2017-08-14T13:56:49-05:00 2016-09-30 010494526 BAKER NEWMAN & NOYES LLC PO BOX 507 PORTLAND ME 04112 990 2015-10-01 010496221 Mid Coast Geriatric Services Corporation MIDC 2073736733 123 Medical Center Drive Brunswick ME 04011 Robert McCue Vice President of Finance/CFO 2073736733 2017-08-14 1 Nicholas E Porto P01310283 2078792100 2017-08-14 2015 2021-01-29 14:40:06Z Lois N Skillings 123 Medical Center Drive Brunswick ME 04011 9774727 0 X www.midcoasthealth.com X 1995 ME Supportive and rehabilitative health services in a residential environment. 24 22 230 45 0 0 16060 59879 9974150 9650185 1375 663 0 64000 9991585 9774727 0 0 0 0 5898446 6381947 0 0 0 3365102 3370824 9263548 9752771 728037 21956 13212994 12870986 10247303 9883339 2965691 2987647 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 8107837 9650185 Continuum of services to promote independence, health, and wellness to senior citizens of the Mid Coast region in Maine. 8107837 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 0 0 0 0 0 1 0 0 0 1 17 0 1 230 1 0 0 0 0 0 0 0 0 0 0 X 24 22 1 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 Lenora Burke Director 0.30 0.60 X 0 0 0 Sherrie Bergman Director 0.30 0.60 X 0 0 0 Pamela Bowerman 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 Jill Haer Director (part-year) 0.30 0.60 X 0 0 0 Patrice Hennin Director (part-year) 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 John Moncure Director 0.30 0.60 X 0 0 0 John G Morse IV Director 0.30 0.60 X 0 0 0 Lloyd Van Lunen MD Director 0.30 0.60 X 0 0 0 Daniel Morgenstern MD Director 0.30 0.60 X 0 0 0 Douglas Niven Director (part-year) 0.30 0.60 X 0 0 0 Steve Obrin Director (part-year) 0.30 0.60 X 0 0 0 Matthew Orlando Director 0.30 0.60 X 0 0 0 Dean Patterson Director 0.30 0.60 X 0 0 0 Dugan Shipway Director 0.30 0.60 X 0 0 0 Sandra Morrell Rooney Director 0.30 0.60 X 0 0 0 Ellen Hutchinson Director/Aux. President (part-year) 0.30 0.60 X 0 0 0 Cyndy Bush Director/Aux. President 0.30 0.60 X 0 0 0 Katarina Sawtelle MD Medical Staff VP 0.30 0.60 X X 0 1000 0 Patrick Keaney MD President Medical Staff 0.30 42.10 X X 0 319322 37121 Barbara Reinertsen Chairperson 0.30 0.60 X X 0 0 0 Bob Davis Vice Chairperson 0.30 0.60 X X 0 0 0 Glenn L Hutchinson 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 0.30 41.20 X X 0 429594 78432 Robert McCue CFO 0.30 41.20 X 0 286129 62700 Florin Olteanu MD Physician 41.50 0.00 X 204875 0 21028 204875 1036045 199281 1 0 1 0 Ghiorsi & Sorrenti 255 Madison Avenue Wyckoff NJ 07481 Consulting Services 155204 1 59879 59879 Patient Service Revenu 623000 9388354 9388354 Lifeline Revenue 623000 197671 197671 Miscellaneous Revenue 623000 64160 64160 9650185 663 663 64000 0 64000 64000 64000 9774727 9650185 0 64663 5137464 4476536 660928 89000 77550 11450 789293 687752 101541 366190 319080 47110 1385 1385 22150 22150 351961 209047 142914 63652 93 63559 720486 471645 248841 307018 260965 46053 25053 4495 20558 255399 217089 38310 643650 472365 171285 72281 3431 68850 Food Services 420462 420462 Nursing Home Tax 304598 304598 Provision for Bad Debt 182729 182729 9752771 8107837 1644934 0 2219075 2029875 1110646 1213879 486223 584490 60913 53149 278068 386937 16472549 8025638 8903603 8446911 125983 121515 28483 34230 13212994 12870986 637307 680953 8088353 7908161 1521643 1294225 10247303 9883339 X 2747454 2723316 21278 67372 196959 196959 2965691 2987647 13212994 12870986 21956 0 X X 0 1 X 1 1 1 X 9381 10728 9274 16060 59879 105322 8557484 9019216 9377494 9974150 9650185 46578529 8566865 9029944 9386768 9990210 9710064 46683851 0 0 0 46683851 339 1281 907 775 64663 67965 339 1281 907 775 64663 67965 8567204 9031225 9387675 9990985 9774727 46751816 0.99850 0.99990 0.00150 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 2218 0 0 0 2218 0 Part II-B, Line 1: Mid Coast Geriatric Services paid dues to Maine Healthcare Association totaling $6,160, of which 36% ($2,218) was available for lobbying. 218237 52827 -34 6699 264331 213862 11997 -113 7509 218237 213547 8315 44 8044 213862 212645 8804 -112 7790 213547 211219 9381 -114 7841 212645 0.00000 0.74510 0.25490 0 0 87466 87466 13794871 6064360 7730511 2402622 1906087 496535 187590 55191 132399 8446911 Due to Affiliates 1114456 Estimated Third-Party Payor Settlements 179769 1294225 X 9774727 0 9774727 0 9774727 9752771 0 9752771 0 9752771 Part V, Line 4: The earnings from these endowed funds will be used to fund the upkeep of hospice 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, 2016. The Company's tax years from 2013 through 2016 are open and subject to examination. 0 1 0 0 0 0 0 0 0 Patrick Keaney MD President Medical Staff 0 319322 0 0 0 0 0 25950 0 11171 0 356443 0 0 Lois N Skillings President/CEO 0 429594 0 0 0 0 0 71659 0 6773 0 508026 0 0 Robert McCue CFO 0 286129 0 0 0 0 0 51529 0 11171 0 348829 0 0 Florin Olteanu MD Physician 204875 0 0 0 0 0 19596 0 1432 0 225903 0 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 The Hospital has 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 $63,709 and $43,579, respectively. Additionally, Dr. Patrick Keaney, Medical Staff President, received $18,000 relative to the plan. Form 990, Part VI, Section A, line 2 Board of Directors members Glenn Hutchinson and Ellen Hutchinson have a family relationship. 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 11 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. 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. 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 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 11a, I N/A 0 Community Health and Nursing Services 60 Baribeau Drive Brunswick ME 04011 010211546 Hospice Services ME 501(c)(3) Line 9 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 0 0 0 1 0 1 1 1 0 0