Mid Coast Hospital: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- Mid Coast Hospital (EIN 01-0215911)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-10
- IRS object ID
- 201612239349301061
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-10T10:08:32-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 507 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010215911 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mid Coast Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MIDC | BusinessNameControlTxt |
| Phone | 2077290181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 Medical Center Drive | AddressLine1Txt |
| City | Brunswick | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04011 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Robert McCue | PersonNm |
| Person Title | Vice President of Finance/CFO | PersonTitleTxt |
| Phone | 2077290181 | PhoneNum |
| Signature | 2016-08-09 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2016-08-09 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Lois N Skillings | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 Medical Center Drive | AddressLine1Txt |
| City | Brunswick | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $216,031,045 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.midcoasthealth.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Acute and specialty care hospital | ActivityOrMissionDesc |
| Voting Members Governing Body | 29 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 26 | VotingMembersIndependentCnt |
| Total Employee | 1402 | TotalEmployeeCnt |
| Total Volunteers | 500 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,725,475 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,400,981 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $142,664,179 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $160,955,960 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,019,184 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,553,242 | CYInvestmentIncomeAmt |
| PY Other Revenue | $36,016 | PYOtherRevenueAmt |
| CY Other Revenue | $878 | CYOtherRevenueAmt |
| PY Total Revenue | $147,444,854 | PYTotalRevenueAmt |
| CY Total Revenue | $166,911,061 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $14,963 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $15,820 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $75,182,007 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $85,017,633 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $274,314 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $65,342,401 | PYOtherExpensesAmt |
| CY Other Expenses | $74,666,985 | CYOtherExpensesAmt |
| PY Total Expenses | $140,539,371 | PYTotalExpensesAmt |
| CY Total Expenses | $159,700,438 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,905,483 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,210,623 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $169,924,005 | TotalAssetsBOYAmt |
| Total Assets EOY | $177,579,240 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $56,900,501 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $59,419,267 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $113,023,504 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $118,159,973 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | To provide quality health care and health-related services directed toward continually improving the health and wellbeing of the patients and communities we serve. We will provide compassionate, humanistic, accessible, personal, professional, efficient, cost-effective and quality services. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $133,937,434 | ExpenseAmt |
| Grant | $15,820 | GrantAmt |
| Revenue | $160,955,960 | RevenueAmt |
| Desc | Acute and specialty health care services were provided to residents of the Mid-Coast Maine area. Charity care was provided to those patients who did not have the ability to pay for medical services. | Desc |
| Total Program Service Expenses | $133,937,434 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 155 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1402 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 29 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 26 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Perry | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2077290181 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 Medical Center Drive | AddressLine1Txt |
| City | Brunswick | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (35 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Lenora Burke | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Sherrie Bergman | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Pamela Bowerman | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| John Farnham | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Rollin Fessenden | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Susan Gillies | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Sally Graves | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Jill Haer | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Patrice Hennin | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Connie Jones | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| John Moncure | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| John G Morse IV | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Lloyd Van Lunen MD | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Daniel Morgenstern MD | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Douglas Niven | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Steve Obrin | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Matthew Orlando | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Dean Patterson | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Sandra Morrell Rooney | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Dugan Shipway | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Ervin Snyder | ||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Ellen Hutchinson | ||||||||
