2023-08-02T11:58:18-05:00 2022-09-30 990 2021-10-01 010496221 Mid Coast Geriatric Services Corporation MIDC 2073736733 123 Medical Center Drive Brunswick ME 04011 Michael Perry VP of Finance/CFO 2073736733 2023-07-05 Michael Perry 999009999 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Christopher Bowe MD 123 Medical Center Drive Brunswick ME 04011 10991693 0 X www.midcoasthealth.com X 1995 ME Our mission is to provide supportive and rehabilitative health 21 16 0 20 0 0 267310 588184 9181638 10332491 0 1018 61667 70000 9510615 10991693 0 0 0 0 6882505 7720106 0 0 0 3935683 6228478 10818188 13948584 -1307573 -2956891 17645698 14655570 11683925 11784501 5961773 2871069 X Our mission is to provide supportive and rehabilitative health services in a residential environment. These services are integrated within the Mid Coast Health Services Organization, which spans the continuum of elder care needs. (Continued on Schedule O)Our care is delivered in a manner that is holistic, personalized,promoting independence,and designed to enhance the quality of life for each resident. integrity, respect, and a commitment to excellence are our guiding principles in our interactions with residents, family members, colleagues, physicians, volunteers, and the community. 0 0 12747738 10333509 Continuum of services to promote independence, health, and wellness tosenior citizens of the Mid Coast region in Maine. 12747738 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 X 21 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X Michael Perry 2073736028 123 Medical Center Drive Brunswick ME 04011 Richard Petersen Former President, MH 1.00 50.00 X 0 1079958 114592 Joan Boomsma MD Former Chief Medical Officer, MH 1.00 50.00 X 0 1020233 45354 Doug Sawyer MD Chief Academic Officer, MH 1.00 50.00 X 0 656997 57955 Lois N Skillings Former President, Mid Coast Health 1.00 50.00 X X 0 615449 27674 Melissa Streeter MD Physician, Medical Staff President 1.00 50.00 X 0 412662 34909 Catherine Fredricks Rehagen DO Physician, Medical Staff Vice Pres. 1.00 50.00 X 0 294097 38838 Kelly Elkins Chief Operating Officer, MH 1.00 50.00 X 0 0 0 Pamela Bowerman Director 1.00 0.00 X 0 0 0 Marcus Deck MD Director 1.00 0.00 X 0 0 0 Michael Field Director 1.00 0.00 X 0 0 0 Charles Frizzle Director 1.00 0.00 X 0 0 0 Ted Huskins Director 1.00 0.00 X 0 0 0 Margo Knight Director 1.00 0.00 X 0 0 0 Bruce McGlauflin Director 1.00 0.00 X 0 0 0 Alain Montegut MD Director 1.00 0.00 X 0 0 0 Daniel Morganstern MD Vice Chairperson 1.00 0.00 X X 0 0 0 Sue Spann Director 1.00 0.00 X 0 0 0 Glenn L Hutchinson Director 1.00 0.00 X 0 0 0 Lenora Burke Chairperson 1.00 0.00 X X 0 0 0 Matthew Orlando Treasurer 1.00 0.00 X X 0 0 0 Charles Bridge Secretary 1.00 0.00 X X 0 0 0 Sandy Morrell Rooney Immediate Past Chairperson 1.00 0.00 X 0 0 0 Diane Field Director 1.00 0.00 X 0 0 0 Michael Perry Chief Financial Officer 1.00 50.00 X 0 308922 38510 Carrie Pelletier Dir - Residential Svc Market & Admis. 50.00 0.00 X 115208 0 4840 Kimberley Tucker RN Care Coordinator 50.00 0.00 X 114528 0 17218 Kim Watson MS SLP MLNH LTC Administrator 50.00 0.00 X 131875 0 26018 Patrick Keaney MD Physician, Former Officer 0.00 50.00 X 0 530502 40810 Ira Bird MD Physician, Former Officer 0.00 50.00 X 0 481616 38366 361611 5400436 485084 3 1 1 0 0 488060 100124 588184 Patient Service Revenue 623000 10291803 10291803 Miscellaneous Revenue 623000 40688 40688 10332491 1018 1018 70000 0 70000 70000 70000 10991693 10333509 0 70000 X 6195966 5452450 743516 117869 103725 14144 947471 833774 113697 458800 403744 55056 3384463 3351463 33000 20592 20592 158659 139620 19039 376145 331008 45137 787 693 94 12626 11111 1515 218815 192557 26258 769396 677068 92328 30279 30279 Food Service 464057 464057 Medical Supplies 385437 385437 Nursing Home Tax 355629 355629 51593 45402 6191 13948584 12747738 1200846 0 3015022 937258 1720871 1274221 280385 146573 918419 973426 59160 57664 135985 24332 21887468 12167076 10230042 9720392 1285814 1521704 17645698 14655570 1116938 1129584 10566987 10654917 11683925 11784501 X 3918299 860265 2043474 2010803 5961773 2871069 17645698 14655570 X -2956891 -133813 X 0 1 X 1 0 X 899946 967477 1539632 198224 588184 4193463 9469752 9684660 9693664 9283162 10333509 48464747 10369698 10652137 11233296 9481386 10921693 52658210 0 0 0 52658210 90238 111224 83505 67000 70000 421967 90238 111224 83505 67000 70000 421967 10459936 10763361 11316801 9548386 10991693 53080177 0.99210 0.98000 0.00790 0.00780 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1486 1486 0 Part II-B, Line 1: Mid Coast Geriatric Services paid dues to Maine Health Care Association, a portion of which was available for lobbying. 