2021-08-13T12:02:22-05:00 2020-09-30 010494526 BAKER NEWMAN & NOYES LLC PO BOX 507 PORTLAND ME 04112 990 2019-10-01 010496221 Mid Coast Geriatric Services Corporation MIDC 2073736733 123 Medical Center Drive Brunswick ME 04011 Michael Perry Vice President of Finance/CFO 2073736733 2021-08-12 1 Connor Smart P02285543 2078792100 2021-08-12 2019 2022-09-23 18:48:47Z Lois N Skillings 123 Medical Center Drive Brunswick ME 04011 10919139 0 X www.midcoasthealth.com X 1995 ME Supportive and rehabilitative health services in a residential environment. 25 22 226 29 0 0 967477 1539632 9684660 9693664 44091 16505 67000 -330662 10763228 10919139 0 0 0 0 6426384 6511389 0 0 0 3426112 3940759 9852496 10452148 910732 466991 16863537 16522463 9662262 9253117 7201275 7269346 X Our mission is to provide supportive and rehabilitative health services in a residential environment. These services are integrated within the Mid Coast Health Services Organization, which spans the continuum of elder care needs. Our care is delivered in a manner that is holistic, personalized, promoting independence, and designed to enhance the quality of life for each resident. Integrity, respect, and a commitment to excellence are our guiding principles in our interactions with residents, family members, colleagues, physicians, volunteers, and the community. 0 0 8923885 0 9693664 Continuum of services to promote independence, health, and wellness to senior citizens of the Mid Coast region in Maine. 8923885 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 22 0 1 226 1 0 0 0 0 0 0 0 0 0 0 0 0 X 25 22 0 0 1 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 X Michael Perry 2073736000 123 Medical Center Drive Brunswick ME 04011 X Lois N Skillings President/CEO 5.50 36.00 X X 0 475413 91487 Robert McCue Former CFO 0.00 0.00 X 0 508411 21509 Patrick Keaney MD Former Officer 0.00 41.50 X 0 432669 41377 Ira Bird MD Medical Staff Vice President 0.30 0.60 X X 0 420891 42818 Kim Watson MS SLP MLNH Administrator 41.50 0.00 X 123285 0 22328 Michael Perry CFO 5.50 36.00 X 0 170229 65321 Ranjiv Advani MD Medical Staff President 0.30 0.60 X X 0 8000 0 Sherrie Bergman Director 0.30 0.60 X 0 0 0 Pamela Bowerman Director 0.30 0.60 X 0 0 0 Lenora Burke Director 0.30 0.60 X 0 0 0 Robert Cundiff Director 0.30 0.60 X 0 0 0 John Farnham Director 0.30 0.60 X 0 0 0 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 0 0 Margo Knight Director 0.30 0.60 X 0 0 0 Bruce McGlauflin Director 0.30 0.60 X 0 0 0 John Moncure Director 0.30 0.60 X 0 0 0 Daniel Morgenstern MD Director 0.30 0.60 X 0 0 0 John G Morse IV Director 0.30 0.60 X 0 0 0 Dean Paterson Director 0.30 0.60 X 0 0 0 Barbara Reinertsen Director 0.30 0.60 X 0 0 0 Sue Spann Director 0.30 0.60 X 0 0 0 Lloyd Van Lunen Director 0.30 0.60 X 0 0 0 Joan Shea Director/Aux. President 0.30 0.60 X 0 0 0 Sandra Morrell Rooney Chairperson 0.30 0.60 X 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 123285 2015613 284840 1 1 1 0 Langford & Low Inc PO Box 662 Portland ME 04104 Construction Services 1788391 Corr Health Services LLC 980 Forest Avenue 207 Portland ME 04103 Medical Staffing Services 296348 2 60000 419289 1060343 607470 1539632 Patient Service Revenue 623000 9494122 9494122 Lifeline Revenue 623000 176311 176311 Miscellaneous Revenue 623000 23231 23231 9693664 16505 16505 67000 0 67000 67000 67000 Loss on debt refinancing 525990 -397662 -397662 -397662 10919139 9693664 0 -314157 5195526 4571235 624291 75793 66686 9107 842442 741215 101227 397628 349849 47779 12270 12270 35900 35900 967650 847484 120166 31206 71 31135 645579 400167 245412 325457 276638 48819 27416 6040 21376 233995 198896 35099 700726 530803 169923 25759 25759 Food Services 427366 427366 Nursing Home Tax 295616 295616 Provision for Bad Debt 114614 114614 Pandemic 97205 97205 10452148 8923885 1528263 0 2382684 1874752 2848362 1720191 1080736 618982 619933 1059069 56794 28458 206723 131437 20830298 10619306 9412174 10210992 256131 878582 16863537 16522463 1132658 751607 7221964 0 1307640 8501510 9662262 9253117 X 2159233 5293695 5042042 1975651 7201275 7269346 16863537 16522463 X 466991 -398920 X X 0 1 X 1 0 X 59879 2979636 899946 967477 1539632 6446570 9650185 9216063 9469752 9684660 9693664 47714324 9710064 12195699 10369698 10652137 11233296 54160894 661074 661074 0 661074 661074 53499820 64663 73651 90238 111224 83505 423281 64663 73651 90238 111224 83505 423281 9774727 12269350 10459936 10763361 11316801 54584175 0.98010 0.98120 0.00780 0.00640 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 1881 0 0 0 1881 0 Part II-B, Line 1: Mid Coast Geriatric Services paid dues to Maine Healthcare Association totaling $6,108, of which 30.80% ($1,881) was available for lobbying. 