| Director/Aux. President | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | ||
| Patrick Keaney MD | ||||||||
| Medical Staff VP | 41.80 | 0.60 | Yes (X) | $313,010 | $0 | $36,619 | Yes (X) | |
| James Rines MD | ||||||||
| President Medical Staff | 41.80 | 0.60 | Yes (X) | $186,119 | $0 | $29,810 | Yes (X) | |
| Barbara Reinertsen | ||||||||
| Chairperson | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Bob Davis | ||||||||
| Vice Chairperson | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Glenn L Hutchinson | ||||||||
| Treasurer | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Charles Bridge | ||||||||
| Secretary | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Lois N Skillings | ||||||||
| President/CEO | 30.50 | 9.50 | Yes (X) | $0 | $385,502 | $78,606 | Yes (X) | |
| Robert McCue | ||||||||
| CFO | 30.50 | 9.50 | $0 | $262,005 | $60,177 | Yes (X) | ||
| John Taylor MD | ||||||||
| Physician | 41.50 | 0.00 | $375,331 | $0 | $32,119 | Yes (X) | ||
| Robert Livingston MD | ||||||||
| Physician | 41.50 | 0.00 | $389,033 | $0 | $30,651 | Yes (X) | ||
| Michael Curtis MD | ||||||||
| Physician | 41.50 | 0.00 | $381,061 | $0 | $36,561 | Yes (X) | ||
| Miguel Arguedas MD | ||||||||
| Physician | 41.50 | 0.00 | $573,021 | $0 | $34,225 | Yes (X) | ||
| Calin Stoicov MD | ||||||||
| Physician | 41.50 | 0.00 | $492,919 | $0 | $32,997 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,710,494 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $647,507 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $371,765 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 99 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Bluewater Emergency Partners | |||||
| PO Box 415778 | Boston | ME | 022417479 | ER Facility & Physcian Coverage | $1,814,795 |
| Langford & Low Inc | |||||
| PO Box 662 | Portland | ME | 04104 | Building Contractors | $1,157,103 |
| Midcoast Pediatrics | |||||
| 121 Medical Center Drive Suite 260 | Brunswick | ME | 04011 | Physician Coverage | $991,986 |
| Locumtenenscom Inc | |||||
| PO Box 405547 | Atlanta | GA | 303845547 | Physician Coverage | $672,451 |
| Synernet Inc | |||||
| 110 Free Street | Freeport | ME | 04101 | Transciption Sevices | $648,319 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 35 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $36,675 | FundraisingAmt |
| Government Grants | $1,623,096 | GovernmentGrantsAmt |
| All Other Contributions | $741,210 | AllOtherContributionsAmt |
| Noncash Contributions | $37,681 | NoncashContributionsAmt |
| Total Contributions | $2,400,981 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net Patient Service Revenue | 621400 | $157,461,027 | $157,461,027 |
| Miscellaneous Revenue | 621400 | $2,869,136 | $2,869,136 |
| Electronic Health Records Revenue | 621400 | $608,260 | $608,260 |
| Rental Income | 531390 | $17,537 | $17,537 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $160,955,960 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,660,844 | TotalRevenueColumnAmt |
| Exclusion | $2,660,844 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,988,234 | SecuritiesAmt |
| Other | $9,591 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,055,179 | SecuritiesAmt |
| Other | $50,248 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $933,055 | SecuritiesAmt |
| Other | -$40,657 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $892,398 | TotalRevenueColumnAmt |
| Exclusion | $892,398 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $15,435 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $36,675 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $14,557 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $878 | TotalRevenueColumnAmt |
| Exclusion | $878 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $166,911,061 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $160,955,960 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,554,120 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,820 | TotalAmt |
| Program Services | $15,820 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,558 | TotalAmt |
| Program Services | $542,936 | ProgramServicesAmt |
| Management And General | $22,622 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,717,951 | TotalAmt |
| Program Services | $62,332,277 | ProgramServicesAmt |
| Management And General | $7,385,674 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,239,560 | TotalAmt |
| Program Services | $742,608 | ProgramServicesAmt |
| Management And General | $496,952 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,304,990 | TotalAmt |
| Program Services | $6,173,612 | ProgramServicesAmt |
| Management And General | $4,131,378 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,189,574 | TotalAmt |
| Program Services | $1,910,841 | ProgramServicesAmt |
| Management And General | $1,278,733 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $758,698 | TotalAmt |
