STRATEGY STUDIO / PUBLIC DATA EXPLORER

MID COAST GERIATRIC SERVICES CORP: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MID COAST GERIATRIC SERVICES CORP (EIN 01-0496221)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-13
IRS object ID
201302259349302235
Schema version
2011v1.5
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-13T14:13:17-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010494526EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYES LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010496221EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Mid Coast Geriatric Services CorporationBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlMIDCNameControl
Phone2073736733Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1123 Medical Center DriveAddressLine1
CityBrunswickCity
StateMEState
ZIP Code04011ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameRobert McCueName
TitleCFOTitle
Phone2073736733Phone
Date Signed2013-08-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameNicholas E PortoName
PTINP01310283PTIN
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonLois SkillingsNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1123 Medical Center DriveAddressLine1
CityBrunswickCity
StateMEState
ZIP Code04011ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8567204GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.midcoasthealth.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionSupportive and rehabilitative health services in a residential environment.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees225TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year33416ContributionsGrantsPriorYear
Contributions Grants Current Year9381ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8692737ProgramServiceRevenuePriorYear
Program Service Revenue CY8557484ProgramServiceRevenueCY
Investment Income Prior Year206InvestmentIncomePriorYear
Investment Income Current Year-413InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8726359TotalRevenuePriorYear
Total Revenue Current Year8566452TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5204535SalariesEtcPriorYear
Salaries Etc Current Year5301242SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3420667OtherExpensePriorYear
Other Expenses Current Year3436265OtherExpensesCurrentYear
Total Expenses Prior Year8625202TotalExpensesPriorYear
Total Expenses Current Year8737507TotalExpensesCurrentYear
Revenues Less Expenses Prior Year101157RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-171055RevenuesLessExpensesCY
Total Assets BOY12836468TotalAssetsBOY
Total Assets EOY13157043TotalAssetsEOY
Total Liabilities BOY11168967TotalLiabilitiesBOY
Total Liabilities EOY11660597TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1667501NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1496446NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOur 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7289602Expense
Revenue8557484Revenue
DescriptionContinuum of services to promote independence, health, and wellness to senior citizens of the Mid Coast region in Maine.Description
Total Program Service Expense7289602TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109628NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees225NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Michael PerryBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2073736733TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1123 Medical Center DriveAddressLine1
CityBrunswickCity
StateMEState
ZIP Code04011ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Bruce McGlauflin
Director0.30X000
Cheryl Rust
Director0.30X000
James B Drake
Director0.30X000
Lawrence L Clampitt
Director0.30X000
Michael Feldman
Director0.30X000
Pamela Bowerman
Director0.30X000
Rev Richard Visser
Director0.30X000
Sherrie Bergman
Director0.30X000
Stephen DeWick
Director0.30X000
Barbara Reinertsen
Chairperson0.30X000X
James Ward
Vice Chairperson0.30X000X
Lois Skillings
President0.40X029676697354X
Robert N McCue
Secretary/Treasurer0.30024738779002X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs544153TotalReportableCompFrmRltdOrgs
Total Other Compensation176356TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
All Other Contributions9381AllOtherContributions
Total Contributions9381TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu62300081973808197380
Lifeline Revenue623000264219264219
Rent (Intercompany)6230005262052620
Miscellaneous Revenue6230004326543265
FieldValueIRS element (for citing)
Total Program Service Revenue8557484TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column339TotalRevenueColumn
Exclusion$339ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other752Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-752Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-752TotalRevenueColumn
Exclusion-$752ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8566452TotalRevenueColumn
Related Or Exempt Function Income8557484RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$413ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4363066Total
Program Services3802957ProgramServices
Management And General560109ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total75843Total
Program Services66107ProgramServices
Management And General9736ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total521828Total
Program Services454838ProgramServices
Management And General66990ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total340505Total
Program Services296793ProgramServices
Management And General43712ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2212Total
Management And General2212ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18050Total
Management And General18050ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total344872Total
Program Services230787ProgramServices
Management And General114085ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total36590Total
Program Services200ProgramServices
Management And General36390ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total795739Total
Program Services583003ProgramServices
Management And General212736ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total3343Total
Management And General3343ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total279972Total
Program Services237976ProgramServices
Management And General41996ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total25594Total
Program Services6957ProgramServices
Management And General18637ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total490068Total
Program Services416558ProgramServices
Management And General73510ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total629256Total
Program Services445742ProgramServices
Management And General183514ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total70877Total
Program Services8042ProgramServices
Management And General62835ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Food Services350208350208
Nursing Home Tax267881267881
Provision for Bad Debt121538121538

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total65Total
Program Services15ProgramServices
Management And General50ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8737507Total
Program Services7289602ProgramServices
Management And General1447905ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY245985BOY
EOY446328EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1194128BOY
EOY1276463EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY712437BOY
EOY1218363EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY69617BOY
EOY62279EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY60455BOY
EOY64364EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15200256LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec5528551LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10122038BOY
EOY9671705EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY397506BOY
EOY403415EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY34302BOY
EOY14126EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY12836468BOY
EOY13157043EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY657036BOY
EOY738672EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8292372BOY
EOY8203990EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2219559BOY
EOY2717935EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11168967BOY
EOY11660597EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1456281BOY
EOY1283800EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY15760BOY
EOY16169EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY195460BOY
EOY196477EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1667501BOY
EOY1496446EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY12836468BOY
EOY13157043EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-171055ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years293229CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years27299CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years44729CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year33416CurrentTaxYearMinus1Year
Current Tax Year9381CurrentTaxYear
Total408054Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13337341CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8400097CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8530250CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8692737CurrentTaxYearMinus1Year
Current Tax Year8557484CurrentTaxYear
Total47517909Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13630570CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8427396CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8574979CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8726153CurrentTaxYearMinus1Year
Current Tax Year8566865CurrentTaxYear
Total47925963Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50947925963PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8897CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2198CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years131CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year206CurrentTaxYearMinus1Year
Current Tax Year339CurrentTaxYear
Total11771Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years8897CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years2198CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years131CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year206CurrentTaxYearMinus1Year
Current Tax Year339CurrentTaxYear
Total11771Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13639467CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8429594CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8575110CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8726359CurrentTaxYearMinus1Year
Current Tax Year8567204CurrentTaxYear
Total47937734Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99980PublicSupportPercentage509
Prior Year Support Percentage0.99970PriorYearSupportPercentage
Investment Income Percentage0.00020InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00030PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$1,406GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB1406TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationMaine Healthcare Association dues were $4,173, of which 33.7% was lobbying.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance211219BeginningOfYearBalance
Contributions9381Contributions
Investment Earnings Or Losses-114InvestmentEarningsOrLosses
Other Expenditures7841OtherExpenditures
End Of Year Balance212645EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance208641BeginningOfYearBalance
Contributions33041Contributions
Investment Earnings Or Losses-99InvestmentEarningsOrLosses
Other Expenditures30364OtherExpenditures
End Of Year Balance211219EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance206316BeginningOfYearBalance
Contributions44728Contributions
Investment Earnings Or Losses90InvestmentEarningsOrLosses
Other Expenditures42493OtherExpenditures
End Of Year Balance208641EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance286289BeginningOfYearBalance
Contributions27299Contributions
Investment Earnings Or Losses2198InvestmentEarningsOrLosses
Other Expenditures109470OtherExpenditures
End Of Year Balance206316EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.92400PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.07600TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis87465OtherCostOrOtherBasis
Book Value87465BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis13073652OtherCostOrOtherBasis
Depreciation4165293Depreciation
Book Value8908359BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1916271OtherCostOrOtherBasis
Depreciation1340958Depreciation
Book Value575313BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis122868OtherCostOrOtherBasis
Depreciation22300Depreciation
Book Value100568BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings9671705TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$2,601,369
Estimated Third-Party Payor Settlements$116,566
FieldValueIRS element (for citing)
Total Of Amounts2717935TotalOfAmounts
Total Revenue8566452TotalRevenue
Total Expenses8737507TotalExpenses
Excess Or Deficit For Year-171055ExcessOrDeficitForYear
Excess Or Deficit Per FS-171055ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8566452TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8566452RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908566452TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8737507TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8737507ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908737507TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The earnings from these endowed funds will be used to fund the upkeep of hospice rooms.
Description of Uncertain Tax Positions Under FIN 48:Part X: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, 2012. The Company's tax years from 2009 through 2012 are open and subject to examination.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Lois Skillings
02967660000059850037504039412000
Robert N McCue
02473870000046488032514032638900

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePart I, Line 4bReturnReference
ExplanationMid Coast Hospital, a related organization, 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 Corporation, participated in this plan and received $52,500 and $39,138, respectively.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6The sole member of the Organization is Mid Coast Health Services.
Form 990, Part VI, Section A, line 7aThe 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, seventy-five percent of 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 Health Services.
Form 990, Part VI, Section A, line 7bAll rights and responsibilities vested in Mid Coast Health Services (MCHS) 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 MCHS 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 11A draft of the return is reviewed by an officer of the Organization prior to it being filed with the IRS.
Form 990, Part VI, Section B, line 12cThe Organization's conflict of interest policy is monitored by a representative from Mid Coast Health Services 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 15An 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 19The organization makes the governing documents, conflict of interest policy, and audited financial statements available to the public upon request.
Form 990, Part VII, Section A:Lois Skillings, CEO and Robert McCue, CFO provided services as officers to several related organizations. Their hours per week disclosed in Part VII of this Form 990 reflect only time devoted to the Corporation. Their salary and benefit amounts reflect 2011 reportable compensation for their services in the entire Mid Coast network of entities.
Form 990, Part XI, Line 2c:The audit process has not changed from the prior year.Oversight of Audit

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Mid Coast Hospital
123 Medical DriveBrunswickME04011010215911HospitalME501(c)(3)3Mid Coast Health Services0
Mid Coast Health Services
123 Medical DriveBrunswickME04011010430069Health ServicesME501(c)(3)70N/A
Community Health and Nursing Services
60 Baribeau DriveBrunswickME04011010211546Hospice ServicesME501(c)(3)9Mid Coast Health Services0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
Midcoast Health Management Corp
123 Medical Center DriveBrunswickME04011010429598Health ServicesMEMid Coast Health ServicesC
Mid Coast Medical Group
123 Medical Center DriveBrunswickME04011010484592Health ServicesMEMid Coast Health ServicesC
Thornton Oaks Development Corp
123 Medical Center DriveBrunswickME04011010448411Health ServicesMEMid Coast Health ServicesC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg