SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
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OMB No. 1545-0047
2017
Open to Public
Inspection
Name of the organization
Mid Coast Geriatric Services Corporation
 
Employer identification number

01-0496221
Return Reference Explanation
Form 990, Part VI, Section A, line 6 The sole member of the Organization is Mid Coast-Parkview Health.
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.
Form 990, Part VI, Section A, line 7b All rights and responsibilities vested in Mid Coast-Parkview Health (MCPH) 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 MCPH 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 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 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.
Form 990, Part XI, Line 2c: The audit process has not changed from the prior year.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2017


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