2015-02-02T10:01:32-06:00 2014-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2013-07-01 010538534 Bangor Nursing & Rehabilitation Center BANG 2079474557 103 Texas Avenue Bangor ME 04401 Phillip Bennett Administrator 2079474557 2015-01-30 1 Joseph R Byrne CPA P01289281 2077752387 2015-01-30 2013 2016-04-25 22:37:26Z Phillip Bennett 103 Texas Avenue Bangor ME 04401 5307554 0 X www.bangornrc.org X 2001 ME Long-term care nursing facility 16 16 156 27 0 0 10040 48292 5629206 5128883 135 4011 144449 126368 5783830 5307554 0 0 0 0 2882803 2986186 0 0 0 2976963 3191559 5859766 6177745 -75936 -870191 3637982 3108258 348987 689454 3288995 2418804 It is the mission of the Bangor Nursing and Rehabilitation Center to provide the highest level of care with the highest level of quality, competency and professionalism that focuses on the health and well-being of the community it serves. 0 0 5139535 5128883 BNRC is a 60-bed skilled nursing facility providing complex nursing and rehabilitation care to a significantly large sub-acute population with short average lengths of stay. 5139535 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 21 0 1 156 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 1 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 ME X Brian Donahue 2079474557 103 Texas Ave Bangor ME 04401 CarolAnne Dube President 1.00 X X 0 0 0 Stephen Rich Vice President 1.00 X X 0 0 0 Deborah Cyr Secretary 1.00 X X 0 0 0 Patrick Kelly Treasurer 1.00 X X 0 0 0 G Clifton Eames Board Member 1.00 X 0 0 0 Allen Campbell Board Member 1.00 X 0 0 0 Mary Prybylo Board Member 1.00 X 0 0 0 Nichi Farnham Board Member 1.00 X 0 0 0 Larry Lavigne Board Member 1.00 X 0 0 0 Clare Hudson Payne Board Member 1.00 X 0 0 0 James Tyler Board Member 1.00 X 0 0 0 Jon Pottle Board Member 1.00 X 0 0 0 Kenneth Huhn Board Member 1.00 X 0 0 0 Garrett Martin MD Board Member 1.00 X 0 0 0 Helen Burlock RN Board Member 1.00 X 0 0 0 Andrew Sturgeon Board Member 1.00 X 0 0 0 Phillip Bennett Administrator 40.00 X 85050 0 9750 85050 0 9750 0 0 0 0 Unidine Corporation PO Box 360639 Pittsburgh PA 15251 Food Services 539661 Healthcare Services Group Inc 3220 Tillman Drive Suite 300 Bensalem PA 19020 Housekeeping/Laundry/Maint. Services 242507 Miller Drug PO Box 1779 Bangor MA 04402 Pharmacy 192426 Core Medical Group 2 Keewaydin Drive Salem NH 03079 Staffing Service 157864 Covenant Health Services 100 Ames Pond Drive Suite 102 Tewksbury MA 01876 Consulting 116088 5 48292 48292 Resident Revenue 623000 8877148 8877148 Other Revenue 900099 4902 4902 Contractual Adjustment 623000 -3753167 -3753167 5128883 4011 4011 126368 0 126368 126368 126368 5307554 5128883 0 130379 X 90140 90140 2346129 2091414 254715 323582 268212 55370 226335 203953 22382 13912 13912 23365 23365 1391184 1202862 188322 17652 17652 99568 52776 46792 23203 23203 260138 260138 7916 3042 4874 9920 4873 5047 1098 1098 229313 229313 158182 84074 74108 Medical Supplies 405607 405607 Provider Tax Expense 303073 303073 Bad Debt 199223 199223 Miscellaneous 48205 29100 19105 6177745 5139535 1038210 0 269981 129735 705110 267371 574961 740181 24448 15902 95487 79974 5479723 3805228 1723051 1674495 244944 200600 3637982 3108258 335656 586679 13331 102775 348987 689454 X 3288995 2418804 3288995 2418804 3637982 3108258 -870191 0 X 1 X 0 1 0 X 362741 15612 9486 10040 48292 446171 6079356 5967428 5637258 5629206 5128883 28442131 6442097 5983040 5646744 5639246 5177175 28888302 0 0 0 28888302 150976 146216 146689 146365 130379 720625 150976 146216 146689 146365 130379 720625 6593073 6129256 5793433 5785611 5307554 29608927 0.97570 0.97540 0.02430 0.02460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 446 446 0 Part II-B, Line 1: The Organization pays dues to various organizations, a portion of which is attributable to lobbying. 4542480 3194400 1348080 886124 599072 287052 51119 11756 39363 1674495 Estimated Third-Party Payor Settlements 197415 Deposits - Patient Trust 3185 200600 Form 990, Part VI, Section A, line 4 During the year, the Organization changed its bylaws to grant voting rights to 2 additional board positions. Form 990, Part VI, Section A, line 6 Any person, group of persons, corporation or association with an interest in or expertise useful for the provision of medical, rehabilitative, and support services to individuals served by or who qualify for services by the corporation, shall be eligible to be a voting member. Employees of Bangor Nursing and Rehabiliation Center cannot be members. Form 990, Part VI, Section A, line 7a The Board of Directors are elected by the members at the annual meeting. Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by the finance committee and is presented to the full board before it is filed. Form 990, Part VI, Section B, line 12c A copy of the conflict of interest policy is given to every officer, board member, and key employee on an annual basis, along with an annual disclosure statement, listing any known financial interest that the individual, or a member of the individual's family, has in any business entity that transacts business with the organization. The executive committee of the board then reviews and maintains the disclosure statements for future reference. If a conflict arises, the board member will recuse themself from participation in the deliberations and decisions relating to the conflict. The administrator personally approves contracts, dealings with subcontractors, and any internal hires to ensure that there is no conflict of interest. The Organization also maintains an electronic disclosure policy that requires an annual manager review and sign off. The board is also made aware of any contractors of consequence and is alerted to any potential conflicts of interest. Form 990, Part VI, Section B, line 15a The compensation packages of officers and key employees are determined by independent members of the board. The compensation arrangements are approved in advance and are based upon appropriate comparability data. The deliberations and decisions made by the board are contemporaneously substantiated in written meeting minutes. Comparability data involves looking to compensation levels paid by similarly situated organizations for functionally comparable positions, including the use of compensation surveys and studies from outside organizations. Form 990, Part VI, Section C, line 19 The Organization maintains copies of these documents on file. They are made available to the public upon request. Form 990, Part IX, line 11g Consultant Services: Program service expenses 7,107. Management and general expenses 143,889. Fundraising expenses 0. Total expenses 150,996. Service Contracts: Program service expenses 733,541. Management and general expenses 34,598. Fundraising expenses 0. Total expenses 768,139. Contract Labor: Program service expenses 356,081. Management and general expenses 0. Fundraising expenses 0. Total expenses 356,081. Outside Services: Program service expenses 106,133. Management and general expenses 9,835. Fundraising expenses 0. Total expenses 115,968.