Penobscot Bay Medical Center: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- Penobscot Bay Medical Center (EIN 01-0285286)
- Tax period
- 2015-10-01 to 2016-09-30
- Filed
- 2017-08-14
- IRS object ID
- 201712269349300541
- Schema version
- 2015v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-08-14T10:19:41-04:00 | ReturnTs |
| Tax Period End | 2016-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010285286 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENOBSCOT BAY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PENO | BusinessNameControlTxt |
| Phone | 2073389378 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 WHITE STREET | AddressLine1Txt |
| City | ROCKLAND | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 048412953 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LINDA DRINKWATER | PersonNm |
| Person Title | REGIONAL CFO | PersonTitleTxt |
| Phone | 2073389378 | PhoneNum |
| Signature | 2017-08-02 | SignatureDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK FOURRE MD | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1Txt |
| City | BELFAST | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04915 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $105,967,788 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.PENBAYHEALTHCARE.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1969 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 22 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 1343 | TotalEmployeeCnt |
| Total Volunteers | 105 | TotalVolunteersCnt |
| Total Gross UBI | $761,775 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$172,252 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $379,770 | PYContributionsGrantsAmt |
| CY Contributions Grants | $180,259 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $105,314,280 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $104,573,154 | CYProgramServiceRevenueAmt |
| PY Investment Income | $890,640 | PYInvestmentIncomeAmt |
| CY Investment Income | $233,909 | CYInvestmentIncomeAmt |
| PY Other Revenue | $150,976 | PYOtherRevenueAmt |
| CY Other Revenue | $943,305 | CYOtherRevenueAmt |
| PY Total Revenue | $106,735,666 | PYTotalRevenueAmt |
| CY Total Revenue | $105,930,627 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $59,874,510 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $62,081,239 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $535,201 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $51,052,124 | PYOtherExpensesAmt |
| CY Other Expenses | $52,243,024 | CYOtherExpensesAmt |
| PY Total Expenses | $110,926,634 | PYTotalExpensesAmt |
| CY Total Expenses | $114,324,263 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$4,190,968 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$8,393,636 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $123,916,551 | TotalAssetsBOYAmt |
| Total Assets EOY | $120,915,063 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $69,070,631 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $76,435,879 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $54,845,920 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $44,479,184 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $90,558,966 | ExpenseAmt |
| Revenue | $89,533,835 | RevenueAmt |
| Desc | 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 3,615 INPATIENTS, INCLUDING NEWBORNS AND 117,627 OUTPATIENTS INCLUDING ER VISITS, DURING FY 16. 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 21,277 VISITS TO THE EMERGENCY ROOM DURING FY 16. 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 2016, THE AMOUNT OF UNREIMBURSED COSTS REPORTED AS CONTRACTUAL ADJUSTMENTS TOTALED 108,515,947. DURING FY 16, APPROXIMATELY 63% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 6,628,250 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 16, THE COMMUNITY CONTRIBUTED APPROXIMATELY 7,880 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,703,196 | ExpenseAmt |
| Revenue | $8,604,675 | RevenueAmt |
| Desc | PHYSICIAN PRACTICES: PEN BAY PHYSICIAN AND ASSOCIATES, A GROUP OF DEPARTMENTS OF PENOBSCOT BAY MEDICAL CENTER, IS COMPOSED OF 18 PRACTICES COVERING MANY SPECIALITIES. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,508,318 | ExpenseAmt |
