2024-05-09T14:45:43-05:00 2023-06-30 010494926 Baker Newman Noyes LLC 280 Fore Street Portland ME 04101 990 2022-07-01 043369649 MaineGeneral Health MAIN 2076261000 35 Medical Center Parkway Augusta ME 04330 Terrance Brann Jr Chief Financial Officer 2076211000 2024-05-09 Terrance Brann Jr 999009999 0 Nicholas Porto P01310283 2078292100 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z Charles Hays 35 Medical Center Parkway Augusta ME 04330 15703139 0 9706 X www.mainegeneral.org X 1997 ME To enhance, every day, the health of our patients, our families and our communities. 13 9 5669 18 0 0 106736 37853 12988057 13765807 624918 283670 0 0 13719711 14087330 282726 279504 0 0 10296807 11005700 0 0 1169527 2266204 2748421 12845737 14033625 873974 53705 49305333 53641578 41268953 44677983 8036380 8963595 To enhance, every day, the health of our patients, our families and our communities. We do that through a range of health care services for people of all ages, in a variety of care settings. 0 0 4035979 279504 13765807 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. 4035979 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 24 0 1 5669 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 9 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Jeremy Storer 2078618660 35 Medical Center Parkway Augusta ME 04330 Charles Hays President & CEO 50.00 5.00 X X 911312 0 42934 Terry Brann Treasurer & Chief Financial Officer 50.00 5.00 X 488485 0 28157 Gail Cohen Chief Human Resources Officer 50.00 5.00 X 332483 0 46029 Alex Sydnor Chief Transformation Officer 50.00 5.00 X 333620 0 43745 Mark St John Chief Information Officer 50.00 5.00 X 319992 0 39422 Amy Rico MD Director 1.00 50.00 X 0 327879 28998 Marci Alexander General Council 50.00 5.00 X 326609 0 14844 Deirdre Heersink DO Director 1.00 50.00 X 0 315252 14734 Nicole McSweeney Chief Marketing and Philanthropy Officer 50.00 5.00 X 254496 0 26857 Julie Wilder-Greene Board Secretary 40.00 0.00 X 82642 0 3701 Stephanie Bartholomew MD Director 1.00 1.00 X 0 34081 0 Gary Peachey Director 1.00 1.00 X 0 0 0 Greg Feero MD Director 1.00 1.00 X 0 0 0 James LaLiberty Director & Chair 2.00 1.00 X X 0 0 0 Janice Kassman Director 1.00 1.00 X 0 0 0 Michelle Pelletier Director 2.00 1.00 X 0 0 0 Matthew Tardiff Director & Vice Chair 2.00 1.00 X X 0 0 0 Peter Mills Director 1.00 1.00 X 0 0 0 Scott Bullock Director 1.00 1.00 X 0 0 0 Scott Small Director 2.00 1.00 X 0 0 0 Ian Reight Director (Part Year) 1.00 50.00 X 0 0 0 Joey Joseph Director (Part Year) 2.00 1.00 X 0 0 0 Nate Cotnoir Director (Part Year) 2.00 1.00 X 0 0 0 3049639 677212 289421 18 0 1 0 MaineHealth 1 Riverfront Plaza Westbrook ME 04092 Healthcare Services 532505 Baker Newman Noyes LLC PO Box 507 Portland ME 04112 Auditing and other Consulting 148023 2 37853 37853 Management Fee 561000 13374449 13374449 Other 561000 391358 391358 13765807 256659 256659 1642820 1615809 27011 27011 27011 14087330 13765807 0 283670 239504 239504 40000 40000 1482440 1482440 7410479 2183550 4568334 658595 333255 86602 221465 25188 1252419 507114 419456 325849 527107 170866 315303 40938 37470 37470 166200 166200 13489 13489 749533 299518 441336 8679 1961 1961 258155 145503 104758 7894 7264 2396 4855 13 351412 325409 26003 46345 12946 31794 1605 7556 760 6796 5 5 20793 17243 3550 29349 29349 Professional Membership 494931 0 490489 4442 Recruitment 359686 359686 Special Projects 67163 11990 55173 Institutional Dues 50488 50488 86621 2602 68871 15148 14033625 4035979 8828119 1169527 2319865 1767891 106463 20896 56515 18453 35546 0 1361039 1923948 392669 378714 34747 13955 21224866 22431637 742770 1884364 23423522 25580434 49305333 53641578 19575998 20735988 21692955 23941995 41268953 44677983 X 7023408 7955587 1012972 1008008 8036380 8963595 49305333 53641578 X 53705 314179 559331 X X 0 1 X 1 1 1 X X 4 MaineGeneral Medical Center 043369653 3 1 13374449 0 MaineGeneral Community Care 010524384 10 1 0 0 MaineGeneral Rehabilitation & Long Term Care 222789192 10 1 0 0 MaineGeneral Virtual Health 853832135 10 1 0 0 4 13374449 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 5904028 75915 504598 281007 122131 14459 6066944 7050303 75008 -846635 46978 327670 5904028 6203513 62147 1191632 40565 366424 7050303 67100230 57135 -194875 41405 327572 66593513 6578742 148248 381232 39892 358100 6710230 0.83690 0.11490 0.04820 0 0 197234 189140 8094 195435 189574 5861 13955 Due from Affiliates 25580434 25580434 Accrued Health Insurance 4553345 Accrued Dental Insurance 144940 Workers Comp Accrual 31155 Acc Pension Cost Net Curr Port 943320 Section 457 Plan 18269235 23941995 X Part X, Line 2: The Company and its affiliates have been determined to be tax-exempt organizations as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and, accordingly, are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Accordingly, no provision for income taxes has been recorded in the accompanying consolidated financial statements for these tax-exempt organizations. The Captive is a limited liability company (LLC) under the Federal Income Tax Code and as an LLC passes its income or loss for federal and state tax purposes to its members. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by FASB, 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 tax returns. The Company has concluded no uncertain income tax positions exist at June 30, 2023. 