FURP.ORG / PUBLIC DATA EXPLORER

MID COAST GERIATRIC SERVICES CORP: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MID COAST GERIATRIC SERVICES CORP (EIN 01-0496221)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201232269349300228
Schema version
2010v3.4
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)
Timestamp2012-08-13T09:05:30-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-10-01TaxPeriodBeginDate

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 Signed2012-08-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameNicholas E PortoName
Phone2078792100Phone
Date Prepared2012-08-09DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Receipts8726359GrossReceipts
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 Employees246TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year44729ContributionsGrantsPriorYear
Contributions Grants Current Year33416ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8530209ProgramServiceRevenuePriorYear
Program Service Revenue CY8692737ProgramServiceRevenueCY
Investment Income Prior Year131InvestmentIncomePriorYear
Investment Income Current Year206InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year8575069TotalRevenuePriorYear
Total Revenue Current Year8726359TotalRevenueCurrentYear
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 Year5313519SalariesEtcPriorYear
Salaries Etc Current Year5204535SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3405417OtherExpensePriorYear
Other Expenses Current Year3420667OtherExpensesCurrentYear
Total Expenses Prior Year8718936TotalExpensesPriorYear
Total Expenses Current Year8625202TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-143867RevenuesLessExpensesPriorYear
Revenues Less Expenses CY101157RevenuesLessExpensesCY
Total Assets BOY13108603TotalAssetsBOY
Total Assets EOY12836468TotalAssetsEOY
Total Liabilities BOY11542259TotalLiabilitiesBOY
Total Liabilities EOY11168967TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1566344NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1667501NetAssetsOrFundBalancesEOY
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
Expense7111419Expense
Revenue8692737Revenue
DescriptionContinuum of services to promote independence, health, and wellness to senior citizens of the Mid Coast region in Maine.Description
Total Program Service Expense7111419TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 With109631NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees246NumberOfEmployees
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 (14 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
CEO (effective 7/1/11)0.40X024372058252X
Robert N McCue
Secretary/Treasurer0.30023400756523X
Herbert Paris
CEO (10/1/10 - 6/30/11)0.40040560998504X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs883336TotalReportableCompFrmRltdOrgs
Total Other Compensation213279TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Related Organizations17330RelatedOrganizations
All Other Contributions16086AllOtherContributions
Total Contributions33416TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Revenu62300083105908310590
Lifeline Revenue623000253713253713
Miscellaneous Revenue6230005281452814
Rent (Intercompany)6230005262052620
Assisted Living Revenu6230002300023000
FieldValueIRS element (for citing)
Total Program Service Revenue8692737TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column206TotalRevenueColumn
Exclusion$206ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8726359TotalRevenueColumn
Related Or Exempt Function Income8692737RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$206ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total4203713Total
Program Services3674200ProgramServices
Management And General529513ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total61927Total
Program Services54127ProgramServices
Management And General7800ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total626753Total
Program Services547805ProgramServices
Management And General78948ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total312142Total
Program Services272824ProgramServices
Management And General39318ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13240Total
Management And General13240ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total26387Total
Management And General26387ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total385700Total
Program Services247906ProgramServices
Management And General137794ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total35917Total
Program Services50ProgramServices
Management And General35867ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total723223Total
Program Services485738ProgramServices
Management And General237485ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1670Total
Management And General1670ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total355451Total
Program Services302133ProgramServices
Management And General53318ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total28024Total
Program Services4582ProgramServices
Management And General23442ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total495153Total
Program Services420880ProgramServices
Management And General74273ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total621523Total
Program Services429400ProgramServices
Management And General192123ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total62782Total
Program Services713ProgramServices
Management And General62069ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Food Services312114312114
Nursing Home Tax243003243003
Provision for Bad Debt115242115242

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1238Total
Program Services702ProgramServices
Management And General536ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8625202Total
Program Services7111419ProgramServices
Management And General1513783ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY72283BOY
EOY245985EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY1116579BOY
EOY1194128EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY755367BOY
EOY712437EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY45481BOY
EOY69617EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY79259BOY
EOY60455EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis15035356LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4913318LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY10587505BOY
EOY10122038EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY452129BOY
EOY431808EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY13108603BOY
EOY12836468EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY689584BOY
EOY657036EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY8375669BOY
EOY8292372EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2477006BOY
EOY2219559EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY11542259BOY
EOY11168967EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1357702BOY
EOY1456281EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY14225BOY
EOY15760EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY194417BOY
EOY195460EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1566344BOY
EOY1667501EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY13108603BOY
EOY12836468EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses101157ReconcilationRevenueExpenses
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 Years10993CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years293229CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years27299CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year44729CurrentTaxYearMinus1Year
Current Tax Year33416CurrentTaxYear
Total409666Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12762992CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13337341CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8400097CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8530250CurrentTaxYearMinus1Year
Current Tax Year8692737CurrentTaxYear
Total51723417Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12773985CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13630570CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8427396CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8574979CurrentTaxYearMinus1Year
Current Tax Year8726153CurrentTaxYear
Total52133083Total

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 Total50952133083PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3771CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8897CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2198CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year131CurrentTaxYearMinus1Year
Current Tax Year206CurrentTaxYear
Total15203Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3771CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8897CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years2198CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year131CurrentTaxYearMinus1Year
Current Tax Year206CurrentTaxYear
Total15203Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years12777756CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13639467CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8429594CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8575110CurrentTaxYearMinus1Year
Current Tax Year8726359CurrentTaxYear
Total52148286Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99970PublicSupportPercentage509
Prior Year Support Percentage0.99970PriorYearSupportPercentage
Investment Income Percentage0.00030InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00030PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,360OtherActivitiesAmount
Total Lobbying Expenditures IIB2360TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationMaine Healthcare Association dues were $7,004, of which 33.7% was lobbyingExplanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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 Balance0.92600PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.07400TermEndowmentEOYBalance
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 Basis13051820OtherCostOrOtherBasis
Depreciation3715115Depreciation
Book Value9336705BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1781603OtherCostOrOtherBasis
Depreciation1179649Depreciation
Book Value601954BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis114468OtherCostOrOtherBasis
Depreciation18554Depreciation
Book Value95914BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings10122038TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$2,145,548
Estimated Third-Party Payor Settlements$74,011
FieldValueIRS element (for citing)
Total Of Amounts2219559TotalOfAmounts
Total Revenue8726359TotalRevenue
Total Expenses8625202TotalExpenses
Excess Or Deficit For Year101157ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS101157ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt8726359TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal8726359RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9908726359TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8625202TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8625202ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9908625202TotalExpensesPerForm990

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, 2011. The Company's tax years from 2008 through 2011 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 (3 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
02437200000038250020002030197200
Robert N McCue
02340070000036719019804029053000
Herbert Paris
04056090000078502020002050411300

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. Herbert Paris (effective 10/1/10-6/30/11), Lois Skillings (effective 7/1/11-9/30/11), and Robert McCue, who are officers of the Corporation, participated in this plan and received $78,502, $38,250, and $36,719, respectively.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 Hospital prior to it being filed with the IRS.
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 12c
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 B, line 15
The organization makes the governing documents, conflict of interest policy, and audited financial statements available to the public upon request.Form 990, Part VI, Section C, line 19
Herbert Paris, CEO (10/1/10 - 6/30/11), Lois Skillings, CEO (effective 7/1/11), 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 2010 reportable compensation for their services in the entire Mid Coast network of entities.Form 990, Part VII, Section A:
Lois Skillings is the current CEO of Mid Coast Geriatric Services Corporation, and started in that capacity during the fiscal year. Compensation represents amounts paid to her in her capacity as a regular employee of a related organization as was her position during calendar year 2010.Form 990, Part VII, Section A:
Oversight of AuditThe audit process has not changed from the prior year.Form 990, Part XI, Line 2c:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
Mid Coast Hospital
123 Medical DriveBrunswickME04011010215911HospitalME501(C)(3)3N/A0
Mid Coast Health Services
123 Medical DriveBrunswickME04011010430069Health ServicesME501(C)(3)7N/A0
Community Health and Nursing Services
60 Baribeau DriveBrunswickME04011010211546Hospice ServicesME501(C)(3)9N/A0

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntity
Midcoast Health Management Corp
123 Medical Center DriveBrunswickME04011010429598Health ServicesMEN/AC
Mid Coast Medical Group
123 Medical Center DriveBrunswickME04011010484592Health ServicesMEN/AC
Thornton Oaks Development Corp
123 Medical Center DriveBrunswickME04011010448411Health ServicesMEN/AC
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 Org1GiftGrantOrCapContrFrOtherOrg
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