2021-05-03T13:19:18-05:00 2020-06-30 010523282 Berry Dunn McNeil & Parker LLC PO BOX 1100 Portland ME 041011100 990 2019-07-01 010538534 Bangor Nursing & Rehabilitation Center BANG 2079474557 103 Texas Avenue Bangor ME 04401 Melissa Martin Administrator 2079474557 2021-04-30 1 Joseph R Byrne P01289281 2077752387 2021-04-30 2019 2022-09-23 18:48:47Z Melissa Martin 103 Texas Avenue Bangor ME 04401 6582141 0 X www.bangornrc.com X 2001 ME Long-term care nursing facility 15 15 86 22 0 0 6438 432976 6171312 6029353 4341 1982 116950 117830 6299041 6582141 0 0 0 0 2753687 2792526 0 0 0 3906614 3693127 6660301 6485653 -361260 96488 2439590 3054721 470144 988787 1969446 2065934 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 5658010 6029353 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. 5658010 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 86 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 15 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 Helen Burlock RN President 2.00 X X 0 0 0 Nichi Farnham Vice President 2.00 X X 0 0 0 Jay Muth Treasurer 2.00 X X 0 0 0 Deborah Laurie Secretary 2.00 X X 0 0 0 Jon Pottle Board Member 2.00 X 0 0 0 Kathy Bernier Board Member 1.00 X 0 0 0 Janna Gau Board Member 1.00 X 0 0 0 Larry Lavigne Board Member 1.00 X 0 0 0 Dana Lippitt Board Member 1.00 X 0 0 0 Eileen McAvoy Board Member 1.00 X 0 0 0 John Miller Board Member 1.00 X 0 0 0 Travis Noyes Board Member 1.00 X 0 0 0 Stephen Rich Board Member 1.00 X 0 0 0 Tony Tsismenakis Board Member 1.00 X 0 0 0 Susan Hawes Board Member 1.00 X 0 0 0 Earl Black Past Board Member 1.00 X 0 0 0 Mia Dubois Past Board Member 1.00 X 0 0 0 David Nealley Past Board Member 1.00 X 0 0 0 Brian Donahue CFO 40.00 X 87996 0 557 Brett Seekins Administrator 40.00 X 87595 0 446 175591 0 1003 0 0 0 0 RehabCare PO Box 503534 St Louis MO 63150 Rehabilitation Services 454088 MAS Medical Staffing 156 Harvey Road Londonderry NH 03053 Staffing Services 423180 Metz Culinary Management 2 Woodland Drive Dallas PA 18612 Food and Dietary Services 372371 Healthcare Services Group PO Box 829677 Philadelphia PA 19182 Housekeeping, Laundry and Maintenance 298817 Unidine PO Box 102289 Atlanta GA 303682289 Food and Dietary Services 236206 10 399904 33072 432976 Resident Revenue 623000 7109504 7109504 Other Revenue 900099 5596 5596 Contractual Adjustment 623000 -1085747 -1085747 6029353 1982 1982 117830 0 117830 117830 117830 6582141 6029353 0 119812 X 176594 176594 2004750 1800959 203791 434093 356158 77935 177089 146057 31032 28997 28997 31291 31291 2047302 1922602 124700 7364 7364 213546 168887 44659 28379 28379 308626 308626 2330 1047 1283 5611 109 5502 961 961 204287 204287 38898 38898 Provider Tax Expense 361425 361425 Medical Supplies 335925 335925 Miscellaneous 78185 50967 27218 6485653 5658010 827643 0 X 140046 212842 176443 877765 606583 434531 13256 13257 97276 55567 6427581 5061500 1384886 1366081 21100 94678 2439590 3054721 442406 425116 5546 11245 22192 13563 0 538863 470144 988787 X 1969446 2065934 1969446 2065934 2439590 3054721 96488 0 X 1 X 0 1 0 X 5398 315668 79511 6438 432976 839991 5489431 5435285 5760579 6171312 6029353 28885960 5494829 5750953 5840090 6177750 6462329 29725951 0 809378 821875 871499 337218 720451 3560421 809378 821875 871499 337218 720451 3560421 26165530 120425 119049 119862 120791 119812 599939 120425 119049 119862 120791 119812 599939 5615254 5870002 5959952 6298541 6582141 30325890 0.86280 0.86220 0.01980 0.02040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1667 1667 0 Part II-B, Line 1: The Organization pays dues to various organizations, a portion of which is attributable to lobbying. 0 1 X 5141030 4165122 975908 1090432 876653 213779 196119 19725 176394 1366081 CARES Act Funding 538863 538863 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 19,885. Management and general expenses 75,000. Fundraising expenses 0. Total expenses 94,885. Service Contracts: Program service expenses 733,652. Management and general expenses 41,331. Fundraising expenses 0. Total expenses 774,983. Contract Labor: Program service expenses 719,804. Management and general expenses 0. Fundraising expenses 0. Total expenses 719,804. Outside Services: Program service expenses 449,261. Management and general expenses 8,369. Fundraising expenses 0. Total expenses 457,630. 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).