2022-08-08T08:51:57-05:00 2021-09-30 990 2020-10-01 010496221 Mid Coast Geriatric Services Corporation MIDC 2073736733 123 Medical Center Drive Brunswick ME 04011 Michael Perry VP of Finance/CFO 2073736733 2022-06-30 Michael Perry 999009999 0 AAL1 IAL1 2020 2022-09-23 18:48:47Z Lois N Skillings 123 Medical Center Drive Brunswick ME 04011 9510615 0 X www.midcoasthealth.com X 1995 ME Our mission is to provide supportive and rehabilitative health 22 17 242 8 0 0 1539632 267310 9693664 9181638 16505 0 -330662 61667 10919139 9510615 0 0 0 0 6511389 6882505 0 0 0 3940759 3935683 10452148 10818188 466991 -1307573 16522463 17645698 9253117 11683925 7269346 5961773 X Our mission is to provide supportive and rehabilitative healthservices in a residential environment. These services are integratedwithin the Mid Coast Health Services Organization, which spans thecontinuum of elder care needs. Our care is delivered in a manner that is holistic, personalized, promoting independence, and designed toenhance the quality of life for each resident. Integrity, respect, anda commitment to excellence are our guiding principles in ourinteractions with residents, family members, colleagues, physicians,volunteers, and the community. 0 0 9177689 9181638 Continuum of services to promote independence, health, and wellness tosenior citizens of the Mid Coast region in Maine. 9177689 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 20 0 1 242 1 0 0 0 0 0 0 0 0 0 0 X 22 17 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X Michael Perry 2073736028 123 Medical Center Drive Brunswick ME 04011 Lois N Skillings President/CEO 5.50 36.00 X X 0 492259 89515 Patrick Keaney MD Former Officer 0.00 41.50 X 0 587970 44005 Ira Bird MD Former Medical Staff V.P. 0.30 0.60 X 0 486268 44446 Kim Watson MS SLP MLNH Administrator 41.50 0.00 X 128273 0 18664 Michael Perry CFO 5.50 36.00 X 0 287632 66598 Ranjiv Advani MD Medical Staff President 0.30 0.60 X X 0 0 0 Melissa Streeter MD Med Staff VP 0.30 0.60 X 0 439246 43201 Sherrie Bergman Director 0.30 0.60 X 0 0 0 Pamela Bowerman Director 0.30 0.60 X 0 0 0 Lenora Burke Vice Chairperson 0.30 0.60 X X 0 0 0 Charles Frizzle Director 0.30 0.60 X 0 0 0 Ted Huskins Director 0.30 0.60 X 0 0 0 Connie Jones Director 0.30 0.60 X 0 112418 8495 Margo Knight Director 0.30 0.60 X 0 0 0 Bruce McGlauflin Director 0.30 0.60 X 0 0 0 Daniel Morgenstern MD Director 0.30 0.60 X 0 0 0 Dean Paterson Director 0.30 0.60 X 0 0 0 Sue Spann Director 0.30 0.60 X 0 0 0 Lloyd Van Lunen MD Director 0.30 0.60 X 0 0 0 Joan Shea Director 0.30 0.60 X 0 0 0 Sandra Morrell Rooney Director 0.30 0.60 X 0 0 0 Glenn L Hutchinson Vice Chairperson 0.30 0.60 X X 0 0 0 Matthew Orlando Treasurer 0.30 0.60 X X 0 0 0 Charles Bridge Secretary 0.30 0.60 X X 0 0 0 Joan Boomsma MD Director 0.30 50.00 X 0 749101 48649 Richard Peterson Director 0.30 50.00 X 0 1564459 119025 Marcus Deck MD Director 0.30 0.60 X 0 0 0 Michael Field Director 0.30 0.60 X 0 0 0 Alain Montegut MD Director 0.30 0.60 X 0 0 0 128273 4719353 482598 1 1 1 0 0 198224 69086 267310 Patient Service Revenu 623000 9002159 9002159 Lifeline Revenue 623000 148795 148795 Miscellaneous Revenue 623000 30684 30684 9181638 61667 0 61667 61667 61667 9510615 9181638 0 61667 5464883 4902620 562263 89963 80707 9256 935755 839478 96277 391904 351582 40322 11138 11138 24947 24947 994870 820334 174536 33934 33934 444698 61697 383001 313347 240857 72490 225924 173659 52265 778376 598306 180070 Food Service 446145 446145 Medical Supplies 370244 370244 Nursing Home Tax 292060 292060 10818188 9177689 1640499 0 1874752 3015022 1720191 1720871 618982 280385 1059069 918419 28458 59160 131437 135985 21529224 11299182 10210992 10230042 878582 1285814 16522463 17645698 751607 1116938 8501510 10566987 9253117 11683925 X 5293695 3918299 1975651 2043474 7269346 5961773 16522463 17645698 -1307573 0 X 0 1 X 1 1 1 X 2979636 899946 967477 1539632 198224 6584915 9216063 9469752 9684660 9693664 9283162 47347301 12195699 10369698 10652137 11233296 9481386 53932216 661074 661074 0 661074 661074 53271142 73651 90238 111224 83505 67000 425618 73651 90238 111224 83505 67000 425618 12269350 10459936 10763361 11316801 9548386 54357834 0.98000 0.98010 0.00780 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 Lobbying Activities: Mid Coast Geriatric Services paid dues to Maine Healthcare Association totaling $6,119, of which 24.28% ($1,486) was available for lobbying. 1975651 69086 172 1435 2043474 5042042 716267 12941 3795599 1975651 4064877 938018 41373 2226 5042042 3155256 898880 21314 10573 4064877 264331 2975446 2054 86575 3155256 0.00000 0.09640 0.90360 0 0 119733 119733 18190118 8722684 9467434 3115836 2576498 539338 103537 103537 10230042 Due from Affiliates 1285814 1285814 Due to Affiliates 10470778 Settlements 96209 10566987 X Part X, Line 2: The Internal Revenue Service has previously determined that the MaineHealth System and its subsidiaries (except Maine Medical Partners (MMP) (a subsidiary ofMaineHealth) are organizations as described in Section 50l(c)(3) of the Internal Revenue Code (IRC) and are exempt from federal income taxes on related income pursuant to Section 50l(a) of the IRC. 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 2021 or 2020. Part V, Line 4: The earnings from these endowed funds will be used to fund the upkeep of hospice rooms. 0 1 0 0 0 0 0 0 0 Lois N Skillings President/CEO 0 492259 0 0 0 0 0 80304 0 9211 0 581774 0 0 Patrick Keaney MD Former Officer 0 568470 0 0 0 19500 0 8550 0 35455 0 631975 0 0 Ira Bird MD Former Medical Staff V.P. 0 466768 0 0 0 19500 0 8550 0 35896 0 530714 0 0 Michael Perry CFO 0 287632 0 0 0 0 0 50202 0 16396 0 354230 0 0 Melissa Streeter MD Med Staff VP 0 419746 0 0 0 19500 0 8550 0 34651 0 482447 0 0 Joan Boomsma MD Director 0 609537 0 124000 0 15564 0 11400 0 37249 0 797750 0 0 Richard Peterson Director 0 1011326 0 460508 0 92625 0 86023 0 33002 0 1683484 0 0 Part I, Line 4b 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, who are officers of the Organization, participated in this plan and received $71,754 and $ 41,652, respectively, from Mid Coast Health Management Corp & Sub (MCHMC). These individuals' non-qualified plan contributions are included in the figures reported on Schedule J, Part II, Column C. Form 990, Part VI, Section A, line 4 On 12/30/20, Mid Coast Geriatric Services Corporation Articles of Incorporation were restated and the Bylaws were amended on 1/1/21 with updates related to the merger of Mid Coast-Parkview Health (former parent, EIN# 01-0430069) into a related organization MaineHealth (EIN# 01-0238552). 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 President & CEO and the CFO, are compensated by a related organization, Mid Coast Health Management Corp & Sub (MCHMC). MCHMC uses an independent compensation consultant to prepare 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. 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 Practice ME 501(c)(3) Line 7 MaineHealth 1 Healthy Community Coalition Inc 131 Franklin Health Commons 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 Hospice Services ME 501(c)(3) Line 10 MaineHealth 1 Mid Coast Hospital 123 Medical Drive Brunswick ME 04011 010215911 Hospital ME 501(c)(3) Line 3 MaineHealth 1 Mid Coast Parkview Health 123 Medical Drive Brunswick ME 04011 010430069 Health Services 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