2014-08-13T10:00:12-05:00 2013-09-30 010494526 BAKER NEWMAN & NOYES LLC PO BOX 507 PORTLAND ME 04112 990 2012-10-01 010496221 Mid Coast Geriatric Services Corporation MIDC 2073736733 123 Medical Center Drive Brunswick ME 04011 Lois N Skillings 2073736733 2014-08-12 1 Nicholas E Porto P01310283 2078792100 2012 2015-11-30 17:44:51Z Lois N Skillings 123 Medical Center Drive Brunswick ME 04011 8835952 0 X www.midcoasthealth.com X 1995 ME Supportive and rehabilitative health services in a residential environment. 10 9 226 9 0 0 9381 10728 8557484 9019216 -413 1281 0 -195273 8566452 8835952 0 0 0 0 5301242 5436989 0 0 0 3436265 3263594 8737507 8700583 -171055 135369 13157043 12840873 11660597 11209058 1496446 1631815 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 7266594 9019216 Continuum of services to promote independence, health, and wellness to senior citizens of the Mid Coast region in Maine. 7266594 1 0 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 0 0 0 0 0 1 0 0 0 1 28 0 1 226 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 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 Lawrence L Clampitt 0.30 X 0 0 0 Michael Feldman 0.30 X 0 0 0 Bruce McGlauflin 0.30 X 0 0 0 Elizabeth Mace 0.30 X 0 0 0 Cheryl Rust 0.30 X 0 0 0 Sue Spann 0.30 X 0 0 0 John G Morse IV 0.30 X 0 0 0 James B Drake part year 0.30 X 0 0 0 Rev Richard Visser part year 0.30 X 0 0 0 Stephen DeWick part year 0.30 X 0 0 0 James Ward 0.30 X X 0 0 0 Pamela Bowerman 0.30 X X 0 0 0 Lois Skillings 0.30 39.70 X X 0 354884 70580 Robert N McCue 0.60 39.40 X 0 254844 57286 0 609728 127866 0 0 1 0 0 10728 10728 Patient Service Revenue 623000 8684641 8684641 Lifeline Revenue 623000 233235 233235 Rent (Intercompany) 623000 52620 52620 Miscellaneous Revenue 623000 48720 48720 9019216 1281 1281 Loss on Debt Refinancing 525990 -195273 -195273 -195273 8835952 9019216 0 -193992 4456388 3905735 550653 13253 11615 1638 462052 404959 57093 505296 442859 62437 262 262 28200 28200 321395 203648 117747 27412 27412 730153 514938 215215 3850 3850 268041 227835 40206 23416 5717 17699 379054 322196 56858 624904 450079 174825 80788 894 79894 Food Services 365842 365842 Nursing Home Tax 282069 282069 Provision for Bad Debt 128011 128011 Miscellaneous 197 197 8700583 7266594 1433989 0 446328 1417079 1276463 1342230 1218363 400156 62279 66625 64364 125896 15478351 6141495 9671705 9336856 403415 134923 14126 17108 13157043 12840873 738672 500103 8203990 8431964 2717935 2276991 11660597 11209058 X 1283800 1418268 16169 16588 196477 196959 1496446 1631815 13157043 12840873 135369 0 X X 0 1 X 1 0 X 27299 44729 33416 9381 10728 125553 8400097 8530250 8692737 8557484 9019216 43199784 8427396 8574979 8726153 8566865 9029944 43325337 0 0 0 43325337 2198 131 206 339 1281 4155 2198 131 206 339 1281 4155 8429594 8575110 8726359 8567204 9031225 43329492 0.99990 0.99980 0.00010 0.00020 X 0 0 0 0 0 1 1315 0 0 0 1315 0 Explanation of Lobbying Activities: Part II-B, Line 1: Mid Coast Geriatric Services paid dues to Maine Healthcare Association totaling $4,243, of which 31.0% ($1,315) was available for lobbying. 212645 8804 -112 7790 213547 211219 9381 -114 7841 212645 208641 33041 -99 30364 211219 206316 44728 90 42493 208641 286289 27299 2198 109470 206316 0.00000 0.92200 0.07800 0 0 87466 87466 13170235 4618148 8552087 2097783 1496688 601095 122867 26659 96208 9336856 Due to Affiliates 2145425 Estimated Third-Party Payor Settlements 131566 2276991 X 8835952 0 8835952 0 8835952 8700583 0 8700583 0 8700583 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, 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, 2013. The Company's tax years from 2010 through 2013 are open and subject to examination. 0 1 0 0 0 0 0 0 0 Lois Skillings 0 354884 0 0 0 0 0 60000 0 10580 0 425464 0 0 Robert N McCue 0 254844 0 0 0 0 0 46638 0 10648 0 312130 0 0 Part I, Line 3 Mid Coast Geriatric Services Corporation's President, Lois Skillings, and Robert McCue, Secretary/Treasurer, 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 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. Form 990, Part VI, Section A, line 6 The sole member of the Organization is Mid Coast Health 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, 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 7b All 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 11 A 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 12c The 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 15 An independent consultant prepares a market analysis at the regional level for all officers and key employees of the Organization. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and audited financial statements available to the public upon request. Oversight of Audit Form 990, Part XI, 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) 3 Mid Coast Health Services 0 Mid Coast Health Services 123 Medical Drive Brunswick ME 04011 010430069 Health Services ME 501(c)(3) 7 N/A 0 Community Health and Nursing Services 60 Baribeau Drive Brunswick ME 04011 010211546 Hospice Services ME 501(c)(3) 9 Mid Coast Health Services 0 Midcoast Health Management Corp 123 Medical Center Drive Brunswick ME 04011 010429598 Health Services ME Mid Coast Health Services C 0 Mid Coast Medical Group 123 Medical Center Drive Brunswick ME 04011 010484592 Health Services ME Mid Coast Health Services C 0 Thornton Oaks Development Corp 123 Medical Center Drive Brunswick ME 04011 010448411 Health Services ME Mid Coast Health Services C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 0 0