Penobscot Bay Medical Center: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- Penobscot Bay Medical Center (EIN 01-0285286)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-17
- IRS object ID
- 201542299349301344
- Schema version
- 2013v4.0
- 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 | 2015-08-17T09:29:11-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MAINEHEALTH | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 110 FREE ST | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 041013908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PENO | BusinessNameControlTxt |
| Phone | 2079216747 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 WHITE STREET | AddressLine1 |
| City | ROCKLAND | City |
| State | ME | State |
| ZIP Code | 048412953 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MAURA KELLY | PersonNm |
| Person Title | VP OF FISCAL SERVICES | PersonTitleTxt |
| Phone | 2079216747 | PhoneNum |
| Signature | 2015-08-12 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparation | 2015-08-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MAURA KELLY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 WHITE ST | AddressLine1 |
| City | ROCKLAND | City |
| State | ME | State |
| ZIP Code | 048412953 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $112,031,505 | 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 | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 1234 | TotalEmployeeCnt |
| Total Volunteers | 170 | TotalVolunteersCnt |
| Total Gross UBI | $596,985 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $108,286 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,343,152 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,483,902 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $102,174,907 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $108,289,336 | CYProgramServiceRevenueAmt |
| PY Investment Income | $465,783 | PYInvestmentIncomeAmt |
| CY Investment Income | $468,777 | CYInvestmentIncomeAmt |
| PY Other Revenue | $2,481,188 | PYOtherRevenueAmt |
| CY Other Revenue | $789,490 | CYOtherRevenueAmt |
| PY Total Revenue | $107,465,030 | PYTotalRevenueAmt |
| CY Total Revenue | $112,031,505 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $51,936,784 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $56,800,626 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $53,945,054 | PYOtherExpensesAmt |
| CY Other Expenses | $53,763,310 | CYOtherExpensesAmt |
| PY Total Expenses | $105,881,838 | PYTotalExpensesAmt |
| CY Total Expenses | $110,563,936 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,583,192 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,467,569 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $109,961,182 | TotalAssetsBOYAmt |
| Total Assets EOY | $130,043,933 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $54,949,272 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $70,090,666 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $55,011,910 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $59,953,267 | 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 | $84,767,183 | ExpenseAmt |
| Revenue | $88,116,148 | 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 3,617 INPATIENTS, INCLUDING NEWBORNS AND 139,347 OUTPATIENTS INCLUDING ER VISITS, DURING FY 14. 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 21,870 VISITS TO THE EMERGENCY ROOM DURING FY 14. 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. THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS 90,736,204. DURING FY 14, APPROXIMATELY 64% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 6,077,345 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 14, THE COMMUNITY CONTRIBUTED APPROXIMATELY 9,290 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 | $10,970,769 | ExpenseAmt |
| Revenue | $11,404,200 | 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 | $6,968,605 | ExpenseAmt |
| Revenue | $7,243,919 | 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 |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,652,295 | ExpenseAmt |
| Revenue | $1,717,574 | RevenueAmt |
| Desc | PEN BAY BEHAVIORAL HEALTH PHYSICIANS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,652,295 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $1,717,574 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $104,358,852 | 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 | 67 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1234 | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | 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 |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LYNN SOUCY | PersonNm |
| Phone | 2079216747 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 WHITE STREET | AddressLine1 |
| City | ROCKLAND | City |
| State | ME | State |
| ZIP Code | 048412953 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| WILLIAM L CARON JR | ||||||||
| TRUSTEE, PRE | 1.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,034,119 | $79,809 | |
| ROBERT STEIN MD | ||||||||
| MEDICAL STAF | 1.00 | Yes (X) | $0 | $379,708 | $26,846 | |||
| WADE JOHNSON | ||||||||
| PRESIDENT & | 40.00 | Yes (X) | Yes (X) | $0 | $320,084 | $16,453 | ||
| JENNIFER C MCKENNA MD | ||||||||
| MEDICAL STAF | 1.00 | Yes (X) | $0 | $274,065 | $20,950 | |||
| CORNELIUS YETMAN DO | ||||||||
| MEDICAL STAF | 1.00 | Yes (X) | $0 | $244,178 | $20,861 | |||
| LEE WEBB | ||||||||
| TREASURER | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| GREGORY A DUFOUR | ||||||||
| SECRETARY | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DAVID R WILLIAMS CPA | ||||||||
| CHAIRMAN | 1.00 | 7.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| JACOB GERRITSEN MD | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| EVERETT L SPEAR III | ||||||||
| CHAIRMAN | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DOUGLAS COLE MD | ||||||||
| MEDICAL STAF | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JOANNE BILLINGTON | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CAROLE BRAND | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| STEPHEN W HANSCOM ESQ | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL F JONES | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| TAMMY KOLMOSKY | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM LAMBIE MD | ||||||||
| MEDICAL STAF | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| CORNELIUS J RUSSELL | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| MELISSA SCHENK | ||||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| DANA GOLDSMITH MD | ||||||||
| VP & CHIEF M | 1.00 | 40.00 | Yes (X) | $0 | $281,114 | $12,509 | ||
| MAURA KELLY CPA MST | ||||||||
| VP FISCAL SE | 40.00 | Yes (X) | $252,623 | $0 | $16,175 | |||
| REGINALD ALBERT | ||||||||
| VP PRACTICE | 40.00 | Yes (X) | $173,463 | $0 | $5,402 | |||
| PAULA DELAHANTY | ||||||||
| VP NURSING S | 40.00 | Yes (X) | $172,295 | $0 | $16,177 | |||
| ERIC WATERS | ||||||||
| VICE PRESIDE | 40.00 | Yes (X) | $141,561 | $0 | $4,534 | |||
| ERIK FREDERICK | ||||||||
| VICE PRESIDE | 40.00 | Yes (X) | $40,472 | $0 | $3,130 | |||
| JULIE WHITE | ||||||||
| PHYSICIAN | 10.00 | 40.00 | $132,351 | $360,624 | $22,705 | Yes (X) | ||
| NADIA RAMDIN MD | ||||||||
| PHYSICIAN | 40.00 | $325,200 | $0 | $15,050 | Yes (X) | |||
| CHRISTOPHER MICHALAKES MD | ||||||||
| ER MEDICAL D | 40.00 | $282,120 | $0 | $11,795 | Yes (X) | |||
| FREDERICK GOGGANS MD | ||||||||
| PHYSICIAN | 40.00 | $263,083 | $0 | $25,496 | Yes (X) | |||
| MCKENZIE ABENDROTH MD | ||||||||
| ER PHYSICIAN | 40.00 | $250,317 | $0 | $11,868 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,033,485 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,893,892 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $309,760 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 10 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JK KALLOCH | |||||
| PO BOX 774 | ROCKLAND | ME | 04841 | GROUNDS MAINT. | $298,658 |
| THE PENOBSCOT COMPANY | |||||
| 519 WEST STREET | ROCKPORT | ME | 04856 | CONSTRUCTION | $285,875 |
| HENDRICKSON ROOFING | |||||
| 250 VIOLET LANE | WALDOBORO | ME | 04572 | ROOFING | $175,765 |
| PEN BAY PATHOLOGY ASSOC | |||||
| PO BOX 1849 | LEWISTON | ME | 04241 | PATHOLOGY SVCS. | $174,814 |
| ATTORNEY CARL TRYNOR | |||||
| PO BOX 4290 | PORTLAND | ME | 04101 | COLLECTION SVCS | $126,498 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,778,078 | GovernmentGrantsAmt |
| All Other Contributions | $705,824 | AllOtherContributionsAmt |
| Total Contributions | $2,483,902 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| INPATIENT & OUTPATIENT CARE | 624100 | $88,116,148 | $88,116,148 |
| PEN BAY PHYSICIANS & ASSOC. | 621110 | $11,404,200 | $11,404,200 |
| KNOX CENTER FOR LT CARE | 623000 | $7,243,919 | $7,243,919 |
| OTHER | 624100 | $1,218,993 | $1,218,993 |
| MRI REVENUE | 624100 | $306,076 | $306,076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $108,289,336 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $467,313 | TotalRevenueColumnAmt |