| Management And General | $758,698 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $57,000 | TotalAmt |
| Management And General | $57,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,920,319 | TotalAmt |
| Program Services | $11,635,392 | ProgramServicesAmt |
| Management And General | $3,284,927 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,376 | TotalAmt |
| Program Services | $271,676 | ProgramServicesAmt |
| Management And General | $76,700 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,541,425 | TotalAmt |
| Program Services | $8,220,576 | ProgramServicesAmt |
| Management And General | $2,046,535 | ManagementAndGeneralAmt |
| Fundraising | $274,314 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,378,812 | TotalAmt |
| Program Services | $4,974,423 | ProgramServicesAmt |
| Management And General | $1,404,389 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,357 | TotalAmt |
| Program Services | $39,270 | ProgramServicesAmt |
| Management And General | $11,087 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,095 | TotalAmt |
| Program Services | $1,256,389 | ProgramServicesAmt |
| Management And General | $354,706 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,658,751 | TotalAmt |
| Program Services | $4,412,894 | ProgramServicesAmt |
| Management And General | $1,245,857 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,742,066 | TotalAmt |
| Program Services | $1,358,525 | ProgramServicesAmt |
| Management And General | $383,541 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Bad Debts | $10,087,708 | $10,087,708 | |
| Patient and Non Patient | $9,730,908 | $9,404,391 | $326,517 |
| Pharmacy Expenses | $8,911,171 | $6,949,246 | $1,961,925 |
| Revenue Tax | $2,682,782 | $2,682,782 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,187,517 | TotalAmt |
| Program Services | $926,068 | ProgramServicesAmt |
| Management And General | $261,449 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $159,700,438 | TotalAmt |
| Program Services | $133,937,434 | ProgramServicesAmt |
| Management And General | $25,488,690 | ManagementAndGeneralAmt |
| Fundraising | $274,314 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,084,652 | BOYAmt |
| EOY | $6,731,103 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,138,538 | BOYAmt |
| EOY | $9,290,918 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,358,376 | BOYAmt |
| EOY | $25,030,337 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,275,489 | BOYAmt |
| EOY | $2,974,822 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,116,971 | BOYAmt |
| EOY | $2,844,351 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $121,350,115 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $63,457,138 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,577,598 | BOYAmt |
| EOY | $57,892,977 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,237,622 | BOYAmt |
| EOY | $57,695,415 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $292,761 | BOYAmt |
| EOY | $275,565 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,841,998 | BOYAmt |
| EOY | $14,843,752 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,924,005 | BOYAmt |
| EOY | $177,579,240 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,015,884 | BOYAmt |
| EOY | $18,418,901 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,473,643 | BOYAmt |
| EOY | $28,235,775 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,703 | BOYAmt |
| EOY | $452,584 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,780,271 | BOYAmt |
| EOY | $12,312,007 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,900,501 | BOYAmt |
| EOY | $59,419,267 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $94,074,915 | BOYAmt |
| EOY | $100,031,294 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,910,349 | BOYAmt |
| EOY | $10,036,160 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,038,240 | BOYAmt |
| EOY | $8,092,519 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,023,504 | BOYAmt |
| EOY | $118,159,973 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $169,924,005 | BOYAmt |
| EOY | $177,579,240 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $7,210,623 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$2,074,154 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $19,388 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $19,388 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Mid Coast Hospital paid dues to Maine Hospital Association totaling $46,628, of which 22% ($10,258) was available for lobbying; dues to American Hospital Association totaling $25,508 of which 22.12% ($5,642) was available for lobbying; dues to Maine Medical Association of $23,254, 15% ($3,488) of which was available for lobbying. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,753,372 | BeginningYearBalanceAmt |
| Contributions | $54,278 | ContributionsAmt |
| Investment Earnings Or Losses | $2,729,525 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $368,960 | OtherExpendituresAmt |
| End Year Balance | $26,168,215 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $22,293,184 | BeginningYearBalanceAmt |
| Contributions | $259,115 | ContributionsAmt |
| Investment Earnings Or Losses | $1,470,185 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $269,112 | OtherExpendituresAmt |
| End Year Balance | $23,753,372 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,128,741 | BeginningYearBalanceAmt |
| Contributions | $176,735 | ContributionsAmt |