| Revenue | $6,434,644 | RevenueAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $105,770,480 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 61 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1343 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 22 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (true) | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DORCAS RILEY | PersonNm |
| Phone | 2073389378 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 287 | AddressLine1Txt |
| City | BELFAST | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04915 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM L CARON JR | |||||||||
| TRUSTEE | 1.00 | 50.00 | Yes (X) | $0 | $1,080,292 | $150,277 | |||
| MARK BISCONE | |||||||||
| CEO | 1.00 | 50.00 | Yes (X) | $0 | $478,121 | $56,528 | Yes (X) | ||
| ROBERT STEIN MD | |||||||||
| MEDICAL STAF | 1.00 | 50.00 | Yes (X) | $0 | $384,215 | $27,734 | |||
| D KENT CLARK MD | |||||||||
| TRUSTEE | 1.00 | 50.00 | Yes (X) | $0 | $342,006 | $43,567 | |||
| CORNELIUS YETMAN DO | |||||||||
| TRUSTEE | 1.00 | 50.00 | Yes (X) | $0 | $303,388 | $21,326 | |||
| JENNIFER MCKENNA MD | |||||||||
| TRUSTEE | 1.00 | 50.00 | Yes (X) | $0 | $280,404 | $21,206 | |||
| BENJAMIN MAILLOUX MD | |||||||||
| MEDICAL STAF | 1.00 | 50.00 | Yes (X) | $0 | $243,701 | $41,490 | |||
| DEBORAH PEABODY MD | |||||||||
| TRUSTEE | 1.00 | 50.00 | Yes (X) | $0 | $198,257 | $35,559 | |||
| ANN HOOPER | |||||||||
| TRUSTEE | 1.00 | 50.00 | Yes (X) | $0 | $132,653 | $44,155 | |||
| LEE WEBB | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| GREGORY A DUFOUR | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DAVID WILLIAMS CPA | |||||||||
| PRESIDENT | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JACOB GERRITSEN MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| EVERETT L SPEAR III | |||||||||
| IMMEDIATE PA | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JOANNE BILLINGTON | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROLE BRAND | |||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| STEPHEN HANSCOM | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMMY KOLMOSKY | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM LAMBIE MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CORNELIUS J RUSSELL | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA SCHENK | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LANCE AHEARN | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PAUL KLAINER MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JAMES C DELEHANTY MD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DAVID FLANAGAN | |||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SYRENA GATEWOOD | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DALE KUHNERT | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| CATHERINE REYNOLDS | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JB TURNER | |||||||||
| TRUSTEE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| LEE WOODWARD JR | |||||||||
| VICE PRESIDE | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| DAVID BACHMAN MD | |||||||||
| VP OF MED. A | 50.00 | 0.00 | $323,578 | $0 | $16,965 | Yes (X) | |||
| LINDA DRINKWATER | |||||||||
| REGIONAL CFO | 0.00 | 50.00 | $0 | $228,025 | $46,359 | Yes (X) | |||
| ERIK FREDERICK | |||||||||
| VICE PRESIDE | 50.00 | 0.00 | $207,890 | $0 | $14,732 | Yes (X) | |||
| PAULA DELAHANTY | |||||||||
| VICE PRESIDE | 50.00 | 0.00 | $181,716 | $0 | $18,350 | Yes (X) | |||
| CHRISTOPHER MICHALAKES MD | |||||||||
| ED MEDICAL D | 50.00 | 0.00 | $294,301 | $0 | $14,239 | Yes (X) | |||
| RICHARD CHANDLER MD | |||||||||
| ED PHYSICIAN | 50.00 | 0.00 | $248,324 | $0 | $18,087 | Yes (X) | |||
| JOHN RANDOLPH MD | |||||||||
| ED PHYSICIAN | 50.00 | 0.00 | $241,691 | $0 | $21,139 | Yes (X) | |||
| MARK MCALLISTER MD | |||||||||
| ED PHYSICIAN | 50.00 | 0.00 | $239,811 | $0 | $12,246 | Yes (X) | |||
| ELIZABETH LAWRENCE MD | |||||||||
| ED PHYSICIAN | 50.00 | 0.00 | $218,682 | $0 | $5,361 | Yes (X) | |||
| MAURA KELLY CPA MST | |||||||||
| VICE PRESIDE | 50.00 | 0.00 | $209,982 | $0 | $14,676 | Yes (X) | |||
| REGINALD ALBERT | |||||||||
| VP PHYSICIAN | 50.00 | 0.00 | $156,885 | $0 | $5,370 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,322,860 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,671,062 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $629,366 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 30 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PENBAY ANESTHESIA LLC | |||||
| 255 WEST MICHIGAN AVENUE | JACKSON | MI | 49204 | ANESTHESIA SVCS | $703,070 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| PO BOX 6600 | NEWPORT BEACH | CA | 92658 | IMAGING SVCS | $396,004 |
| JK KALLOCH | |||||
| PO BOX 774 | ROCKLAND | ME | 04841 | GROUNDS MAINT. | $209,066 |
| ADVANCED ICU CARE | |||||
| ONE CITY PLACE DRIVE | SAINT LOUIS | MO | 63141 | ICU SERVICE | $186,370 |
| PENOBSCOT BAY PATHOLOGY ASSOC | |||||
| PO BOX 1849 | LEWISTON | ME | 04241 | PATHOLOGY SVCS. | $146,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 8 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $180,259 | AllOtherContributionsAmt |
| Total Contributions | $180,259 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INPATIENT & OUTPATIENT CARE | 624100 | $89,533,835 | $89,533,835 |
| PEN BAY PHYSICIANS & ASSOC. | 621110 | $8,604,675 | $8,604,675 |
| KNOX CENTER FOR LT CARE | 623000 | $6,434,644 | $6,434,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $104,573,154 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $271,070 | TotalRevenueColumnAmt |
| Exclusion | $271,070 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $29,441 | SecuritiesAmt |
| Other | $7,720 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$29,441 | SecuritiesAmt |
| Other | -$7,720 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$37,161 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$37,161 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| HEALTH CONNECTIONS | 624100 | $644,482 | $644,482 | |
| CHILD CARE | 624410 | $192,491 | $192,491 | |
| CHILD CARE | 624410 | $117,293 | $117,293 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$10,961 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$10,961 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $943,305 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $105,930,627 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $104,717,523 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $761,775 | UnrelatedBusinessRevenueAmt |
| Exclusion | $271,070 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $836,177 | TotalAmt |
| Program Services | $810,344 | ProgramServicesAmt |
| Management And General | $25,833 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $234,679 | TotalAmt |
| Program Services | $227,429 | ProgramServicesAmt |
| Management And General | $7,250 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,841,419 | TotalAmt |
| Program Services | $46,363,378 | ProgramServicesAmt |
| Management And General | $1,478,041 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,683,521 | TotalAmt |
| Program Services | $1,631,509 | ProgramServicesAmt |
| Management And General | $52,012 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,293,965 | TotalAmt |
| Program Services | $8,037,726 | ProgramServicesAmt |
| Management And General | $256,239 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,191,478 | TotalAmt |
| Program Services | $3,092,879 | ProgramServicesAmt |
| Management And General | $98,599 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,550 | TotalAmt |
| Management And General | $4,550 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,643 | TotalAmt |
| Management And General | $38,643 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,811 | TotalAmt |
| Management And General | $11,811 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,982 | TotalAmt |
| Management And General | $14,982 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,363,781 | TotalAmt |
| Program Services | $4,228,964 | ProgramServicesAmt |
| Management And General | $134,817 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,976 | TotalAmt |
| Program Services | $37,772 | ProgramServicesAmt |
| Management And General | $1,204 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $439,476 | TotalAmt |
| Program Services | $425,899 | ProgramServicesAmt |
| Management And General | $13,577 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,087 | TotalAmt |
| Program Services | $35,941 | ProgramServicesAmt |
| Management And General | $1,146 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,180,030 | TotalAmt |
| Program Services | $4,050,890 | ProgramServicesAmt |
| Management And General | $129,140 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $424,120 | TotalAmt |
| Program Services | $411,017 | ProgramServicesAmt |
| Management And General | $13,103 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,180,802 | TotalAmt |
| Program Services | $1,144,322 | ProgramServicesAmt |
| Management And General | $36,480 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,082,736 | TotalAmt |
| Program Services | $5,894,812 | ProgramServicesAmt |
| Management And General | $187,924 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,862,430 | TotalAmt |
| Program Services | $1,804,891 | ProgramServicesAmt |
| Management And General | $57,539 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| INTEGRATED SERVICES | $13,379,881 | $7,526,563 | $5,318,117 | $535,201 |
| MEDICAL SUPPLIES | $13,165,515 | $13,165,515 | ||
| HEALTH CARE PROVIDER TAX | $2,565,226 | $2,565,226 | ||
| NONMEDICAL SUPPLIES | $2,202,755 | $2,134,702 | $68,053 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,250,223 | TotalAmt |
| Program Services | $2,180,701 | ProgramServicesAmt |
| Management And General | $69,522 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,324,263 | TotalAmt |
| Program Services | $105,770,480 | ProgramServicesAmt |
| Management And General | $8,018,582 | ManagementAndGeneralAmt |
| Fundraising | $535,201 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,503 | BOYAmt |
| EOY | $492,470 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,246,261 | BOYAmt |
| EOY | $1,040,844 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,280,591 | BOYAmt |
| EOY | $18,403,934 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,717,792 | BOYAmt |
| EOY | $1,661,169 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,025,990 | BOYAmt |
| EOY | $1,645,418 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $151,304,643 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $96,512,342 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $56,143,133 | BOYAmt |
| EOY | $54,792,301 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,443,858 | BOYAmt |
| EOY | $19,084,486 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,043,423 | BOYAmt |
| EOY | $23,794,441 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,916,551 | BOYAmt |
| EOY | $120,915,063 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,643,476 | BOYAmt |
| EOY | $9,525,860 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,101,833 | BOYAmt |
| EOY | $23,078,709 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,609 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $880,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,318,713 | BOYAmt |
| EOY | $42,951,310 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,070,631 | BOYAmt |
| EOY | $76,435,879 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,287,565 | BOYAmt |
| EOY | $35,656,193 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,574,754 | BOYAmt |
| EOY | $2,681,902 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,983,601 | BOYAmt |
| EOY | $6,141,089 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,845,920 | BOYAmt |
| EOY | $44,479,184 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,916,551 | BOYAmt |
| EOY | $120,915,063 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$8,393,636 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $432,284 | NetUnrlzdGainsLossesInvstAmt |
| Investment Expense | -$14,726 | InvestmentExpenseAmt |
| Other Changes In Net Assets | -$2,390,658 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $11,811 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,811 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B, LINE 1 | FormAndLineReferenceDesc |
| Explanation | DUES PAID TO THE MAINE HOSPITAL ASSOCIATION OF 51,990 AND TO THE MAINE HEALTH CARE ASSOCIATION OF 6,806. THE MAINE HOSPITAL ASSOCATION AND MAINE HEALTH CARE ASSOCATION USED 18.00% AND 36.04% RESPECTIVELY OF THEIR DUES REVENUE FOR LOBBYING ACTIVITY. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,983,600 | BeginningYearBalanceAmt |
