TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) Pamela Bowerman...................................................................... Director	0.30 ................. 0.60	X		0	0
(2) Joan Boomsma MD...................................................................... Director	0.30 ................. 0.60	X		0	0
(3) Marcus Deck MD...................................................................... Director	0.30 ................. 0.60	X		0	0
(4) Michael Field...................................................................... Director	0.30 ................. 0.60	X		0	0
(5) Charles Frizzle...................................................................... Director	0.30 ................. 0.60	X		0	0
(6) Ted Huskins...................................................................... Director	0.30 ................. 0.60	X		0	0
(7) Margo Knight...................................................................... Director	0.30 ................. 0.60	X		0	0
(8) Bruce McGlauflin...................................................................... Director	0.30 ................. 0.60	X		0	0
(9) Alain Montegut MD...................................................................... Director	0.30 ................. 0.60	X		0	0
(10) Daniel Morgenstern MD...................................................................... Director	0.30 ................. 0.60	X		0	0
(11) Richard Petersen...................................................................... Director	0.30 ................. 0.60	X		0	0
(12) Sue Spann...................................................................... Director	0.30 ................. 0.60	X		0	0
(13) Lloyd Van Lunen...................................................................... Director	0.30 ................. 0.60	X		0	0
(14) Joan Shea...................................................................... Director/Aux. President	0.30 ................. 0.60	X		0	0
(15) Ranjiv Advani MD...................................................................... Medical Staff President	0.30 ................. 0.60	X	X	2,000	0
(16) Melissa Streeter MD...................................................................... Medical Staff Vice President	0.30 ................. 0.60	X	X	443,899	43,895
(17) Glenn L Hutchinson...................................................................... Chairperson	0.30 ................. 0.60	X	X	0	0

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Mid Coast-Parkview Health

Employer identification number

01-0430069

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................3

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iii) Type of organization (described on lines 1- 10 above (see instructions))	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN		Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(A) Mid Coast Hospital	010215911	3	Yes		0	0
(B) Mid Coast Geriatric Serv Corp	010496221	10		No	0	0
(C) Community Health and Nursing Services	010211546	10		No	0	0
Total 3					0	0

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2020

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2019 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2020. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2019. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2020. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2016	(b) 2017	(c) 2018	(d) 2019	(e) 2020	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2020 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2019 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2020 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2019 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2020. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2019. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2020

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2020

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described in 11a above?

11b

A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Yes

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2020

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2020

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2020 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2020	(iii) Distributable Amount for 2020
1 Distributable amount for 2020 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2020:
a From 2015.......
b From 2016.......
c From 2017.......
d From 2018.......
e From 2019.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2020 distributable amount
i Carryover from 2015 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2020 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2020 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2020, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2020. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2021. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2016.....
b Excess from 2017.....
c Excess from 2018.....
d Excess from 2019.....
e Excess from 2020.....

Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation
Schedule A, Part I, Line 12g, Column v:	Mid Coast-Parkview Health, as the sole member of Mid Coast Hospital and other tax-exempt affiliates, engages in and conducts charitable, educational, and scientific activities, and furthers such activities as may be necessary for the advancement and improvement of health care generally and in the Bath-Brunswick, Maine area in particular. Mid Coast-Parkview Health also shares the same board as its supported organizations listed in Part I, Line 12(g).
Schedule A, Part IV, Section A, Line 1:	Though Mid Coast Geriatric Services Corporation (EIN: 01-0496221) and Community Health and Nursing Services (EIN: 01-0211546) are listed as supported organizations in Schedule A, Part I, Line 12g they are not listed by name in Mid Coast-Parkview Health's governing documents. However, they are part of a designated class of organizations identified in Mid Coast-Parkview Health's Articles of Incorporation. According to its Articles of Incorporation, Mid Coast-Parkview Health is organized for the exclusive purpose of engaging in activities for charitable, scientific, and educational purposes within the meaning of Section 501(c)(3) of the Internal Revenue Code of 1986. Within these restrictions, Mid Coast-Parkview Health has the following purposes: 1. To engage in and conduct charitable, educational, and scientific activities, and to further such activities as may be deemed advisable for the advancement and improvement of health care generally and in the Bath/Brunswick, Maine area in particular; 2. To assist Mid Coast Hospital to carry out its tax-exempt functions; 3. To coordinate activities of Mid Coast Hospital and other affiliated organizations engaged in health care activities which may include management, the establishment of fiscal policy, long-range planning, public information and fund-raising for the betterment of the general health; 4. To provide for the planning and liaison of health care services among health care service organizations and to otherwise assist such organizations in the performance of their activities; 5. To facilitate interchange of ideas among such health care service organizations and the communities served through educational activities and otherwise so as to advance the planning for and delivery of high quality health care services; 6. To sponsor, encourage, promote and advance the provision of health care and the betterment of health care in the communities served; and 7. To carry on any other lawful activity in connection with the foregoing which is expected, directly or indirectly, to advance the interests of the Corporation or enhance the value of its assets. In accordance with the above-stated purposes, Mid Coast Geriatric Services Corporation and Community Health and Nursing Services are part of a charitable class designated in bullet 3 of Mid Coast-Parkview Health's Articles of Incorporation.
Schedule A, Part IV, Section B, Line 2:	Mid Coast-Parkview Health (MCPH) has three supported organizations, each of which is a corporation that is exempt from federal income taxation pursuant to the provisions of Section 501(c)(3) of the Internal Revenue Code. Under the MCPH bylaws, MCPH and the "operating corporations" (Mid Coast Hospital, Mid Coast Geriatric Service Corporation, and Community Health and Nursing Services) "shall be governed and directed by a Board of Directors...of the Corporation and the Nonprofit Operating Corporations and which shall have the power and authority to do and perform all acts and functions not inconsistent with law or these bylaws or with any action currently in effect taken at any meeting of the corporators." Under MCPH's bylaws, the power and authority to elect the Board of Directors is given to its corporators. By the aforementioned authority of the Bylaws of MCPH, all of MCPH's supported organizations equally share the powers to appoint and/or remove directors, without restriction.

Schedule A (Form 990 or 990-EZ) 2020

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Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Mid Coast-Parkview Health

Employer identification number

01-0430069

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Lois N Skillings President/CEO	(i) (ii)	0 ------------- 496,757	0 ------------- 0	0 ------------- 0	0 ------------- 80,304	0 ------------- 9,905	0 ------------- 586,966	0 ------------- 0
2Melissa Streeter MD Medical Staff Vice President	(i) (ii)	0 ------------- 443,899	0 ------------- 0	0 ------------- 0	0 ------------- 28,050	0 ------------- 15,845	0 ------------- 487,794	0 ------------- 0
3Michael Perry CFO	(i) (ii)	0 ------------- 295,207	0 ------------- 0	0 ------------- 0	0 ------------- 50,202	0 ------------- 16,154	0 ------------- 361,563	0 ------------- 0

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Part I, Line 3	Mid Coast Health Service's President, Lois Skillings, and Michael Perry, CFO, 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	The Hospital and its related organizations have a deferred compensation arrangement under a non-qualified defined contribution plan to provide supplemental retirement benefits to certain employees. Lois Skillings and Michael Perry, who are officers of the Organization, participated in this plan and received $71,754 and $41,652, respectively, from Mid Coast Health Management Corp & Sub (MCHMC). These individuals' non-qualified plan contributions are included in the figures reported on Schedule J, Part II, Column C.

Return Reference

Explanation

Part I, Line 3

Mid Coast Health Service's President, Lois Skillings, and Michael Perry, CFO, 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

The Hospital and its related organizations have a deferred compensation arrangement under a non-qualified defined contribution plan to provide supplemental retirement benefits to certain employees. Lois Skillings and Michael Perry, who are officers of the Organization, participated in this plan and received $71,754 and $41,652, respectively, from Mid Coast Health Management Corp & Sub (MCHMC). These individuals' non-qualified plan contributions are included in the figures reported on Schedule J, Part II, Column C.