| Investment Earnings Or Losses | $1,220,014 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $232,306 | OtherExpendituresAmt |
| End Year Balance | $22,293,184 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,613,770 | BeginningYearBalanceAmt |
| Contributions | $71,499 | ContributionsAmt |
| Investment Earnings Or Losses | $611,529 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $168,057 | OtherExpendituresAmt |
| End Year Balance | $21,128,741 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $19,263,606 | BeginningYearBalanceAmt |
| Contributions | $89,457 | ContributionsAmt |
| Investment Earnings Or Losses | $1,420,387 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $159,680 | OtherExpendituresAmt |
| End Year Balance | $20,613,770 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.43960 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.30870 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.25170 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $329,281 | OtherCostOrOtherBasisAmt |
| Book Value | $329,281 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,664,017 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,539,983 | DepreciationAmt |
| Book Value | $42,124,034 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,618,701 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,523,196 | DepreciationAmt |
| Book Value | $3,095,505 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $53,738,116 | OtherCostOrOtherBasisAmt |
| Depreciation | $41,393,959 | DepreciationAmt |
| Book Value | $12,344,157 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $57,892,977 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Construction in Progress | $1,068,095 |
| L-T Asset (Deferred Comp Plan) | $8,570,874 |
| Due from Affiliates | $2,623,619 |
| Other Assets | $2,581,164 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $14,843,752 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Compensation Plan | $8,570,874 |
| Estimated Third-Party Payor Settlements | $3,741,133 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,312,007 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $164,851,464 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$2,074,154 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $14,557 | OtherRevenueAmt |
| Revenue Not Reported | -$2,059,597 | RevenueNotReportedAmt |
| Revenue Subtotal | $166,911,061 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $166,911,061 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $159,714,995 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $14,557 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $14,557 | ExpensesNotReportedAmt |
| Expenses Subtotal | $159,700,438 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $159,700,438 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Endowment funds are invested and used in a manner that provides predictable streams of funding to the programs supported by the endowed funds, all while seeking to maintain the purchasing power of the endowment assets. |
| Part X, Line 2: | The Hospital 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 Hospital has evaluated the position taken on its filed tax returns. The Hospital has concluded no uncertain income tax positions exist at September 30, 2015. The Hospital's tax years from 2012 through 2015 are open and subject to examination. |
| Part XI, Line 2d - Other Adjustments: | Fundraiser Expenses 14,557. |
| Part XII, Line 2d - Other Adjustments: | Fundraiser Expenses 14,557. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $52,110 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $36,675 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $15,435 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $4,025 | CashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $7,138 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $2,625 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $769 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $52,110 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $36,675 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $15,435 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $4,025 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $7,138 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $2,625 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $769 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $14,557 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $878 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | 0 | AnnualCommunityBnftReportInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,121,017 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $277,807 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,843,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03240 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,831,714 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,640,121 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,191,593 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,952,731 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,917,928 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,034,803 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04040 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $803,804 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,730 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $783,074 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $35,336,781 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,953,417 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,383,364 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03600 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $36,140,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $29,974,147 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,166,438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,093,316 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,892,075 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,201,241 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08160 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,887,419 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $31,318,826 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $32,918,287 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,599,461 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mid Coast Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 123 Medical Center Drive | AddressLine1Txt |
| City | Brunswick | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04011 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.midcoasthealth.com | WebsiteAddressTxt |
| State License | 38168 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mid Coast Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | see Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | see Part V, Section C | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | see Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | see Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | see Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Mid Coast Hospital | Part V, Section B, Line 5: Mid Coast Hospital engaged in an assessment of the health needs of the mid coast community and this was the most comprehensive health needs assessment ever performed in our community. All told, over 1,000 community members attended one of many focus groups to discuss the current and future health needs in our region. In the process of developing priorities and a plan for how to operate over the next decade, Mid Coast Parkview Health listened and learned from the community - patients and families, faith community, municipal leaders, legislators, experts in public health, local businesses, employees, medical staff, hospital volunteers, auxiliary, Board members, and Corporators for guidance. |
| Mid Coast Hospital | Part V, Section B, Line 11: Please see attached CHNA and Implementation Strategy for information on how the Hospital is addressing the significant needs identified in its most recently conducted CHNA. The Hospital is addressing each significant need identified in its most recent CHNA. |
| Mid Coast Hospital | Part V, Section B, Line 22d: The Hospital currently starts with gross charges for all patient billing. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment may qualify for charity care. Those patients that qualify and have income levels below 200% of the federal poverty guidelines can receive 100% charity care. A sliding scale is used for patients with income levels between 200% and 400% of the federal poverty guidelines. The amount considered for charity will be based upon the evaluation of the patients' ability to pay. Patients who qualify for partial financial assistance are responsible for any remaining balance after the charity care adjustment and third party payments. Once an account has been processed through an internal routine collection process, it may be assigned to an attorney/agency for collection. |
| Schedule H, Part V, Section B, line 7a & 10a: | The CHNA & Implementation Strategy are available at the Hospital facility's website:https://www.midcoasthealth.com/aboutus/pdf/MCH-Community-Health-Needs-Assessment-and-Implementation-Strategies.pdf |
| Schedule H, Part V, Section B, Line 16a, 16b, & 16c: | The Hospital's Financial Assistance Policy, Financial Assistance Applications, and Plain Language Summary can be found at: Policy:https://www.midcoasthealth.com/patient-accounts/pdf/Mid-Coast-Hospital-Charity-Care-Policy.pdf Applications:https://www.midcoasthealth.com/patient-accounts/pdf/Financial-Assistance-Application-ENGLISH.pdfhttps://www.midcoasthealth.com/patient-accounts/pdf/Financial-Assistance-Application-SPANISH.pdfPlain Language Summary:https://www.midcoasthealth.com/patient-accounts/financial-assistance/ |
| Part V, Section B, Line 16 | Financial Assistance Policy Website Availability |
| Mid Coast Hospital Part V, Section B, line 16a website: | see Part V, Section C |
| Mid Coast Hospital Part V, Section B, line 16b website: | see Part V, Section C |
| Mid Coast Hospital Part V, Section B, line 16c website: | see Part V, Section C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 17 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (17 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| Mid Coast Hospital | ||||
| 121 Medical Center Drive | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 81 Medical Center Drive | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 11 Medical Center Drive | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 310 Bath Road | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 430 Bath Road | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 66 Baribeau Drive | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 30 So Bristol Road | Damariscotta | ME | 04543 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 108 Center Street | Bath | ME | 04530 | General Medical & Surgical |
| Mid Coast Hospital - Mid Coast Med Group | ||||