5042042 716267 12941 3795599 1975651 4064877 938018 41373 2226 5042042 3155256 898880 21314 10573 4064877 264331 2975446 2054 86575 3155256 218237 52827 -34 6699 264331 0.00000 0.09970 0.90030 0 0 87466 87466 17574846 8080700 9494146 2862170 2450008 412162 305816 88598 217218 10210992 Due from Affiliates 878582 878582 Due to Affiliates 8405301 Estimated Third-Party Payor Settlements 96209 8501510 X 10405605 0 10405605 513534 513534 10919139 10337534 0 10337534 114614 114614 10452148 Part V, Line 4: The earnings from these endowed funds will be used to fund the upkeep of hospice rooms. The Organization also continued a capital campaign during the year to assist in the renovation of the nursing units of the facility and to create all private rooms. Part X, Line 2: The Company is a not-for-profit corporation and is tax-exempt under Section 501(c)(3) of the Internal Revenue Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Company has evaluated the positions taken on its filed tax returns. The Company has concluded no uncertain income tax positions exist at September 30, 2020. Part XI, Line 4b - Other Adjustments: Provision for bad debts 114,614. Provision for uncollectible donor-pledges 398,920. Part XII, Line 4b - Other Adjustments: Provision for bad debts 114,614. 0 1 0 0 0 0 0 0 0 Lois N Skillings President/CEO 0 475413 0 0 0 0 0 82914 0 8573 0 566900 0 0 Robert McCue Former CFO 0 342609 0 0 0 165802 0 8400 0 13109 0 529920 0 165802 Patrick Keaney MD Former Officer 0 432669 0 0 0 0 0 27400 0 13977 0 474046 0 0 Ira Bird MD Medical Staff Vice President 0 420891 0 0 0 0 0 27400 0 15418 0 463709 0 0 Michael Perry CFO 0 170229 0 0 0 0 0 45768 0 19553 0 235550 0 0 Part I, Line 3 Mid Coast Geriatric Services Corporation's President, Lois Skillings, and Michael Perry, CFO, are compensated by a related organization, Mid Coast Health Management Corp & Sub (MCHMC). MCHMC uses an independent compensation consultant, compensation survey or study, and approval by the board or compensation committee to determine he annual compensation. Part I, Line 4b Mid Coast Geriatric Services Corporation and its related organizations have 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 $74,514 and $40,442, 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. Additionally, Robert McCue, the Organization's Former CFO, received $165,802 in distributions from his supplemental non-qualified retirement plan during the year. In accordance with IRS instructions, this amount has been reported as Other Compensation on Schedule J, Part II, Column B(iii). X 5 607470 Market Value 0 1 1 Part I, Line 32b: The Organization sells contributions of securities through its investment broker. All gifts of securities are sold as soon as administratively possible. Form 990, Part VI, Section A, line 4 Effective March 1, 2020, Mid Coast-Parkview Health (MCPH), the sole member of Mid Coast Geriatric Services (the Corporation), merged into MaineHealth and MaineHealth became the sole corporate member of Mid Coast Parkview-Health. As part of the merger, the Corporation amended and restated its bylaws in March, 2020. The amendments to the Corporation's bylaws specifically address the Corporation's new relationship with its members, and their respective rights and powers over Corporate management. The March 2020 restated bylaws provide the following provisions regarding Member's Powers: The Sole Member (MCPH) shall have such powers as may be conferred on the Sole Member by law, the Articles of Incorporation, or the Bylaws of the Corporation. The approval of MCPH and its own sole corporate member, MaineHealth Services, shall be required for the exercise of the following powers by the Board of the Corporation: 1.) adoption of annual budgets and modifications thereof; 2.) approval of any business, marketing, and strategic plans; 3.) authorization of certain debts incurred, assumed, or guaranteed in excess of $500,000; 4.) authorization for any acquisition, disposition, organization, or investment in a direct subsidiary or other investment; 5.) authorization of any sale, capitalized lease, assignment, transfer, mortgage, or encumbrance of properties valued in excess of $500,000; 6.) authorization for any merger or consolidation involving the Corporation; 7.) authorization for the institution of bankruptcy; 8.) authorization for certain capital investments in excess of $500,000; 9.) authorization for changes to programs and services within pre-approved strategic plans; and 10.) modifications to the Articles of Incorporation. Additionally, the approval of MCPH, but not MaineHealth Services, shall be required for the following actions by the Board of the Corporation: 1.) Election, evaluation, and termination of the President/CEO; 2.) authorization for the commencement of certain litigation; and 3.) adoption of the Corporation's Bylaws and its amendments. The March 2020 Amended Bylaws also provide that MaineHealth Services reserves certain rights and powers to elect, appoint, or remove Directors from the Corporation's Board as it deems appropriate and necessary. 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. Effective March 1, 2020, MCPH merged into MaineHealth and MaineHealth became the sole corporate member of MCPH. The two health care systems will work toward full integration over several months, which will allow all organizations involved in the merger to access and provide higher quality resources and services. Form 990, Part VI, Section A, line 7a The sole member of the Organization shall meet within a reasonable time following the close of the Organization's fiscal year at a time and place within or out of the State of Maine as set by the board of directors. At this meeting, the sole member shall elect the Organization's directors and officers. To the extent feasible, all directors serving on the Organization's board of directors shall be persons who also serve on the board of directors of the sole member, Mid Coast-Parkview Health. The Board of Directors shall consist of not less than thirteen persons elected by MaineHealth Services (MaineHealth Services is the sole corporate member of the Corporation's own sole member, Mid Coast-Parkview Health). One-third of the total number of Directors shall be elected at each annual meeting of MaineHealth Services. Vacancies on the Board of Directors occurring between annual meetings of MaineHealth Services may be filled by the remaining members of the Board, and the persons so becoming Directors shall serve until the next annual meeting of MaineHealth Services. At each annual meeting of MaineHealth Services, MaineHealth Services shall elect Directors to fill such terms or vacancies as may exist at that time. Additionally, any member of the Board may be removed with or without cause by vote of the MaineHealth Services at any meeting of the MaineHealth Services, provided a statement of such proposed action is given to the Director affected. Form 990, Part VI, Section A, line 7b The business and affairs of the Corporation 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. The Board of Directors may delegate such powers as it sees fit to committees and/or officers of the Corporation. However, the powers of the Corporation's Board of Directors may be limited and/or subject to approval by its Sole Member and MaineHealth Services for the following exercises: 1.) adoption of annual budgets and modifications thereof; 2.) approval of any business, marketing, and strategic plans; 3.) authorization of certain debts incurred, assumed, or guaranteed in excess of $500,000; 4.) authorization for any acquisition, disposition, organization, or investment in a direct subsidiary or other investment; 5.) authorization of any sale, capitalized lease, assignment, transfer, mortgage, or encumbrance of properties valued in excess of $500,000; 6.) authorization for any merger or consolidation involving the Corporation; 7.) authorization for the institution of bankruptcy; 8.) authorization for certain capital investments in excess of $500,000; 9.) authorization for changes to programs and services within pre-approved strategic plans; and 10.) modifications to the Articles of Incorporation. Additionally, the approval of Mid Coast-Parkview Health, but not MaineHealth Services, shall be required for the following actions by the Board of the Corporation: 1.) Election, evaluation, and termination of the President/CEO; 2.) authorization for the commencement of certain litigation; and 3.) adoption of the Corporation's Bylaws and its amendments. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent public accounting firm with the assistance of information provided by key financial staff. An initial draft is reviewed in detail by key financial staff. Once any changes are incorporated, a draft copy is presented to the Board and copies are provided upon request. For the Form 990 for September 30, 2020, the Board was provided copies of the return after it was filed with the IRS. Form 990, Part VI, Section B, line 12c The Organization's conflict of interest policy is monitored by a representative from Mid Coast-Parkview Health and the Organization's executive director as needed, both of whom assist with resolution of any compliance issues. Form 990, Part VI, Section B, line 15 An independent consultant prepares a market analysis at the regional level for all officers and key employees of the Organization. Compensation is also approved by the board and/or compensation committee annually. 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: Dr. Patrick Keaney was listed on prior Form 990s of the Organization as an officer due to his role as being the Medical Staff President. Dr. Keaney did not serve in this capacity during the fiscal year and therefore has not been listed as a current officer in Form 990, Part VII. He remains employed by Mid Coast Hospital, a related organization, as a physician and has been indicated as a former officer in Part VII in accordance with IRS instructions. The compensation and benefits reported for him in Part VII as well as Schedule J, Part II represents compensation for his continued services as a physician and do not reflect payments in his capacity as a former officer. Additionally, Robert McCue, the Organization's Former CFO, retired in September of 2019, at the end of the Organization's previous tax year. Mr. McCue did not provide any services to the Organization during this tax year, though he was compensated during calendar year 2019. Accordingly, his 2019 calendar year compensation has been reported on the Organization's 2019 Form 990, Part VII and Schedule J. Form 990, Part XI, line 9: Provision for uncollectible donor-pledges -398,920. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Mid Coast Hospital 123 Medical Drive Brunswick ME 04011 010215911 Hospital ME 501(c)(3) Line 3 Mid Coast-Parkview Health 0 Mid Coast-Parkview Health 123 Medical Drive Brunswick ME 04011 010430069 Health Services ME 501(c)(3) Line 12a, I MaineHealth 0 Community Health and Nursing Services 60 Baribeau Drive Brunswick ME 04011 010211546 Hospice Services ME 501(c)(3) Line 10 Mid Coast-Parkview Health 0 MaineHealth 22 Bramhall Street Portland ME 04102 010238552 Health Services ME 501(c)(3) Line 3 N/A 0 Belfast Public Health Nursing Association Inc PO Box 287 Belfast ME 04915 043359810 Public Health ME 501(c)(3) Line 10 Coastal Healthcare Alliance 0 Cancer Care Center of York County 22 Bramhall Street Portland ME 04102 201600381 Medical Services ME 501(c)(3) Line 3 Maine Medical Center 0 Coastal Healthcare Alliance PO Box 287 Belfast ME 04915 222494475 Healthcare ME 501(c)(3) Line 12b, II MaineHealth 0 Coastal Medical Care PO Box 287 Belfast ME 04915 010487091 Medical Services ME 501(c)(3) Line 10 Coastal Healthcare Alliance 0 Evergreen Behavioral Services 131 Franklin Health Commons Farmington ME 04938 010492747 Mental Health ME 501(c)(3) Line 10 Franklin Community Health Network 0 Franklin Community Health Network 111 Franklin Health Commons Farmington ME 04938 223209406 Healthcare ME 501(c)(3) Line 12b, II MaineHealth 0 Franklin Memorial Hospital 111 Franklin Health Commons Farmington ME 04938 010211503 Hospital ME 501(c)(3) Line 3 Franklin Community Health Network 0 Geriatric Resource Network 110 Free Street Portland ME 04101 010542842 Healthcare ME 501(c)(3) Line 7 MaineHealth 0 Healthy Community Coalition 105 Mt Blue Circle Farmington ME 04938 223305743 Community Services ME 501(c)(3) Line 7 Franklin Community Health Network 0 Kno-Wal-Lin Help At Home Inc PO Box 287 Belfast ME 04915 222968726 Home Services ME 501(c)(3) Line 10 Coastal Healthcare Alliance 0 Kno-Wal-Lin Home Health Care Inc PO Box 287 Belfast ME 04915 010340947 Home Health ME 501(c)(3) Line 10 Coastal Healthcare Alliance 0 Lincolnhealth 35 Miles Street Darmariscotta ME 04543 010153960 Hospital ME 501(c)(3) Line 3 LincolnHealth Group 0 Lincolnhealth Coves Edge 35 Miles Street Darmariscotta ME 04543 010382340 Healthcare ME 501(c)(3) Line 3 LincolnHealth Group 0 Lincolnhealth Group 6 St Andrews Lane Boothbay Harbor ME 04538 261475629 Healthcare ME 501(c)(3) Line 12b, II MaineHealth 0 Lincolnhealth Medical Partners Inc 35 Miles Street Darmariscotta ME 04543 263878235 Physician Practices ME 501(c)(3) Line 7 LincolnHealth Group 0 Maine Behavioral Healthcare 78 Atlantic Place South Portland ME 04106 010524834 Hospital ME 501(c)(3) Line 3 MaineHealth 0 MMC Realty Corp 22 Bramhall Street Portland ME 04102 010434215 Property Management ME 501(c)(3) Line 12a, I Maine Medical Center 0 Mainehealth Cardiology 110 Free Street Portland ME 04101 452525629 Healthcare ME 501(c)(3) Line 10 MaineHealth 0 Mainehealth Care At Home 15 Industrial Park Saco ME 04072 222571902 Home Health ME 501(c)(3) Line 10 MaineHealth 0 Memorial Hospital Foundation At North Conway Inc 3073 White Mountain Highway North Conway NH 03860 462137291 Fundraising NH 501(c)(3) Line 12a, I The Memorial Hospital 0 Nordx 301A US Route One Scarborough ME 04074 010511356 Laboratories ME 501(c)(3) Line 10 MaineHealth 0 Pen Bay Behavioral Health PO Box 287 Belfast ME 04915 010277794 Behavioral Health ME 501(c)(3) Line 10 Coastal Healthcare Alliance 0 Penobscot Bay Medical Center PO Box 287 Belfast ME 04915 010285286 Hospital ME 501(c)(3) Line 3 Coastal Healthcare Alliance 0 Pen Bay Waldo Healthcare Foundation PO Box 287 Belfast ME 04915 222482325 Fundraising ME 501(c)(3) Line 7 Coastal Healthcare Alliance 0 Penobscot Bay Physicians & Associates PO Box 287 Belfast ME 04915 010530517 Physician Practices ME 501(c)(3) Line 12b, II Penobscot Bay Medical Center 0 Quarry Hill PO Box 287 Belfast ME 04915 010213976 Long-Term Care ME 501(c)(3) Line 10 Coastal Healthcare Alliance 0 Southern Maine Health Care PO Box 626 Biddeford ME 04005 010179500 Hospital ME 501(c)(3) Line 3 MaineHealth 0 Saint Joseph's Manor 1133 Washington Avenue Portland ME 04103 010339489 Nursing Home ME 501(c)(3) Line 10 Maine Medical Center 0 Stephens Community Healthcare Foundation 181 Main Street Norway ME 04268 311644144 Healthcare ME 501(c)(3) Line 12a, I Western Maine Health Care Corp 0 Stephens Memorial Hospital Association 181 Main Street Norway ME 04268 010219904 Hospital ME 501(c)(3) Line 3 Western Maine Health Care Corp 0 Memorial Hospital 3073 White Mountain Highway North Conway NH 03860 020222156 Hospital ME 501(c)(3) Line 3 MaineHealth 0 Waldo County General Hospital 118 Northport Avenue Belfast ME 04915 010177170 Hospital ME 501(c)(3) Line 3 Coastal Healthcare Alliance 0 Waldo County Home Healthcare Services PO Box 287 Belfast ME 04915 222864960 Hospice Services ME 501(c)(3) Line 10 Coastal Healthcare Alliance 0 Western Maine Health Care Corp 181 Main Street Norway ME 04268 010411788 Healthcare ME 501(c)(3) Line 12b, II MaineHealth 0 Western Maine Multi-Medical Specialists 181 Main Street Norway ME 04268 010489824 Physician Practices ME 501(c)(3) Line 10 Western Maine Health Care Corp 0 Western Maine Nursing Home Inc 181 Main Street Norway ME 04268 222842655 Nursing Home ME 501(c)(3) Line 10 Western Maine Health Care Corp 0 GSM Realty LLC 22 Bramhall Street Portland ME 04102 204582952 Real Estate ME N/A MaineHealth ACO 110 Free Street Portland ME 04101 452929273 Accountable Care Organization ME N/A 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 Maine Medical Partners 22 Bramhall Street Portland ME 04102 010442142 Healthcare ME N/A C 0 Synernet Inc 110 Free Street Portland ME 04101 010539789 Administrative Services ME N/A C 0 Waldo County Healthcare Managemetn Co PO Box 287 Belfast ME 04915 010485133 Management Services ME N/A C 0 Schooner Cove Cooperative Inc 35 Schooner Street Darmariscotta ME 04543 010428308 Management Services ME N/A C 0 SMHC Physician Services PA PO Box 626 Biddeford ME 04005 263345134 Medical Services ME N/A C 0 June Street Pharmacy 25 June Street Sanford ME 04073 010765952 Pharmacy ME N/A C 0 PBH Management Company PO Box 287 Belfast ME 04915 010537278 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