2017-08-14T10:19:41-04:00 2016-09-30 990 2015-10-01 010285286 PENOBSCOT BAY MEDICAL CENTER PENO 2073389378 4 WHITE STREET ROCKLAND ME 048412953 LINDA DRINKWATER REGIONAL CFO 2073389378 2017-08-02 2015 2021-01-29 14:40:06Z MARK FOURRE MD PO BOX 287 BELFAST ME 04915 105967788 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. 22 15 1343 105 761775 -172252 379770 180259 105314280 104573154 890640 233909 150976 943305 106735666 105930627 0 0 59874510 62081239 0 535201 51052124 52243024 110926634 114324263 -4190968 -8393636 123916551 120915063 69070631 76435879 54845920 44479184 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 90558966 89533835 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. 8703196 8604675 PHYSICIAN PRACTICES: PEN BAY PHYSICIAN AND ASSOCIATES, A GROUP OF DEPARTMENTS OF PENOBSCOT BAY MEDICAL CENTER, IS COMPOSED OF 18 PRACTICES COVERING MANY SPECIALITIES. 6508318 6434644 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. 105770480 true true false true false false false false false true true false false true true true false true false false false false false false false 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 61 0 true 1343 true true true false false false false false false false false false X 22 15 false false true 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 04915 WILLIAM L CARON JR TRUSTEE 1.00 50.00 X 0 1080292 150277 MARK BISCONE CEO 1.00 50.00 X X 0 478121 56528 ROBERT STEIN MD MEDICAL STAF 1.00 50.00 X 0 384215 27734 D KENT CLARK MD TRUSTEE 1.00 50.00 X 0 342006 43567 CORNELIUS YETMAN DO TRUSTEE 1.00 50.00 X 0 303388 21326 JENNIFER MCKENNA MD TRUSTEE 1.00 50.00 X 0 280404 21206 BENJAMIN MAILLOUX MD MEDICAL STAF 1.00 50.00 X 0 243701 41490 DEBORAH PEABODY MD TRUSTEE 1.00 50.00 X 0 198257 35559 ANN HOOPER TRUSTEE 1.00 50.00 X 0 132653 44155 LEE WEBB TREASURER 1.00 0.00 X X 0 0 0 GREGORY A DUFOUR SECRETARY 1.00 0.00 X X 0 0 0 DAVID WILLIAMS CPA PRESIDENT 1.00 0.00 X X 0 0 0 JACOB GERRITSEN MD TRUSTEE 1.00 0.00 X 0 0 0 EVERETT L SPEAR III IMMEDIATE PA 1.00 0.00 X 0 0 0 JOANNE BILLINGTON TRUSTEE 1.00 0.00 X 0 0 0 CAROLE BRAND SECRETARY 1.00 0.00 X X 0 0 0 STEPHEN HANSCOM TRUSTEE 1.00 0.00 X 0 0 0 TAMMY KOLMOSKY TRUSTEE 1.00 0.00 X 0 0 0 WILLIAM LAMBIE MD TRUSTEE 1.00 0.00 X 0 0 0 CORNELIUS J RUSSELL TRUSTEE 1.00 0.00 X 0 0 0 MELISSA SCHENK TRUSTEE 1.00 0.00 X 0 0 0 LANCE AHEARN TRUSTEE 1.00 0.00 X 0 0 0 PAUL KLAINER MD TRUSTEE 1.00 0.00 X 0 0 0 JAMES C DELEHANTY MD TRUSTEE 1.00 0.00 X 0 0 0 DAVID FLANAGAN TREASURER 1.00 0.00 X X 0 0 0 SYRENA GATEWOOD TRUSTEE 1.00 0.00 X 0 0 0 DALE KUHNERT TRUSTEE 1.00 0.00 X 0 0 0 CATHERINE REYNOLDS TRUSTEE 1.00 0.00 X 0 0 0 JB TURNER TRUSTEE 1.00 0.00 X 0 0 0 LEE WOODWARD JR VICE PRESIDE 1.00 0.00 X X 0 0 0 DAVID BACHMAN MD VP OF MED. A 50.00 0.00 X 323578 0 16965 LINDA DRINKWATER REGIONAL CFO 0.00 50.00 X 0 228025 46359 ERIK FREDERICK VICE PRESIDE 50.00 0.00 X 207890 0 14732 PAULA DELAHANTY VICE PRESIDE 50.00 0.00 X 181716 0 18350 CHRISTOPHER MICHALAKES MD ED MEDICAL D 50.00 0.00 X 294301 0 14239 RICHARD CHANDLER MD ED PHYSICIAN 50.00 0.00 X 248324 0 18087 JOHN RANDOLPH MD ED PHYSICIAN 50.00 0.00 X 241691 0 21139 MARK MCALLISTER MD ED PHYSICIAN 50.00 0.00 X 239811 0 12246 ELIZABETH LAWRENCE MD ED PHYSICIAN 50.00 0.00 X 218682 0 5361 MAURA KELLY CPA MST VICE PRESIDE 50.00 0.00 X 209982 0 14676 REGINALD ALBERT VP PHYSICIAN 50.00 0.00 X 156885 0 5370 2322860 3671062 629366 30 true true false PENBAY ANESTHESIA LLC 255 WEST MICHIGAN AVENUE JACKSON MI 49204 ANESTHESIA SVCS 703070 ALLIANCE HEALTHCARE SERVICES PO BOX 6600 NEWPORT BEACH CA 92658 IMAGING SVCS 396004 JK KALLOCH PO BOX 774 ROCKLAND ME 04841 GROUNDS MAINT. 209066 ADVANCED ICU CARE ONE CITY PLACE DRIVE SAINT LOUIS MO 63141 ICU SERVICE 186370 PENOBSCOT BAY PATHOLOGY ASSOC PO BOX 1849 LEWISTON ME 04241 PATHOLOGY SVCS. 146000 8 180259 180259 INPATIENT & OUTPATIENT CARE 624100 89533835 89533835 PEN BAY PHYSICIANS & ASSOC. 621110 8604675 8604675 KNOX CENTER FOR LT CARE 623000 6434644 6434644 104573154 271070 271070 29441 7720 -29441 -7720 -37161 -37161 HEALTH CONNECTIONS 624100 644482 644482 CHILD CARE 624410 192491 192491 CHILD CARE 624410 117293 117293 -10961 -10961 943305 105930627 104717523 761775 271070 836177 810344 25833 234679 227429 7250 47841419 46363378 1478041 1683521 1631509 52012 8293965 8037726 256239 3191478 3092879 98599 4550 4550 38643 38643 11811 11811 14982 14982 4363781 4228964 134817 38976 37772 1204 439476 425899 13577 37087 35941 1146 4180030 4050890 129140 424120 411017 13103 1180802 1144322 36480 6082736 5894812 187924 1862430 1804891 57539 INTEGRATED SERVICES 13379881 7526563 5318117 535201 MEDICAL SUPPLIES 13165515 13165515 HEALTH CARE PROVIDER TAX 2565226 2565226 NONMEDICAL SUPPLIES 2202755 2134702 68053 2250223 2180701 69522 114324263 105770480 8018582 535201 15503 492470 2246261 1040844 16280591 18403934 1717792 1661169 3025990 1645418 151304643 96512342 56143133 54792301 18443858 19084486 26043423 23794441 123916551 120915063 10643476 9525860 26101833 23078709 6609 880000 32318713 42951310 69070631 76435879 X 46287565 35656193 2574754 2681902 5983601 6141089 54845920 44479184 123916551 120915063 X -8393636 432284 -14726 -2390658 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 11811 11811 false SCHEDULE C, PART II-B, LINE 1 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. 5983600 25727 131762 6141089 6022956 160000 -199356 5983600 5400541 500000 122415 6022956 5217795 182746 5400541 4898550 319245 5217795 1.00000 false false 951091 951091 67386460 34844965 32541495 1789862 1416118 373744 79729976 60251259 19478717 1447254 1447254 54792301 PREPAID CAPITAL COSTS 16895899 INVESTMENT IN PINETREE INSURANCE CO. 2831380 ESTIMATED AMOUNTS FROM THIRD PARTY 2818207 OTHER 1237848 RESIDENT ACCOUNT DEPOSITS 11107 DUE FROM AFFILIATES TRUSTEE HELD FUNDS 23794441 AMOUNTS DUE TO AFFILIATES 41812703 MEDICAL MALPRACTICE TAIL LIAB. 1100000 INSURANCE CLAIM LIABILITY 27500 RESIDENT ACCOUNTS & DEPOSITS 11107 ESTIMATED AMOUNTS DUE TO THIRD PARTY 42951310 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 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. true true true X 1.750000000000 true X 2.250000000000 true true false true true 3071604 3071604 0.02690 16373283 12574838 3798445 0.03320 19444887 12574838 6870049 0.06010 4500100 4500100 0.03940 4500100 4500100 0.03940 23944987 12574838 11370149 0.09950 false 4183424 25545507 37877802 -12332295 X true true 1 1 PENOBSCOT BAY MEDICAL CENTER 6 GLEN COVE DRIVE ROCKPORT ME 04856 WWW.PENBAYHEALTHCARE.ORG 38521 X X X PENOBSCOT BAY MEDICAL CENTER 1 false false true X X X X X X X X 16 true true false true X SEE PART V, SECTION C X true 16 true SEE PART V, SECTION C false true X 175.000000000000 225.000000000000 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 true X true true X false false 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. 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 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%. true false false false false false false false false WILLIAM L CARON JR TRUSTEE 775547 207000 97745 131363 18914 1230569 MARK BISCONE CEO 429121 20000 29000 31950 24578 534649 ROBERT STEIN MD MEDICAL STAFF PRES 309140 75075 13250 14484 411949 D KENT CLARK MD TRUSTEE 341756 250 25950 17617 385573 CORNELIUS YETMAN DO TRUSTEE 172877 78125 52386 6971 14355 324714 JENNIFER MCKENNA MD TRUSTEE 207104 73300 7950 13256 301610 BENJAMIN MAILLOUX MD MEDICAL STAFF PRES 243701 25674 15816 285191 DEBORAH PEABODY MD TRUSTEE 192557 5000 700 25964 9595 233816 ANN HOOPER TRUSTEE 132653 28101 16054 176808 DAVID BACHMAN MD VP OF MED. AFFAIRS 276578 5000 42000 8250 1480 7200 35 339028 1515 LINDA DRINKWATER REGIONAL CFO 217928 10097 29600 16759 274384 ERIK FREDERICK VICE PRESIDENT 197890 10000 638 14094 222622 PAULA DELAHANTY VICE PRESIDENT 152716 5000 24000 8626 9724 200066 CHRISTOPHER MICHALAKES MD ED MEDICAL DIRECTOR 254425 17376 22500 12750 1489 308540 RICHARD CHANDLER MD ED PHYSICIAN 185632 18992 43700 11338 6749 266411 JOHN RANDOLPH MD ED PHYSICIAN 206393 19798 15500 6921 14218 262830 MARK MCALLISTER MD ED PHYSICIAN 206921 13890 19000 12246 252057 ELIZABETH LAWRENCE MD ED PHYSICIAN 200085 16897 1700 4035 1326 224043 MAURA KELLY CPA MST VICE PRESIDENT 180982 5000 24000 6225 8451 224658 REGINALD ALBERT VP PHYSICIAN'S PRAC. 142062 5000 9823 4534 836 162255 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 A MHHEFA SERIES 2007B 010314384 560425V80 2007-11-01 6220000 BUILDINGS & FACILITIES false false true B MHHEFA SERIES 2008C 010314384 560525Z78 2008-06-19 6450000 BUILDINGS & FACILITIES false false true C MHHEFA SERIES 2012A 010314384 560427EU4 2012-06-28 4025000 REFUNDING false false true D MHHEFA SERIES 2014A 010314384 560427W77 2014-07-01 6665000 REFUNDING false false true A 2628250 6220000 73759 105591 6220000 2007 false false true true B 1434175 6450000 37503 163357 6450000 2008 false false true true C 2505900 4025000 57292 63386 4025000 2012 true false true true D 2594047 6665000 198468 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. 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. 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 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 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 false false false true false false false false false true true true true true true true true true true PEN BAY PHYSICIANS & ASSOCIATES M 17644481 FAIR MARKET VALUE