1 Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas 0 0 Investment in Baxter Street Offshore Fund, LD. Equity Fund 12023602 0 0 0 0 0 0 12023602 0 12023602 1 0 0 0 0 0 Part III Accounting Method: SCHEDULE F, PART IV QUESTION 1 MaineGeneral Health is the legal owner of 100% certain investments of which its commonly-controlled affiliates are partial beneficial owners. The amounts reported on Schedule F and on Form 926 represent the total of these investments, of which MaineGeneral Health is the 100% legal owner and the partial beneficial owner. 1 MaineGeneral Medical Center 35 Medical Center Parkwaay Augusta ME 04330 043369653 501(c)(3) 239504 0 Support for Community Health Programs Support for Community Health Programs 1 Scholarships 43 40000 Scholarships to support secondary education 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 other 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. X 1 1 X X X X X 0 0 0 0 0 0 0 1 0 Charles Hays President & CEO 680031 0 194400 0 36881 0 12200 0 30734 0 954246 0 0 0 Terry Brann Treasurer & Chief Financial Officer 413339 0 61450 0 13696 0 12200 0 15957 0 516642 0 0 0 Gail Cohen Chief Human Resources Officer 265068 0 42676 0 24739 0 12200 0 33829 0 378512 0 0 0 Alex Sydnor Chief Transformation Officer 285985 0 42688 0 4947 0 12200 0 31545 0 377365 0 0 0 Mark St John Chief Information Officer 270989 0 39689 0 9314 0 10337 0 29085 0 359414 0 0 0 Amy Rico MD Director 0 304617 0 20000 0 3262 0 12200 0 16798 0 356877 0 0 Marci Alexander General Council 316330 0 0 0 10279 0 12200 0 2644 0 341453 0 0 0 Deirdre Heersink DO Director 0 276252 0 0 0 39000 0 12200 0 2534 0 329986 0 0 Nicole McSweeney Chief Marketing and Philanthropy Off 221559 0 32207 0 730 0 12200 0 14657 0 281353 0 0 0 Part I, Line 1a Charles Hays $9,474 Treated as taxable compensation. Part I, Line 3 The Board of Directors is responsible for determining the compensation package (base salary, performance incentive pay plan and other benefits and perquisites) for the Chief Executive Officer. They have an independent executive compensation consultant who advises the Board after completing an evaluation of the compensation and benefits provided to its Chief Executive Officer - this includes using comparability data, executive compensation studies and other means as well as their findings and opinion regarding the reasonableness of the maximum total remuneration that could be earned. 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, the Chief Executive Officer is responsible for determining the base compensation for all his direct reports, while the Board of Directors is responsible for the variable compensation. An independent compensation consultant advises the CEO using comparability data, executive compensation studies and other means. This, together with the Chief Executive Officer's compensation, was last reviewed in August 2022. Part I, Line 7 A portion of compensation is at risk and variable and is based on the quality of job performance. Kathryn L York Child of Charles Hays 70223 Employee Compensation 0 Charles Hays Child of Charles Hays 52505 Employee Compensation 0 Form 990, Part VI, Section B, line 11b 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 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 2024 and by the Board of Directors in May 2024. 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, executive compensation studies and other means. Paid executives who hold voting privileges may not vote or participate in discussions regarding their compensation; however, they may answer questions that will help the Board in its deliberations. The Chief Executive Officer's compensation was last reviewed August 2022. For other officers and key employee positions, salary structures are developed and maintained based on compensation data for healthcare organizations provided by an independent compensation consultant. This data is reviewed by the CEO to determine salaries that are consistent with non-profit healthcare organizations of a similar size, mission and complexity to our organization. The salary determinations made by the CEO are submitted to and approved by the Board of Directors. Form 990, Part VI, Section C, line 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 Administrative Director of Finance distributes financial statements and budgets on a quarterly and annual basis to designated third parties. Form 990, Part XI, line 9: Additional Minimum Pension Liability 559331. Form 990 Part XII, Line 2c. MaineGeneral Health did not change its oversight process or selection process during the current tax year. Kennebec Risk LLC 463 Mountain View Drive Suite 301 Colchester VT 05446 Captive Insurance Company VT 0 0 MaineGeneral Medical Center MaineGeneral Medical Center 35 Medical Center Parkway Augusta ME 04330 043369653 Hospital ME 501(C)(3) Line 3 MaineGeneral Health 1 MaineGeneral Community Care 35 Medical Center Parkway Augusta ME 04330 010524384 Provider of home care, hospice, and community support services ME 501(C)(3) Line 10 MaineGeneral Health 1 MaineGeneral Rehabilitation & Long Term Care 35 Medical Center Parkway Augusta ME 04330 222789192 Provider of long-term and residential care services ME 501(C)(3) Line 10 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 10 MaineGeneral Health 1 0 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 MaineGeneral Medical Center L 13374449 Fair Market Value MaineGeneral Medical Center B 239504 Fair Market Value