2023-10-31T14:38:19-05:00 2022-12-31 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2022-01-01 010376890 Pines Health Services PINE 2074982356 PO Box 40 Caribou ME 04736 Kris Doody Chief Executive Officer 2074982356 2023-05-25 1 Kris Doody 999009999 1 Joseph R Byrne P01289281 2077752387 2023-05-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z Kris Doody PO Box 40 Caribou ME 04736 23871961 0 X www.pineshealth.org X 1981 ME Group of health centers serving northern Maine. Six of the centers have FQHC designation. 10 10 172 10 0 0 5403590 5404383 20083770 18466045 1986 1533 0 0 25489346 23871961 0 560 0 0 17044679 17037214 0 0 0 7426267 7846563 24470946 24884337 1018400 -1012376 7660342 7764345 2012779 3129158 5647563 4635187 X Multi-specialty outpatient healthcare organization, promoting the development of quality health care, health care services and the development and operation of related activities necessary to encourage quality health care in Aroostook County. 0 0 7228543 3995608 Family Practice Services provide general care to families. The services are performed by physicians, physician assistants, and family nurse practitioners. The services have been provided since the date of inception. 388521 131008 Internal Medicine Services provide internal medicine to patients with more severe medical complications. The services are performed by physicians. The services have been provided since the date of inception. 2353474 908876 Obstetrical and gynecological services are provided to female patients. These services are performed by physicians & Certified Nurse Midwives. The services have been provided since the date of inception. 12173926 560 13430553 Various other medical services provided to patients. 12173926 560 13430553 22144464 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 38 0 1 172 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Brandon Caverhill 2074982356 PO Box 40 Caribou ME 04736 Tanya Sleeper Chair 1.00 X X 0 0 0 Norm Collins Vice Chair 1.00 X X 0 0 0 Stev Rogeski Secretary 1.00 X X 7618 0 0 Dana Rattray Treasurer 1.00 X X 0 0 0 Chelsea Desrosiers Director 1.00 X 0 0 0 Roger Felix Director 1.00 X 0 0 0 Diane Gove Director 1.00 X 0 0 0 Betty Hatch Director 1.00 X 0 0 0 Jon Holabird Director 1.00 X 0 0 0 Kristie Moir Director 1.00 X 0 0 0 Kris Doody Chief Executive Officer 40.00 X 370252 0 19817 Lisa Caron Chief Operating Officer 40.00 X 109279 0 21346 Jean-Pierre Michaud Orthopedic Surgeon 40.00 X 723202 0 18356 Robert Bassett Orthopedic Surgeon 40.00 X 519711 0 36618 John Karod Urologist 40.00 X 505518 0 30330 Carl Flynn Family Physician 40.00 X 485347 0 28014 Rashmi Bawa General Surgeon 40.00 X 484203 0 39655 3205130 0 194136 36 0 1 0 Hayes Locums LLC PO Box 88122 Chicago IL 606801122 Locum Physician Staffing 511867 Dr Julio Arebalo 10372 NW 31st Terrace Doral FL 33172 General Surgeon 409600 Dr Alvin Wycoco 31464 Polo Creek Drive Temecula CA 92591 Hospitalist 342346 CompHealth Inc PO Box 972651 Dallas TX 753972651 Locum Physician Staffing 295908 BerryDunn PO Box 1100 Portland ME 041041100 Audit & Accounting Services 227358 5 4654383 750000 5404383 Patient Service Rev. 621110 25086610 25086610 Contract Revenue 621110 2819131 2819131 Bad Debt Expense 621110 -2237485 -2237485 Contractual/Char. Adj. 621110 -7202211 -7202211 18466045 1533 1533 23871961 18466045 0 1533 X 560 560 528312 528312 13913180 13695218 217962 76454 76382 72 1738388 1680723 57665 780880 741396 39484 39403 39403 227358 227358 3279778 2769662 510116 61989 58222 3767 408819 120399 288420 477422 445203 32219 984103 935832 48271 44700 37188 7512 153210 148334 4876 665550 559896 105654 Medical Supplies 1476602 847820 628782 Relocation 25161 25161 Other 2468 2468 24884337 22144464 2739873 0 X 2576268 657737 975706 895732 750000 971343 1865821 1881763 90883 87079 145437 175035 6070171 3941592 960584 2128579 9606 9606 176198 876899 109839 80572 7660342 7764345 954113 2345892 701173 0 357493 783266 2012779 3129158 X 4897563 3885187 750000 750000 5647563 4635187 7660342 7764345 -1012376 0 X 0 1 X 1 1 1 X 4089719 4833499 5604370 5403590 5404383 25335561 4089719 4833499 5604370 5403590 5404383 25335561 25335561 3706 2912 2090 1986 1533 12227 25347788 95368633 0.99950 0.99930 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40025 40025 1611560 1173182 438378 2838449 2768410 70039 1580137 1580137 2128579 Operating Lease Liability 783266 783266 23871961 0 23871961 0 23871961 24884337 0 24884337 0 24884337 X X 0 0 0 0 0 0 0 1 0 Jean-Pierre Michaud Orthopedic Surgeon 699202 0 24000 0 0 0 2750 0 15606 0 741558 0 0 0 Robert Bassett Orthopedic Surgeon 519711 0 0 0 0 0 2750 0 33868 0 556329 0 0 0 John Karod Urologist 493518 0 12000 0 0 0 2750 0 27580 0 535848 0 0 0 Rashmi Bawa General Surgeon 484203 0 0 0 0 0 2750 0 36905 0 523858 0 0 0 Carl Flynn Family Physician 347347 0 138000 0 0 0 2750 0 25264 0 513361 0 0 0 Kris Doody Chief Executive Officer 370252 0 0 0 0 0 2750 0 17067 0 390069 0 0 0 Part I, Line 7 Bonuses paid to providers are contractual agreements between the respective individuals and Pines Health Services. They are determined pursuant to the language within their respective contracts. Dr. Michaud receives a stipend with 2 payrolls per month (a total of 24 per year) for mid-level practitioners' sponsorships. He is responsible and oversees their work within his specialty. Dr. Karod receives a stipend with 2 payrolls per month (a total of 24 per year) for mid-level practitioner sponsorship. He is responsible and oversees their work within his specialty. Dr. Flynn too receives a Mid-Level Practitioner Supervision stipend for each mid-level practitioner that he oversees. He is also given a monthly stipend for his Skilled Nursing Facility Duties. Dr. Flynn also serves as the Medical Director of the Tufts/MaineMed LIC Program and is awarded a monthly stipend in recognition of the expenses incurred through this program. Form 990, Part VI, Section B, line 11b Pines Health Services has its Form 990 reviewed by the board prior to filing. The 990 is given to the CEO for review and forwarded to the Board of Directors to be discussed at a regularly scheduled Board of Directors meeting. If a meeting cannot be held prior to the submission deadline, the Organization forwards the 990 electronically to the Board of Directors for review and comment. Form 990, Part VI, Section B, line 12c Annually, the Board of Directors sign forms indicating there are no conflicts of interest. If a conflict is brought to the board's attention, appropriate action will take place depending on the situation. This includes not allowing the member to vote on issues where there is a conflict, or other actions deemed necessary and appropriate by the board. Form 990, Part VI, Section B, line 15 For executives, the Board Executive Committee will review local market conditions and other factors. Salaries are set using the MGMA annual Physician Compensation & Productivity Survey as a reference. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, line 11g Other Professional Fees: Program service expenses 2,769,662. Management and general expenses 510,116. Fundraising expenses 0. Total expenses 3,279,778. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Pines Health Services PO Box 40 Caribou, ME 04736 EIN: 01-0376890 Pines Health Services is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).