| One Wellness Way | Topsham | ME | 04086 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 22 Maine Street Station | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 30 Governors Way | Topsham | ME | 04086 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 120 Harpswell Road | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 331 Maine Street | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 130 Center Street | Bath | ME | 04530 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 8 Mason Street | Brunswick | ME | 04011 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 44 Elm Street | Topsham | ME | 04086 | General Medical & Surgical |
| Mid Coast Hospital | ||||
| 329 Maine Street | Brunswick | ME | 04011 | General Medical & Surgical |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Based on the IRS Form 990, Schedule H, a worksheet was provided to determine the overall cost to charge ratio that could be used to apply throughout Schedule H of Form 990. Where applicable, the Organization utilized this worksheet to convert charges to costs. The Organization did not use the Worksheet 2 percentage for the IRS Form 990, Schedule H, Worksheet 3, Unreimbursed Medicaid and Other Means Tested Government Programs, or Worksheet 6, Subsidized Health Services, for the Medicaid allowable costs. Instead, the Organization utilized the actual Medicaid filed cost report for the Medicaid allowable costs. Additionally, the Organization used the modified Medicare allowable costs and payments related to these services in regards to the cardiopulmonary community program and psychiatric unit. For our provider based clinics, in this same section we used the actual costs for each clinic. In addition, for its addiction resource center, senior psychiatric services, and access health services, the Organization used the estimated costs calculated based on actual clinic costs estimated from reporting on these centers to the State of Maine. |
| Part I, Line 7g: | Mid Coast Hospital has clinical services and hospital-owned physician practices. Mid Coast Hospital has included these practices in this section of the 990, Schedule H of subsidized health services if they are operating at a loss. The Hospital has included the following clinical services and hospital-owned physician practices that operate at a loss and the corresponding costs of these practices: primary care practice, OB/GYN practice, pulmonary practice, urology practice, neurology practice, senior psychiatric services, nephrology practice, orthopedics practice, gastroenterology practice, diabetes & endocrinology practice, general surgery practice, rheumatology practice, psychiatric department, cardiopulmonary community program, addiction resource center, access health service, chemical dependency services, breast health clinic, and an ENT practice. The above listed hospital clinical services and hospital-owned physician practices have a community benefit of approximately $5.4 million. In addition, the community benefit does not take into account bad debts, charity care, and contractual adjustments. Thus, this community benefit of approximately $5.4 million is a conservative number that reconciles to the community benefit on the IRS Form 990, Schedule H. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10,087,708. |
| Part II, Community Building Activities: | N/A |
| Part III, Line 2: | The amount reported on Part III line 2 was derived by applying the cost to charge ratio against the amount of bad debt expense reported on Form 990, Part IX, line 24, column (A) ($10,087,708). Accounts written off to bad debt include gross charges being written off less any payments received against those charges. Any cash collected on accounts previously written off is included as an offset to bad debt expense as recoveries of bad debt. The Hospital calculates the ratio in a manner consistent with worksheet 2, patient care charges to patient care expenses, to arrive at the ratio of costs to charges. |
| Part III, Line 3: | Not applicable. |
| Part III, Line 4: | See Footnote 2 on Page 8 of the attached audited financial statements. |
| Part III, Line 8: | The Hospital believes all of the clinical areas included in the Form 990, Schedule H should be and are considered a community benefit. Mid Coast Hospital believes that by offering and thus subsidizing these clinical services within the community, the community benefits by having easy access to these services. If these services were not available from Mid Coast Hospital there would be a greater burden on the community and many, if not all, of these services would not be available with such easy access. Based on the IRS Form 990, Schedule H, a worksheet was provided to assist in determining the overall cost-to-charge ratio that could be used to apply throughout the Schedule H of the Form 990 in order to convert charges to costs. Where applicable, we have utilized this worksheet to convert charges to costs. We did not use this worksheet percentage on the calculation of Medicare costs in this section. We used the Medicare allowable costs and payments related to the subsidized health service and we used the Medicare cost report estimated cost and payment for these services. |
| Part III, Line 9b: | The Hospital currently starts with gross charges for all patient billing. Federal poverty guidelines are utilized in the determination of charity care eligibility. Patients who are unable to pay and have exhausted all sources of payment may qualify for charity care. Those patients that qualify and have income levels below 200% of the federal poverty guidelines can receive 100% charity care. A sliding scale is used for patients with income levels between 200% and 400% of the federal poverty guidelines. The amount considered for charity will be based upon the evaluation of the patients' ability to pay. Patients who qualify for partial financial assistance are responsible for any remaining balance after the charity care adjustment and third party payments. Once an account has been processed through an internal routine collection process, it may be assigned to an attorney/agency for collection. |
| Part VI, Line 2: | Mid Coast Hospital assesses the health care needs of the community on an ongoing basis. Mid Coast Hospital's strategic plan is a road map as to where and how to deliver services to the surrounding communities. This process of how to provide these services included listening and learning to/from the community - patients and families, faith community, municipal leaders, legislatures and local businesses. Mid Coast also looked inward, calling upon board members, corporators, medical staff, volunteers, auxiliary, and employees since they are all part of the community Mid Coast Hospital serves. |
| Part VI, Line 3: | Mid Coast Hospital will notify patients about access to various financial assistance needs in different ways. We have postings in various departments as well has handouts informing patients how to access these programs if financial assistance is required. There are signs and pamphlets in the Hospital settings indicating the poverty guidelines and how to obtain assistance to obtain free or discounted care. All of our patients can speak to one of the Hospital's employees on how to obtain financial assistance; and, if there is assistance needed, the employee will inform our patient financial services department who will then work with the patient to either help them apply for MaineCare or discuss options for free or discounted care. |
| Part VI, Line 4: | Mid Coast Hospital's primary service area includes the following communities in the Mid Coast Maine: Arrowsic, Bailey Island, Bath, Bowdoin, Bowdoinham, Brunswick, Dresden, Durham, Freeport, Georgetown, Harpswell, Lisbon, Litchfield, North Yarmouth, Perkins Township, Phippsburg, Pownal, Richmond, Sabattus, Topsham, West Bath, Westport, Wiscasset, Woolwich, Yarmouth. Approximately 10% of Mid Coast Hospital patients utilize Medicaid and 45% of Mid Coast Hospital patients utilize Medicare. The population of the communities supported by Mid Coast Hospital with income under 200% of the poverty guidelines is about 21%. |
| Part VI, Line 5: | Mid Coast Hospital is a local, not-for-profit, community hospital that serves the local communities and the people regardless of their ability to pay. The members on the board of directors and corporators are all members of the communities that Mid Coast Hospital serves. All Hospital net income gains are reinvested into the facilities, equipment and services for the community. |
| Part VI, Line 6: | Mid Coast Hospital has a clinical affiliation with Maine Health to provide the best patient care to all of the communities that Mid Coast Hospital and Maine Health serves. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Patrick Keaney MD | ||||||||||||||
| Medical Staff VP | $313,010 | $0 | $0 | $0 | $0 | $0 | $25,300 | $0 | $11,319 | $0 | $349,629 | $0 | $0 | $0 |
| James Rines MD | ||||||||||||||
| President Medical Staff | $186,119 | $0 | $0 | $0 | $0 | $0 | $19,268 | $0 | $10,542 | $0 | $215,929 | $0 | $0 | $0 |
| Lois N Skillings | ||||||||||||||
| President/CEO | $0 | $385,502 | $0 | $0 | $0 | $0 | $0 | $67,340 | $0 | $11,266 | $0 | $464,108 | $0 | $0 |
| Robert McCue | ||||||||||||||
| CFO | $0 | $262,005 | $0 | $0 | $0 | $0 | $0 | $48,912 | $0 | $11,265 | $0 | $322,182 | $0 | $0 |
| John Taylor MD | ||||||||||||||
| Physician | $375,331 | $0 | $0 | $0 | $0 | $0 | $23,207 | $0 | $8,912 | $0 | $407,450 | $0 | $0 | $0 |
| Robert Livingston MD | ||||||||||||||
| Physician | $389,033 | $0 | $0 | $0 | $0 | $0 | $25,300 | $0 | $5,351 | $0 | $419,684 | $0 | $0 | $0 |
| Michael Curtis MD | ||||||||||||||
| Physician | $381,061 | $0 | $0 | $0 | $0 | $0 | $25,300 | $0 | $11,261 | $0 | $417,622 | $0 | $0 | $0 |
| Miguel Arguedas MD | ||||||||||||||
| Physician | $573,021 | $0 | $0 | $0 | $0 | $0 | $25,300 | $0 | $8,925 | $0 | $607,246 | $0 | $0 | $0 |
| Calin Stoicov MD | ||||||||||||||
| Physician | $492,919 | $0 | $0 | $0 | $0 | $0 | $21,723 | $0 | $11,274 | $0 | $525,916 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Mid Coast Hospital's CEO, Lois Skillings, and CFO, Robert McCue, 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 establish their 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 $67,340 and $48,912, respectively. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| Maine Health and Higher Ed Fac Auth (MHHEFA) | ||||||||
| A | 010314384 | 560425L40 | 2007-07-18 | $97,716,087 | Refinance Series 1998B Revenue Bond | 0 | 0 | 0 |
| Maine Health and Higher Ed Fac Auth (MHHEFA) | ||||||||
| B | 010314384 | 560425362 | 2008-12-03 | $41,658,395 | Hospital Facility Expansion Project | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capital ExpendituresCapitalExpendituresAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $28,930,803 | $1,984,500 | $26,651,099 | $290,758 | $4,446 | 2002 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | |
| B | $12,393,996 | $892,731 | $138,784 | $338 | 2009 | 0 | 0 | Yes (1) | Yes (1) | $11,362,143 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Trans America | |||||||||||
