2020-08-17T10:44:05-05:00 2019-09-30 010494526 BAKER NEWMAN & NOYES LLC PO BOX 507 PORTLAND ME 04112 990 2018-10-01 010496221 Mid Coast Geriatric Services Corporation MIDC 2073736733 123 Medical Center Drive Brunswick ME 04011 Michael Perry Vice President of Finance/CFO 2073736733 2020-08-17 1 Nicholas E Porto P01310283 2078792100 2020-08-17 208.105.168.164 2020-08-17 08:59:08 ED P BC8AE4E166BFDF24A7972DDCC457CE4FCF4C8ABA DA1D1F22D002DE74304CAE64996AD19EA354FE22 2018 2020-11-06 18:47:13Z Lois N Skillings 123 Medical Center Drive Brunswick ME 04011 10763361 0 X www.midcoasthealth.com X 1995 ME Supportive and rehabilitative health services in a residential environment. 26 24 238 59 0 0 899946 967477 9469752 9684660 22245 44091 67000 67000 10458943 10763228 0 0 0 0 6357947 6426384 0 0 0 3387961 3426112 9745908 9852496 713035 910732 15481041 16863537 9190498 9662262 6290543 7201275 X Our mission is to provide supportive and rehabilitative health services in a residential environment. These services are integrated within the Mid Coast Health Services Organization, which spans the continuum of elder care needs. Our care is delivered in a manner that is holistic, personalized, promoting independence, and designed to enhance the quality of life for each resident. Integrity, respect, and a commitment to excellence are our guiding principles in our interactions with residents, family members, colleagues, physicians, volunteers, and the community. 0 0 8137888 9684660 Continuum of services to promote independence, health, and wellness to senior citizens of the Mid Coast region in Maine. 8137888 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 29 0 1 238 1 0 0 0 0 0 0 0 0 0 0 0 0 X 26 24 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X Michael Perry 2073736000 123 Medical Center Drive Brunswick ME 04011 X Sherrie Bergman Director 0.30 0.60 X 0 0 0 Pamela Bowerman Director 0.30 0.60 X 0 0 0 Lenora Burke Director 0.30 0.60 X 0 0 0 Robert Cundiff Director 0.30 0.60 X 0 0 0 John Farnham Director 0.30 0.60 X 0 0 0 Rollin Fessenden Director 0.30 0.60 X 0 0 0 Ted Huskins Director 0.30 0.60 X 0 0 0 Connie Jones Director 0.30 0.60 X 0 0 0 Bruce McGlauflin Director 0.30 0.60 X 0 0 0 John Moncure Director 0.30 0.60 X 0 0 0 Daniel Morgenstern MD Director 0.30 0.60 X 0 0 0 John G Morse IV Director 0.30 0.60 X 0 0 0 Dean Paterson Director 0.30 0.60 X 0 0 0 Barbara Reinertsen Director 0.30 0.60 X 0 0 0 Dugan Shipway Director 0.30 0.60 X 0 0 0 Sue Spann Director 0.30 0.60 X 0 0 0 Lloyd Van Lunen Director 0.30 0.60 X 0 0 0 Joyce Morgan Director/Aux. President 0.30 0.60 X 0 0 0 Ranjiv Advani MD Medical Staff President 0.30 0.60 X X 0 8000 0 Ira Bird MD Medical Staff Vice President 0.30 0.60 X X 0 397185 39732 Bob Davis Chair (End 12/2018)/Immediate Past Chair 0.30 0.60 X X 0 0 0 Sandra Morrell Rooney Chairperson (Start 12/2018) 0.30 0.60 X X 0 0 0 Glenn L Hutchinson Vice Chairperson 0.30 0.60 X X 0 0 0 Matthew Orlando Treasurer 0.30 0.60 X X 0 0 0 Charles Bridge Secretary 0.30 0.60 X X 0 0 0 Lois N Skillings President/CEO 30.50 11.00 X X 0 473533 177242 Robert McCue CFO 30.50 11.00 X 0 319430 145257 Kim Watson MS SLP MLNH Administrator 41.50 0.00 X 126660 0 16658 Patrick Keaney MD Former Officer 0.00 41.50 X 0 302585 40796 126660 1500733 419685 1 1 1 0 Langford & Low Inc PO Box 662 Portland ME 04104 Construction Services 1474237 Corr Health Services LLC 980 Forest Avenue 207 Portland ME 04103 Medical Staffing Services 160259 2 967477 227814 967477 Patient Service Revenue 623000 9493540 9493540 Lifeline Revenue 623000 172384 172384 Miscellaneous Revenue 623000 18736 18736 9684660 44224 44224 67000 0 67000 67000 67000 133 -133 -133 -133 10763228 9684660 0 111091 5069741 4369075 700666 85019 73269 11750 903951 779020 124931 367673 316859 50814 10649 10649 32500 32500 601900 443957 157943 44038 410 43628 649783 408778 241005 308574 262288 46286 20075 3918 16157 237328 201729 35599 632273 463251 169022 73658 73658 Food Services 404077 404077 Nursing Home Tax 299800 299800 Provision for Bad Debt 111457 111457 9852496 8137888 1714608 0 2806238 2382684 2704787 2848362 1202975 1080736 696051 619933 40271 56794 186030 206723 19346599 9934425 7798640 9412174 46049 256131 15481041 16863537 475741 1132658 7417510 7221964 1297247 1307640 9190498 9662262 X 2225666 2159233 3867918 4845083 196959 196959 6290543 7201275 15481041 16863537 910732 0 X X 0 1 X 1 0 X 16060 59879 2979636 899946 967477 4922998 9974150 9650185 9216063 9469752 9684660 47994810 9990210 9710064 12195699 10369698 10652137 52917808 661074 661074 0 661074 661074 52256734 775 64663 73651 90238 111224 340551 775 64663 73651 90238 111224 340551 9990985 9774727 12269350 10459936 10763361 53258359 0.98120 0.98280 0.00640 0.00440 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 1746 0 0 0 1746 0 Part II-B, Line 1: Mid Coast Geriatric Services paid dues to Maine Healthcare Association totaling $6,280, of which 27.81% ($1,746) was available for lobbying. 4064877 938018 41373 2226 5042042 3155256 898880 21314 10573 4064877 264331 2975446 2054 86575 3155256 218237 52827 -34 6699 264331 213862 11997 -113 7509 218237 0.00000 0.03910 0.96090 0 0 87466 87466 13871559 7528850 6342709 2663433 2330138 333295 2724141 75437 2648704 9412174 Due to Affiliates 1147193 Estimated Third-Party Payor Settlements 160447 1307640 X 10763228 0 10763228 0 10763228 9852496 0 9852496 0 9852496 Part V, Line 4: The earnings from these endowed funds will be used to fund the upkeep of hospice rooms. The Organization also continued a capital campaign during the year to assist in the renovation of the nursing units of the facility and to create all private rooms. Part X, Line 2: The Company is a not-for-profit corporation and is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. 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 the Financial Accounting Standards Board, 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 positions taken on its filed tax returns. The Company has concluded no uncertain income tax positions exist at September 30, 2019. 0 1 0 0 0 0 0 0 0 Ira Bird MD Medical Staff Vice President 0 397185 0 0 0 0 0 26750 0 12982 0 436917 0 0 Lois N Skillings President/CEO 0 473533 0 0 0 0 0 160856 0 16386 0 650775 0 0 Robert McCue CFO 0 319430 0 0 0 0 0 128808 0 16449 0 464687 0 0 Patrick Keaney MD Former Officer 0 302585 0 0 0 0 0 26750 0 14046 0 343381 0 0 Part I, Line 3 Mid Coast Geriatric Services Corporation's President, Lois Skillings, and Robert McCue, Secretary/Treasurer, are compensated by a related organization, Mid Coast Health Management Corp & Sub (MCHMC). MCHMC uses an independent compensation consultant, compensation survey or study, and approval by the board or compensation committee to determine he annual compensation. Part I, Line 4b Mid Coast Geriatric Services, Inc. and its related organizations have a deferred compensation arrangement under a nonqualified defined contribution plan to provide supplemental retirement benefits to certain employees. Lois Skillings and Robert McCue, who are officers of the Organization, participated in this plan and received $71,753 and $49,056, respectively, from Mid Coast Health Management Corp & Sub (MCHMC). These amounts are reported in Schedule J, Part II, Column C for each individual. Also included in the amounts reported in Schedule J, Part II, Column C are earnings of $80,853 and $71,502 for Ms. Skillings and Mr. McCue, respectively. When amounts relative to each individual's nonqualified deferred contribution plan are paid out they will be reported as part of Box 5 taxable Medicare wages in the recipient's W-2. Other physician employees listed on Form 990, Part VII that participated in the nonqualified defined contribution plan are: Dr. Patrick Keaney, Dr. Ira Bird. The Hospital compensated each of these individuals $18,500 relative to the plan. X 10 215511 Market Value 0 1 1 Part I, Line 32b: The Organization sells contributions of securities through its investment broker. All gifts of securities are sold as soon as administratively possible. Form 990, Part VI, Section A, line 6 The sole member of the Organization is Mid Coast-Parkview Health. Form 990, Part VI, Section A, line 7a The sole member of the Organization shall meet within a reasonable time following the close of the Organization's fiscal year at a time and place within or out of the State of Maine as set by the board of directors. At this meeting, the sole member shall elect the Organization's directors and officers. To the extent feasible, all directors serving on the Organization's board of directors shall be persons who also serve on the board of directors of the sole member, Mid Coast-Parkview Health. Form 990, Part VI, Section A, line 7b All rights and responsibilities vested in Mid Coast-Parkview Health (MCPH) as the sole member, pursuant to the Organization's bylaws, shall be exercised by it through its board of directors acting either by unanimous consent or through a duly called meeting of the MCPH board of directors at which a quorum is present. The sole member, through its board of directors and committees, shall be responsible for the finance, development, and planning functions of the Organization and its board of directors. In carrying out its planning functions, the sole member shall solicit the active participation of the Organization's officers, managers, and administration. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent public accounting firm with the assistance of information provided by key financial staff. An initial draft is reviewed in detail by key financial staff. Once any changes are incorporated, a draft copy is presented to the Board and copies are provided upon request. For the Form 990 for September 30, 2019, the Board was provided copies of the return after it was filed with the IRS. Form 990, Part VI, Section B, line 12c The Organization's conflict of interest policy is monitored by a representative from Mid Coast-Parkview Health and the Organization's executive director as needed, both of whom assist with resolution of any compliance issues. Form 990, Part VI, Section B, line 15 An independent consultant prepares a market analysis at the regional level for all officers and key employees of the Organization. Compensation is also approved by the board and/or compensation committee annually. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon request. Form 990, Part VII: Dr. Patrick Keaney was listed on prior Form 990s of the Organization as an officer due to his role as being the Medical Staff President. Dr. Keaney did not serve in this capacity during the fiscal year and therefore has not been listed as a current officer in Form 990, Part VII. He remains employed by Mid Coast Hospital, a related organization, as a physician and has been indicated as a former officer in Part VII in accordance with IRS instructions. The compensation and benefits reported for him in Part VII as well as Schedule J, Part II represents compensation for his continued services as a physician and do not reflect payments in his capacity as a former officer. Form 990, Part XI, Line 2c: The audit process has not changed from the prior year. Mid Coast Hospital 123 Medical Drive Brunswick ME 04011 010215911 Hospital ME 501(c)(3) Line 3 Mid Coast-Parkview Health 0 Mid Coast-Parkview Health 123 Medical Drive Brunswick ME 04011 010430069 Health Services ME 501(c)(3) Line 12a, I N/A 0 Community Health and Nursing Services 60 Baribeau Drive Brunswick ME 04011 010211546 Hospice Services ME 501(c)(3) Line 10 Mid Coast-Parkview Health 0 Midcoast Health Management Corp 123 Medical Center Drive Brunswick ME 04011 010429598 Health Services ME N/A C 0 Mid Coast Medical Group 123 Medical Center Drive Brunswick ME 04011 010484592 Health Services ME N/A C 0 Thornton Oaks Development Corp 123 Medical Center Drive Brunswick ME 04011 010448411 Health Services ME N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0