Schedule J (Form 990) 2020

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SCHEDULE N
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Liquidation, Termination, Dissolution, or Significant Disposition of Assets
bullet

Complete if the organization answered "Yes" on Form 990, Part IV, lines 31 or 32; or Form 990-EZ, line 36.
bullet

Attach certified copies of any articles of dissolution, resolutions, or plans.
bullet

Attach to Form 990 or 990-EZ.
bullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
Mid Coast-Parkview Health

Employer identification number
01-0430069

Part I

Liquidation, Termination, or Dissolution. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 31, or Form 990-EZ, line 36. Part I can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity
Cash and Cash Equivalents	12-31-2020	97,804	Book Value	01-0431680	MaineHealth 110 Free Street Portland,ME04101	501(c)(3)
Prepaid Expenses and Accounts Payable, net.	12-31-2020	1,072	Book Value	01-0431680	MaineHealth 110 Free Street Portland,ME04101	501(c)(3)
Land	12-31-2020	775,278	Book Value	01-0431680	MaineHealth 110 Free Street Portland,ME04101	501(c)(3)

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? ...........................

Yes

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Yes

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's liquidation, termination, or dissolution? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2020)

Page 2

Part I

Liquidation, Termination, or Dissolution (continued)

Note. If the organization distributed all of its assets during the tax year, then Form 990, Part X, column (B), line 16 (Total assets), and line 26 (Total liabilities), should equal -0-.

Yes

Did the organization distribute its assets in accordance with its governing instrument(s)? If "No," describe in Part III .............

Yes

Is the organization required to notify the attorney general or other appropriate state official of its intent to dissolve, liquidate, or terminate? ......

Yes

If "Yes," did the organization provide such notice? .....................

Yes

Did the organization discharge or pay all of its liabilities in accordance with state laws? .....................

Yes

Did the organization have any tax-exempt bonds outstanding during the year? .....................

If "Yes" on line 6a, did the organization discharge or defease all of its tax-exempt bond liabilities during the tax year in accordance with the Internal Revenue Code and state laws?

If "Yes" on line 6b, describe in Part III how the organization defeased or otherwise settled these liabilities. If "No" on line 6b, explain in Part III.

Part II

Sale, Exchange, Disposition, or Other Transfer of More Than 25% of the Organization's Assets. Complete this part if the organization answered "Yes" on Form 990, Part IV, line 32, or Form 990-EZ, line 36. Part II can be duplicated if additional space is needed.

1(a) Description of asset(s) distributed or transaction expenses paid	(b) Date of distribution	(c) Fair market value of asset(s) distributed or amount of transaction expenses	(d) Method of determining FMV for asset(s) distributed or transaction expenses	(e) EIN of recipient	(f) Name and address of recipient	(g) IRC section of recipient(s) (if tax-exempt) or type of entity

Yes

Did or will any officer, director, trustee, or key employee of the organization:

Become a director or trustee of a successor or transferee organization? .........................

Yes

Become an employee of, or independent contractor for, a successor or transferee organization? .....................

Yes

Become a direct or indirect owner of a successor or transferee organization? .....................

Receive, or become entitled to, compensation or other similar payments as a result of the organization's significant disposition of assets? ........

If the organization answered "Yes" to any of the questions on lines 2a through 2d, provide the name of the person involved and explain in Part III. bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or Form 990-EZ.

Cat. No. 50087Z

Schedule N (Form 990 or 990-EZ) (2020)

Page 3

Part III

Supplemental Information. Provide the information required by Part I, lines 2e and 6c, and Part II, line 2e. Also complete this part to provide any additional information.

Return Reference	Explanation

Part I, Line 2e:

Person(s) Involved: See Form 990, Part VII, Section A.

Part I, Line 2e:

Explanation of Involvement: All of the individuals listed in Form 990, Part VII that were formerly paid employees of Mid Coast Hospital or an affiliate through the merger date of December 31, 2020 will become employees of the successor organization, MaineHealth. Only Lois Skillings, the President and CEO of Mid Coast-Parkview Health, will serve as an officer of MaineHealth.Sandra Morrell-Rooney also became a trustee of MaineHealth.

Schedule N (Form 990 or 990-EZ) (2020)

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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.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Mid Coast-Parkview Health

Employer identification number

01-0430069

Return Reference	Explanation
Form 990, Part III, line 3	Effective December 31, 2020 the Hospital and Mid Coast-Parkview Health legally dissolved and transferred all assets and activities to MaineHealth, a 501(c)(3) healthcare organization.
Form 990, Part VI, Section A, line 6	Effective March 1, 2020, MCPH merged into MaineHealth and MaineHealth became the sole corporate member of MCPH. The two health care systems completed their work toward full integration effective December 31, 2020, which allowed all organizations involved in the merger to access and provide higher quality resources and services.
Form 990, Part VI, Section A, line 7a	The Board of Directors shall consist of not less than thirteen persons elected by the Organization's Sole Member, MaineHealth Services. If the Sole Member withholds approval of any Director nominated by the Board of Directors, the Sole Member shall immediately inform the President/CEO and Chair of the Board of Directors and, if requested by the Chair, shall provide written notice of the rationale for such determination. The Board of Directors shall have an opportunity to provide additional information to the Sole Member supporting its nomination and respond to the Sole Member's determination. In the event of such disapproval by the Sole Member, the Board of Directors shall submit a substitute nominated and approved Director to the Board of the Sole Member. One-third of the total number of the Organization's Directors shall be elected at each annual meeting of the Sole Member. Vacancies on the Board of Directors occurring between annual meetings of the Sole Member may be filled by the remaining members of the Board, and the persons so becoming Directors shall serve until the next annual meeting of the Sole Director. At each annual meeting of the Sole Member, the Sole Member shall elect Directors to fill such terms or vacancies as may exist at that time. Additionally, any member of the Board may be removed with or without cause by vote of the Sole Member at any meeting of the Sole Member, provided a statement of such proposed action is given to the Director affected.
Form 990, Part VI, Section A, line 7b	The Corporation shall be governed and its operation shall be directed by a Board of Directors which shall have charge, control, and management of the affairs, properties, and funds of the Corporation and which shall have the power and authority to do and perform all acts and functions not inconsistent with law, the Corporation's bylaws, or with any action currently in effect taken at any meeting of the Sole Member. The Board shall have the power and authority to exercise the Corporation's rights as member or shareholder of the Operating Corporations in which this Corporation is a corporate member or shareholder. In such capacities, the Board may, by resolution, authorize one or more officers to exercise its vote on any matter to come before the Members or shareholders of said Operating Corporations. However, the powers of the Corporation's Board of Directors may be limited and/or subject to approval by its Sole Member, MaineHealth Services, for the following exercises: 1.) adoption of annual budgets and modifications thereof; 2.) approval of any business, marketing, and strategic plans; 3.) authorization of certain debts incurred, assumed, or guaranteed in excess of $500,000; 4.) authorization for any acquisition, disposition, organization, or investment in a direct subsidiary or other investment; 5.) authorization of any sale, capitalized lease, assignment, transfer, mortgage, or encumbrance of properties valued in excess of $500,000; 6.) authorization for any merger or consolidation involving the Corporation; 7.) authorization for the institution of bankruptcy; 8.) authorization for certain capital investments in excess of $500,000; 9.) authorization for changes to programs and services within pre-approved strategic plans; and 10.) modifications to the Articles of Incorporation. Additionally, the approval of MaineHealth Services shall be required for the following actions if taken by the Board of MCPH, but not if taken by MCPH's subsidiaries: 1.) election, evaluation, and termination of the President/CEO; 2.) authorization for the commencement of certain litigation; and 3.) adoption of the Corporation's Bylaws and its amendments.
Form 990, Part VI, Section B, line 11b	The 990 is presented to the Board and copies are provided upon request. For the Form 990 for December 31, 2020, the Board was provided copies of the return after it was 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-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 and audited financial statements available to the public upon request.
Form 990, Part XI, line 9:	Transfer to MaineHealth -874,152.
Form 990, Part XII, Line 2c:	The Organization was unable to issue audited financial statements for the short period ending December 31, 2020 in advance of the filing deadline for its final Form 990. The organization had administratively and legally dissolved as of December 31, 2020 and all assets and activities were transferred to MaineHealth on that date. Going forward the Organization's activities will be consolidated in the audited financial statements of MaineHealth.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

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SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Mid Coast-Parkview Health

Employer identification number

01-0430069

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Mid Coast Hospital 123 Medical Center Drive Brunswick,ME04011 01-0215911	Hospital	ME	501(c)(3)	Line 3	Mid Coast-Parkview Health	Yes
(2)Mid Coast Geriatric Services Corporation 123 Medical Center Drive Brunswick,ME04011 01-0496221	Geriatric Services	ME	501(c)(3)	Line 10	Mid Coast-Parkview Health	Yes
(3)Community Health and Nursing Services 60 Baribeau Drive Brunswick,ME04011 01-0211546	Hospice Services	ME	501(c)(3)	Line 10	Mid Coast-Parkview Health	Yes
(4)MaineHealth 22 Bramhall Street Portland,ME04102 01-0238552	Health Services	ME	501(c)(3)	Line 3	N/A		No
(5)Belfast Public Health Nursing Association Inc PO Box 287 Belfast,ME04915 04-3359810	Public Health	ME	501(c)(3)	Line 10	Coastal Healthcare Alliance		No
(6)Cancer Care Center of York County 22 Bramhall Street Portland,ME04102 20-1600381	Medical Services	ME	501(c)(3)	Line 3	Maine Medical Center		No
(7)Coastal Healthcare Alliance PO Box 287 Belfast,ME04915 22-2494475	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth		No
(8)Coastal Medical Care PO Box 287 Belfast,ME04915 01-0487091	Medical Services	ME	501(c)(3)	Line 10	Coastal Healthcare Alliance		No
(9)Evergreen Behavioral Services 131 Franklin Health Commons Farmington,ME04938 01-0492747	Mental Health	ME	501(c)(3)	Line 10	Franklin Community Health Network		No
(10)Franklin Community Health Network 111 Franklin Health Commons Farmington,ME04938 22-3209406	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth		No
(11)Franklin Memorial Hospital 111 Franklin Health Commons Farmington,ME04938 01-0211503	Hospital	ME	501(c)(3)	Line 3	Franklin Community Health Network		No
(12)Geriatric Resource Network 110 Free Street Portland,ME04101 01-0542842	Healthcare	ME	501(c)(3)	Line 7	MaineHealth		No
(13)Healthy Community Coalition 105 Mt Blue Circle Farmington,ME04938 22-3305743	Community Services	ME	501(c)(3)	Line 7	Franklin Community Health Network		No
(14)Kno-Wal-Lin Help At Home Inc PO Box 287 Belfast,ME04915 22-2968726	Home Services	ME	501(c)(3)	Line 10	Coastal Healthcare Alliance		No
(15)Kno-Wal-Lin Home Health Care Inc PO Box 287 Belfast,ME04915 01-0340947	Home Health	ME	501(c)(3)	Line 10	Coastal Healthcare Alliance		No
(16)Lincolnhealth 35 Miles Street Darmariscotta,ME04543 01-0153960	Hospital	ME	501(c)(3)	Line 3	LincolnHealth Group		No
(17)Lincolnhealth Coves Edge 35 Miles Street Darmariscotta,ME04543 01-0382340	Healthcare	ME	501(c)(3)	Line 3	LincolnHealth Group		No
(18)Lincolnhealth Group 6 St Andrews Lane Boothbay Harbor,ME04538 26-1475629	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth		No
(19)Lincolnhealth Medical Partners Inc 35 Miles Street Darmariscotta,ME04543 26-3878235	Physician Practices	ME	501(c)(3)	Line 7	LincolnHealth Group		No
(20)Maine Behavioral Healthcare 78 Atlantic Place South Portland,ME04106 01-0524834	Hospital	ME	501(c)(3)	Line 3	MaineHealth		No
(21)MMC Realty Corp 22 Bramhall Street Portland,ME04102 01-0434215	Property Management	ME	501(c)(3)	Line 12a, I	Maine Medical Center		No
(22)Mainehealth Cardiology 110 Free Street Portland,ME04101 45-2525629	Healthcare	ME	501(c)(3)	Line 10	MaineHealth		No
(23)Mainehealth Care At Home 15 Industrial Park Saco,ME04072 22-2571902	Home Health	ME	501(c)(3)	Line 10	MaineHealth		No
(24)Memorial Hospital Foundation At North Conway Inc 3073 White Mountain Highway North Conway,NH03860 46-2137291	Fundraising	NH	501(c)(3)	Line 12a, I	The Memorial Hospital		No
(25)Nordx 301A US Route One Scarborough,ME04074 01-0511356	Laboratories	ME	501(c)(3)	Line 10	MaineHealth		No
(26)Pen Bay Behavioral Health PO Box 287 Belfast,ME04915 01-0277794	Behavioral Health	ME	501(c)(3)	Line 10	Coastal Healthcare Alliance		No
(27)Penobscot Bay Medical Center PO Box 287 Belfast,ME04915 01-0285286	Hospital	ME	501(c)(3)	Line 3	Coastal Healthcare Alliance		No
(28)Pen Bay Waldo Healthcare Foundation PO Box 287 Belfast,ME04915 22-2482325	Fundraising	ME	501(c)(3)	Line 7	Coastal Healthcare Alliance		No
(29)Penobscot Bay Physicians & Associates PO Box 287 Belfast,ME04915 01-0530517	Physician Practices	ME	501(c)(3)	Line 12b, II	Penobscot Bay Medical Center		No
(30)Quarry Hill PO Box 287 Belfast,ME04915 01-0213976	Long-Term Care	ME	501(c)(3)	Line 10	Coastal Healthcare Alliance		No
(31)Southern Maine Health Care PO Box 626 Biddeford,ME04005 01-0179500	Hospital	ME	501(c)(3)	Line 3	MaineHealth		No
(32)Saint Joseph's Manor 1133 Washington Avenue Portland,ME04103 01-0339489	Nursing Home	ME	501(c)(3)	Line 10	Maine Medical Center		No
(33)Stephens Community Healthcare Foundation 181 Main Street Norway,ME04268 31-1644144	Healthcare	ME	501(c)(3)	Line 12a, I	Western Maine Health Care Corp		No
(34)Stephens Memorial Hospital Association 181 Main Street Norway,ME04268 01-0219904	Hospital	ME	501(c)(3)	Line 3	Western Maine Health Care Corp		No
(35)Memorial Hospital 3073 White Mountain Highway North Conway,NH03860 02-0222156	Hospital	ME	501(c)(3)	Line 3	MaineHealth		No
(36)Waldo County General Hospital 118 Northport Avenue Belfast,ME04915 01-0177170	Hospital	ME	501(c)(3)	Line 3	Coastal Healthcare Alliance		No
(37)Waldo County Home Healthcare Services PO Box 287 Belfast,ME04915 22-2864960	Hospice Services	ME	501(c)(3)	Line 10	Coastal Healthcare Alliance		No
(38)Western Maine Health Care Corp 181 Main Street Norway,ME04268 01-0411788	Healthcare	ME	501(c)(3)	Line 12b, II	MaineHealth		No
(39)Western Maine Multi-Medical Specialists 181 Main Street Norway,ME04268 01-0489824	Physician Practices	ME	501(c)(3)	Line 10	Western Maine Health Care Corp		No
(40)Western Maine Nursing Home Inc 181 Main Street Norway,ME04268 22-2842655	Nursing Home	ME	501(c)(3)	Line 10	Western Maine Health Care Corp		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) GSM Realty LLC 22 Bramhall Street Portland,ME04102 20-4582952	Real Estate	ME	N/A				No			No
(2) MaineHealth ACO 110 Free Street Portland,ME04101 45-2929273	Accountable Care Organization	ME	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) Mid Coast Medical Group 123 Medical Center Drive Brunswick,ME04011 01-0484592	Medical Services	ME	Mid Coast-Parkview Health	C			100.000 %	Yes
(2) Midcoast Health Management Corporation 123 Medical Center Drive Brunswick,ME04011 01-0429598	Management of Health Services	ME	Mid Coast-Parkview Health	C			100.000 %	Yes
(3) Thornton Oaks Development Corporation 123 Medical Center Drive Brunswick,ME04011 01-0448411	Management of Health Services	ME	MidCoast Health Management Corp	C			100.000 %	Yes
(4) Maine Medical Partners 22 Bramhall Street Portland,ME04102 01-0442142	Healthcare	ME	N/A	C					No
(5) Synernet Inc 110 Free Street Portland,ME04101 01-0539789	Administrative Services	ME	N/A	C					No
(6) Waldo County Healthcare Managemetn Co PO Box 287 Belfast,ME04915 01-0485133	Management Services	ME	N/A	C					No
(7) Schooner Cove Cooperative Inc 35 Schooner Street Darmariscotta,ME04543 01-0428308	Management Services	ME	N/A	C					No
(8) SMHC Physician Services PA PO Box 626 Biddeford,ME04005 26-3345134	Medical Services	ME	N/A	C					No
(9) June Street Pharmacy 25 June Street Sanford,ME04073 01-0765952	Pharmacy	ME	N/A	C					No
(10) PBH Management Company PO Box 287 Belfast,ME04915 01-0537278	Management Services	ME	N/A	C					No

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Mid Coast Hospital	A	2,000	Actual per Books

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2020

Additional Data

Software ID:
Software Version:

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	0	0
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	0	0
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	8,000	2,000
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	8,000	2,000
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	0	0
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	10,468	2,674
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	10,468	2,674
19	Revenue less expenses. Subtract line 18 from line 12.......	-2,468	-674
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	881,045	0
21	Total liabilities (Part X, line 26).............	6,219	0
22	Net assets or fund balances. Subtract line 21 from line 20.....	874,826	0

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 2,655 including grants of $ ) (Revenue $ 2,000 )
	Mid Coast-Parkview Health coordinates the activities of Mid Coast Hospital and other affiliated organizations engaged in health care activities which may include management, the establishment of fiscal policy, long-range planning, public information, and fund-raising for the betterment of the general health.Effective December 31, 2020 the Hospital and Mid Coast-Parkview Health legally dissolved and transferred all assets and activities to MaineHealth, a 501(c)(3) healthcare organization.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses2,655

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)		(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) Lenora Burke........................................................................ Vice Chairperson	0.30 .......................0.60	X		0	0	0
(19) Matthew Orlando........................................................................ Treasurer	0.30 .......................0.60	X	X	0	0	0
(20) Charles Bridge........................................................................ Secretary	0.30 .......................0.60	X	X	0	0	0
(21) Sandy Morrell Rooney........................................................................ Immediate Past Chair	0.30 .......................0.60	X	X	0	0	0
(22) Lois N Skillings........................................................................ President/CEO	5.50 .......................36.00	X	X	0	496,757	90,209
(23) Michael Perry........................................................................ CFO	5.50 .......................36.00		X	0	295,207	66,356

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	0	1,237,863	200,460

1	Briefly describe the organization’s mission or most significant activities: To support Mid Coast Hospital and affiliates as they carry out their tax-exempt missions.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	22
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	19
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	0
6	Total number of volunteers (estimate if necessary) .............	6	19
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

(A) Name and business address	(B) Description of services	(C) Compensation





2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 0

1a	Federated campaigns..	1a
b	Membership dues..	1b
c	Fundraising events..	1c
d	Related organizations	1d
e	Government grants (contributions)	1e

f	All other contributions, gifts, grants, and similar amounts not included above	1f

g	Noncash contributions included in lines 1a - 1f:$	1g

h Total. Add lines 1a-1f.......

		Business Code
2a
b
c
d
e
f	All other program service revenue.
g	Total. Add lines 2a–2f .....

3 Investment income (including dividends, interest, and othersimilar amounts) ......
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,000	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		2,000	6c
d	Net rental income or (loss).......			2,000	2,000
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory			7a
b	Less: cost or other basis and sales expenses			7b
c	Gain or (loss)			7c
d	Net gain or (loss).........
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......
12	Total revenue. See instructions.....			2,000	2,000	0	0

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....
9	Other employee benefits .......
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	19		19
c	Accounting ...........
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	2,655	2,655
17	Travel ............
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..
23	Insurance ...
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a
b
c
d
e	All other expenses
25	Total functional expenses. Add lines 1 through 24e	2,674	2,655	19	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........		97,804	1	0
2	Savings and temporary cash investments .........			2	0
3	Pledges and grants receivable, net ......			3	0
4	Accounts receivable, net .............			4	0
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				6	0
7	Notes and loans receivable, net ...........			7	0
8	Inventories for sale or use ............			8	0
9	Prepaid expenses and deferred charges ......		7,963	9	0
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a
b	Less: accumulated depreciation	10b	775,278	10c	0
11	Investments—publicly traded securities .			11	0
12	Investments—other securities. See Part IV, line 11 .....			12	0
13	Investments—program-related. See Part IV, line 11 ..			13	0
14	Intangible assets ...............			14	0
15	Other assets. See Part IV, line 11 ...........			15	0
16	Total assets. Add lines 1 through 15 (must equal line 33)...		881,045	16	0

17	Accounts payable and accrued expenses .....	6,219	17	0
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D		25
26	Total liabilities. Add lines 17 through 25..	6,219	26	0

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	874,826	27	0
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	874,826	32	0
33	Total liabilities and net assets/fund balances ........	881,045	33	0