| Exclusion | $467,313 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,464 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,464 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,464 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,464 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| HEALTH CONNECTIONS | 624100 | $483,021 | $483,021 | |
| CHILD CARE | 624410 | $178,252 | $178,252 | |
| CHILD CARE | 624410 | $113,964 | $113,964 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,253 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $14,253 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $789,490 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $112,031,505 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $108,483,305 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $596,985 | UnrelatedBusinessRevenueAmt |
| Exclusion | $467,313 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $853,124 | TotalAmt |
| Program Services | $837,665 | ProgramServicesAmt |
| Management And General | $15,459 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,725,693 | TotalAmt |
| Program Services | $41,951,503 | ProgramServicesAmt |
| Management And General | $774,190 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,190 | TotalAmt |
| Program Services | $1,581,995 | ProgramServicesAmt |
| Management And General | $29,195 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,879,911 | TotalAmt |
| Program Services | $7,737,127 | ProgramServicesAmt |
| Management And General | $142,784 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,730,708 | TotalAmt |
| Program Services | $3,663,108 | ProgramServicesAmt |
| Management And General | $67,600 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,357 | TotalAmt |
| Management And General | $16,357 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,116 | TotalAmt |
| Management And General | $31,116 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,502 | TotalAmt |
| Management And General | $14,502 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,128,183 | TotalAmt |
| Program Services | $14,854,060 | ProgramServicesAmt |
| Management And General | $274,123 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $834 | TotalAmt |
| Program Services | $819 | ProgramServicesAmt |
| Management And General | $15 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,358,555 | TotalAmt |
| Program Services | $3,297,698 | ProgramServicesAmt |
| Management And General | $60,857 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,393 | TotalAmt |
| Program Services | $23,951 | ProgramServicesAmt |
| Management And General | $442 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,246,100 | TotalAmt |
| Program Services | $4,169,161 | ProgramServicesAmt |
| Management And General | $76,939 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $422,169 | TotalAmt |
| Program Services | $414,519 | ProgramServicesAmt |
| Management And General | $7,650 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,242,682 | TotalAmt |
| Program Services | $1,220,165 | ProgramServicesAmt |
| Management And General | $22,517 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,319,931 | TotalAmt |
| Program Services | $5,223,534 | ProgramServicesAmt |
| Management And General | $96,397 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $440,014 | TotalAmt |
| Program Services | $432,041 | ProgramServicesAmt |
| Management And General | $7,973 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $12,005,720 | $12,005,720 | |
| MEMBER FEES | $4,501,366 | $4,501,366 | |
| HEALTH CARE PROVIDER TAX | $2,605,182 | $2,605,182 | |
| OTHER | $2,120,958 | $2,082,526 | $38,432 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,285,248 | TotalAmt |
| Program Services | $2,258,078 | ProgramServicesAmt |
| Management And General | $27,170 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,563,936 | TotalAmt |
| Program Services | $104,358,852 | ProgramServicesAmt |
| Management And General | $6,205,084 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,444 | BOYAmt |
| EOY | $138,807 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,253,732 | BOYAmt |
| EOY | $2,270,612 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,135,618 | BOYAmt |
| EOY | $20,139,455 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,438,200 | BOYAmt |
| EOY | $1,659,414 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,049,553 | BOYAmt |