2043474 100124 1018 133813 2010803 1975651 69086 172 1435 2043474 5042042 716267 12941 3795599 1975651 4064877 938018 41373 2226 5042042 3155256 898880 21314 10573 4064877 0.09800 0.90200 0 1 1 87466 87466 18237272 9357291 8879981 130766 102253 28513 3305485 2707532 597953 126479 126479 9720392 Due from Affiliates 1521704 1521704 Due to Affiliates 10558708 Settlements 96209 10654917 X Part V, Line 4: The earnings from these endowed funds will be used to fund the upkeep of hospice rooms. Part X, Line 2: The Internal Revenue Service has previously determined that the System and its subsidiaries (except Maine Medical Partners (MMP) (a subsidiary of MaineHealth) are organizations as described in Section 501(c)(3) of the Internal Revenue Code (IRC) and are exempt from federal income taxes on related income pursuant to Section 501(a) of the IRC. MMP had significant net operating loss carryovers as of September 30, 2022 and 2021. A valuation allowance has been provided for the entire deferred tax benefit for the net operating losses, due to uncertainty of realization. MMP did not have material taxable income in 2022 and 2021. Accordingly, a provision for income taxes has not been made in the accompanying consolidated financial statements. The System recognizes the effect of income tax positions only if those positions are more likely than not of being sustained. Recognized income tax positions are measured at the largest amount of benefit that is greater than fifty percent likely to be realized upon settlement. Changes in measurement are reflected in the period in which the change in judgment occurs. The System did not recognize the effect of any income tax positions in either 2022 or 2021. 1 1 0 0 0 0 0 0 0 Richard Petersen Former President, MH 0 955745 0 0 0 124213 0 80076 0 34516 0 1194550 0 0 Joan Boomsma MD Former Chief Medical Officer, MH 0 594870 0 120600 0 304763 0 11600 0 33754 0 1065587 0 0 Doug Sawyer MD Chief Academic Officer, MH 0 475408 0 98622 0 82967 0 19874 0 38081 0 714952 0 0 Lois N Skillings Former President, Mid Coast Health 0 382968 0 114806 0 117675 0 8700 0 18974 0 643123 0 0 Patrick Keaney MD Physician, Former Officer 0 510400 0 0 0 20102 0 8700 0 32110 0 571312 0 0 Ira Bird MD Physician, Former Officer 0 460374 0 0 0 21242 0 8700 0 29666 0 519982 0 0 Melissa Streeter MD Physician, Medical Staff President 0 328986 0 0 0 83676 0 8700 0 26209 0 447571 0 0 Michael Perry Chief Financial Officer 0 269380 0 38278 0 1264 0 8700 0 29810 0 347432 0 0 Catherine Fredricks Rehagen DO Physician, Medical Staff Vice Pres. 0 242586 0 0 0 51511 0 8700 0 30138 0 332935 0 0 Kim Watson MS SLP MLNH LTC Administrator 128784 0 0 0 3091 0 4126 0 21892 0 157893 0 0 0 Part I, Line 1a Top management officials are compensated by this or other related organizations. These organizations used one or more of the methods shown at Part I, Line 3 to establish the compensation of top management. See description of process in Schedule O - Form 990, Part VI, Line 15a- Compensation for Top Official. Part I, Lines 4a-b Joan Boomsma, MD (Former Chief Medical Officer of MaineHealth) received severance payments totaling $81,173 during calendar year 2021 from MaineHealth. Mid Coast Geriatric Services Corporation and its related organizations has a deferred compensation arrangement under a non-qualified defined contribution plan to provide supplemental retirement benefits to certain employees. Lois Skillings and Michael Perry, officers of the Organization, participated in this plan. These individuals did not receive any employer contributions during calendar year 2021 and their plan contributions are included in the figures reported on Schedule J, Part II, Column C. Form 990 Part V Line 1a MaineHealth (EIN 01-0238552), acting on behalf of the MaineHealth System filed 1,761 Form 1099s for the calendar year 2021. Form 990 Part V Line 2a MaineHealth (EIN 01-0238552), acting on behalf of the MaineHealth System filed Form W-3, reporting 26,135 employees for the calendar year 2021. Form 990, Part VI, Section A, line 6 MaineHealth (EIN# 01-0238552) is the sole member of the organization. Form 990, Part VI, Section A, line 7a The directors of the organization are elected by the sole member. The organization's directors must also be members of a certain committee of the sole member's Board known as the Mid Coast Parkview Health Board. Form 990, Part VI, Section A, line 7b The exercise of the following powers by the Board of Trustees of the Corporation shall be subject to recommendation by the MCPH Board and approval by the Board of Trustees of the sole Member: 1. adoption of the annual capital and operating budgets, including modifications thereof; 2. approval of any business, marketing, and strategic plans, including modifications thereof; 3. authorization for debt incurred, assumed, or guaranteed by the Corporation, or other financial commitment by the Corporation, in excess of $5,000,000, other than as provided for in approved capital and operating budgets; 4. authorization for any acquisition, disposition, organization or initial investment by the Corporation in a direct subsidiary or any other corporation, partnership, limited liability company or joint venture; 5. authorization for any sale, capitalized lease, assignment, transfer, mortgage or encumbrance of any properties or assets of the Corporation having an aggregate value in excess of $5,000,000; 6. authorization for any merger or consolidation of the Corporation with any other entity, dissolution of the Corporation, or any sale or other disposition of substantially all of the assets of the Corporation; 7. authorization for the institution of any bankruptcy, insolvency or reorganization proceedings; 8. authorization for the capital investment in an individual, entity or project, including the purchase, license or lease of real estate or another capital asset, in the form of cash or either tangible or intangible property in excess of $5,000,000, other than as provided for in approved capital and operating budgets; 9. authorization for the commencement of litigation other than routine collection actions; 10. settlement of claims that would require the Corporation to spend amounts in excess of $5,000,000; 11. adoption of any amendments and modifications to the Articles of Incorporation of the Corporation; 12. adoption of the Corporation's Bylaws and any amendments and modifications to the Corporation's Bylaws; and 13. authorization for cessation of, or any significant change in, the health care services provided by the Corporation. B. The exercise of the following powers by the Board of Trustees of the Corporation shall be subject to the approval of the MCPH Board and notification to the Board of Trustees or Executive Committee of the Corporate Member: 1. authorization for debt incurred, assumed, or guaranteed by the Corporation, or other financial commitment by the Corporation, in excess of $1,000,000 (but not exceeding $5,000,000), other than as provided for in approved capital and operating budgets; 2. authorization for any sale, capitalized lease, assignment, transfer, mortgage or encumbrance of any properties or assets of the Corporation having an aggregate value in excess of $1,000,000 (but not exceeding $5,000,000); and 3. authorization for the capital investment in an individual, entity or project including the purchase, license or lease of real estate or another capital asset, in the form of cash or either tangible or intangible property in excess of $1,000,000 (but not exceeding $5,000,000), other than as provided for in approved capital and operating budgets. C. The approval of the MCPH Board but not the Board of Trustees of the Corporate Member shall be required for the exercise of the following powers by the Board of Trustees of the Corporation: 1. authorization for debt incurred, assumed, or guaranteed by the Corporation in excess of $500,000 (but not exceeding $1,000,000), other than as provided for in approved capital and operating budgets; 2. authorization for any sale, capitalized lease, assignment, transfer, mortgage or encumbrance of any properties or assets of the Corporation having an aggregate value in excess of $500,000 (but not exceeding $1,000,000); 3. authorization for the capital investment in an individual, entity or project in the form of cash or either tangible or intangible property in excess of $500,000 (but not exceeding $1,000,000), other than as provided for in approved capital and operating budgets; 4. settlement of claims that would require the Corporation to spend amounts in excess of $1,000,000 (but not exceeding $5,000,000); 5. authorization for developing, implementing, or terminating programs and services other than those included within any approved strategic or financial plan; and 6. initial entry into or renewal of any management services agreement. Form 990, Part VI, Section B, line 11b The Chief Financial Officer reviews the Form 990 prior to signing the return. The Form 990 is provided to the full Board of Trustees prior to filing the return. Form 990, Part VI, Section B, line 12c Conflict of Interest statments are obtained annually. The organization reviews the responses to these documents and addresses any issues immediately. Form 990, Part VI, Section B, line 15 Compensation Process for Top Official: The process followed for determining compensation of the President compensated by this or other related organization is a formal process performed annually by the Executive Committee of the Board of Directors. A related organization uses an outside firm, Sullivan Cotter, to perform an independent benchmark analysis for the CEO of Community Health & Nursing Services, along with other executives in the MaineHealth Services system. The firm meets with the Executive Committee to review each executive's benchmark report. The Committee then deliberates on MaineHealth Services' written salary and incentive plan philosophy before making a final decision. All decisions and meetings are captured in minutes and there are appropriate approvals at all levels. Compensation for Officers: All compensation is determined via compensation surveys and comparability data. Executive compensation is approved by the Organization's Human Resource department and the CEO of the parent company MaineHealth Services. 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 IX, line 11g Other Fee for Service: Program service expenses 241,999. Management and general expenses 33,000. Fundraising expenses 0. Total expenses 274,999. Purchased Services: Program service expenses 3,109,464. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,109,464. Form 990, Part XI, line 9: Provision for uncollectible donor pledges -133,813. MaineHealth Services 110 Free Street Portland ME 04101 010431680 Healthcare ME 501(c)(3) Line 12c, III-FI N/A 1 MaineHealth 22 Bramhall Street Portland ME 04102 010238552 Hospital ME 501(c)(3) Line 3 MaineHealth Services 1 St Joseph's Rehabilitation & Residence 1133 Washington Avenue Portland ME 04103 010339489 Nursing home ME 501(c)(3) Line 10 MaineHealth 1 Maine Medical Center Realty Corp 22 Bramhall Street Portland ME 04102 010434215 Property management ME 501(c)(3) Line 12a, I MaineHealth 1 LincolnHealth Cove's Edge 35 Miles Street Damariscotta ME 04543 010382340 Healthcare ME 501(c)(3) Line 3 MaineHealth 1 LincolnHealth Medical Partners Inc 35 Miles Street Damariscotta ME 04543 263878235 Physicians practices ME 501(c)(3) Line 7 MaineHealth 1 Healthy Community Coalition Inc 105 Mt Blue Circle Farmington ME 04938 223305743 Community services ME 501(c)(3) Line 7 MaineHealth 1 Western Maine Multi-Medical Specialists 181 Main Street Norway ME 04268 010489824 Physician practices ME 501(c)(3) Line 10 MaineHealth 1 Western Maine Nursing Home Inc 181 Main Street Norway ME 04268 222842655 Nursing home ME 501(c)(3) Line 10 MaineHealth 1 Quarry Hill 4 White Street Rockland ME 04841 010213976 Long term care ME 501(c)(3) Line 7 MaineHealth 1 Community Health and Nursing Services 60 Baribeau Drive Brunswick ME 04011 010211546 Home health ME 501(c)(3) Line 10 MaineHealth 1 Maine Medical Partners 22 Bramhall Street Portland ME 04102 010442142 Healthcare ME N/A C 0 Waldo County Healthcare Mgmt Co PO Box 287 Belfast ME 04915 010485133 Management services ME N/A C 0 PBH Management Company PO Box 287 Belfast ME 04915 010537278 Management services ME N/A C 0 Midcoast Health Management Corp 123 Medical Center Drive Brunswick ME 04011 010429598 Management services ME N/A C 0 Mid Coast Medical Group 123 Medical Center Drive Brunswick ME 04011 010484592 Management services ME N/A C 0 Thornton Oaks Development Corp 123 Medical Center Drive Brunswick ME 04011 010448411 Management services ME N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 1 0 0