Civic Intelligence

MID Coast Hospital

990 • Fiscal year 2014 • EIN 01-0215911

Oct 01, 2013 to Sep 30, 2014 • Filed on Aug 10, 2015

123 Medical Center DriveBrunswick, ME 04011

(207) 729-0181

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

52nd percentile

0.33x

Higher debt load relative to assets than 52% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Liabilities / Revenue

40th percentile

0.39x

Higher debt load relative to revenue than 40% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Net Margin

47th percentile

4.7%

Higher net margin than 47% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Top Officer Pay

46th percentile

$434,779

Higher top officer pay than 46% of similar nonprofits.

Top officer pay equals 0.3% of source-year revenue.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2014

Asset Growth

50th percentile

5.7%

Faster asset growth than 50% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2013 to 2014

Revenue Growth

62nd percentile

8.0%

Faster revenue growth than 62% of similar nonprofits.

2014 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2013 to 2014

Assets

Up

$169,924,005

Up $9,187,892 (+5.7%) from 2013

Net Assets

Up

$113,023,504

Up $8,708,062 (+8.3%) from 2013

Liabilities

Up

$56,900,501

Up $479,830 (+0.9%) from 2013

Revenue

Up

$147,444,854

Up $10,950,278 (+8.0%) from 2013

Expenses

Up

$140,539,371

Up $9,911,180 (+7.6%) from 2013

Net Income

Up

$6,905,483

Up $1,039,098 (+18%) from 2013

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$300M$200M$100M$0Assets 2010: $134,698,531Liabilities 2010: $50,185,494Net Assets 2010: $84,513,0372010Assets 2011: $139,681,202Liabilities 2011: $48,796,139Net Assets 2011: $90,885,0632011Assets 2012: $147,788,861Liabilities 2012: $50,646,641Net Assets 2012: $97,142,2202012Assets 2013: $160,736,113Liabilities 2013: $56,420,671Net Assets 2013: $104,315,4422013Assets 2014: $169,924,005Liabilities 2014: $56,900,501Net Assets 2014: $113,023,5042014Assets 2015: $177,579,240Liabilities 2015: $59,419,267Net Assets 2015: $118,159,9732015Assets 2016: $184,424,765Liabilities 2016: $60,103,637Net Assets 2016: $124,321,1282016Assets 2017: $198,665,023Liabilities 2017: $66,219,906Net Assets 2017: $132,445,1172017Assets 2018: $204,691,719Liabilities 2018: $65,227,288Net Assets 2018: $139,464,4312018Assets 2019: $212,749,054Liabilities 2019: $63,194,168Net Assets 2019: $149,554,8862019Assets 2020: $233,202,756Liabilities 2020: $89,570,736Net Assets 2020: $143,632,0202020

Highlighted filing

2014

Assets$169,924,005
Liabilities$56,900,501
Net Assets$113,023,504

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$300M$200M$100M$0-$100MExpenses 2010: $107,511,1142010Expenses 2011: $114,484,2482011Expenses 2012: $123,082,1042012Revenue 2013: $136,494,576Expenses 2013: $130,628,191Net Income 2013: $5,866,3852013Revenue 2014: $147,444,854Expenses 2014: $140,539,371Net Income 2014: $6,905,4832014Revenue 2015: $166,911,061Expenses 2015: $159,700,438Net Income 2015: $7,210,6232015Revenue 2016: $190,659,711Expenses 2016: $186,771,580Net Income 2016: $3,888,1312016Revenue 2017: $200,270,296Expenses 2017: $195,525,297Net Income 2017: $4,744,9992017Revenue 2018: $214,567,867Expenses 2018: $208,569,627Net Income 2018: $5,998,2402018Revenue 2019: $239,508,534Expenses 2019: $228,751,492Net Income 2019: $10,757,0422019Revenue 2020: $223,348,397Expenses 2020: $233,673,463Net Income 2020: -$10,325,0662020

Highlighted filing

2014

Revenue$147,444,854
Expenses$140,539,371
Net Income$6,905,483
Jump To
Filing Snapshot
Filing Period
Oct 1, 2013 to Sep 30, 2014
Signed
Aug 10, 2015
Return Version
2013v4.0
Gross Receipts
$169,848,842
Mission and Program Overview

Mission

To provide quality health care and health-related services directed toward continually improving the health and wellbeing of the patients and communities we serve. We will provide compassionate, humanistic, accessible, personal, professional, efficient, cost-effective and quality services.

Acute and specialty care hospital

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$42,832,550$55,237,622▲ $12,405,072
Land, Buildings, and Equipment, Net$53,811,412$53,577,598▼ $233,814
Accounts Receivable$16,023,706$19,358,376▲ $3,334,670
Savings and Temporary Cash Investments$25,668,602$17,138,538▼ $8,530,064
Cash and Non-Interest-Bearing Accounts$5,581,029$5,084,652▼ $496,377
Prepaid Expenses and Deferred Charges$2,589,367$3,116,971▲ $527,604
Inventories for Sale or Use$2,149,927$2,275,489▲ $125,562
Intangible Assets$309,958$292,761▼ $17,197
Total Assets$160,736,113$169,924,005▲ $9,187,892
Other Assets Total$11,769,562$13,841,998▲ $2,072,436
Liabilities
Tax Exempt Bond Liabilities$31,460,200$29,473,643▼ $1,986,557
Accounts Payable and Accrued Expenses$12,470,072$14,015,884▲ $1,545,812
Other Liabilities$12,490,399$12,780,271▲ $289,872
Mortgage Notes Payable Secured by Investment Property-$630,703-
Total Liabilities$56,420,671$56,900,501▲ $479,830
Net Assets / Fund Balance
Unrestricted Net Assets$86,576,067$94,074,915▲ $7,498,848
Temporarily Rstr Net Assets$9,960,251$10,910,349▲ $950,098
Permanently Rstr Net Assets$7,779,124$8,038,240▲ $259,116
Total Net Assets Fund Balance$104,315,442$113,023,504▲ $8,708,062
Total Liabilities and Net Assets / Fund Balance$160,736,113$169,924,005▲ $9,187,892

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$39,151,125$17,837,588$56,988,713
Equipment$11,290,217$38,605,478$49,895,695
Leasehold Improvements$2,806,975$2,164,882$4,971,857
Land$329,281-$329,281
Other Assets Org$1,238,741--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2013$22,293,184$259,115▲ $1,470,185$269,112$23,753,372
2012$21,128,741$176,735▲ $1,220,014$232,306$22,293,184
2011$20,613,770$71,499▲ $611,529$168,057$21,128,741
2010$19,263,606$89,457▲ $1,420,387$159,680$20,613,770
2009$18,850,981$85,217▲ $500,960$173,552$19,263,606
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
John Taylor MDPhysicianFT$382,635$52,144$434,779
Michael Curtis MDPhysicianFT$369,435$54,468$423,903
Jonathan Telsey MDPhysicianFT$368,278$50,777$419,055
Robert Livingston MDPhysicianFT$363,857$50,306$414,163
Lisa Khoury MDPhysicianFT$374,649$14,483$389,132
Patrick Keaney MDMedical Staff VPFT$244,555$54,468$299,023
James Rines MDPresident Medical StaffFT$163,007$44,950$207,957

Board Members and Trustees

NameTitle
Barbara ReinertsenChairperson
Ellen HutchinsonDirector/Aux. President
Lois N SkillingsPresident/CEO
Bob DavisVice Chairperson
Connie JonesDirector
Daniel Morgenstern MDDirector
Dean PattersonDirector
Douglas NivenDirector
Dugan ShipwayDirector
Ervin SnyderDirector
Jill HaerDirector
John FarnhamDirector
John G Morse IVDirector
John MoncureDirector
Lenora BurkeDirector
Lloyd Van Lunen MDDirector
Matthew OrlandoDirector
Pamela BowermanDirector
Patrice HenninDirector
Rollin FessendenDirector
Sally GravesDirector
Sandra Morrell RooneyDirector
Sherrie BergmanDirector
Steve ObrinDirector
Susan GilliesDirector
Anne MarshDirector (part year)
Robert McCueCFO
Charles BridgeSecretary
Glenn L HutchinsonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Bluewater Emergency PartnersER Facility Coverage-$999,475
Midcoast PediatricsPhysician Coverage-$672,451
Synernet IncTransciption Sevices-$578,720
Coastal Maine Emergency PhysiciansER Facility Coverage-$431,954
Langford & Low IncContractors-$418,231
Revenue and Support

Revenue Composition

Contributions and Grants
$2,725,475
Program Service Revenue
$142,664,179
Investment Income
$2,019,184
Other Revenue
$36,016
All Other Contributions
$1,068,279
Change in Net Assets
$6,905,483

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
Yes
Third parties used for noncash contributions
Yes

Noncash Contributions

Contribution TypeContribution CountReported AmountValuation Method
Securities Publicly Traded4$122,453Market Value
Total Noncash Contributions4$122,453-

Audited Revenue Reconciliation

Revenue per Audited Statements
$147,444,854
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$1,820,958
Total Revenue per Audited Statements
$149,265,812
Total Revenue per Form 990
$147,444,854
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$75,182,007
Other Expenses$65,342,401
Grants and Similar Amounts Paid$14,963
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$55,262,725$7,044,003-$62,306,728
Fees for Services Other$10,702,629$2,938,589-$13,641,218
Office Expenses$7,305,881$1,987,576-$9,293,457
Other Employee Benefits$5,256,057$3,110,098-$8,366,155
Occupancy$4,506,005$1,237,200-$5,743,205
Depreciation Depletion$4,356,482$1,196,146-$5,552,628
Payroll Taxes$1,903,858$1,126,545-$3,030,403
Other Expenses$2,682,782$1,489,138-$2,682,782
Interest$1,307,047$358,872-$1,665,919
Insurance$1,241,453$340,862-$1,582,315
All Other Expenses$1,033,840$283,858-$1,317,698
Pension Plan Contributions$610,499$361,242-$971,741
Current Officers, Directors, Trustees, and Key Employees$486,701$20,279-$506,980
Advertising$235,875$64,764-$300,639
Fees for Services Legal-$237,340-$237,340
Fees for Services Accounting-$55,700-$55,700
Travel$35,583$9,770-$45,353
Fees for Services Lobbying-$18,378-$18,378
Grants to Domestic Orgs$14,963--$14,963
Total Functional Expenses$118,370,288$22,169,083$0$140,539,371