| EOY | $3,388,696 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $143,065,765 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $89,133,693 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,655,323 | BOYAmt |
| EOY | $53,932,072 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,377,915 | BOYAmt |
| EOY | $18,132,973 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,936,397 | BOYAmt |
| EOY | $30,381,904 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,961,182 | BOYAmt |
| EOY | $130,043,933 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,395,139 | BOYAmt |
| EOY | $10,415,398 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,239,289 | BOYAmt |
| EOY | $29,048,116 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $131,478 | BOYAmt |
| EOY | $14,193 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,605,102 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,578,264 | BOYAmt |
| EOY | $30,612,959 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,949,272 | BOYAmt |
| EOY | $70,090,666 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,233,941 | BOYAmt |
| EOY | $50,900,876 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,377,428 | BOYAmt |
| EOY | $3,029,435 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,400,541 | BOYAmt |
| EOY | $6,022,956 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,011,910 | BOYAmt |
| EOY | $59,953,267 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $109,961,182 | BOYAmt |
| EOY | $130,043,933 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,467,569 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $509,047 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,964,741 | 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 | $14,502 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,502 | 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 | A PORTION OF THE MEMBERSHIP DUES PAID TO THE MAINE HOSPITAL ASSOCIATION (MHA)AND THE AMERICAN HOSPITAL ASSOCIATION (AHA) REPRESENT LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,320,145 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$421,596 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $4,898,550 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,120,364 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $199,781 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $5,320,145 | 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 | $59,301,549 | OtherCostOrOtherBasisAmt |
| Depreciation | $31,005,124 | DepreciationAmt |
| Book Value | $28,296,425 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,590,112 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,320,279 | DepreciationAmt |
| Book Value | $269,833 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $71,557,158 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,808,290 | DepreciationAmt |
| Book Value | $14,748,868 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,665,855 | OtherCostOrOtherBasisAmt |
| Book Value | $9,665,855 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $53,932,072 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (8 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| PREPAID CAPITAL COSTS | $13,407,199 |
| ESTIMATED AMOUNTS FROM THIRD PARTY | $8,392,233 |
| TRUSTEE HELD FUNDS | $3,232,172 |
| INVESTMENT IN PINETREE INSURANCE CO. | $2,424,242 |
| OTHER | $1,513,350 |
| DUE FROM AFFILIATES | $1,033,199 |
| BOND ISSUANCE COSTS | $368,272 |
| RESIDENT ACCOUNT DEPOSITS | $11,237 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $30,381,904 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO MAINEHEALTH AND MEMBERS | $28,873,300 |
| ESTIMATED AMOUNTS DUE TO THIRD PARTY | $1,648,247 |
| DUE TO AFFILIATES | $80,174 |
| RESIDENT ACCOUNTS & DEPOSITS | $11,238 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $30,612,959 | 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 | PENOBSCOT BAY MEDICAL CENTER IS EXEMPT FROM INCOME TAXES UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE. |
