2022-04-27T13:41:18-05:00 2021-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2020-07-01 010538534 Bangor Nursing & Rehabilitation Center BANG 2079474557 103 Texas Avenue Bangor ME 04401 Melissa Martin Administrator 2079474557 2022-04-26 1 Melissa Martin 999009999 Joseph R Byrne P01289281 2077752387 2022-04-26 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z Melissa Martin 103 Texas Avenue Bangor ME 04401 6790113 0 X www.bangornrc.com X 2001 ME Long-term care nursing facility 17 17 75 17 0 0 432976 1016401 6029353 5654048 1982 1394 117830 118270 6582141 6790113 0 0 0 0 2792526 2361335 0 0 0 3693127 3916240 6485653 6277575 96488 512538 3054721 3127404 988787 548932 2065934 2578472 It is the mission of the Bangor Nursing and Rehabilitation Center to provide the highest level of care with the highest level of quality, competency and professionalism that focuses on the health and well-being of the community it serves. 0 0 5399785 5654048 BNRC is a 60-bed skilled nursing facility providing complex nursing and rehabilitation care to a significantly large sub-acute population with short average lengths of stay. 5399785 1 1 0 1 0 0 0 0 1 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 16 0 1 75 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 X Brian Donahue 2079474557 103 Texas Ave Bangor ME 04401 Geoff Gratwick Board Member 1.00 X 0 0 0 Stephen Rich Board Member 1.00 X 0 0 0 Jon Pottle Board Member 1.00 X 0 0 0 John Patten Board Member 1.00 X 0 0 0 Alicia Murray Board Member 1.00 X 0 0 0 John Miller Board Member 1.00 X 0 0 0 Eileen McAvoy Board Member 1.00 X 0 0 0 Dana Lippitt Board Member 1.00 X 0 0 0 Larry Lavigne Board Member 1.00 X 0 0 0 Tony Tsismenakis Board Member 1.00 X 0 0 0 Janna Gau Board Member 1.00 X 0 0 0 Kathy Bernier Board Member 1.00 X 0 0 0 Jonathan Sprague Board Member 1.00 X 0 0 0 Nichi Farnham President 1.00 X X 0 0 0 Deborah Laurie Secretary 1.00 X X 0 0 0 Jay Muth Treasurer 1.00 X X 0 0 0 Helen Burlock RN Vice President 1.00 X X 0 0 0 Melissa Martin Administrator 60.00 X 0 0 0 Brian Donahue CFO 40.00 X 92938 0 390 Brett Seekins Past Administrator 60.00 X 128180 0 538 221118 0 928 1 0 0 0 Metz Culinary Management 2 Woodland Drive Dallas PA 18612 Food & Dietary Services 688508 MAS Medical Staffing 156 Harvey Road Londonderry NH 03053 Staffing Services 434227 RehabCare PO Box 503534 St Louis MO 631503534 Rehabilitation Services 397752 Healthcare Services Group PO Box 829677 Philadelphia PA 191829677 Housekeeping, Laundry & Maint. 306089 T Smith Plumbing and Heating PO Box 373 Milford ME 04461 Boiler Installation 240699 7 999784 16617 1016401 Resident Revenue 623000 6679253 6679253 Other Revenue 900099 4773 4773 Contractual Adjustment 623000 -1029978 -1029978 5654048 1394 1394 118270 0 118270 118270 118270 6790113 5654048 0 119664 X 222046 222046 1709228 1543508 165720 270129 216737 53392 159932 127882 32050 19523 19523 40510 40510 2161916 2039577 122339 5976 5976 329930 284216 45714 29358 29358 320110 320110 3068 98 2970 3367 1120 2247 502 502 173591 173591 37659 37659 Provider Tax Expense 338957 338957 Medical Supplies 328468 328468 Miscellaneous 123305 25019 98286 6277575 5399785 877790 0 X 212842 36213 877765 1121512 434531 434368 13257 45432 55567 59873 6523597 5235091 1366081 1288506 94678 141500 3054721 3127404 425116 387511 11245 16813 13563 4475 538863 140133 988787 548932 X 2065934 2578472 2065934 2578472 3054721 3127404 512538 0 X 1 X 0 1 0 X 315668 79511 6438 432976 1016401 1850994 5435285 5760579 6171312 6029353 5654048 29050577 5750953 5840090 6177750 6462329 6670449 30901571 0 821875 871499 337218 720451 421883 3172926 821875 871499 337218 720451 421883 3172926 27728645 119049 119862 120791 119812 119664 599178 119049 119862 120791 119812 119664 599178 5870002 5959952 6298541 6582141 6790113 31500749 0.88030 0.86280 0.01900 0.01980 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1683 1683 0 Part II-B, Line 1: The Organization pays dues to various organizations, a portion of which is attributable to lobbying. 0 1 X 5366797 4291313 1075484 1105681 923751 181930 51119 20027 31092 1288506 CARES Act Funding 140133 140133 Part IV, Line 2b: The Organization holds funds for residents and provides these funds to the resident, as needed. The funds are reported as a liability on Form 990, Part X, line 21. Form 990, Part VI, Section A, line 6 Any person, group of persons, corporation or association with an interest in or expertise useful for the provision of medical, rehabilitative, and support services to individuals served by or who qualify for services by the corporation, shall be eligible to be a voting member. Employees of Bangor Nursing and Rehabiliation Center cannot be members. Form 990, Part VI, Section A, line 7a The Board of Directors are elected by the members at the annual meeting. Form 990, Part VI, Section B, line 11b The 990 is initially reviewed by the administrator and CFO. It then is presented to the entire board who are asked for any updates before filing. The board is asked to review this thoroughly. Form 990, Part VI, Section B, line 12c A copy of the conflict of interest policy is given to every officer, board member, and key employee on an annual basis, along with an annual disclosure statement, listing any known financial interest that the individual, or a member of the individual's family, has in any business entity that transacts business with the organization. The executive committee of the board then reviews and maintains the disclosure statements for future reference. If a conflict arises, the board member will recuse themself from participation in the deliberations and decisions relating to the conflict. The administrator personally approves contracts, dealings with subcontractors, and any internal hires to ensure that there is no conflict of interest. The Organization also maintains an electronic disclosure policy that requires an annual manager review and sign off. The board is also made aware of any contractors of consequence and is alerted to any potential conflicts of interest. Form 990, Part VI, Section B, line 15a The compensation packages of officers and key employees are determined by independent members of the board. The compensation arrangements are approved in advance and are based upon appropriate comparability data. The deliberations and decisions made by the board are contemporaneously substantiated in written meeting minutes. Comparability data involves looking to compensation levels paid by similarly situated organizations for functionally comparable positions, including the use of compensation surveys and studies from outside organizations. Form 990, Part VI, Section C, line 19 The Organization maintains copies of these documents on file. They are made available to the public upon request. Form 990, Part IX, line 11g Consultant Services: Program service expenses 54,542. Management and general expenses 75,000. Fundraising expenses 0. Total expenses 129,542. Service Contracts: Program service expenses 581,619. Management and general expenses 40,615. Fundraising expenses 0. Total expenses 622,234. Contract Labor: Program service expenses 983,171. Management and general expenses 0. Fundraising expenses 0. Total expenses 983,171. Outside Services: Program service expenses 420,245. Management and general expenses 6,724. Fundraising expenses 0. Total expenses 426,969. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Bangor Nursing & Rehabilitation Center 103 Texas Avenune Bangor, ME 04401 EIN 01-0538534 Bangor Nursing & Rehabilitation Center is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).