Civic Intelligence

MID Coast Hospital

990 • Fiscal year 2017 • EIN 01-0215911

Oct 01, 2016 to Sep 30, 2017 • Filed on Aug 10, 2018

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

53rd percentile

0.33x

Higher debt load relative to assets than 53% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Liabilities / Revenue

36th percentile

0.33x

Higher debt load relative to revenue than 36% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Net Margin

45th percentile

2.4%

Higher net margin than 45% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Top Officer Pay

66th percentile

$680,073

Higher top officer pay than 66% of similar nonprofits.

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

2017 filings • 501(c)3 • $100M-$250M nonprofits • Source year 2017

Asset Growth

58th percentile

7.7%

Faster asset growth than 58% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Revenue Growth

50th percentile

5.0%

Faster revenue growth than 50% of similar nonprofits.

2017 filings • 501(c)3 • $100M-$250M nonprofits • Annualized from 2016 to 2017

Assets

Up

$198,665,023

Up $14,240,258 (+7.7%) from 2016

Net Assets

Up

$132,445,117

Up $8,123,989 (+6.5%) from 2016

Liabilities

Up

$66,219,906

Up $6,116,269 (+10%) from 2016

Revenue

Up

$200,270,296

Up $9,610,585 (+5.0%) from 2016

Expenses

Up

$195,525,297

Up $8,753,717 (+4.7%) from 2016

Net Income

Up

$4,744,999

Up $856,868 (+22%) from 2016

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

2017

Assets$198,665,023
Liabilities$66,219,906
Net Assets$132,445,117

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

2017

Revenue$200,270,296
Expenses$195,525,297
Net Income$4,744,999
Jump To
Filing Snapshot
Filing Period
Oct 1, 2016 to Sep 30, 2017
Signed
Aug 10, 2018
Return Version
2016v3.0
Gross Receipts
$211,893,826
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$59,979,747$65,217,973▲ $5,238,226
Land, Buildings, and Equipment, Net$56,631,298$61,437,086▲ $4,805,788
Accounts Receivable$24,605,411$26,897,357▲ $2,291,946
Savings and Temporary Cash Investments$11,466,797$10,484,893▼ $981,904
Cash and Non-Interest-Bearing Accounts$6,995,769$8,979,328▲ $1,983,559
Prepaid Expenses and Deferred Charges$3,375,786$3,557,955▲ $182,169
Inventories for Sale or Use$2,990,867$3,117,208▲ $126,341
Intangible Assets$258,368--
Pledges and Grants Receivable-$233,093-
Total Assets$184,424,765$198,665,023▲ $14,240,258
Other Assets Total$18,120,722$18,740,130▲ $619,408
Liabilities
Mortgage Notes Payable Secured by Investment Property$269,179$32,814,496▲ $32,545,317
Tax Exempt Bond Liabilities$26,947,907$0▼ $26,947,907
Accounts Payable and Accrued Expenses$19,590,499$19,501,756▼ $88,743
Other Liabilities$13,296,052$13,903,654▲ $607,602
Total Liabilities$60,103,637$66,219,906▲ $6,116,269
Net Assets / Fund Balance
Unrestricted Net Assets$105,089,953$110,947,899▲ $5,857,946
Temporarily Rstr Net Assets$11,076,041$13,284,181▲ $2,208,140
Permanently Rstr Net Assets$8,155,134$8,213,037▲ $57,903
Total Net Assets Fund Balance$124,321,128$132,445,117▲ $8,123,989
Total Liabilities and Net Assets / Fund Balance$184,424,765$198,665,023▲ $14,240,258

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$42,040,293$23,475,492$65,515,785
Equipment$13,949,282$45,794,465$59,743,747
Leasehold Improvements$5,114,330$3,354,538$8,468,868
Land$333,181-$333,181
Other Assets Org$2,797,835--

Endowment Activity

PeriodBeginningContrib.Gain/LossOther UsesEnd
2017$27,481,709$57,894▲ $1,328,130$196,400$28,671,333
2016$26,168,215$62,616▲ $1,469,499$218,621$27,481,709
2015$23,753,372$54,278▲ $2,729,525$368,960$26,168,215
2014$22,293,184$259,115▲ $1,470,185$269,112$23,753,372
2013$21,128,741$176,735▲ $1,220,014$232,306$22,293,184
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Calin Stoicov MDPhysicianFT$639,353$40,720$680,073
Miguel Arguedas MDPhysicianFT$639,727$39,519$679,246
Craig Hawkins MDPhysicianFT$565,989$40,720$606,709
Peter Hutchinson MDPhysicianFT$531,155$40,720$571,875
Michael Samson MDPhysicianFT$515,297$40,720$556,017
Patrick Keaney MDMedical Staff PresidentFT$346,288$40,589$386,877
Katarina Sawtelle MDMedical Staff Vice President-$4,000-$4,000

Board Members and Trustees

NameTitle
Bob DavisChairperson
Cynthia BushDirector/Aux. President
Lois N SkillingsPresident/CEO
Sandra Morrell RooneyVice Chairperson
Barbara ReinertsenDirector
Connie JonesDirector
Daniel Morgenstern MDDirector
Dean PatersonDirector
Dugan ShipwayDirector
Ervin SnyderDirector
John FarnhamDirector
John G Morse IVDirector
John MoncureDirector
Lenora BurkeDirector
Lloyd Van LunenDirector
Matthew OrlandoDirector
Pamela BowermanDirector
Robert CundiffDirector
Rollin FessendenDirector
Sherrie BergmanDirector
Ted HuskinsDirector
Robert McCueCFO
Charles BridgeSecretary
Glenn L HutchinsonTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
LandryFrench Construction CoBuilding Contractors160 Pleasant Hill Road, Scarborough, ME 04074$2,356,236
Bluewater Emergency Partners of BrunswicER Facility & Physcian CoveragePO Box 270, South Freeport, ME 04078$1,871,945
Midcoast PediatricsPhysician Coverage121 Medical Center Drive Suite 260, Brunswick, ME 04011$845,572
Crooker Construction LLCConstruction Services103 Lewiston Road PO Box 5001, Topsham, ME 04086$645,943
Spectrum Medical GroupPhysician Coverage324 Gannett Drive Suite 200, South Portland, ME 04106$272,480
Revenue and Support

Revenue Composition

Contributions and Grants
$2,533,601
Program Service Revenue
$196,484,498
Investment Income
$2,125,580
Other Revenue
$-873,383
All Other Contributions
$905,698
Change in Net Assets
$4,744,999

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$31,600Market Value
Total Noncash Contributions4$31,600-

Audited Revenue Reconciliation

Revenue per Audited Statements
$200,270,296
Revenue Not Reported on Financial Statements
$0
Revenue Not Reported on Form 990
$3,391,461
Total Revenue per Audited Statements
$203,661,757
Total Revenue per Form 990
$200,270,296
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$102,064,560
Other Expenses$93,449,917
Total Fundraising Expense$316,617
Grants and Similar Amounts Paid$10,820
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$74,666,014$9,148,778-$83,814,792
Fees for Services Other$15,801,168$4,303,021-$20,104,189
Other Employee Benefits$7,025,931$4,870,619-$11,896,550
Office Expenses$8,163,989$1,916,917$316,617$10,397,523
Occupancy$5,946,131$1,626,765-$7,572,896
Depreciation Depletion$4,834,449$1,322,627-$6,157,076
Payroll Taxes$2,200,992$1,525,803-$3,726,795
Other Expenses$2,786,476$447,763-$2,786,476
Pension Plan Contributions$1,322,644$916,902-$2,239,546
Insurance$1,419,822$388,440-$1,808,262
Interest$926,314$253,425-$1,179,739
All Other Expenses$741,315$202,812-$944,127
Current Officers, Directors, Trustees, and Key Employees$371,402$15,475-$386,877
Advertising$192,507$52,667-$245,174
Fees for Services Legal-$152,256-$152,256
Fees for Services Accounting-$60,600-$60,600
Travel$29,441$8,055-$37,496
Fees for Services Lobbying-$19,921-$19,921
Grants to Domestic Orgs$10,820--$10,820
Total Functional Expenses$164,936,573$30,272,107$316,617$195,525,297

Audited Expense Reconciliation

Line ItemAmount
Total Expenses per Audited Statements$195,537,768
Expenses per Audited Statements$195,525,297
Total Expenses per Form 990$195,525,297
Expenses Not Reported on Form 990$12,471
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$17,107
Fundraising Direct Expenses$12,471
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Golf Tournament$52,962$17,107$699$16,408
Total Events$52,962$17,107$12,471$4,636
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 N 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 for insurance services.No$1,783,443
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Deferred Compensation Plan$12,220,972
Estimated Third-Party Payor Settlements$1,682,682
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 6

Mid Coast-Parkview Health (MCPH) 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, all directors serving on the Organization's board of directors shall be persons who also serve on the board of directors of MCPH.

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 MCPH 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 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.

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. Patrick Keaney receives compensation for his services to the Organization in his capacity as a physician. The salary and benefit amounts disclosed in Part VII do not reflect payments made to him for his services as a member of the board of directors.

Filing and Contact Details

Filer

Filer Name
Mid Coast Hospital
EIN
01-0215911
Phone
2077290181
Address
123 Medical Center Drive, Brunswick, ME 04011

Signing Officer

Name
Robert McCue
Title
Vice President of Finance/CFO
Phone
2077290181
Signed
2018-08-10
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Lois N Skillings
Formed
1991
Legal Domicile
Me
Voting Board Members
25
Independent Board Members
23
Employees
1,357
Volunteers
450

Preparer

Firm
Baker Newman & Noyes
Address
BOX 507, PORTLAND, ME 04112
Preparer
Nicholas E Porto
Phone
2078792100
Supplemental Narrative

Additional Explanations

Form 990, Part IX, line 11G

Physician Fees: Program service expenses 6,419,180. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,419,180. Purchased Staffing: Program service expenses 1,383,045. Management and general expenses 378,378. Fundraising expenses 0. Total expenses 1,761,423. Intercompany Management: Program service expenses 0. Management and general expenses 3,302,718. Fundraising expenses 0. Total expenses 3,302,718. Consulting: Program service expenses 207,536. Management and general expenses 56,779. Fundraising expenses 0. Total expenses 264,315. Purchased Medical Services: Program service expenses 7,791,407. Management and general expenses 565,146. Fundraising expenses 0. Total expenses 8,356,553.

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, 2017. The Hospital's tax years from 2014 through 2017 are open and subject to examination.

Part XI, Line 2D - Other Adjustments:

Fundraising Event Expenses 12,471.

Part XII, Line 2D - Other Adjustments:

Fundraising Event Expenses 12,471.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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