Bullock
4318700001375890208250211200611404000
Michael Koziol
2583270001753010625083530279058000
Barbara Crowley MD
31039400068680248600162030358325000
Charles W Hays
2588660006834013235029440281879000
Steven Diaz MD
2365010003350341980212940292328000
Gail M Evans
18639100014420104500102710208554000
Sharon Woodward
1878050001461017669083160215251000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 1aTax Gross-Up Payments: Scott B. Bullock $1,932.31 Treated as taxable compensation Barbara Crowley $ 62.66 Treated as taxable compensation Charles Hays $ 76.17 Treated as taxable compensation
Part I, Line 4bSupplemental nonqualified retirement plan - Scott Bullock - Amounts paid $57,371. 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 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 shall vest on January 15, 2012 if still employed and (2) the amounts credited to the account for the third, fourth, and fifth contract years and the earnings theron 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 7Part I, Line 7: A portion of compensation is at risk and variable and is based on the quality of job performance.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section B, line 11All Forms 990 and related attachments were reviewed by appropriate members of senior management, the Finance Committee, and the Board of Directors before the filings were sent to the Internal Revenue Service. Final drafts of Forms 990 were available thirty days prior to the filing deadline in order to be formally reviewed by the Senior Vice President and Chief Financial Officer, the Compliance Officer, the entire senior management team, the Finance Committee, and the Board of Directors. Forms 990 and related attachments were provided to and reviewed by the Finance Committee in March 2012 and by the Board of Directors in April 2012. 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.
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 12c
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 October 2011.Form 990, Part VI, Section B, line 15
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, along with the latest filed copies of Forms 990, 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 VI, Section C, line 19
Changes in Net Assets or Fund Balances:Net unrealized gains on investments: 762743. Pension-related changes other than net periodic pension cost: 749358. Intercompany transfers: -794231. Total to Form 990, Part XI, Line 5: 717870.Form 990, Part XI, line 5:
Change in oversight or selection process during the tax year: MaineGeneral Health did not change its oversight process or selection process during the tax year.Form 990, Part XI, Line 2c

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)170(b)(1)(A)MaineGeneral Health1
HealthReach Network
6 East Chestnut StreetAugustaME04330010524384Provider of homecare, hospice and community support servicesME501(c)(3)509(a)(2)MaineGeneral Health1
MaineGeneral Rehabilitation & Nursing Care
6 East Chestnut StreetAugustaME04330222789192Provider of long term and residential care servicesME501(c)(3)509(a)(3)MaineGeneral Health1
MaineGeneral Health Associates
6 East Chestnut StreetAugustaME04330222516766Provider of primary and specialty physician servicesME501(c)(3)509(a)(3)MaineGeneral Health1
MaineGeneral Retirement Community
6 East Chestnut StreetAugustaME04330010627194Provider of assisted and residential living servicesME501(c)(3)509(a)(2)MaineGeneral Health1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
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 (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
MaineGeneral Rehabilitation & Nursing Care
A16697Fair Market Value
MaineGeneral Medical Center
A47240Fair Market Value
MaineGeneral Medical Center
B990231Fair Market Value
MaineGeneral Medical Center
K12221962Fair Market Value
HealthReach Network
K320889Fair Market Value

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