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 | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| 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 | $2,660,214 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,660,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,984,811 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,004,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,980,191 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02700 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,645,025 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,004,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,640,405 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05100 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,394,616 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,394,616 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,394,616 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,394,616 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,039,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,004,620 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,035,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08170 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,499,295 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $27,109,630 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $41,896,703 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,787,073 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6 GLEN COVE DRIVE | AddressLine1 |
| City | ROCKPORT | City |
| State | ME | State |
| ZIP Code | 04856 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PENBAYHEALTHCARE.ORG | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (true) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (true) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 175.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | Yes (true) | FPGUsedDetermEligDscntCareInd |
| FPG Family Incm Lmt Dscnt Care | 225.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| Income Level | Yes (X) | IncomeLevelInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Posted In Emergency Room | Yes (X) | PostedInEmergencyRoomInd |
| Posted In Admission Office | Yes (X) | PostedInAdmissionOfficeInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Collection Activities | false | CollectionActivitiesInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | Yes (true) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 3 | 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 PICKLER 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 4 | THE ONEMAINE HEALTH COLLABORATION (ONEMAINE) A PARTNERSHIP BETWEEN MAINE HEALTH'S FACILITIES COMPRISED OF LINCOLN COUNTY HEALTHCARE, MAINE MEDICAL CENTER, MAINE MENTAL HEALTH PARTNERS, PEN BAY HEALTHCARE, SOUTHERN MAINE HEALTH CARE, WALDO COUNTY HEALTHCARE, WESTERN MAINE HEALTH, HOME HEALTH VISITING NURSES, MAINE PHYSICIAN HOSPITAL ORGANIZATION, NORDX AND SYNERNET. ALSO INCLUDED ARE EASTERN MAINE HEALTHCARE SYSTEM AND MAINE GENERAL HEALTH. |
| FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 20D | GROSS CHARGES ARE USED IN ALL SITUATIONS. |
| FACILITY 1, PENOBSCOT BAY MEDICAL CENTER - PART V, LINE 22 | THIS HOSPITAL CHARGES AT GROSS FOR ALL PAYORS. PRIVATE PAY PATIENTS HAVE ALWAYS BEEN BILLED AT GROSS CHARGES AND ARE OFFERED A 5% DISCOUNT WHEN PAYMENT IS MADE PROMPTLY. |
| 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 II - COMMUNITY BUILDING ACTIVITIES | COMMUNITY HEALTH IMPROVEMENT ADVOCACY PICKER FAMILY RESOURCE CENTER - THE PICKER FAMILY RESOURCE CENTER PROMOTES BUILDING COMMUNITY BY PROVIDING HEALTH RESOURCES AND SUPPORT THAT SERVE THE NEEDS FOR WOMEN AND THEIR FAMILIES THROUGHOUT THEIR LIVES. THE RESOURCE CENTER SERVES PATIENTS WHO WANT TO LEARN ABOUT A DISEASE, CONDITION OR TREATMENT, COMMUNITY MEMBERS WHO NEED HEALTHY LIVING TIPS AND RESOURCES, AND HEALTHCARE PROVIDERS LOOKING FOR HEALTH EDUCATION MATERIALS AND RESOURCES. |
| PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY | PEN BAY HEALTHCARE (PBHC) (PARENT COMPANY OF PENOBSCOT BAY MEDICAL CENTER), ACCEPTS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. A PATIENT IS CLASSIFIED AS A FREE CARE PATIENT BY REFERENCE TO CERTAIN ESTABLISHED POLICIES OF PBHC. THESE POLICIES DEFINE FREE CARE SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED. IN ASSESSING A PATIENT'S ELIGIBILITY FOR FREE CARE, PBHC UTILIZES FEDERALLY ESTABLISHED POVERTY GUIDELINES. FREE CARE PROVIDED IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE AND IS MEASURED BASED ON PBHC'S CHARGES. COSTS AND EXPENSES INCURRED IN PROVIDING THESE SERVICES ARE INCLUDED IN OPERATING EXPENSES. SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED IS WRITTEN OFF AND INCLUDED AS PART OF THE PROVISION FOR BAD DEBTS. 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 | PENOBSCOT BAY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL PROVIDING IN-PATIENT AND OUT-PATIENT HOSPITAL SERVICES, AS WELL AS EMERGENCY ROOM SERVICES, PHYSICIANS' PRACTICES AND LONG TERM CARE. QUARRY HILL PROVIDES LONG TERM CARE SERVICES. KNO-WAL-LIN HOME HEALTH CARE PROVIDES IN-HOME HEALTH CARE AND HOSPICE SERVICES. KNO-WAL-LIN HELP AT HOME PROVIDES HOMEMAKER SERVICES. |
| 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 | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | 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 (14 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| WILLIAM L CARON JR | |||||||||||
| TRUSTEE, PRES-MH | $699,295 | $334,824 | $59,222 | $20,587 | $1,113,928 | ||||||
| ROBERT STEIN MD | |||||||||||
| MEDICAL STAFF PRES | $379,708 | $10,838 | $16,008 | $406,554 | |||||||
| WADE JOHNSON | |||||||||||
| PRESIDENT & CEO | $276,084 | $951 | $15,502 | $336,537 | $44,000 | ||||||
| JENNIFER C MCKENNA MD | |||||||||||
| MEDICAL STAFF REP | $254,714 | $6,651 | $14,299 | $295,015 | $19,351 | ||||||
| CORNELIUS YETMAN DO | |||||||||||
| MEDICAL STAFF REP | $236,607 | $5,206 | $15,655 | $265,039 | $7,571 | ||||||
| DANA GOLDSMITH MD | |||||||||||
| VP & CHIEF MED. OFF. | $228,968 | $5,201 | $7,308 | $293,623 | $52,146 | ||||||
| MAURA KELLY CPA MST | |||||||||||
| VP FISCAL SERVICES | $222,123 | $30,500 | $5,576 | $10,599 | $268,798 | ||||||
| REGINALD ALBERT | |||||||||||
| VP PRACTICE ADMIN. | $162,542 | $10,921 | $4,080 | $1,322 | $178,865 | ||||||
| PAULA DELAHANTY | |||||||||||
| VP NURSING SVCS. | $161,085 | $11,210 | $6,398 | $9,779 | $188,472 | ||||||
| JULIE WHITE | |||||||||||
| PHYSICIAN | $360,624 | $4,802 | $16,012 | $381,438 | $132,351 | $1,891 | $134,242 | ||||
| NADIA RAMDIN MD | |||||||||||
| PHYSICIAN | $325,200 | $6,694 | $8,356 | $340,250 | |||||||
| CHRISTOPHER MICHALAKES MD | |||||||||||
| ER MEDICAL DIRECTOR | $276,500 | $5,620 | $10,838 | $957 | $293,915 | ||||||
| FREDERICK GOGGANS MD | |||||||||||
| PHYSICIAN | $263,083 | $10,612 | $14,884 | $288,579 | |||||||
| MCKENZIE ABENDROTH MD | |||||||||||
| ER PHYSICIAN | $241,450 | $8,867 | $4,524 | $7,344 | $262,185 | ||||||
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 RELATED ORGANIZATIONS. THESE ORGANIZATIONS USE ONE OR MORE OF THE METHODS SHOWN ABOVE TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT. |
| SCHEDULE J, PAGE 1, PART I, LINE 4 | WILLIAM L. CARON, JR. 0 315,764 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 2006F | ||||||||
| A | 010314384 | 560425G20 | 2006-09-07 | $2,135,000 | BUILDINGS & FACILITIES | false | false | Yes (true) |
| MHHEFA SERIES 2007B | ||||||||
| B | 010314384 | 560425V80 | 2007-11-01 | $6,220,000 | BUILDINGS & FACILITIES | false | false | Yes (true) |
| MHHEFA SERIES 2008C | ||||||||
| C | 010314384 | 560525Z78 | 2008-06-19 | $6,450,000 | BUILDINGS & FACILITIES | false | false | Yes (true) |
| MHHEFA SERIES 2012A | ||||||||
| D | 010314384 | 560427EU4 | 2012-06-28 | $4,025,000 | REFUNDING | false | false | Yes (true) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $2,135,000 | $23,755 | $2,135,000 | 2007 | false | false | Yes (true) | Yes (true) |
| B | $6,220,000 | $66,264 | $6,220,000 | 2007 | false | false | Yes (true) | Yes (true) |
| C | $6,450,000 | $33,757 | $6,450,000 | 2008 | false | false | false | Yes (true) |
| D | $4,025,000 | $175,198 | 2012 | Yes (true) | false | false | Yes (true) |
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 | 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 | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| FSA | |||||||||||
| A | Yes (true) | false | false | Yes (true) | 29.800000000000 | Yes (true) | false | false | |||
| FSA | |||||||||||
| B | false | false | false | Yes (true) | 29.700000000000 | Yes (true) | false | false | false | false | Yes (true) |
| FSA | |||||||||||
| C | false | false | false | Yes (true) | 30.000000000000 | Yes (true) | false | false | false | false | Yes (true) |
| (no name) | |||||||||||
| D | false | false | false | false | false | false | Yes (true) | false | 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 2006F AND MHHEFA SERIES 2007B, 2008C, 2012A, AND 2014A 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 & PART V - THE ISSUER HAS ESTABLISHED 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 (13 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 3,617 INPATIENTS, INCLUDING NEWBORNS AND 139,347 OUTPATIENTS INCLUDING ER VISITS, DURING FY 14. 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 21,870 VISITS TO THE EMERGENCY ROOM DURING FY 14. 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. THE UNREIMBURSED COST OF PROVIDING CARE TO THESE PATIENTS WAS 90,736,204. DURING FY 14, APPROXIMATELY 64% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 6,077,345 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 14, THE COMMUNITY CONTRIBUTED APPROXIMATELY 9,290 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 2, PART III, LINE 4D | PEN BAY BEHAVIORAL HEALTH PHYSICIANS. |
| FORM 990, PAGE 6, PART VI, LINE 6 | PEN BAY HEALTHCARE (PBHC) IS THE SOLE MEMBER OF PEN BAY MEDICAL CENTER. MAINEHEALTH (EIN 01-0431680), AS THE SOLE MEMBER OF PBHC, HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF PBHC AND ITS SUBSIDIARIES. |
| FORM 990, PAGE 6, PART VI, LINE 7A | THE SOLE MEMBER, PEN BAY HEALTHCARE 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 PEN BAY HEALTHCARE & 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 VP OF FISCAL SERVICES BEFORE SIGNING AND PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | AT THE BEGINNING OF BOARD SERVICE, MEMBERS ARE REQUIRED TO DOCUMENT ANY CONFLICT OF INTEREST THAT MAY EXIST, THEY ARE REQUIRED TO REPORT ANY ADDITIONAL CONFLICTS THAT MAY ARISE. BOARD MEMBER CONFLICT OF INTEREST FORMS ARE UPDATED AND REVIEWED ANNUALLY. |
| FORM 990, PAGE 6, PART VI, LINE 15A | PEN BAY MEDICAL CENTER BOARD OF DIRECTORS ARE RESPONSIBLE FOR AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. FOR THOSE KEY ADMINISTRATIVE EMPLOYEES THAT ARE SHARED WITH PBHC, COMPENSATION IS EVALUATED BY THE PBHC GOVERNANCE COMMITTEE AND APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. FOR THE CURRENT YEAR, PBMC HAS HAD AN INTERIM CEO SINCE MARCH, 2014. THIS PERSON WAS SHARED WITH WALDO COUNTY GENERAL HEALTH AND WAS PAID AS INVOICED. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE MEMBER IS RESPONSIBLE FOR AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. COMPENSATION IS EVALUATED BY THE COMPENSATION COMMITTEE APPOINTED BY THE MEMBER, AND THE ORGANIZATION'S BOARD OF TRUSTEES MUST APPROVE THE COMPENSATION. IN ADDITION, THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM AND INDUSTRY SURVEY. |
| 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 IX, LINE 11G | LABORATORY PURCH. SVCS. 4,086,262 75,410 0 MED STAFF PURCH. SVCS. 4,218,442 77,849 0 OPER. & MAINT. PURCH. SVCS. 386,110 7,125 0 ADMIN. PURCH. SVCS. 1,298,900 23,970 0 COLLECTION SERVICES 433,891 8,007 0 RADIOLOGY 308,565 5,694 0 CONSULTING 116,147 2,143 0 OTHER FEES 4,005,743 73,925 0 |
| FORM 990, PART XI, LINE 9 | INCOME EARNED ON TRNA 244,113 TRANSFER FROM AFFILIATE 4,632,641 LOSS ON INVESTMENT IN PINE TREE INSURANCE -1,912,013 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| QUARRY HILL | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 010213976 | LT CARE | ME | 501C3 | 9 | PEN BAY HC | false |
| PEN BAY HEALTHCARE | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222494475 | ADMIN. | ME | 501C3 | 11C | MAINEHLTH | false |
| PEN BAY BEHAVIORAL HEALTH | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 010277794 | BHV HLTH | ME | 501C3 | 9 | PEN BAY HC | false |
| KNO-WAL-LIN HEALTH CARE INC | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 010340947 | HOME HC | ME | 501C3 | 9 | PEN BAY HC | false |
| KNO-WAL-LIN HELP AT HOME | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222968726 | HM MKR SVC | ME | 501C3 | 9 | PEN BAY HC | false |
| PEN BAY HEALTHCARE FOUNDATION | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 222482325 | FNDRAISING | ME | 501C3 | 7 | PEN BAY HC | false |
| PENOBSCOT BAY PHYSICIANS & ASSOC | ||||||||||
| 4 WHITE STREET | ROCKLAND | ME | 04841 | 010530517 | PHYS. SVCS | ME | 501C3 | 11C | PB MED CNT | Yes (true) |
| MAINEHEALTH | ||||||||||
| 110 FREE STREET | PORTLAND | ME | 04101 | 010431680 | HEALTHCARE | ME | 501C3 | 11C | NA | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PBH MANAGEMENT COMPANY | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4 WHITE STREET | AddressLine1 |
| City | ROCKLAND | City |
| State | ME | State |
| ZIP Code | 04841 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010537278 | EIN |
| Primary Activities | MANAGEMENT | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PEN BAY HC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C CORP | EntityTypeTxt |
| Controlled Organization | false | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | 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 | false | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | M | TransactionTypeTxt |
| Involved | $15,907,092 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |