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MaineGeneral Health and Affiliates
Mainegeneral Medical Center
35 Medical Center ParkwayAugusta, ME 04330
| Bed count | 287 | Medicare provider number | 200039 | Member of the Council of Teaching Hospitals | NO | Children's hospital | NO |
EIN: 320265031
Display data for year:
Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)
15.62%
Spending by Community Benefit Category- 2021
(as % of total functional expenses)
(as % of total functional expenses)
Community Benefit Spending Compared to Functional Expenses, 2010-2021
Additional data
Community Benefit Expenditures: 2021
All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Operating expenses $ 685,372,457 Total amount spent on community benefits as % of operating expenses$ 107,058,154 15.62 %- Amount spent in the following IRS community benefit categories:
Financial Assistance at cost as % of operating expenses$ 4,260,499 0.62 %Medicaid as % of operating expenses$ 87,254,088 12.73 %Costs of other means-tested government programs as % of operating expenses$ 0 0 %Health professions education as % of operating expenses$ 211,863 0.03 %Subsidized health services as % of operating expenses$ 11,503,276 1.68 %Research as % of operating expenses$ 0 0 %Community health improvement services and community benefit operations*
as % of operating expensesNote: these two community benefit categories are reported together on the Schedule H, part I, line 7e.$ 3,828,428 0.56 %Cash and in-kind contributions for community benefit* as % of operating expenses$ 0 0 %Community building*
as % of operating expenses$ 2,280,562 0.33 %- * = CBI denoted preventative categories
- Community building activities details:
Did tax-exempt hospital report community building activities? YES Number of activities or programs (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Persons served (optional) 0 Physical improvements and housing 0 Economic development 0 Community support 0 Environmental improvements 0 Leadership development and training for community members 0 Coalition building 0 Community health improvement advocacy 0 Workforce development 0 Other 0 Community building expense
as % of operating expenses$ 2,280,562 0.33 %Physical improvements and housing as % of community building expenses$ 0 0 %Economic development as % of community building expenses$ 0 0 %Community support as % of community building expenses$ 0 0 %Environmental improvements as % of community building expenses$ 0 0 %Leadership development and training for community members as % of community building expenses$ 0 0 %Coalition building as % of community building expenses$ 0 0 %Community health improvement advocacy as % of community building expenses$ 2,280,562 100 %Workforce development as % of community building expenses$ 0 0 %Other as % of community building expenses$ 0 0 %Direct offsetting revenue $ 404,457 Physical improvements and housing $ 0 Economic development $ 0 Community support $ 0 Environmental improvements $ 0 Leadership development and training for community members $ 0 Coalition building $ 0 Community health improvement advocacy $ 404,457 Workforce development $ 0 Other $ 0
Other Useful Tax-exempt Hospital Information: 2021
In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.
Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt
as % of operating expenses$ 28,411,685 4.15 %Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program? NO - Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.
Does the organization have a written financial assistance (charity care) policy? YES Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients? YES Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy
as % of operating expenses$ 0 0 %- Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Reported to credit agency Not available Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
After enactment of the ACA, has the state in which this tax-exempt hospital is located expanded Medicaid? NO The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
If not, is the state's Medicaid threshold for working parents at or below 76% of the federal poverty guidelines? NO In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.
Does the state in which the tax-exempt hospital is located have a mandatory community benefit reporting statute? YES
Community Health Needs Assessment Activities: 2021
The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.
Did the tax-exempt hospital report that they had conducted a CHNA? YES Did the CHNA define the community served by the tax-exempt hospital? YES Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital? YES Did the tax-exempt hospital make the CHNA widely available (i.e. post online)? YES Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA? YES
Supplemental Information: 2021
This section presents qualitative information submitted by the hospital, verbatim from the 990H record.
- Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4A (Expenses $ 508217512 including grants of $ 500) (Revenue $ 637080505) See Schedule O.
4B (Expenses $ 32736439 including grants of $ 0) (Revenue $ 20386396) See Schedule O.
4C (Expenses $ 16958443 including grants of $ 0) (Revenue $ 16476882) See Schedule O.
4D (Expenses $ 3037 including grants of $ 0) (Revenue $ 8416) MaineGeneral Health Virtual Care provides tele-health car visits to members of the community that have medical issues that do not require an in person visit.
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Facility Information
Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.
MaineGeneral Medical Center Part V, Section B, Line 5: The CHNA was a collaborative effort including the State of Maine Center for Disease Control, Maine Health System, MaineGeneral Health, Central Maine Health and Northern Light Health System. As a result of this collaboration significant statistical data from federal and state sources were used to identify state wide and community focused health needs. Through this collaboration it was ensured that broad interests of the local community were represented; stakeholder feedback was solicited on prioritizing significant health needs and identified local assets and resources that could address health priorities. The planning process included the district liaison from the Maine CDC and representatives from participating Maine hospitals in the region. The leaders reached out to community benefit leadership among other local not-for-profit hospitals, local public health departments, and other organizations and community sectors whose work impacts the health of the communities in the district and/or county. This outreach resulted in the formation of committees which reflected the populations that need to be engaged and included individuals with diverse expertise or community roles, including representatives from the following sectors:Public healthCommunity health coalitionsHealthcare providers, including oral and behavioral healthcare providers, Minority populations (e.g. Maine NAACP members, Latino student club and immigrant services), Business and civic leadership (e.g. local employers, civic organizations and community leaders), Funding agencies (e.g. local philanthropic organizations, bank and credit union services), local and state government, non-profit organizations, including hospitals, colleges and universities and low-income and/or medically underserved people.The MSCHNA committee collected input as resources allowed through the best methods determined locally. Suggestions for obtaining feedback from organizations and groups included but were not limited to community forums, key informant interviews, focus groups, written or electronic surveys and group presentations with structured feedback.
MaineGeneral Medical Center Part V, Section B, Line 6a: Maine Health, Central Maine Healthcare and Northern Light Healthcare systems.
MaineGeneral Medical Center Part V, Section B, Line 6b: Maine Department of Health and Human Services; Center for Disease Control.
MaineGeneral Medical Center Part V, Section B, Line 11: MaineGeneral Health Community Health Needs Assessment: FY 2020-2022 Implementation PlanCounties: Kennebec & SomersetHealth Priority: Chronic Disease Prevention and Management (cancer, diabetes, heart disease, tobacco)Goal of Health Priority: To improve the prevention and management of chronic disease in order to reduce incidenceObjectives MetricsDepartments Involved & Partners/External OrganizationsYear of Work (1-3)Objective 1: Develop stronger partnerships between primary and specialty care to improve patient outcomesNumber of primary care providers attending Family Practice/Internal Medicine department meetings. # clinical integration guidelines implementedSource: Meeting attendance sheet, KRHA websiteClinical Integration, KRHA Primary Care and Specialty Practices 1-3Objective 2: Use the whole primary care team to increase the number of 65+ patients being seen for an annual wellness visit/annual physicalPercentage of patients 65+ that have received an annual wellness visit or physical exam. Source: MaineGeneral Soarian reportMaineGeneral QualityPrimary care 1-3Objective 3: Increase compliance with colorectal cancer screening, diabetic screening for retinopathy and nephropathy (pre-visit planning, proactive outreach, etc.)Percentage of patients compliant with colorectal cancer screening. Percentage of diabetic patients compliant with annual screening for retinopathy and nephropathy.Source: MaineGeneral Touchworks Reports, Payer ReportsMaineGeneral QualityPrimary care practicesPrevention & Healthy Living (PHL)1-3Objective 4: Provide education to medical and practice staff to improve clinical documentation and accurately identify patients with diabetes, heart failure and COPD in the population# staff Educated# patients with COPD, CHF, DiabetesSource: HCC Tableau DashboardOutpatient CDIOutpatient EducationMG outpatient coders1-3Objective 5: Improve HPV vaccination rates for adolescents for cancer prevention; BMI screening for obesity by participating in pilot study% of vaccinated adolescentsSource: Touchworks reports Quality Counts Primary careState of Maine 1-3Objective 6: Expand Chronic Disease Self-Management Programs to high-risk populations, including people living with HIV # lay leaders trained# referrals# classes held# participants Source: Touchworks reporting, CRM and CAREware softwareHorizon Program, PHL 2-3Objective 7: Identify patients with chronic conditions (COPD, CHF, DM) or multiple ED visits/admissions who may be eligible for Community Care Team (CCT) or practicebased care management services# referrals to CCT # patients creating care plan with practicebased care manager# patients with COPD, CHF, DM or multiple ED visits/admissions# CCT patients connected to various resources (transportation, food security, etc.)Source: Monthly utilization reportsCCTPrimary Care 2-310Objectives MetricsDepartments Involved & Partners/External OrganizationsYear of Work (1-3)Objective 8: Improve the percentage of patients who return for their annual LDCT by implementing an annual reminder letter and deploying a CHW for proactive outreach to address barriers# of patients who schedule LDCT# of patients who complete LDCT# of current smokers who accept referral to MTHLSource: ACR lung screening registryRadiologyPHLPulmonaryThoracic surgeryHACCC1-3Objective 9: Monitor referral trends for lung cancer screening, LDCT, and strengthen the link between specialty practices and primary care through outreach from pulmonary, thoracic surgery and nurse navigators# practices referring to LDCT# medical staff referring to LDCTRadiologyPHLPulmonaryThoracic surgeryHACCC1-3Objective 10: Provide education on cancerfighting fruits and vegetables through a collaboration with the prevention center and the cancer center dietitian# classes held# participantsHACCCPHLDietary 1Objective 11: Adopt new process to increase patient care plans for PCPs and patients post cancer care treatment# care plans administered HACCC 1-3Objective 12: Provide survivorship visits to help patients manage their health after treatment and reduce the risk of chronic disease development. Strengthen partnership between cancer center and primary care practices to increase # of visits# care plans administered HACCCPrimary Care 1-3Objective 13: Engage rural, low-income smokers in Central Maine in tobacco cessation through a survey tool and Community Health Worker outreach # of individuals contacted# of surveys conducted# of survey sites# barriers identified# of risk reductions tracked# of individuals who decrease smoked cigarettes# quit attempts# thought about quitting# intend to quit in six months# of referrals to MTHL# of individuals who quit tobaccoPHL Maine Tobacco Helpline (MTHL)Center for Tobacco Independence 1-2Objective 14: Implement data analytics/claims analytics platform to improve care coordination, patient risk stratification and population health management tailored to patients' needsImplementation datedata elements integrated# registered usersPrimary CareCare ManagementKRHA 2-311 MaineGeneral Health Community Health Needs Assessment: FY 2020-2022 Implementation PlanCounties: Kennebec & SomersetHealth Priority: Mental HealthGoal of Health Priority: To further the integration of mental health and physical health to increase well-being and quality of lifeObjectives MetricsDepartments Involved & Partners/External OrganizationsYear of Work (1-3)Objective 1: Expand staffing pattern and organize daily management tasks to grow the Assertive Community Treatment (ACT) program and enhance capacity# ACT clients served% of clients will have no psychiatric hospitalizations in any 90-day period% of clients will have their housing needs assessed as part of their initial ISP % of clients will have their housing needs assessed every 90 days % of non-hospitalized referrals will be assessed within 7 days % of clients will have their employment needs assessed % of clients whose Need for Change Scale indicates a strong/urgent need will complete a Career Profile ACT Team 1-3Objective 2: Recruit and hire LCSW that has a background in HIV and mental health to offer counseling to Horizon Program clientsLSCW FTE & Hire Date# patients served by Horizon LCSWHorizon Clinic 1-3Objective 3: Actively screen all Horizon clients for mental health at every appointment, and refer out for psychology/psychiatry based on the clients' needs# clients screened at each visit for mental health# Horizon clients are currently seeking mental health treatmentSource: Touchworks Reports, CAREware reportsHorizon ClinicMaineGeneral Behavioral Health ServicesACT TeamLocal Behavioral Health Organizations1-3Objective 4: Implement Columbia Scale for suicide risk screening for all Behavioral Health services under MGMC by July 2019# patients screened for suicide risk Source: SCMMaineGeneral Quality & Patient SafetyPrimary Care Inpatient UnitsNAMI1-3Objective 5: Implement Patient Safety Plans for patients assessed as at risk for suicide following screening and make Safety Plans available at all levels of care# patients with Safety PlanSource: SCMMaineGeneral Quality & Patient SafetyPrimary Care Inpatient UnitsNAMI1-3Objective 6: Hire counselor to help with Employee Assistance Program (EAP) and start an integrated post injury behavioral assessment program in conjunction with Workplace Health (WPH)# of individuals who had visit with EAP # of individuals who had visit with wellness coachSource: attendance sheets, Systoc reportsEAPWPH1-312 Objectives MetricsDepartments Involved & Partners/External OrganizationsYear of Work (1-3)Objective 7: Provide local employers with more resources and education on how employers can help address mental health needs in our communities and workplaces# patients/employees who attend educational sessions Source: WPH attendance sheetsWPHLocal Employers1-3Objective 8: Develop two Peer-to-Peer PostPartum Depression groups in Augusta and Skowhegan, with a minimum of 4 moms certified to facilitate PPD groups in their communities# moms certified# programs held# participantsSource: WIC data trackingNAMIWIC1-3
MaineGeneral Medical Center Part V, Section B, Line 13h: If an individual does not meet the criteria to defer determination, but the Medical Center is unable to determine the coverage of the individual and has a reasonable basis for believing that the individual may be covered by insurance or eligible for federal or state medical assistance programs, it may defer the determination concerning uncompensated services until such coverage is determined or denied.
MaineGeneral Medical Center Part V, Section B, Line 16j: MGMC will provide policy documents to other local community agencies (including but not limited to KVCAP, Bread of Life Ministries, Family Violence Project and Mid-Maine Homeless Shelter) that can assist with informing and notifying residents of the community served by the hospital who are most likely to require financial assistance about the program.
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Supplemental Information
Schedule H (Form 990) Part VI
Part I, Line 7: "Charity care is billed at no more than the ""amount generally billed"" i.e. the average of the commercial rates and Medicare rates for emergency and other medically necessary services, and is included in net patient service revenues. Cost and expenses incurred in providing these services are included in operating expenses. Charges for services rendered to individuals from whom payment is expected and ultimately not received are written off and included as a reduction of revenue as part of the provision for bad debts. The organization's bad debt expense cost is calculated using gross charges less discounts generally allowed all private pay patients. We currently allow a discount of 18% for all self paid patient bills. If bills are paid promptly other discounts are allowed."
Part I, Ln 7 Col(f): Bad debt expense is treated as a reduction of gross patient revenues according to generally accepted accounting principles.
Part II, Community Building Activities: MaineGeneral Health and Affiliates offers a variety of classes and community health outreach events to support and build our community. Such events range from cancer survivor classes, a safe babysitter program and parenting education. The organization provides a wide range of programs to support a healthy and well educated community throughout all ages and health care situations. The organization offers diabetes care and smoking cessation classes, along with support groups for area individuals with a variety of health problems including Alzheimer's disease, bariatric surgery needs, brain injury, stroke and hospice. Space is provided free of charge and in some cases the support groups are managed and staffed by MaineGeneral employees.
Part III, Line 2: A provision for charges for services rendered to individuals from whom payment is expected and ultimately not received is written off and included as a reduction of operating revenues, recorded as provision for bad debts. The organization's bad debt expense is calculated using gross charges, reduced to reflect discounts allowed to all private payment patients.
Part III, Line 4: "In May 2014, the FASB issued a new standard related to revenue recognition. MGH adopted the new standard effective July 1, 2018, using the full retrospective method. The adoption of the new standard did not have an impact on the recognition of revenues for any periods prior to adoption. The most significant impact of adopting the new standard is the presentation of the consolidated statements of operations where the ""provision for bad debt"" is no longer presented as a separate line item and ""net patient service revenue"" is presented net of estimated implicit price concession revenue deductions. The related presentation of ""allowances for doubtful accounts"" has also been eliminated from the consolidated balance sheets as a result of the adoption of the new standard."
Part III, Line 9b: In accordance with the Affordable Care Act, individuals, once identified as eligible for the Organization's uncompensated care program, will be billed no more than the amount generally billed i.e. the average of the three best, negotiated commercial rates and Medicare rates for emergency and other medically necessary services.
Part VI, Line 3: For inpatient stays, the Medical Center Patient Registration Department provides a written notice regarding the availability of the uncompensated services program to inpatients upon admission or, in the case of an emergency, before discharge.In those rare cases where the notice was not given to the patient at admission or upon discharge due to unavoidable circumstances, a charity care notice was sent with the initial patient bill.All outpatient departments including provider based practices provide patients access to the written notice of availability of the uncompensated services program at the time of service. Initial patient bills include a notification to patients on the availability of the uncompensated services program. Subsequent patient billings also include notices to patients about the availability of the program. During this process, if it appears that a patient is qualified for the government programs, the program application is provided to the patient and a patient financial services representative provides any assistance required in educating the patient on properly preparing the application.Current income guidelines are displayed in all business offices, main patient registration areas and emergency departments. The posted guidelines are updated annually based on changes in the federal poverty guidelines. The Hospital makes all reasonable efforts to communicate the contents of the income guidelines to persons that it has reason to believe cannot read the notice.
Part VI, Line 4: MaineGeneral Medical Center's service area consists of a population of approximately 180,000 residents covering 120 square miles living in 82 communities. This population represents 100% of Kennebec County, 87% of Somerset County, 24% of Waldo County and 35% of Knox County population. The primary service area (PSA) is defined as the zip codes where MGH has the majority of discharges. The secondary service area (SSA) is defined as zip codes where MGH has 15% or greater, but less than a majority of total discharges.
Part VI, Line 5: MaineGeneral Health and Affiliates supports the health of the community by being involved with several of the non-profit organizations in the area. Several of our staff serve on the board of directors of these organizations, as well as volunteer their time in other capacities for local non-profit organizations. Our staff also commit their time to serving in several health care leadership organizations. They provide their knowledge and experience to promote higher quality health care throughout our community.
Part VI, Line 6: MaineGeneral Health and Affiliates includes:MaineGeneral Medical Center, which provides a wide variety of hospital, primary care, specialty care and emergency care services to the community.MaineGeneral Community Care, which provides homecare, hospice, behavioral health and substance abuse services.MaineGeneral Rehabilitation and Long Term Care, which provides long term, skilled nursing and residential care services. It also provides Alzheimer's residential and day care services.
Part VI, Line 7, Reports Filed With States ME