| Contributions | $25,727 | ContributionsAmt |
| Investment Earnings Or Losses | $131,762 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,141,089 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,022,956 | BeginningYearBalanceAmt |
| Contributions | $160,000 | ContributionsAmt |
| Investment Earnings Or Losses | -$199,356 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,983,600 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,400,541 | BeginningYearBalanceAmt |
| Contributions | $500,000 | ContributionsAmt |
| Investment Earnings Or Losses | $122,415 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $6,022,956 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,217,795 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $182,746 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,400,541 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,898,550 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $319,245 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,217,795 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $951,091 | OtherCostOrOtherBasisAmt |
| Book Value | $951,091 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $67,386,460 | OtherCostOrOtherBasisAmt |
| Depreciation | $34,844,965 | DepreciationAmt |
| Book Value | $32,541,495 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,789,862 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,416,118 | DepreciationAmt |
| Book Value | $373,744 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,729,976 | OtherCostOrOtherBasisAmt |
| Depreciation | $60,251,259 | DepreciationAmt |
| Book Value | $19,478,717 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,447,254 | OtherCostOrOtherBasisAmt |
| Book Value | $1,447,254 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $54,792,301 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PREPAID CAPITAL COSTS | $16,895,899 |
| INVESTMENT IN PINETREE INSURANCE CO. | $2,831,380 |
| ESTIMATED AMOUNTS FROM THIRD PARTY | $2,818,207 |
| OTHER | $1,237,848 |
| RESIDENT ACCOUNT DEPOSITS | $11,107 |
| DUE FROM AFFILIATES | |
| TRUSTEE HELD FUNDS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $23,794,441 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| AMOUNTS DUE TO AFFILIATES | $41,812,703 |
| MEDICAL MALPRACTICE TAIL LIAB. | $1,100,000 |
| INSURANCE CLAIM LIABILITY | $27,500 |
| RESIDENT ACCOUNTS & DEPOSITS | $11,107 |
| ESTIMATED AMOUNTS DUE TO THIRD PARTY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,951,310 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION 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 MERITS 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 UNCERTAIN INCOME TAX POSITIONS EXIST AT SEPTEMBER 30, 2016. THE CORPORATION'S TAX YEARS FROM 2013 THROUGH 2016 MAY BE SUBJECT TO EXAMINATION. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 1.750000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 2.250000000000 | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,071,604 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,071,604 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02690 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,373,283 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,574,838 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,798,445 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,444,887 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,574,838 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,870,049 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06010 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,500,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,500,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03940 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,500,100 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,500,100 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03940 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,944,987 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $12,574,838 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,370,149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09950 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,183,424 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $25,545,507 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $37,877,802 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$12,332,295 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENOBSCOT BAY MEDICAL CENTER | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 GLEN COVE DRIVE | AddressLine1Txt |
| City | ROCKPORT | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04856 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.PENBAYHEALTHCARE.ORG | WebsiteAddressTxt |
| State License | 38521 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PENOBSCOT BAY MEDICAL CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE PART V, SECTION C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 225.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | Yes (true) | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 5 | THE HOSPITAL CONVENED A PLANNING GROUP MADE UP OF PEOPLE REPRESENTING THE BROAD INTERESTS OF THE COMMUNITY SERVED PRIOR TO HOLDING FORUMS. THE ORGANIZATIONS, INDIVIDUAL EXPERTS AND INDIVIDUAL LEADERS/REPRESENTATIVES INVOLVED IN THE PLANNING GROUP FOR PEN BAY INCLUDE: PENQUIS CAP-PINNY BEEBE CENTER, REGIONAL MANAGER, KNOX COUNTY COMMUNITY HEALTH COALITION, HMP SPECIALIST AND THE DIRECTOR, SPECTRUM GENERATION'S COMMUNICATIONS COORDINATOR AND PEN BAY MEDICAL CENTER'S TWO CO-DIRECTORS OF PICKER FAMILY RESOURCE CENTER, VP OF COMMUNITY HEALTH, LET'S GO COORDINATOR, DIABETES AND NUTRITIONAL CENTER STAFF, EMPLOYEE HEALTH MANAGER AND ADMINISTRATIVE ASSISTANT AND MEDIA SPECIALIST FROM THE PICKER FAMILY RESOURCE CENTER. |
| FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 6A | THE ONEMAINE HEALTH COLLABORATION (ONEMAINE) A PARTNERSHIP BETWEEN MAINEHEALTH, EASTERN MAINE HEALTHCARE SYSTEM AND MAINE GENERAL HEALTH. |
| FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 7D | THE CHNA, WHICH INCLUDES THE IMPLEMENTATION PLAN, IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PEN-BAY-MEDICAL-CENTER/HEALTHY-COMMUNITIES |
| FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 11 | THE ORGANIZATION HAS COMPLETED ITS WORK ON ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2013-2015 CHNA AND IMPLEMENTATION PLAN. 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. SEE HTTPS://MAINEHEALTH.ORG/ABOUT/HEALTH-INDEX-INITIATIVE/COMMUNITY- HEALTH-NEEDS-ASSESSMENT FOR DETAILS. |
| FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 16I | THE FAP IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE/FREE-CARE THE FAP APPLICATION FORM IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/PATIENTS-VISITORS/BILLING-INSURANCE/FINANCIAL- ASSISTANCE/FREE-MEDICAL-CARE-APPLICATION THE PLAIN LANGUAGE SUMMARY IS 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 22D | GROSS CHARGES ARE USED IN ALL SITUATIONS. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 7 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 4,183,424 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 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 ARE NOTIFIED OF ASSISTANCE OPPORTUNITIES VIA: 1. PATIENT ADVOCATE 2. HOSPITAL FINANCIAL COUNSELOR 3. HOSPITAL POSTINGS IN VARIOUS LOCATIONS 4. ON THE BACK OF EVERY BILL 5. COMMUNICATION WHEN CALLING OUR OFFICES |
| 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 | SEE PART III, LINE 9B - COLLECTION OF PRACTICES EXPLANATION FOR METHODS BY WHICH PATIENTS ARE NOTIFIED OF ASSISTANCE OPPORTUNITIES. |
| PART VI, LINE 4 - COMMUNITY INFORMATION | PENOBSCOT BAY MEDICAL CENTER IS A FULL SERVICE, 99 BED COMMUNITY HOSPITAL SERVING THE PEOPLE OF MID-COAST MAINE. |
| PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | SEE PROGRAM SERVICE ACCOMPLISHMENTS. |
| PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | SEE ATTACHED COMMUNITY BENEFIT REPORT |
| PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | MAINE |
| ADDITIONAL INFORMATION | PART I, LINE 3B PENOBSCOT BAY MEDICAL CENTER USES FEDERAL POVERTY GUIDELINES (FPG) FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS. THE FAMILY INCOME FOR ELIGIBILITY FOR DISCOUNTED CARE IS 176% - 225%. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (20 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM L CARON JR | ||||||||||||
| TRUSTEE | $775,547 | $207,000 | $97,745 | $131,363 | $18,914 | $1,230,569 | ||||||
| MARK BISCONE | ||||||||||||
| CEO | $429,121 | $20,000 | $29,000 | $31,950 | $24,578 | $534,649 | ||||||
| ROBERT STEIN MD | ||||||||||||
| MEDICAL STAFF PRES | $309,140 | $75,075 | $13,250 | $14,484 | $411,949 | |||||||
| D KENT CLARK MD | ||||||||||||
| TRUSTEE | $341,756 | $250 | $25,950 | $17,617 | $385,573 | |||||||
| CORNELIUS YETMAN DO | ||||||||||||
| TRUSTEE | $172,877 | $78,125 | $52,386 | $6,971 | $14,355 | $324,714 | ||||||
| JENNIFER MCKENNA MD | ||||||||||||
| TRUSTEE | $207,104 | $73,300 | $7,950 | $13,256 | $301,610 | |||||||
| BENJAMIN MAILLOUX MD | ||||||||||||
| MEDICAL STAFF PRES | $243,701 | $25,674 | $15,816 | $285,191 | ||||||||
| DEBORAH PEABODY MD | ||||||||||||
| TRUSTEE | $192,557 | $5,000 | $700 | $25,964 | $9,595 | $233,816 | ||||||
| ANN HOOPER | ||||||||||||
| TRUSTEE | $132,653 | $28,101 | $16,054 | $176,808 | ||||||||
| DAVID BACHMAN MD | ||||||||||||
| VP OF MED. AFFAIRS | $1,480 | $35 | $1,515 | $276,578 | $5,000 | $42,000 | $8,250 | $7,200 | $339,028 | |||
| LINDA DRINKWATER | ||||||||||||
| REGIONAL CFO | $217,928 | $10,097 | $29,600 | $16,759 | $274,384 | |||||||
| ERIK FREDERICK | ||||||||||||
| VICE PRESIDENT | $197,890 | $10,000 | $638 | $14,094 | $222,622 | |||||||
| PAULA DELAHANTY | ||||||||||||
| VICE PRESIDENT | $152,716 | $5,000 | $24,000 | $8,626 | $9,724 | $200,066 | ||||||
| CHRISTOPHER MICHALAKES MD | ||||||||||||
| ED MEDICAL DIRECTOR | $254,425 | $17,376 | $22,500 | $12,750 | $1,489 | $308,540 | ||||||
| RICHARD CHANDLER MD | ||||||||||||
| ED PHYSICIAN | $185,632 | $18,992 | $43,700 | $11,338 | $6,749 | $266,411 | ||||||
| JOHN RANDOLPH MD | ||||||||||||
| ED PHYSICIAN | $206,393 | $19,798 | $15,500 | $6,921 | $14,218 | $262,830 | ||||||
| MARK MCALLISTER MD | ||||||||||||
| ED PHYSICIAN | $206,921 | $13,890 | $19,000 | $12,246 | $252,057 | |||||||
| ELIZABETH LAWRENCE MD | ||||||||||||
| ED PHYSICIAN | $200,085 | $16,897 | $1,700 | $4,035 | $1,326 | $224,043 | ||||||
| MAURA KELLY CPA MST | ||||||||||||
| VICE PRESIDENT | $180,982 | $5,000 | $24,000 | $6,225 | $8,451 | $224,658 | ||||||
| REGINALD ALBERT | ||||||||||||
| VP PHYSICIAN'S PRAC. | $142,062 | $5,000 | $9,823 | $4,534 | $836 | $162,255 | ||||||
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 INFORMATION SEE SCHEDULE O - FORM 990, PART VI, LINE 15A - COMPENSATION FOR TOP OFFICIAL |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | MAURA KELLY, CPA, MST 46,020 0 0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| MHHEFA SERIES 2007B | ||||||||
| A | 010314384 | 560425V80 | 2007-11-01 | $6,220,000 | BUILDINGS & FACILITIES | false | false | Yes (true) |
| MHHEFA SERIES 2008C | ||||||||
| B | 010314384 | 560525Z78 | 2008-06-19 | $6,450,000 | BUILDINGS & FACILITIES | false | false | Yes (true) |
| MHHEFA SERIES 2012A | ||||||||
| C | 010314384 | 560427EU4 | 2012-06-28 | $4,025,000 | REFUNDING | false | false | Yes (true) |
| MHHEFA SERIES 2014A | ||||||||
| D | 010314384 | 560427W77 | 2014-07-01 | $6,665,000 | REFUNDING | false | false | Yes (true) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $2,628,250 | $6,220,000 | $73,759 | $105,591 | $6,220,000 | 2007 | false | false | Yes (true) | Yes (true) | |
| B | $1,434,175 | $6,450,000 | $37,503 | $163,357 | $6,450,000 | 2008 | false | false | Yes (true) | Yes (true) | |
| C | $2,505,900 | $4,025,000 | $57,292 | $63,386 | 2012 | Yes (true) | false | Yes (true) | Yes (true) | $4,025,000 | |
| D | $2,594,047 | $6,665,000 | $198,468 | $78,140 | 1996 | Yes (true) | false | Yes (true) | Yes (true) | $6,665,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| 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 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Term Of GICTermOfGICPct | Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FSA | |||||||||||
| A | false | false | false | Yes (true) | false | false | Yes (true) | 29.700000000000 | Yes (true) | false | false |
| FSA | |||||||||||
| B | false | false | false | Yes (true) | false | false | Yes (true) | 30.000000000000 | Yes (true) | false | false |
| (no name) | |||||||||||
| C | false | Yes (true) | false | false | false | false | false | false | false | ||
| (no name) | |||||||||||
| D | false | Yes (true) | false | false | false | false | false | false | false | ||
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | false |
| B | false |
| C | false |
| D | false |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 3,615 INPATIENTS, INCLUDING NEWBORNS AND 117,627 OUTPATIENTS INCLUDING ER VISITS, DURING FY 16. 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 21,277 VISITS TO THE EMERGENCY ROOM DURING FY 16. 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 2016, THE AMOUNT OF UNREIMBURSED COSTS REPORTED AS CONTRACTUAL ADJUSTMENTS TOTALED 108,515,947. DURING FY 16, APPROXIMATELY 63% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 6,628,250 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 16, THE COMMUNITY CONTRIBUTED APPROXIMATELY 7,880 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 4 | PEN BAY MEDICAL CENTER AMENDED ITS ARTICLES OF INCORPORATION ON DECEMBER 1, 2015 TO RECOGNIZE COASTAL HEALTHCARE ALLIANCE (CHA) (EIN 22-2494475) AS ITS SOLE CORPORATE MEMBER. CHA WAS FORMED IN 2015 WHEN WALDO COUNTY HEALTHCARE, INC. (EIN 22-2864961) MERGED INTO PEN BAY HEALTHCARE AND WAS RENAMED CHA. THE ARTICLES OF INCORPORATION WAS ALSO AMENDED TO REVISE THE COMPOSITION OF THE BOARD OF TRUSTEES TO A MINIMUM OF 15 AND A MAXIMUM OF 24 TRUSTEES. |
| 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 AND OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE 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, 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 | SEE EXPLANATION ABOVE FOR PART VI, LINE 15A THAT INCLUDES EXPLANATION OF COMPENSATION FOR OFFICERS AND OTHER KEY ADMINISTRATIVE EMPLOYEES. |
| 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 | INCOME EARNED ON TRNA 12,973 TRANSFER FROM AFFILIATE 471,840 GAIN ON INVESTMENT IN PINE TREE INSURANCE 401,451 PRIOR PERIOD ACCOUNTING ERROR ADJ. -3,276,922 TOTAL -2,390,658 MANAGEMENT HAS ELECTED TO ADJUST FOR CERTAIN ERRORS IN ACCOUNTING WHICH OCCURRED IN PRIOR YEARS THROUGH AN ADJUSTMENT TO OPENING NET ASSETS AND RESPECTIVE BALANCE SHEET AMOUNTS EFFECTIVE OCTOBER 1, 2015. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| COASTAL HEALTHCARE ALLIANCE | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222494475 | HEALTHCARE | ME | 501C3 | 11B | 01-0431680 | false |
| QUARRY HILL | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 010213976 | LT CARE | ME | 501C3 | 9 | 22-2494475 | false |
| PEN BAY BEHAVIORAL HEALTH | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 010277794 | BHV HLTH | ME | 501C3 | 9 | 22-2494475 | false |
| KNO-WAL-LIN HOME CARE & HOSPICE | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 010340947 | HOME HC | ME | 501C3 | 9 | 22-2494475 | false |
| KNO-WAL-LIN HELP AT HOME | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222968726 | HM MKR SVC | ME | 501C3 | 9 | 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 | 11B | 01-0285286 | Yes (true) |
| MAINEHEALTH | ||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false |
| WALDO COUNTY GENERAL HOSPITAL | ||||||||||
| PO BOX 287 | 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 | 9 | 22-2494475 | false |
| COASTAL MEDICAL CARE | ||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 010487091 | MED SVCS | ME | 501C3 | 9 | 22-2494475 | false |
| BELFAST PUBLIC HEALTH NURSING | ||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 043359810 | PUB. HLTH. | ME | 501C3 | 9 | 22-2494475 | false |
| WALDO COUNTY HEALTHCARE INC | ||||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 222864961 | HEALTHCARE | ME | 501C3 | 11B | 01-0431680 | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|
| PBH MANAGEMENT COMPANY | ||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 010537278 | MANAGEMENT | ME | N/A | false |
| WALDO COUNTY HEALTHCARE MGMT CO | ||||||||
| PO BOX 287 | BELFAST | ME | 04915 | 010485133 | MGT. SVCS. | ME | N/A | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEN BAY PHYSICIANS & ASSOCIATES | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionTypeTxt |
| Involved | $17,644,481 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |