SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
MaineGeneral Health and Affiliates
 
Employer identification number

32-0265031
Return Reference Explanation
Form 990, Part I, Item C DBA: MaineGeneral Employee Assistance Program DBA: MaineGeneral Express Care DBA: MaineGeneral Gastroenterology DBA: MaineGeneral Inpatient Detoxification DBA: MaineGeneral Intensive Outpatient Treatment DBA: MaineGeneral Neurology DBA: MaineGeneral Obstetrics and Gynecology DBA: MaineGeneral Outpatient Psychiatry DBA: MaineGeneral Residential Services DBA: MaineGeneral Surgery DBA: MaineGeneral Rehabilitation and Long Term Care At Glenridge DBA: MaineGeneral Rehabilitation and Long Term Care At Graybirch DBA: MaineGeneral Community Care DBA: MaineGeneral Homecare and Hospice DBA: MaineGeneral Harm Reduction Program DBA: MaineGeneral Assertive Community Treatment DBA: MaineGeneral Incontinence Program DBA: MaineGeneral Kidney Care DBA: MaineGeneral Midwifery Services DBA: MaineGeneral Occupational Therapy DBA: MaineGeneral Sports Medicine DBA: Alfond Center for Health DBA: Thayer Center for Health DBA: Augusta Family Medicine DBA: Gardiner Family Medicine DBA: Winthrop Family Medicine DBA: MaineGeneral Counseling DBA: MaineGeneral Speech Therapy DBA: MaineGeneral Allergy & Asthma DBA: MaineGeneral Inpatient Psychiatric DBA: MaineGeneral Ear, Nose and Throat DBA: MaineGeneral Diabetes and Nutrition DBA: MaineGeneral Hearing Evaluations & Treatment DBA: MaineGeneral Horizon Clinic DBA: MaineGeneral Internal Medicine DBA: MaineGeneral Medical Center DBA: MaineGeneral Medical Center Physical Rehabilitation Unit DBA: MaineGeneral Mental Health and Substance Abuse Services DBA: MaineGeneral Orthopaedics DBA: MaineGeneral Physiatry DBA: MaineGeneral Pulmonology DBA: MaineGeneral Urology DBA: MaineGeneral Anticoagulation Clinic DBA: MaineGeneral Bariatric Center DBA: Alzheimer's Care Center DBA: Glenridge Living Community DBA: The Inn at City Hall DBA: Early Learning Center DBA: MaineGeneral WIC DBA: MaineGeneral Hospice Volunteers of Kennebec Valley DBA: MaineGeneral Hospice DBA: MaineGeneral Homecare DBA: MaineGeneral Next Step Needle Exchange DBA: MaineGeneral Prevention and Healthy Living Center DBA: Peter Alfond Healthy Living Resource Center DBA: MaineGeneral Podiatry DBA: MaineGeneral Eye Center DBA: MaineGeneral Palliative Care DBA: Mid-Maine Medicine DBA: Renew! A Shop for Women DBA: Oakland Family Medicine DBA: Elmwood Primary Care DBA: Winthrop Pediatric and Adolescent Medicine DBA: Kennebec Pediatrics DBA: Harold Alfond Center for Cancer Care DBA: Workplace Health DBA: Family Medicine Institute DBA: Edmund Ervin Pediatric Center DBA: Comfort Care at Glenridge DBA: Healthreach Network DBA: MaineDartmouth Family Practice
Form 990 Part I, Line 1 MaineGeneral Health is a comprehensive non-profit system with the mission of enhancing, every day, the health of our patients, our families and our communities.
Form 990 Part III, Line 4a MaineGeneral Medical Center is a non-profit acute care hospital with facilities in both Augusta and Waterville, Maine, that provides comprehensive healthcare services to the community, regardless of a patient's ability to pay. Both campuses provide emergency and outpatient lab and diagnostic services. The Augusta campus also provides critical care, a full range of inpatient and outpatient surgical services, substance abuse and mental health services, cancer care, maternal, newborn and child health services and inpatient diagnostic services. During the fiscal year ending June 30, 2022 MaineGeneral Medical Center provided care for 8,962 inpatients, 9,851 inpatient and outpatient surgeries, 1,323 births, 72,689 oncology procedures, 589,622 laboratory procedures, 140,576 diagnostic imaging procedures and 53,882 emergency procedures. MaineGeneral Medical Center also provides physician care services through hospital based physician practices throughout Kennebec County. These physician practices include primary care as well as a wide variety of specialty services. During fiscal year 2022 the MaineGeneral Physician practices provided 462,000 primary care Relative Value Units (RVUS), 322,896 medical specialty RVUS and 524,887 RVUS for various other specialty care RVUS.
Form 990 Part III, Line 4b MaineGeneral Community Care operates a homecare and hospice program throughout the Kennebec Valley and surrounding areas. During the fiscal year ending June 30, 2022, MaineGeneral Community Care provided 39,825 days of homecare services and 45,065 days of hospice care. The company also provides several community support programs for mental health and substance abuse treatment. MaineGeneral Community Care provided 4,357 service hours of outpatient counseling, 2,875 days of service through the women's residential care programs; and 6,362 visits through the ACT program.
Form 990 Part III, Line 4c MaineGeneral Rehabilitation and Long Term Care provides long-term care, assisted living, respite and day care services to the community. Graybirch and Glenridge nursing facilities in Augusta, Maine provided 69,851 days of skilled and residential care services to residents requiring long-term care services during the fiscal year ending June 30, 2022. The Alzheimer's Care Center in Gardiner, Maine provides residential care, respite and day care services to residents with memory loss. The center provided 10,283 days of residential care services and 3,701 hours of service in the day care program during the fiscal year ending June 30, 2022. In addition, MaineGeneral Rehabilitation and Long Term Care operates an early learning center that provides child care services to employees and community children and provides assisted living services to residents living at the Inn at City Hall in Augusta, Maine.
Form 990 Part V, Line 2a All affiliates have a pay agent agreement with MaineGeneral Health (EIN 04-3369649). As such, all employees are reported as employees of MaineGeneral Health for W-2 and W-3 purposes. They are reported on MaineGeneral Health's separate Form 990.
Form 990, Part VI, Section B, line 11b Final drafts of Forms 990 were available thirty days prior to the filing deadline in order to be formally reviewed by the President and Chief Executive Officer and Chief Financial Officer, the Compliance Officer, the entire senior management team, the Finance Committee and the Board of Directors. Forms 990 and related attachments were provided to and reviewed by the Finance Committee in April 2023 and by the Board of Directors in May 2023.
Form 990, Part VI, Section B, line 12c MaineGeneral Health and Affiliates' 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 a 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 and Affiliates. In addition, these disclosures must be approved by the supervisor's manager or, as applicable, the Board Chair, in conjunction with the Human Resources Compliance Officer. If management has reasonable cause to believe that an employee has intentionally failed to disclose a conflict of interest, appropriate disciplinary or corrective action up to and including termination shall be taken. In addition, upon hire or promotion to a management position, all management employees shall complete a Conflict of Interest Disclosure Statement, which will be submitted to the Ethics and Compliance Department for review and reporting to the Chief Compliance Officer, who will record and report each validated conflict of interest to the Board.
Form 990, Part VI, Section B, line 15 The Board of Directors is responsible for determining the compensation package for the Chief Executive Officer. An independent compensation consultant advises the Board using comparability data, expert compensation studies and other means. Paid executives who hold voting privileges may not vote or participate in discussions regarding their compensation; however, they may answer questions that will help the Board in its deliberations. For other officer and key employee positions, 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, expert compensation studies and other means. This, together with the Chief Executive Officer's compensation, was last reviewed in August 2021.
Form 990, Part VI, Section C, line 19 MaineGeneral Health and Affiliates makes its governing documents, conflict of interest policy and financial statements, whether or not audited, available to the general public by use of the organization's website and providing copies immediately upon request. In addition, the Controller distributes financial statements and budgets on a quarterly and annual basis to designated third parties.
Form 990, Part IX, line 11g Physician Fees : Program service expenses 12909568. Management and general expenses 2399404. Fundraising expenses 0. Total expenses 15308972. Purchased Services : Program service expenses 9545634. Management and general expenses 0. Fundraising expenses 0. Total expenses 9545634. Temporary Worker : Program service expenses 35611566. Management and general expenses 1281833. Fundraising expenses 0. Total expenses 36893399. Pharmacy Review : Program service expenses 6039416. Management and general expenses 0. Fundraising expenses 0. Total expenses 6039416. Transcription : Program service expenses 45907. Management and general expenses 0. Fundraising expenses 0. Total expenses 45907. Radiology : Program service expenses 2566. Management and general expenses 0. Fundraising expenses 0. Total expenses 2566. Lab Services : Program service expenses 4800968. Management and general expenses 0. Fundraising expenses 0. Total expenses 4800968. Consulting : Program service expenses 107163. Management and general expenses 0. Fundraising expenses 0. Total expenses 107163. Locums Costs : Program service expenses 3293479. Management and general expenses 0. Fundraising expenses 0. Total expenses 3293479. Service Charges : Program service expenses 0. Management and general expenses 2054259. Fundraising expenses 0. Total expenses 2054259. Consulting Fees : Program service expenses 0. Management and general expenses 434465. Fundraising expenses 0. Total expenses 434465. Collection Fees : Program service expenses 0. Management and general expenses 628996. Fundraising expenses 0. Total expenses 628996.
Form 990, Part XI, line 9: Additional Pension Liability -937773.
Form 990 Part XII, Line 2c. MaineGeneral Health did not change its oversight process or selection process during the current tax year.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


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