2018-08-13T12:51:13-04:00 2017-09-30 990 2016-10-01 010285286 PENOBSCOT BAY MEDICAL CENTER PENO 2073389378 4 WHITE STREET ROCKLAND ME 048412953 LINDA DRINKWATER REGIONAL CFO 2073389378 2018-08-06 2016 2022-09-23 18:48:47Z MARK FOURRE MD PO BOX 287 BELFAST ME 04915 116635008 false X WWW.PENBAYHEALTHCARE.ORG X 1969 ME PENOBSCOT BAY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT OFFERS INPATIENT AND OUTPATIENT CARE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE SERVICES, PATIENT AND COMMUNITY EDUCATION, AND A FULL RANGE OF SPECIALTY SERVICES THROUGH THE EMERGENCY DEPARTMENT, SPECIAL CARE UNIT, SURGICAL SERVICES DEPARTMENT, OBSTETRICS AND GYNECOLOGY DEPARTMENT, AND THE PSYCHIATRIC ADDICTION & RECOVERY CENTER. 20 14 1344 109 726588 -226850 180259 141033 104573154 115025681 233909 507196 943305 924185 105930627 116598095 0 0 62081239 65733932 0 0 52243024 56020543 114324263 121754475 -8393636 -5156380 120915063 121309094 76435879 80353043 44479184 40956051 X PENOBSCOT BAY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT OFFERS INPATIENT AND OUTPATIENT CARE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE SERVICES, PATIENT AND COMMUNITY EDUCATION, AND A FULL RANGE OF SPECIALTY SERVICES THROUGH THE EMERGENCY DEPARTMENT, SPECIAL CARE UNIT, SURGICAL SERVICES DEPARTMENT, OBSTETRICS AND GYNECOLOGY DEPARTMENT, AND THE PSYCHIATRIC ADDICTION & RECOVERY CENTER. false false 99075165 100017916 INPATIENT & OUTPATIENT HOSPITAL CARE: PENOBSCOT BAY MEDICAL CENTER PROVIDES QUALITY MEDICAL CARE REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF PENOBSCOT BAY MEDICAL CENTER, NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. OUR MISSION IS TO SERVE THE COMMUNITY BY PROVIDING HEALTH CARE SERVICES AND HEALTH CARE EDUCATION. IN KEEPING WITH THIS HOSPITAL'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, WE PROVIDE FREE CARE AND SUBSIDIZED CARE TO PERSONS COVERED BY GOVERNMENTAL PROGRAMS BELOW COST, AND HEALTH ACTIVITIES AND PROGRAMS FOR THE COMMUNITY. (CONTINUED AT SCHEDULE O) (CONTINUED FROM PART III, LINE 4A) PENOBSCOT BAY MEDICAL CENTER SERVED 3,596 INPATIENTS, INCLUDING NEWBORNS AND 154,214 OUTPATIENTS INCLUDING ER VISITS, DURING FY 17. TWENTY FOUR HOUR MEDICAL EMERGENCY SERVICE IS PROVIDED IN THE EMERGENCY ROOM, STAFFED BY FULL-TIME ATTENDING PHYSICIANS. PATIENTS ARE SEEN REGARDLESS OF ABILITY TO PAY. THERE WERE 20,925 VISITS TO THE EMERGENCY ROOM DURING FY 17. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE & MAINECARE PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, PENOBSCOT BAY MEDICAL CENTER RECOGNIZES THESE AMOUNTS AS CONTRACTUAL ADJUSTMENTS. FOR FY 2017, THE AMOUNT OF UNREIMBURSED COSTS REPORTED AS CONTRACTUAL ADJUSTMENTS TOTALED 117,718,223. DURING FY 17, APPROXIMATELY 65% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 7,137,814 IN FREE CARE TO PATIENTS NOT COVERED BY GOVERNMENTAL PROGRAMS. PBMC PROVIDES FREE CONFERENCE ROOM AND MEETING SPACE FOR A VARIETY OF HEALTH RELATED GROUPS INCLUDING ALCOHOLICS ANONYMOUS, AL ANON, MIDCOAST CANCER SUPPORT GROUP, HEART TO HEART, CARDIAC SPOUSE SUPPORT GROUP, CROHN'S DISEASE SUPPORT GROUP, VISUALLY IMPAIRED AND BLIND SUPPORT GROUP, PEDIATRIC ASTHMA SUPPORT GROUP, OSTOMY GROUP, MIDCOAST MASTECTOMY SUPPORT GROUP, NORTHEAST HEALTH CONSORTIUM FOR INTEGRATED CARE, BREAST CANCER INTERVENTION PROJECT, MID- COAST COALITION FOR DOMESTIC ABUSE, TEEN PARENTING, WOMEN'S AND CHILDREN'S COMMUNITY CARE PROJECT. ASSISTANCE IS PROVIDED TO EDUCATORS THROUGH OUR WORK WITH MEDICAL STUDENTS, STUDENT NURSES, PHYSICAL THERAPY INTERNS, EMERGENCY MEDICAL TECHNICIANS, MEDICAL RECORDS AND SOCIAL SERVICE STUDENTS. THROUGH AN ARRANGEMENT WITH THE UNIVERSITY OF MAINE - ORONO, OUR EDUCATION AND TRAINING DEPARTMENT OFFERS NURSES WITH CERTIFICATE DEGREES THE OPPORTUNITY TO WORK TOWARD A BACCALAUREATE DEGREE IN THE LOCAL AREA. THE HOSPITAL MAINTAINS A RESEARCH LIBRARY WHICH IS OPEN 24 HOURS A DAY AND AVAILABLE TO THE GENERAL PUBLIC. DURING FY 17, THE COMMUNITY CONTRIBUTED APPROXIMATELY 12,799 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTH CARE NEEDS OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND OTHER WELLNESS PROGRAMS SUCH AS THOSE DESCRIBED ABOVE. 8264984 8343630 PHYSICIAN PRACTICES: PEN BAY PHYSICIAN AND ASSOCIATES, A GROUP OF DEPARTMENTS OF PENOBSCOT BAY MEDICAL CENTER, IS COMPOSED OF 18 PRACTICES COVERING MANY SPECIALITIES. 6601320 6664135 THE KNOX CENTER FOR LONG TERM CARE IS AN 84-BED LONG-TERM NURSING CARE AND SKILLED REHABILITATION CENTER. SINCE 1975, THE KNOX CENTER FOR LONG TERM CARE HAS BEEN CARING FOR MEMBERS OF MID-COAST FAMILIES AND PROVIDING THEM WITH A LOVING HOME WHERE THEY RECEIVE BOTH THE SOPHISTICATED TECHNICAL CARE THEY REQUIRE AND THE DIGNITY AND RESPECT THEY DESERVE. 113941469 true true false true false false false false false true true false false true true true false true false false false false false false true false true true false false true true false false false false false false false false false false false false false false false true true true false false true 69 0 true 1344 true true true false false false false false false false false false X 20 14 false false false false true true true true true false false true true true true true true true true true true ME X DORCAS RILEY 2073389378 PO BOX 287 BELFAST ME 049150287 ANN HOOPER TRUSTEE 1.00 50.00 X 0 126908 44414 BENJAMIN MAILLOUX MD TRUSTEE 1.00 50.00 X 0 263246 41625 CATHERINE REYNOLDS TRUSTEE 1.00 0.00 X 0 0 0 CORNELIUS YETMAN DO TRUSTEE 1.00 50.00 X 0 314318 24114 DALE KUHNERT TRUSTEE 1.00 0.00 X 0 0 0 DEBORAH PEABODY MD TRUSTEE 1.00 50.00 X 0 194755 41989 GREGORY DUFOUR TRUSTEE 1.00 0.00 X 0 0 0 JAMES C DELEHANTY MD TRUSTEE 1.00 0.00 X 0 0 0 JB TURNER TRUSTEE 1.00 0.00 X 0 0 0 JENNIFER MCKENNA MD TRUSTEE 1.00 50.00 X 0 298045 23313 JOANNE BILLINGTON TRUSTEE 1.00 0.00 X 0 0 0 LEE WEBB TRUSTEE 1.00 0.00 X 0 0 0 PAUL KLAINER MD TRUSTEE 1.00 0.00 X 0 0 0 STEPHANIE LASH MD TRUSTEE 1.00 50.00 X 0 274206 19631 SYRENA GATEWOOD TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM LAMBIE MD TRUSTEE 1.00 0.00 X 0 0 0 LEE WOODWARD JR PRESIDENT 1.00 0.00 X X 0 0 0 CAROLE BRAND VICE PRESIDE 1.00 0.00 X X 0 0 0 STEPHEN HANSCOM SECRETARY 1.00 0.00 X X 0 0 0 DAVID FLANAGAN TREASURER 1.00 0.00 X X 0 0 0 MARK FOURRE MD CEO 50.00 0.00 X 25910 0 1924 MARK BISCONE FORMER CEO 0.00 50.00 X 0 507711 57570 LINDA DRINKWATER REGIONAL CFO 0.00 50.00 X 0 286862 48729 DAVID BACHMAN MD VP OF MED. A 50.00 0.00 X 378469 0 15691 CHRISTOPHER MICHALAKES MD ED MEDICAL D 50.00 0.00 X 300926 0 29368 JOHN RANDOLPH MD ED PHYSICIAN 50.00 0.00 X 243522 0 22463 MARK MCALLISTER MD ED PHYSICIAN 50.00 0.00 X 234565 0 15504 RICHARD CHANDLER MD ED PHYSICIAN 50.00 0.00 X 234121 0 17342 1417513 2266051 403677 33 false true false JK KALLOCH PO BOX 774 ROCKLAND ME 04841 GROUNDS MAINT. 227993 PENOBSCOT BAY PATHOLOGY ASSOC PO BOX 1849 LEWISTON ME 04241 PATHOLOGY SVCS. 146454 ROCKPORT LANDSCAPING DESIGN PO BOX 1849 ROCKPORT ME 04856 LANDSCAPING 111532 MICHAEL SPROWL 2029 APPLETON RIDGE ROAD APPLETON ME 04862 HOUSEKEEPING 107057 4 141033 5099 141033 INPATIENT & OUTPATIENT CARE 624100 100017917 100017917 PEN BAY PHYSICIANS & ASSOC. 621110 8343629 8343629 KNOX CENTER FOR LT CARE 623000 6664135 6664135 115025681 411771 411771 123626 1700 13694 16207 109932 -14507 95425 95425 23831 7012 16819 HEALTH CONNECTIONS 624100 623680 623680 CHILD CARE 624410 176602 176602 CHILD CARE 900099 102908 102908 4176 4176 907366 116598095 115301884 726588 411771 337847 319705 18142 51762532 48982884 2779648 1616803 1529981 86822 8754532 8284414 470118 3262218 3087037 175181 594930 594930 37427 37427 12419 12419 200 200 4228209 4001154 227055 26383 24966 1417 335596 317574 18022 44764 42360 2404 4410327 4173492 236835 480226 454438 25788 1231533 1165400 66133 6990781 6615376 375405 1742351 1648787 93564 AFFILIATE SERVICES 15173519 12794312 2379207 MEDICAL SUPPLIES 14201014 14201014 HEALTH CARE PROVIDER TAX 2557622 2557622 NONMEDICAL SUPPLIES 1719708 1627360 92348 2233534 2113593 119941 121754475 113941469 7813006 0 492470 1407791 1040844 6650063 18403934 18238476 1661169 1658861 1645418 930276 139523460 87032180 54792301 52491280 19084486 8613367 23794441 31318980 120915063 121309094 9525860 9577794 23078709 20474080 880000 42951310 50301169 76435879 80353043 X 35656193 31231174 2681902 3319462 6141089 6405415 44479184 40956051 120915063 121309094 X -5156380 684843 -19670 968074 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12419 12419 false SCHEDULE C, PART II-B, LINE 1 DUES PAID TO THE MAINE HOSPITAL ASSOCIATION OF 53,030 AND TO THE MAINE HEALTH CARE ASSOCIATION OF 6,951. THE MAINE HOSPITAL ASSOCATION AND MAINE HEALTH CARE ASSOCATION USED 19.8% AND 27.61% RESPECTIVELY OF THEIR DUES REVENUE FOR LOBBYING ACTIVITY. 6141089 264326 6405415 5983600 25727 131762 6141089 6022956 160000 -199356 5983600 5400541 500000 122415 6022956 5217795 182746 5400541 1.00000 false false 951091 951091 68025008 36610158 31414850 2036138 1543008 493130 67383386 48879014 18504372 1127837 1127837 52491280 PREPAID CAPITAL COSTS 19256865 ESTIMATED AMOUNTS FROM THIRD PARTY 6566523 INVESTMENT IN PINETREE INSURANCE CO. 2820352 OTHER 2015296 DUE FROM AFFILIATES 651042 RESIDENT ACCOUNT DEPOSITS 8902 31318980 AMOUNTS DUE TO AFFILIATES 48381355 MEDICAL MALPRACTICE TAIL LIAB. 1100000 INSURANCE CLAIM LIABILITY 810912 RESIDENT ACCOUNTS & DEPOSITS 8902 50301169 X SCHEDULE D, PAGE 2, PART V, LINE 4 TO BE INVESTED IN PERPETUITY TO PROVIDE A PERMANENT SOURCE OF INCOME. SCHEDULE D, PAGE 3, PART X THE CORPORATION AND ITS SUBSIDIARIES ARE NOT-FOR-PROFIT CORPORATIONS AND HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVEUE CODE. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATIONS FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB), ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERTIS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE CORPORATION HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE CORPORATION HAS CONCLUDED NO UNCERTIAN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2017. THE CORPORATION'S TAX YEARS FROM 2014 THROUGH 2017 MAY BE SUBJECT TO EXAMINATION. GOLF TOURNAMENT 23831 23831 4680 1768 564 23831 23831 4680 1768 564 7012 16819 true true true X 1.750000000000 false true true false true true 3207327 3207327 0.02630 16599809 12185979 4413830 0.03630 19807136 12185979 7621157 0.06260 5622297 5622297 0.04620 5622297 5622297 0.04620 25429433 12185979 13243454 0.10880 false 5162285 26079602 39436258 -13356656 X true true 1 1 PENOBSCOT BAY MEDICAL CENTER 6 GLEN COVE DRIVE ROCKPORT ME 04856 WWW.PENBAYHEALTHCARE.ORG 38747 X X X PENOBSCOT BAY MEDICAL CENTER 1 false false true X X X X X X X X X 16 true true false true X SEE PART V, SECTION C true 16 true SEE PART V, SECTION C false false true X 175.000000000000 X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X true X false X X X X true X false false FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 5 THE HOSPITAL CONVENED A GROUP OF PEOPLE WHO REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY SERVED PRIOR TO HOLDING FORUMS. MEMBERS OF THE PLANNING COMMITTEE AND ENGAGED ORGANIZATIONS WERE: - REP. PINNY BEEBE-CENTER, MA; HOUSE OF REPRESENTATIVE; STATE OF MAINE - CELINE BOURKE-KUHN, MS; PROGRAM MANAGER, COMMUNITY HEALTH IMPROVEMENT; MAINEHEALTH - AL MAY, MPH; MIDCOAST DISTRICT PUBLIC HEALTH LIAISON; MAINE CENTER FOR DISEASE CONTROL - RACHAEL MCCORMICK, MANAGER, COMMUNITY HEALTH & WELLNESS; PEN BAY MEDICAL CENTER - JOY OSTERHOUT, MS, MCHES; REGIONAL DIRECTOR, COMMUNITY HEALTH & WELLNESS; PEN BAY MEDICAL CENTER & WALDO COUNTY GENERAL HOSPITAL - CONNIE PUTNAM; DIRECTOR; KNOX COUNTY COMMUNITY HEALTH COALITION FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 6A THE CHNA WAS CONDUCTED THROUGH A PARTNERSHIP BETWEEN MAINEHEALTH, CENTRAL MAINE HEALTHCARE, EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH AND THE MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES. FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 7D THE CHNA AND IMPLEMENTATION STRATEGY ARE POSTED ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/HEALTHY-COMMUNITIES/COMMUNITY-HEALTH-NEEDS- ASSESSMENT FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 11 FOR THE 2016-2018 CHNA, THE ORGANIZATION HAS IDENTIFIED PRIORITIES AND DEVELOPED STRATEGIES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND PROVIDED REASONS IF IDENTIFIED NEEDS ARE NOT BEING ADDRESSED. PLEASE SEE THE 2016-2018 COMMUNITY HEALTH NEEDS ASSESSMENT AND ANNUAL IMPLEMENTATION PLAN UPDATE FY17 AT HTTPS://MAINEHEALTH.ORG/HEALTHY-COMMUNITIES/COMMUNITY-HEALTH-NEEDS ASSESSMENT FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION. FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 16J THE FINANCIAL ASSISTANCE POLICY (FAP)/FREE CARE POLICY, FAP/FREE CARE APPLICATION AND THE PLAIN LANGUAGE SUMMARY ARE AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING- INSURANCE/FINANCIAL-ASSISTANCE/FREE-CARE FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 16I THE FAP, FAP APPLICATION FORM AND PLAIN LANGUAGE SUMMARY WERE TRANSLATED INTO THE PRIMARY LANGUAGES SPOKEN BY LIMITED ENGLISH PROFICIENCY POPULATIONS AND WERE MADE AVAILABLE AS OF JULY, 2018. 7 PEN BAY PHYSICIANS & ASSOCIATES 4 GLEN COVE DRIVE ROCKPORT ME 04856 PHYSICIAN PRACTICES THE KNOX CENTER FOR LONG TERM CARE 6 WHITE STREET ROCKLAND ME 04841 LONG TERM CARE PEN BAY SLEEP CENTER 7 MADELYN LANE ROCKPORT ME 04856 SLEEP CENTER PEN BAY PHYSICAL THERAPY 4 GLEN COVE DRIVE ROCKPORT ME 04856 PHYSICAL THERAPY PEN BAY OCCUPATIONAL THERAPY 4 GLEN COVE DRIVE ROCKPORT ME 04856 OCCUPATIONAL THERAPY PEN BAY PHYSICAL THERAPY 116 UNION STREET ROCKPORT ME 04856 PHYSICAL THERAPY PEN BAY PHYSICAL THERAPY 40 WASHINGTON ROAD WALDOBORO ME 04572 PHYSICAL THERAPY PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION RATIO OF PATIENT CARE COSTS TO CHARGES PER WORKSHEET 2 OF THE INSTRUCTIONS. PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY SEE PART III, LINE 4 - BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS BAD DEBT EXPENSE FOOTNOTE TO FINANCIAL STATEMENTS PENOBSCOT BAY MEDICAL CENTER (PBMC) DOES NOT HAVE A SPECIFIC FOOTNOTE IN THE FINANCIAL STATEMENTS THAT DESCRIBES "BAD DEBT EXPENSE." HOWEVER, REFERENCE IS MADE WITHIN THE FOOTNOTES TO A BAD DEBT POLICY IN A COUPLE OF INSTANCES. WITHIN THE FOOTNOTE DESCRIBING "NET PATIENT SERVICE REVENUE", THE FOLLOWING EXPLAINS THE PROVISION FOR BAD DEBTS: "FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE CORPORATION RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE BASED ON PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED OR ELIGIBLE) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS." THE AMOUNT OF EXPENSE ASSOCIATED WITH THE PROVISION OF SERVICES, ULTIMATELY WRITTEN OFF AS BAD DEBT AT PBMC, HAS BEEN CALCULATED AT 5,162,285 FOR THE CURRENT FISCAL YEAR. THIS AMOUNT WAS CALCULATED USING A COST TO CHARGE RATIO. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES PBMC HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT ORGANIZATION, PBMC PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. PBMC CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL FREE CARE POLICY. IN ADDITION, BAD DEBT EXPENSE ALSO INCLUDES AMOUNTS FOR SERVICES PROVIDED TO INDIVIDUALS EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION. THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT. HOWEVER, BECAUSE OF THEIR INCOME LEVEL, THEY DO NOT QUALIFY FOR FREE CARE. BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, PMBC BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT. PART III, LINE 8 - MEDICARE EXPLANATION COST REPORT INFORMATION. PBMC BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS. IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY THE HOSPITAL, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT. PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE HAVE THEIR ACCOUNT BALANCE ADJUSTED ACCORDINGLY ONCE FINANCIAL ASSISTANCE HAS BEEN APPROVED. MONTHLY PAYMENT ARRANGEMENTS CAN BE ESTABLISHED BY THE RESPONSIBLE PARTY BY CONTACTING THE PATIENT FINANCIAL SERVICES CUSTOMER SERVICE DEPARTMENT. AS A TAX-EXEMPT HOSPITAL, PEN BAY MEDICAL CENTER PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. PART VI, LINE 2 - NEEDS ASSESSMENT PEN BAY MEDICAL CENTER IS A MEMBER OF MAINEHEALTH, WHICH CONDUCTS A THOROUGH COMMUNITY NEEDS ASSESSMENT AND DIRECTS ITS MEMBER ORGANIZATIONS TO RESPOND TO THE NEEDS IDENTIFIED. MAINEHEALTH MEMBERS ALSO PARTICIPATE IN VARIOUS INITIATIVES TO KEEP THOSE ASSESSMENTS UP TO DATE. SOME OF THESE INITIATIVES INCLUDE: - CLINICAL STRATEGIC PLANNING - FINANCIAL STRATEGIC PLANNING - FACILITY PLANNING - HUMAN RESOURCE PLANNING - STAFF DEVELOPMENT PLANNING - PHYSICIAN RECRUITMENT STRATEGIC PLANNING - EMERGENCY PREPAREDNESS PLANNING IN ADDITION TO THESE INTERNAL ASSESSMENTS, MAINEHEALTH MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON MANY OF THE RECOMMENDATIONS PROVIDED BY EXTERNAL GROUPS AND STATE HEALTH PLANNING INITIATIVES, SUCH AS: THE MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTHY MAINE 2010 AND AUTISM SPECTRUM DISORDERS REPORT, THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION AND THE "STATE HEALTH PLAN" CREATED BY THE ADVISORY COMMITTEE FOR HEALTH SYSTEMS DEVELOPMENT. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE FINANCIAL ASSISTANCE INFORMATION IS PROVIDED IN THE ADMITTING AND EMERGENCY REGISTRATION LOCATIONS IN THE FOLLOWING MANNER: - POSTINGS INCLUDING FREE CARE AND MONTHLY PAYMENT PLAN - HANDOUTS - INTERVIEWS PATIENTS RECEIVE MAINEHEALTH'S FREE CARE GUIDELINES AND FINANCIAL POLICIES BROCHURE EXPLAINING OUR BILLING POLICIES AND CONTACT INFORMATION UPON REQUEST. IF THE PATIENT IS SELF-PAY, UNDER INSURED OR CAN'T AFFORD TO PAY THEIR HOSPITAL BILL, THEY MAY RECEIVE A FINANCIAL COUNSELING PACKET AND/OR REFERRED TO FINANCIAL COUNSELING FROM THE REGISTRATION STAFF OR CHANGE HEALTHCARE, AN OUTSIDE VENDOR WHO HELPS MANAGE THE SELF- PAY ACCOUNTS. THE PACKET INCLUDES: - INFORMATION ON MAINEHEALTH'S FINANCIAL POLICIES - FINANCIAL ASSISTANCE INFORMATION INCLUDING FREE CARE PROGRAM, MONTHLY PAYMENT PLAN PROGRAM, AND CARE PARTNERS, MEDACCESS AND OTHER COMMUNITY RESOURCE NEEDS. - PROGRAM APPLICATIONS AND INSTRUCTIONS FOR MAINEHEALTH'S FREE CARE PROGRAM, AND MONTHLY PAYMENT PLAN APPLICATION - CONTACT INFORMATION FOR ASSISTANCE WITH APPLICATIONS, BILLS OR FINANCIAL CONCERNS SELF-PAY OR UNDERINSURED PATIENTS REGISTERING IN PERSON OR VIA A PHONE INTERVIEW RECEIVE FINANCIAL COUNSELING INCLUDING INFORMATION ON OUR FINANCIAL ASSISTANCE PROGRAMS. REGISTRATION STAFF OR CHANGE HEALTHCARE PROVIDE FORMS AND ASSIST WITH COMPLETING FINANCIAL ASSISTANCE APPLICATIONS AND PROVIDING FOLLOW UP CONTACT INFORMATION. MAINEHEALTH'S WEB SITE INCLUDES ON LINE REGISTRATION AND PATIENT BILLING INFORMATION: - BILLING PROCESS - FREE CARE - MONTHLY PAYMENT PLAN - PATIENT STATEMENT - PRICE INFORMATION - CONTACT US AND QUESTIONS PRIMARY LANGUAGE, DEAF AND HARD OF HEARING AND INTERPRETER NEEDS ARE ASSESSED DURING THE REGISTRATION INTERVIEW AND SERVICES ARE PROVIDED AS NEEDED. IF A PATIENT DOES NOT RESPOND AT PRE-REGISTRATION, REGISTRATION, OR WHILE RECEIVING CARE, ALL OF THESE PROGRAMS ARE EXPLAINED AGAIN BY THE SINGLE BILLING OFFICE STAFF. THE INTENT OF THESE EFFORTS IS TO ENSURE THAT THE PATIENT IS FULLY INFORMED OF AND ABLE TO TAKE ADVANTAGE OF THESE ASSISTANCE PROGRAMS. PART VI, LINE 4 - COMMUNITY INFORMATION THE COMMUNITY HEALTH NEEDS ASSESSMENT DESCRIBES THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVICES. SEE HTTPS://MAINEHEALTH.ORG/HEALTHY- COMMUNITIES/COMMUNITY-HEALTH-NEEDS-ASSESSMENT FOR THE COMPLETED CHNA. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH THE TAX EXEMPT PURPOSE OF THE ORGANIZATION TO IMPROVE THE HEALTH OF THE COMMUNITY IS PROMOTED AND ENHANCED IN THE FOLLOWING WAYS: - THE MAJORITY OF THE GOVERNING BODY COMPRISES PEOPLE LIVING WITHIN THE HOSPITAL'S SERVICE AREA THAT ARE NEITHER EMPLOYED BY, NOR HAVE CONTRACTUAL RELATIONSHIPS WITH, THE HOSPITAL OR ITS AFFILIATES. - MEDICAL STAFF PRIVILEGES ARE AVAILABLE TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. - SOLICITATION OF COMMUNITY INPUT IN THE STRATEGIC PLANNING PROCESS. - COMMON GOVERNANCE OF THE HOSPITAL, LONG-TERM CARE, AND PHYSICIAN SERVICES PROVIDED IN THE COUNTY TO PROMOTE COMMON HEALTH CARE AND CONTROL COSTS. - ANNUAL INVESTMENT IN CAPITAL EQUIPMENT AND BUILDING IMPROVEMENTS TO ENSURE HIGH QUALITY CARE. - EACH YEAR A PORTION OF NET ASSETS IS DISTRIBUTED TO OUR PARENT, MAINEHEALTH, FOR THE SPECIFIC PURPOSE OF PROMOTING HEALTH STATUS IMPROVEMENT PROGRAMS THROUGHOUT THE MAINEHEALTH SERVICE AREA. PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM MAINEHEALTH IS A NOT-FOR-PROFIT FAMILY OF LEADING HIGH-QUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA. RANKED AMONG THE NATION'S TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS, MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN, CENTRAL AND WESTERN MAINE REGIONAL SERVICE AREAS. THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER AN EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS, MANY AIMED AT IMPROVING ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES. MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS: LINCOLNHEALTH GROUP, MAINE MEDICAL CENTER, MAINE BEHAVIORAL HEALTHCARE (SPRING HARBOR HOSPITAL), COASTAL HEALTHCARE ALLIANCE (PEN BAY MEDICAL CENTER AND WALDO COUNTY GENERAL HOSPITAL), SOUTHERN MAINE HEALTH CARE (SOUTHERN MAINE MEDICAL CENTER AND GOODALL CAMPUSES), WESTERN MAINE HEALTH CARE (STEPHENS MEMORIAL HOSPITAL), THE MEMORIAL HOSPITAL AT NORTH CONWAY, N.H., MAINEHEALTH CARE AT HOME, MAINE PHYSICIAN HOSPITAL ORGANIZATION, NORDX, SYNERNET AND MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION. THE STRATEGIC AFFILIATES OF MAINEHEALTH ARE MAINEGENERAL MEDICAL CENTER, MID COAST HOSPITAL AND ST. MARYS REGIONAL MEDICAL CENTER. PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT MAINE false false false false false false false false false ANN HOOPER TRUSTEE 126708 200 27949 16465 171322 BENJAMIN MAILLOUX MD TRUSTEE 263246 25950 15675 304871 CORNELIUS YETMAN DO TRUSTEE 259503 54815 7945 16169 338432 DEBORAH PEABODY MD TRUSTEE 194755 25829 16160 236744 JENNIFER MCKENNA MD TRUSTEE 298045 7950 15363 321358 STEPHANIE LASH MD TRUSTEE 274206 7950 11681 293837 MARK BISCONE FORMER CEO 449461 58000 250 31950 25620 565281 LINDA DRINKWATER REGIONAL CFO 286612 250 31950 16779 335591 DAVID BACHMAN MD VP OF MED. AFFRAIS 323616 54853 7950 7741 394160 CHRISTOPHER MICHALAKES MD ED MEDICAL DIRECTOR 283366 17560 13250 16118 330294 JOHN RANDOLPH MD ED PHYSICIAN 214140 29382 6660 15803 265985 MARK MCALLISTER MD ED PHYSICIAN 206449 28116 15504 250069 RICHARD CHANDLER MD ED PHYSICIAN 210902 23219 9964 7378 251463 SCHEDULE J, PAGE 1, PART I, LINE 3 TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY THIS OR OTHER RELATED ORGANIZATIONS. THESE ORGANIZATIONS USED ONE OR MORE OF THE METHODS SHOWN AT PART 1, LINE 3 TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT. FOR ADDITIONAL INFORAMTION SEE SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL A MHHEFA SERIES 2007B 010314384 560425V80 2007-11-01 6331841 BUILDINGS & FACILITIES false false true B MHHEFA SERIES 2008C 010314384 560525Z78 2008-06-19 6296832 BUILDINGS & FACILITIES false false true C MHHEFA SERIES 2012A 010314384 560427EU4 2012-06-28 4287472 REFUNDING false false true D MHHEFA SERIES 2014A 010314384 560427W77 2014-07-01 7427323 REFUNDING false false true A 2923250 6331841 77708 105591 6220000 2007 false false true true B 1584175 6296832 40106 163357 6450000 2008 false false true true C 2750900 4287472 55896 63386 4025000 2012 true false true true D 3118047 7427323 142899 78140 6665000 1996 true false true true A false false false false false false false B false false false false false false false C false false false false false false false D false false false false false false false A false false false true false false true FSA 29.700000000000 true false false B false false false true false false true FSA 30.000000000000 true false false C false true false false false false false false false D false true false false false false false false false A false B false C false D false SCHEDULE K - DATE REBATE COMPUTATION PERFORMED MHHEFA SERIES 2007B 11/01/12 MHHEFA SERIES 2008C 06/19/13 SCHEDULE K - ADDITIONAL INFORMATION MHHEFA SERIES 2007B MHHEFA SERIES 2007B AND MHHEFA SERIES 2008C, 2012A, 2014A AND 2016 BONDS - POOLED FINANCING - WITH RESPECT TO PART I, COLUMNS (E) AND (I), AND PART II, LINES 1-12, THE INSTITUTION IS REPORTING ITS PAR AMOUNT OF EACH BOND ISSUE, WITH THE REMAINING PROCEEDS ISSUED TO UNAFFILIATED ENTITIES. THE FOLLOWING IS APPLICABLE TO ALL BOND ISSUES LISTED IN PART I - PART IV, LINE 7 AND PART V - THE ISSUER HAS EXTABLISHED WRITTEN PROCEDURES TO MONITOR THESE REQUIREMENTS. THE ORGANIZATION HAS ENTERED INTO A TAX REGULATORY AGREEMENT WITH THE ISSUER THAT REQUIRES THE ISSUER TO MONITOR THE REQUIREMENTS OF SECTION 148. THE ORGANIZATION IS WORKING TO ESTABLISH ITS OWN WRITTEN PROCEDURES TO MONITOR THESE REQUIREMENTS AND UNDERTAKE CORRECTIVE ACTION WHEN APPROPRIATE. A TAX EXEMPT BOND POLICY WAS ENDORSED BY THE MAINEHEALTH FINANCE COUNCIL IN JULY, 2018. THIS POLICY IS EXPECTED TO BE ADOPTED BY ALL INDIVIDUAL MEMBER ORGANIZATIONS BEFORE 9/30/18. FORM 990 - ORGANIZATION'S MISSION PENOBSCOT BAY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT OFFERS INPATIENT AND OUTPATIENT CARE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE SERVICES, PATIENT AND COMMUNITY EDUCATION, AND A FULL RANGE OF SPECIALTY SERVICES THROUGH THE EMERGENCY DEPARTMENT, SPECIAL CARE UNIT, SURGICAL SERVICES DEPARTMENT, OBSTETRICS AND GYNECOLOGY DEPARTMENT, AND THE PSYCHIATRIC ADDICTION & RECOVERY CENTER. FORM 990, PAGE 2, PART III, LINE 4A (CONTINUED FROM PART III, LINE 4A) PENOBSCOT BAY MEDICAL CENTER SERVED 3,596 INPATIENTS, INCLUDING NEWBORNS AND 154,214 OUTPATIENTS INCLUDING ER VISITS, DURING FY 17. TWENTY FOUR HOUR MEDICAL EMERGENCY SERVICE IS PROVIDED IN THE EMERGENCY ROOM, STAFFED BY FULL-TIME ATTENDING PHYSICIANS. PATIENTS ARE SEEN REGARDLESS OF ABILITY TO PAY. THERE WERE 20,925 VISITS TO THE EMERGENCY ROOM DURING FY 17. RECOGNIZING ITS MISSION TO THE COMMUNITY, SERVICES ARE PROVIDED TO BOTH MEDICARE & MAINECARE PATIENTS. TO THE EXTENT REIMBURSEMENT IS BELOW COST, PENOBSCOT BAY MEDICAL CENTER RECOGNIZES THESE AMOUNTS AS CONTRACTUAL ADJUSTMENTS. FOR FY 2017, THE AMOUNT OF UNREIMBURSED COSTS REPORTED AS CONTRACTUAL ADJUSTMENTS TOTALED 117,718,223. DURING FY 17, APPROXIMATELY 65% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 7,137,814 IN FREE CARE TO PATIENTS NOT COVERED BY GOVERNMENTAL PROGRAMS. PBMC PROVIDES FREE CONFERENCE ROOM AND MEETING SPACE FOR A VARIETY OF HEALTH RELATED GROUPS INCLUDING ALCOHOLICS ANONYMOUS, AL ANON, MIDCOAST CANCER SUPPORT GROUP, HEART TO HEART, CARDIAC SPOUSE SUPPORT GROUP, CROHN'S DISEASE SUPPORT GROUP, VISUALLY IMPAIRED AND BLIND SUPPORT GROUP, PEDIATRIC ASTHMA SUPPORT GROUP, OSTOMY GROUP, MIDCOAST MASTECTOMY SUPPORT GROUP, NORTHEAST HEALTH CONSORTIUM FOR INTEGRATED CARE, BREAST CANCER INTERVENTION PROJECT, MID- COAST COALITION FOR DOMESTIC ABUSE, TEEN PARENTING, WOMEN'S AND CHILDREN'S COMMUNITY CARE PROJECT. ASSISTANCE IS PROVIDED TO EDUCATORS THROUGH OUR WORK WITH MEDICAL STUDENTS, STUDENT NURSES, PHYSICAL THERAPY INTERNS, EMERGENCY MEDICAL TECHNICIANS, MEDICAL RECORDS AND SOCIAL SERVICE STUDENTS. THROUGH AN ARRANGEMENT WITH THE UNIVERSITY OF MAINE - ORONO, OUR EDUCATION AND TRAINING DEPARTMENT OFFERS NURSES WITH CERTIFICATE DEGREES THE OPPORTUNITY TO WORK TOWARD A BACCALAUREATE DEGREE IN THE LOCAL AREA. THE HOSPITAL MAINTAINS A RESEARCH LIBRARY WHICH IS OPEN 24 HOURS A DAY AND AVAILABLE TO THE GENERAL PUBLIC. DURING FY 17, THE COMMUNITY CONTRIBUTED APPROXIMATELY 12,799 HOURS TOWARD THE COMMON PURPOSE OF SERVICING THE HEALTH CARE NEEDS OF THE COMMUNITY. THE VALUE OF THIS CONTRIBUTION IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS IN BOTH PATIENT SERVICES AND OTHER WELLNESS PROGRAMS SUCH AS THOSE DESCRIBED ABOVE. FORM 990, PAGE 6, PART VI, LINE 6 CHA (EIN 22-2494475) IS THE SOLE MEMBER OF PEN BAY MEDICAL CENTER. MAINEHEALTH (EIN 01-0431680), AS THE SOLE MEMBER OF CHA, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF CHA AND ITS SUBSIDIARIES. FORM 990, PAGE 6, PART VI, LINE 7A THE SOLE MEMBER, CHA MAY ELECT THE BOARD OF DIRECTORS FROM A SLATE OF NOMINEES SUBMITTED BY THE CORPORATION. THE OFFICERS ARE ELECTED BY THE BOARD OF TRUSTEES. FORM 990, PAGE 6, PART VI, LINE 7B DECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS STRATEGIES, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO APPROVAL BY COASTAL HEALTHCARE ALLIANCE AND MAINEHEALTH. FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED IN DETAIL WITH THE FINANCE COMMITTEE. IT IS THEN MADE AVAILABLE TO THE FULL BOARD. A FINAL DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE REGIONAL CHIEF FINANCIAL OFFICER BEFORE SIGNING AND PRIOR TO FILING. FORM 990, PAGE 6, PART VI, LINE 12C AT THE BEGINNING OF BOARD SERVICE, BOARD MEMBERS ARE REQUIRED TO DOCUMENT ANY CONFLICT OF INTEREST THAT MAY EXIST, AND THEY ARE REQUIRED TO REPORT ANY ADDITIONAL CONFLICTS AS THEY ARISE. BOARD MEMBER CONFLICT OF INTEREST FORMS ARE UPDATED AND REVIEWED ANNUALLY. FORM 990, PAGE 6, PART VI, LINE 15A THE PROCESS FOLLOWED FOR DETERMINING COMPENSATION OF THE CEO COMPENSATED BY THIS OR OTHER RELATED ORGANIZATION IS A FORMAL PROCESS PERFORMED ANNUALLY BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. A RELATED ORGANIZATION USES AN OUTSIDE FIRM, SULLIVAN COTTER, TO PERFORM AN INDEPENDENT BENCHMARK ANALYSIS FOR THE CEO OF PEN BAY MEDICAL CENTER, ALONG WITH OTHER EXECUTIVES IN THE MAINEHEALTH SYSTEM. THE FIRM MEETS WITH THE EXECUTIVE COMMITTEE TO REVIEW EACH EXECUTIVE'S BENCHMARK REPORT. THE COMMITTEE THEN DELIBERATES ON MAINEHEALTH'S WRITTEN SALARY AND INCENTIVE PLAN PHILOSOPHY BEFORE MAKING A FINAL DECISION. ALL DECISIONS AND MEETINGS ARE CAPTURED IN MINUTES AND THERE ARE APPROPRIATE APPROVALS AT ALL LEVELS. FORM 990, PAGE 6, PART VI, LINE 15B AT THE TIME OF HIRE THE COMPENSATION DEPARTMENT UTILIZES MARKET DATA TO PROVIDE AN ACCURATE, COMPETITIVE AND APPROPRIATE OFFER. ON AN ANNUAL BASIS OFFICERS RECEIVE A MERIT INCREASE RELATED TO THE RESULTS OF THEIR ANNUAL PERFORMANCE APPRAISAL PERFORMED BY THE CEO. AT THIS TIME IT IS EVALUATED IF AN ADDITIONAL BONUS WILL BE PROVIDED BASED UPON BUDGET AND PERFORMANCE, THIS IS AT THE DISCRETION OF THE CEO, CFO AND HR DIRECTOR. FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR THE PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 TRANSFER FROM AFFILIATE 979,099 LOSS ON INVESTMENT IN PINE TREE INSURANCE -11,025 TOTAL 968,074 COASTAL HEALTHCARE ALLIANCE 4 WHITE STREET ROCKLAND ME 04841 222494475 HEALTHCARE ME 501C3 12B 01-0431680 false QUARRY HILL 4 WHITE STREET ROCKLAND ME 04841 010213976 LT CARE ME 501C3 10 22-2494475 false PEN BAY BEHAVIORAL HEALTH 4 WHITE STREET ROCKLAND ME 04841 010277794 BHV HLTH ME 501C3 10 22-2494475 false KNO-WAL-LIN HOME CARE & HOSPICE 4 WHITE STREET ROCKLAND ME 04841 010340947 HOME HC ME 501C3 10 22-2494475 false KNO-WAL-LIN HELP AT HOME 4 WHITE STREET ROCKLAND ME 04841 222968726 HM MKR SVC ME 501C3 10 22-2494475 false PEN BAY WALDO HEALTHCARE FOUNDATION 4 WHITE STREET ROCKLAND ME 04841 222482325 FNDRAISING ME 501C3 7 22-2494475 false PENOBSCOT BAY PHYSICIANS & ASSOC 4 WHITE STREET ROCKLAND ME 04841 010530517 PHYS. SVCS ME 501C3 12B 01-0285286 true MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 12C NA false WALDO COUNTY GENERAL HOSPITAL 118 NORTHPORT AVE BELFAST ME 04915 010177170 HOSPITAL ME 501C3 3 22-2494475 false WALDO COUNTY HOME HEALTHCARE SVCS PO BOX 287 BELFAST ME 04915 222864960 HOSPICE ME 501C3 10 22-2494475 false COASTAL MEDICAL CARE PO BOX 287 BELFAST ME 04915 010487091 MED SVCS ME 501C3 10 22-2494475 false BELFAST PUBLIC HEALTH NURSING PO BOX 287 BELFAST ME 04915 043359810 PUB. HLTH. ME 501C3 10 22-2494475 false PBH MANAGEMENT COMPANY 4 WHITE STREET ROCKLAND ME 04841 010537278 MGT. SVCS. ME N/A false WALDO COUNTY HEALTHCARE MGMT CO PO BOX 287 BELFAST ME 04915 010485133 MGT. SVCS. ME N/A false false false false false true false false false false false true true true true true true true true true PEN BAY PHYSICIANS & ASSOCIATES M 17892788 FAIR MARKET VALUE