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$140,557,750
Expenses per Audited Statements$140,539,371
Total Expenses per Form 990$140,539,371
Expenses Not Reported on Form 990$18,379
Expenses Not Reported on Financial Statements$0
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$24,515
Fundraising Direct Expenses$18,379
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Event 1$55,190$24,515$3,074$21,441
Total Events$55,190$24,515$18,379$6,136
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
Yes
Subject to proxy tax
No
Insider Transactions and Loans

Interested-Person Transactions

Interested PartyRelationshipDescriptionShared RevenueAmount
Lois SkillingsMember of board of directors of Medical Mutual Insurance CompanyThe amount paid to Medical Mutual and identified in this section is for malpractice insurance coverage for the Hospital. Ms. Skillings serves on the board of directors for Medical Mutual and is the CEO of Mid Coast Hospital. Ms. Skillings was paid a nominal fee to serve on Medical Mutual's board of directors.The amount included in column c represents the total amount paid to Medical Mutual. The amounts paid during the time specifically relating to Ms. Skillings's tenure on the board are not easily determinable.No$1,320,984
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation Plan$8,240,049
Estimated Third-Party Payor Settlements$4,540,222

Bond Issues

BondIssuerIssuedIssue PricePurpose
A01-03143842007-07-18$97,716,087Refinance Series 1998B Revenue Bond
B01-03143842008-12-03$41,658,395Hospital Facility Expansion Project

Bond Proceeds

BondTotal ProceedsSpentRetiredIssuance Costs
A$28,930,803--$290,758
B$12,393,996--$138,784

Bond Financing Compliance

No rebate due
Yes
Rebate not yet due
No
Form 8038-T filed
No
Gross proceeds invested
No
Gross proceeds invested in GIC
Yes
Exception to rebate
No
Corrective action procedures
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 2

Board of Directors members Glenn Hutchinson and Ellen Hutchinson have a family relationship.

Form 990, Part VI, Section A, line 6

Mid Coast Health Services (MCHS) shall be the Organization's sole member with all rights and responsibilities of membership, including all voting rights.

Form 990, Part VI, Section A, line 7A

At each annual meeting of the sole member, the sole member shall elect directors to hold office until the election and qualification of their respective successors. The directors shall be persons who have demonstrated an interest in the Organization's goals and objectives and, to the extent reasonably feasible, shall represent the Mid-Coast area. To the extent feasible, fifty percent of all directors serving on the Organization's board of directors shall be persons who also serve on the board of directors of MCHS.

Form 990, Part VI, Section A, line 7B

The business and affairs of the Organization 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. Notwithstanding the foregoing, the directors shall not submit any application for a certificate of need to the Maine Department of Health and Human Services, or incur any long-term debt without the approval of MCHS as the sole member. The board of directors may delegate such powers as it sees fit to committees and officers of the Organization.

Form 990, Part VI, Section B, line 11

A draft of the return is reviewed by an officer of the Hospital prior to it being filed with the IRS.

Form 990, Part VI, Section B, line 12C

The Hospital has a compliance committee that meets on a quarterly basis to review any compliance issues that may arise.

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.

Form 990, Part VII, Section A:

Dr. James Rines and Dr. Patrick Keaney receive compensation for their services to the Organization in their capacity as physicians. Their salary and benefit amounts disclosed in Part VII do not reflect payments made to them for their services as members of the board.

Filing and Contact Details

Filer

EIN
01-0215911
Phone
2077290181

Signing Officer

Name
Robert McCue
Title
Vice President of Finance/CFO
Phone
2077290181
Signed
2015-08-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lois N Skillings
Formed
1991
Legal Domicile
Me
Voting Board Members
29
Independent Board Members
26
Employees
1,303
Volunteers
450

Preparer

Preparer
Nicholas E Porto
Phone
2078792100
Supplemental Narrative

Additional Explanations

Form 990, Part XI, Line 2C

The audit process has not changed from the prior year.

Financial Statement Notes

Part V, Line 4:

Endowment funds are invested and used in a manner that provides predictable streams of funding to the programs supported by the endowed funds, all while seeking to maintain the purchasing power of the endowment assets.

Part X, Line 2:

The Hospital 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 Hospital has evaluated the position taken on its filed tax returns. The Hospital has concluded no uncertain income tax positions exist at September 30, 2014. The Hospital's tax years from 2011 through 2014 are open and subject to examination.

Part XI, Line 2D - Other Adjustments:

Fundraiser Expenses 18,379.

Part XII, Line 2D - Other Adjustments:

Fundraiser Expenses 18,379.

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IRS990/Form990PartVIISectionAGrp/TitleTxt19Director

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