| A | 0 | 0 | 0 | Yes (1) | 0 | 0 | Yes (1) | 20.000000000000 | Yes (1) | 0 | 0 |
| (no name) | |||||||||||
| B | 0 | 0 | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Date Rebate Computation Performed | Issuer Name: Maine Health and Higher Ed Fac Auth (MHHEFA) Date the Rebate Computation was Performed: 07/18/2012 Issuer Name: Maine Health and Higher Ed Fac Auth (MHHEFA) Date the Rebate Computation was Performed: 12/03/2013 |
| Schedule K, Part III, Line 9, Part IV, line 7, and Part V: | At the time of this filing, the Hospital does not have written procedures to ensure that violations of federal tax requirements are timely identified and corrected. However, the Hospital does have a policy in place to accomplish these purposes. On an annual basis, the Hospital's controller and CFO review bond documents and bond covenants to ensure the Hospital is in full compliance. The Hospital is considering having these procedures in a formal, written policy going forward. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lois Skillings | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Member of board of directors of Medical Mutual Insurance Company | RelationshipDescriptionTxt |
| Transaction | $1,530,914 | TransactionAmt |
| Transaction | The amount paid to Medical Mutual and identified in this section is for malpractice insurance coverage for the Hospital. Ms. Skillings serves on the board of directors for Medical Mutual and is the CEO of Mid Coast Hospital. Ms. Skillings was paid a nominal fee to serve on Medical Mutual's board of directors.The amount included in column c represents the total amount paid to Medical Mutual. The amounts paid during the time specifically relating to Ms. Skillings's tenure on the board are not easily determinable. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 4 | ContributionCnt |
| Noncash Contributions Rpt F990 | $37,681 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market Value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 32b: | FormAndLineReferenceDesc |
| Explanation | The Organization sells contributions of securities through its investment broker. All gifts of securities are sold as soon as administratively possible. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 | Mid Coast-Parkview Health (MCPH) shall be the Organization's sole member with all rights and responsibilities of membership, including all voting rights. |
| Form 990, Part VI, Section A, line 7a | At each annual meeting of the sole member, the sole member shall elect directors to hold office until the election and qualification of their respective successors. The directors shall be persons who have demonstrated an interest in the Organization's goals and objectives and, to the extent reasonably feasible, shall represent the Mid-Coast area. 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 MCPH. |
| Form 990, Part VI, Section A, line 7b | The business and affairs of the Organization shall be conducted and managed by its board of directors which shall exercise all of the powers of the Organization. The board of directors shall approve an annual operating budget, develop a long-term capital expenditure plan and, through its own committees or the committees of its sole member, monitor the implementation of the plan. Notwithstanding the foregoing, the directors shall not submit any application for a certificate of need to the Maine Department of Health and Human Services, or incur any long-term debt without the approval of MCPH as the sole member. The board of directors may delegate such powers as it sees fit to committees and officers of the Organization. |
| Form 990, Part VI, Section B, line 11 | The 990 is presented to the Board and copies are provided upon request. |
| Form 990, Part VI, Section B, line 12c | The Hospital has a compliance committee that meets on a quarterly basis to review any compliance issues that may arise. |
| 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 VII, Section A: | Dr. James Rines and Dr. Patrick Keaney receive compensation for their services to the Organization in their capacity as physicians. Their salary and benefit amounts disclosed in Part VII do not reflect payments made to them for their services as members of the board. |
| Form 990, Part XI, Line 2c | The audit process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Mid Coast-Parkview Health | |||||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010430069 | Health Services | ME | 501(c)(3) | Line 11a, I | N/A | 0 | |
| Mid Coast Geriatric Services Corporation | |||||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010496221 | Geriatric Services | ME | 501(c)(3) | Line 9 | 0 | Mid Coast-Parkview Health | |
| Community Health and Nursing Services | |||||||||||
| 60 Baribeau Drive | Brunswick | ME | 04011 | 010211546 | Hospice Services | ME | 501(c)(3) | Line 9 | 0 | Mid Coast-Parkview Health | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Mid Coast Medical Group | |||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010484592 | Medical Services | ME | N/A | C | 0 |
| Midcoast Health Management Corporation | |||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010429598 | Management of Health Services | ME | N/A | C | 0 |
| Thornton Oaks Development Corporation | |||||||||
| 123 Medical Center Drive | Brunswick | ME | 04011 | 010448411 | Management of Health Services | ME | N/A | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |