2014-11-06T14:52:25-06:00 2013-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2013-01-01 010244035 PARKVIEW ADVENTIST MEDICAL CENTER % WILLIAM GANNON PARK 2073732000 329 MAINE STREET Suite BRUNSWICK ME 04011 RANDEE REYNOLDS PRESIDENT 2073732000 2014-10-27 true Brian D Todd P00422601 2073732000 2013 2015-11-30 17:44:51Z RANDEE REYNOLDS 329 MAINE ST BRUNSWICK ME 04011 33969252 false X WWW.PARKVIEWAMC.ORG X 1956 ME PARKVIEW ADVENTIST MED CTR IS A NOT-FOR- PROFIT CORPORATION THAT PROVIDES HEALTH CARE SERVICES THROUGH ITS INPATIENT, OUTPATIENT AND PHYSICIAN OFFICES IN BRUNSWICK, MAINE. X 14 14 353 62 0 0 17345 13665 34022018 28419834 13423 3424073 361376 237569 34414162 32095141 43420 7460 0 0 13667744 12854966 0 0 0 22207343 19773621 35918507 32636047 -1504345 -540906 21349949 15292354 22783531 18056926 -1433582 -2764572 X PARKVIEW ADVENTIST MEDICAL CENTER, IN OUR COMMITMENT TO THE COMMUNITY WE SERVE, EXISTS TO REFLECT THE LOVING COMPASSIONATE LIFE AND WORK OF JESUS CHRIST, WHOSE TOTAL MISSION WAS TO OFFER WHOLENESS TO PEOPLE PHYSICALLY, EMOTIONALLY AND SPIRITUALLY. false false 23045888 7460 24986195 HOSPITAL SERVICES - PAMC PROVIDED INPATIENT HOSPITAL SERVICES TO 734 PATIENTS IN 2013. DURING THE YEAR, THERE WERE ALSO 67,601 OUTPATIENT VISITS FOR HOSPITAL SERVICES. SERVICES OF QUALITY MEDICAL HEALTHCARE WERE PROVIDED REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, HANDICAP, AGE, OR ABILITY TO PAY. ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND FINANCIAL STABILITY OF PAMC, IT IS RECOGNIZED THAT NOT ALL INDIVIDUALS POSSESS THE ABILITY TO PURCHASE ESSENTIAL MEDICAL SERVICES. IT IS FURTHER RECOGNIZED THAT OUR MISSION IS TO SERVE THE COMMUNITY WITH RESPECT TO PROVIDING HEALTHCARE SERVICES AND HEALTH EDUCATION. 3025466 3433639 EMERGENCY SERVICES - A SIGNIFICANT AMOUNT OF FREE CARE IS PROVIDED THROUGH THE MEDICAL CENTER'S 24-HOUR A DAY EMERGENCY DEPARTMENT WHICH RECEIVED 8,341 PATIENT VISITS DURING 2013. EMERGENCY MEDICAL CARE IS PROVIDED TO EVERY PATIENT ENTERING THE EMERGENCY DEPARTMENT, EVEN THOUGH THEY MAY BE UNABLE TO MAKE PAYMENT FOR THE SERVICES. 540774 COMMUNITY BENEFIT SERVICES - IN KEEPING WITH PAMC'S COMMITMENT TO SERVE ALL MEMBERS OF ITS COMMUNITY, THE MEDICAL CENTER ALSO PROVIDED A WIDE RANGE OF ACTIVITIES WHICH INCLUDED WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, AND SPECIAL PROGRAMS FOR THE ELDERLY, HANDICAPPED OR MEDICALLY UNDER-SERVED, ALONG WITH A VARIETY OF BROAD BASED COMMUNITY SUPPORT PROGRAMS. MOST OF THESE PROGRAMS ARE OFFERED FOR THE COST OF MATERIALS AND PROFESSIONAL SERVICES ONLY, OR AT NO FEE AT ALL AS A COMMUNITY SERVICE. SEE SCHEDULE O FOR ADDITIONAL DETAILS. 24360 26636488 true false false true false false false false false false true false false true true false false true false false false false false false false false true true true false true true false false false false false false false false false false false false false true true true true true false false true 91 0 true 353 true false false false false false false false false false false X 14 14 false true false false true true true true true false false true true true true true true false true false ME X WILLIAM GANNON 2073732298 329 MAINE STREET BRUNSWICK ME 04011 MIKE ORTEL CHAIRMAN ENDING 07/13 1.0 X X 0 0 0 DAN DAGGETT VICE CHAIR/ CHAIR BEG 07/13 1.0 X X 0 0 0 GEORGE CANCEL BOARD MEMBER 1.0 X 0 0 0 STAN GERZOFSKY BOARD MEMBER 1.0 X 0 0 0 EDITH CRONK BOARD MEMBER 1.0 X 0 0 0 RANDEE REYNOLDS PRESIDENT/BOARD MEMBER 1.0 X X 0 0 0 DARRELL FOURNIER BOARD MEMBER 1.0 X 0 0 0 MATTHEW MECHTENBERG DO BOARD MEM/MD STF PRES END 6/13 40.0 X 277695 0 21916 GAYLEN JOHNSON BOARD MEMBER 1.0 X 0 0 0 ELIZABETH BOYD BOARD MEMBER 1.0 X 0 0 0 WAYNE MACFARLAND BOARD MEMBER 1.0 X 0 0 0 JIM RECTOR BOARD MEMBER 1.0 X 0 0 0 SCOTT HEATLEY SEC/TREASURER ENDING 09/13 55.0 X X 0 0 0 WILLIAM GANNON SEC/TREASURER BEG 09/13 55.0 X X 0 0 0 DANIEL BATTIN BOARD MEMBER BEG 12/13 1.0 X 0 0 0 TRUDY CHASE MD BOARD MEM/MD STF PRES BEG 6/13 1.0 X 0 0 0 ROBERT CUNDIFF BOARD MEMBER BEG 09/13 1.0 X 0 0 0 JAMES EWERT MD PHYSICIAN 40.0 X 399675 0 17270 JAMES ROSS MD PHYSICIAN 40.0 X 273803 0 12019 PAUL WENTLAND MD PHYSICIAN 40.0 X 231330 0 18309 WILLIAM MCQUAID JR CHIEF INFORMATION OFFICER 40.0 X 110076 0 10099 1292579 0 79613 5 false true false CARDINAL HEALTH PHARMACY SERVICES 2237836 CENTRAL MAINE HEALTHCARE CORP CONTRACT STAFFING 1757152 CPS INC PHARMACY SERVICES 847730 SYNERNET INC TRANSCRIPTION SRVCS 586249 CENTRAL MAINE MEDICAL CENTER MEDICAL STAFFING 1035665 26 13665 13665 NET PATIENT SERVICE REVENUE 900099 27476499 27476499 CAFETERIA 722514 163185 163185 GIFT SHOP 453220 14083 14083 OTHER REVENUE 900099 766067 766067 28419834 12289 12289 0 0 279464 41895 237569 0 237569 237569 5244000 1832216 3411784 3411784 3411784 0 0 0 0 32095141 28419834 3661642 X 7460 7460 0 0 0 299611 299611 0 0 9982862 8559301 1423561 96467 82500 13967 1691904 1456703 235201 784122 676196 107926 1170271 1170271 93262 93262 73900 73900 0 0 0 6680988 5402354 1278634 144326 16962 127364 1199297 905759 293538 1136 1136 0 723621 429405 294216 49975 43672 6303 0 11042 9815 1227 223045 156312 66733 0 1465779 1027229 438550 292724 598 292126 MEDICAL SUPPLIES & DRUGS 4160035 4160035 BAD DEBT 2502868 2502868 PROVIDER TAX 828405 828405 LICENSES, DUES, SUBSCRIPTIONS 135497 69900 65597 17450 1403 16047 32636047 26636488 5999559 0 806837 2408833 627121 627976 0 0 3071647 2679129 0 0 0 0 0 0 957622 1072990 161873 178324 26687512 20016920 9543802 6670592 0 0 0 0 0 0 0 0 6181047 1654510 21349949 15292354 8365629 6963393 0 0 0 0 1387150 1174032 0 0 0 0 5964001 4979211 0 0 7066751 4940290 22783531 18056926 X -1498482 -2835545 64900 70973 0 0 -1433582 -2764572 21349949 15292354 X -540906 -891553 101469 X false true X true false X false false false false false false false false true 9736 9736 false SCHEDULE C, PART II-B, LINE 1I A PORTION OF THE DUES PAID TO PROFESSIONAL AND BUSINESS ASSOCIATIONS ARE ALLOCATED TO LOBBYING ON MATTERS OF IMPORTANCE TO THEIR GENERAL MEMBERSHIP. 53129 53129 8655933 5659815 2996118 34789 13811 20978 16383991 13359574 3024417 1559670 983720 575950 6670592 DUE FROM AFFILIATES 760098 OTHER RECEIVABLES 73528 EST AMT DUE FROM 3RD PTY PYRS 320884 ESTIMATED INSURANCE RECOVERIES 500000 1654510 0 DUE TO AFFILIATES 523049 EST AMT DUE TO 3RD PTY PYRS 3917241 EST INSURANCE COSTS 500000 4940290 29729564 -2399474 -2399474 32129038 -33897 -33897 32095141 30175074 41895 41895 30133179 2502868 2502868 32636047 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ 101,469 TRANSFERS FROM AFFILIATE 1,925 NET ASSETS RELEASED FROM RESTRICTION (2,502,868) BAD DEBT EXPENSE -------------- $ (2,399,474) SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 7,998 TRNA CONTRIBUTIONS (41,895) RENTAL EXPENSES -------------- $ (33,897) SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART IX, LINE 25: $ 41,895 RENTAL EXPENSES SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 2,502,868 BAD DEBT EXPENSE true true X true X false true true false false 208418 208418 0.00690 4044972 1649561 2395411 0.07950 4253390 1649561 2603829 0.08640 16235 16235 0.00050 7460 7460 0.00020 23695 23695 0.00070 4277085 1649561 2627524 0.08710 false 2502868 350402 6504269 9739163 -3234894 X true true 1 1 PARKVIEW ADVENTIST MEDICAL CENTER 329 MAIN STREET BRUNSWICK ME 04011 WWW.PARKVIEWAMC.ORG X X X 1 PARKVIEW ADVENTIST MEDICAL CENTER 1 true X X X X X X X X X 13 true false true X FULL URL LISTED IN SECTION C X X X X X false false true true 150. false true X X X true true X X X false false X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3 COMMUNITY INPUT: IN 2010, IN A COLLABORATED EFFORT BETWEEN THE UNIVERSITY OF SOUTHERN MAINE AND MARKET DECISIONS, INC, AN ASSESSMENT WAS CONDUCTED, DESIGNED TO IDENTIFY THE MOST IMPORTANT HEALTH ISSUES IN THE STATE OF MAINE, BOTH OVERALL AND BY COUNTY, USING SCIENTIFICALLY VALID HEALTH INDICATORS AND COMPARATIVE INFORMATION. THE ASSESSMENT IDENTIFIED PRIORITY HEALTH ISSUES WHERE BETTER INTEGRATION OF PUBLIC HEALTH AND HEALTHCARE CAN IMPROVE ACCESS, QUALITY AND COST EFFECTIVENESS OF SERVICES TO RESIDENTS OF MAINE. THE PROJECT REPRESENTS ONEMAINE'S EFFORTS TO SHARE INFORMATION THAT CAN LEAD TO IMPROVED HEALTH STATUS AND QUALITY OF CARE AVAILABLE TO MAINE RESIDENTS, WHILE BUILDING UPON AND STRENGTHENING MAINE'S EXISTING INFRASTRUCTURE OF SERVICES AND PROVIDERS. THE DATA USED FOR DETERMINING THE COMMUNITY HEALTH NEEDS OF CUMBERLAND COUNTY WAS PRIMARILY OBTAINED FROM THE ONEMAINE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). ADDITIONALLY, EASTERN MAINE HEALTH SYSTEM, MAINEGENERAL HEALTH, MAINEHEALTH SYSTEMS, THE UNIVERSITY OF NEW ENGLAND CENTER FOR HEALTH PLANNING, POLICY AND RESEARCH (CHPPR) AND THE UNIVERSITY OF SOU7THERN MAINE'S MUSKIE SCHOOL FOR PUBLIC HEALTH CONTRIBUTED COLLABORATIVE PUBLIC HEALTH EXPERTISE. USING A METHODOLOGY DEVELOPED BY CHPPR OVER DECADES OF WORK, THE ASSESSMENT INTEGRATES PRIMARY DATA FROM A TELEPHONE SURVEY TO HEADS OF HOUSEHOLDS WITH SECONDARY DATA RETRIEVED FROM STATE DATABASES (ED USAGE, MORTALITY, CANCER REGISTRY, ETC.) THAT DATA IS REVIEWED IN THE CONTEXT OF MULTIPLE HEALTH RELATED DOMAINS TO DEVELOP A COMPOSITE VIEW OF HEALTH STATUS, BEHAVIORAL RISKS AND BARRIERS TO ACCESS AND CARE. RESULTS WERE COMPARED TO NATIONAL AND STATE BENCHMARKS TO PRODUCE PRIORITIES. SCHEDULE H, PART V, SECTION B, LINE 6 IMPLEMENTATION STRATEGY: IN RESPONSE TO THE RESULTS OF PARKVIEW ADVENTIST MEDICAL CENTER'S MOST RECENTLY CONDUCTED COMMUNITY HEALTH NEEDS ASSESSMENT, THE ORGANIZATION ADOPTED AN IMPLEMENTATION STRATEGY. THE IMPLEMENTATION STRATEGY CAN BE FOUND AT THE FOLLOWING URL: http://parkviewamc.org/pamc-2013-community-health-assessment-implementatio n-strategy SCHEDULE H, PART V, SECTION B, LINE 7 ADDRESSING IDENTIFIED NEEDS: THE IDENTIFICATION OF THE ISSUES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT REVEALS A DEFICIT IN SERVICES TO COUNTER BOTH ADULT AND YOUTH HEALTH RISK BEHAVIORS. ADDITIONALLY, THE ASSESSMENT OUTLINES THAT NUTRITION AND PHYSICAL ACTIVITY BEING THE PRIMARY DETERMINANTS OF OBESITY, NEED TO BE ENCOURAGED BOTH IN SCHOOLS AND AT HOME TO PREVENT DIABETES. SMOKING IS IMPLICATED IN MANY PREVENTABLE DEATHS, AND MOST SMOKERS START IN THEIR TEENS. SIMILARLY, ALCOHOL AND DRUG USE BEHAVIORS ARE ESTABLISHED EARLY IN LIFE, USUALLY BEFORE THE LEGAL AGE. THESE RISK BEHAVIORS HAVE BEEN IDENTIFIED IN CLUSTERS. TRENDS IN HIGH RISK BEHAVIORS, INCLUDING CUMBERLAND AND SAGADAHOC, SHOW INDIVIDUALS WITH HIGH RATES OF ONE RISK BEHAVIOR OFTEN HAVE HIGH RATES OF OTHERS. SCHEDULE H, PART V, SECTION B, LINE 11 ELIGIBILITY FOR DISCOUNTED CARE: THE ORGANIZATION DOES NOT OFFER DISCOUNTED CARE. 2 PARKVIEW REHAB & WELLNESS 3 HORTON PLACE TOPSHAM ME 04086 OUTPATIENT REHAB & WELLNESS PARKVIEW UROLOGY 85 BARIBEAU DRIVE BRUNSWICK ME 04011 OUTPATIENT TREATMENT & WELLNESS SCHEDULE H, PART I, LINE 7, COLUMN F PERCENT OF TOTAL EXPENSE: THE PERCENT OF TOTAL EXPENSE ON SCHEDULE H, PART I, LINE 7, COLUMN (F), WAS CALCULATED USING TOTAL EXPENSES ON FORM 990, PART IX, LINE 25, COLUMN (A) LESS BAD DEBT EXPENSE OF $2,502,868. SCHEDULE H, PART I, LINE 7 COSTING METHODOLOGY: THE COST TO CHARGE RATIO CALCULATED ON IRS WORKSHEET 2 WAS USED IN THE CALCULATION OF COST ON IRS WORKSHEETS 1 AND 3. SCHEDULE H, PART III, SECTION A, LINE 4 BAD DEBT EXPENSE: THE AUDITED FINANCIAL STATEMENTS DO NOT CONTAIN A FOOTNOTE THAT DESCRIBES BAD DEBT EXPENSE. THEY DO, HOWEVER, CONTAIN A FOOTNOTE THAT DESCRIBES PATIENT ACCOUNTS RECEIVABLE: THE MEDICAL CENTER REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. THE MEDICAL CENTER PROVIDES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON A REVIEW OF OUTSTANDING RECEIVABLES, HISTORICAL COLLECTION INFORMATION AND EXISTING ECONOMIC CONDITIONS. AS A SERVICE TO THE PATIENT, THE MEDICAL CENTER BILLS THIRD-PARTY PAYERS DIRECTLY AND BILLS THE PATIENT WHEN THE PATIENT'S LIABILITY IS DETERMINED. PATIENT ACCOUNTS RECEIVABLE ARE DUE IN FULL WHEN BILLED. ACCOUNTS ARE CONSIDERED DELINQUENT AND SUBSEQUENTLY WRITTEN OFF AS BAD DEBTS BASED ON INDIVIDUAL CREDIT EVALUATION AND SPECIFIC CIRCUMSTANCES OF THE ACCOUNT. THE MEDICAL CENTER GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS, MOST OF WHOM ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY AGREEMENTS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR UNCOLLECTIBLE ACCOUNTS. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISIONS FOR UNCOLLECTIBLE ACCOUNTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS TN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. THE MEDICAL CENTER DETERMINES THE ACTUAL WRITE-OFF OF PATIENT ACCOUNTS AFTER A REASONABLE AMOUNT OF TIME HAS PASSED SINCE THE FIRST BILLING (AT LEAST 18O DAYS) AND REASONABLE COLLECTION EFFORTS MADE. THE ESTIMATE OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE MEDICAL CENTER'S CHARITY CARE POLICY IS BASED ON A 1 FOR 1 BASIS. IN OTHER WORDS, FOR EVERY PATIENT THAT APPLIES AND IS APPROVED FOR CHARITY CARE, THERE IS ANOTHER PATIENT THAT DOESN'T APPLY, BUT WOULD BE APPROVED. SCHEDULE H, PART III, SECTION B, LINE 8 COMMUNITY BENEFIT: SERVING PATIENTS WITH GOVERNMENT HEALTH BENEFITS, SUCH AS MEDICARE, IS A COMPONENT OF THE COMMUNITY BENEFIT STANDARD THAT TAX-EXEMPT HOSPITALS ARE HELD TO. THIS IMPLIES THAT SERVING MEDICARE PATIENTS IS A COMMUNITY BENEFIT AND THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE HOSPITAL IS REIMBURSED UNDER PPS FOR MEDICARE BENEFICIARIES, THE COST REPORTED ON LINE 6 IS DIRECTLY FROM THE 2013 MEDICARE COST REPORT WHERE COST TO CHARGE RATIOS ARE UTILIZED FOR ANCILLARY CHARGES/COSTS AND A CALCULATED PER DIEM RATE FOR ROUTINE AND ICU CHARGES/COSTS. SCHEDULE H, PART III, SECTION C, LINE 9B COLLECTION POLICY: BECAUSE OUR CHARITY CARE POLICY ALLOWS FOR A PERCENTAGE-BASED CHARITY APPROVAL ON THEIR INCOME COMPARED TO THE FEDERAL POVERTY LEVEL, SOME OF THOSE ACCOUNTS THAT QUALIFY FOR LESS THAN 100% WRITE-OFF, MIGHT STILL, HAVE OUTSTANDING BALANCES. THOSE OUTSTANDING BALANCES ARE SUBJECT TO THE SAME COLLECTION POLICY PROCEDURES AS IF THEY DID NOT QUALIFY FOR CHARITY CARE. NEEDS ASSESSMENT PARKVIEW PERIODICALLY DOES MARKET RESEARCH AND NEEDS ASSESSMENTS TO DETERMINE WHAT THE NEEDS ARE IN THE COMMUNITY. WE PARTICIPATE IN ACCESS HEALTH WHICH IS THE LOCAL HEALTHY MAINE PARTNERSHIP AND THROUGH THEM EXTENSIVE ASSESSMENTS ARE COMPLETED WITH BOTH QUESTIONNAIRES, REVIEW OF STATE AND REGIONAL DATA, WORKING WITH MAINE CDC, ETC. WE CONDUCT MARKET RESEARCH (LAST DONE IN 2008-2009), FOCUS GROUPS, AND WE EVALUATE THE CHANGES OCCURRING IN THE DEMOGRAPHICS. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WHEN A PATIENT IS REGISTERED, THIS INFORMATION IS DISCUSSED AND THE POLICIES & PAPERWORK ARE MADE AVAILABLE TO THE PATIENT SO THEY KNOW WE HAVE THESE PROGRAMS IN PLACE. WE ALSO REITERATE THESE PROGRAMS IF QUESTIONED BY A PATIENT DURING THE BILLING PROCESS. COMMUNITY INFORMATION FROM THE 2011 CENSUS, SOME 14,500 RESIDENTS WHO CALL BRUNSWICK HOME MIGHT LIKELY AGREE WITH MONEY MAGAZINE'S FINDINGS. BRUNSWICK IS LOCATED IN THE NORTHERNMOST POCKET OF CUMBERLAND COUNTY, WITH A POPULATION OF 14,500. THE TOWN IS PRIMARILY WHITE (91%), WITH ASIAN (2.8%) AND TWO OR MORE RACES (2.3%). BRUNSWICK'S MEDIAN INCOME OF $42,654 PER HOUSEHOLD IS ON PAR WITH THE CUMBERLAND COUNTY AVERAGE. MANY OF PARKVIEW'S PATIENTS LIVE JUST OVER THE COUNTY BORDER IN SAGADAHOC COUNTY, WITH A POPULATION OF 35,200, A POVERTY RATE OF 10.5% (MARGARET CHASE SMITH POLICY CENTER) AND MEDIAN INCOME OF $52,071. BOTH COUNTIES ARE PRIMARILY WHITE (CUMBERLAND COUNTY 95.7 %) ; (SAGADAHOC COUNTY 96.5%) WITH BLACK-CUMBERLAND (1.06%), BLACK-SAGADAHOC (.92%) AND TWO OR MORE RACES AT CUMBERLAND (1.13%) AND SAGADAHOC (1.21%). CUMBERLAND COUNTY HAS (53% MALES) AND (47% FEMALES) WITH THE HIGHEST NUMBER OF PEOPLE IN THE (BIRTH-24) YEAR AGE RANGE (31.7%) AND SAGADAHOC COUNTY HAS (48% MALES) AND (52% FEMALES) WITH THE HIGHEST NUMBER OF PEOPLE IN THE (25-44) YEAR AGE RANGE (30.5%). THE STATE OF MAINE HAS AGAIN CLAIMED THE DISTINCTION OF BEING THE OLDEST STATE IN THE NATION. IN THIS STATE, CUMBERLAND COUNTY HAS THE LARGEST CLUSTER OF YOUNGER MAINERS, WHILE ANDROSCOGGIN COUNTY HAS THE 'OLDEST' POPULATION IN THE OLDEST STATE IN THE COUNTRY. SAGADAHOC IS RIGHT IN THE MIDDLE. THE CLOSURE OF THE BRUNSWICK NAVAL AIR STATION (BNAS) DEALT THE GREATER BRUNSWICK AREA A LARGE ECONOMIC BLOW, FELT IN EVERY POCKET OF THE COMMUNITY. SCORES OF MILITARY FAMILIES RECEIVED TRANSFER ORDERS TO MOVE TO JACKSONVILLE, FLORIDA AND OTHER BASES. THOSE WHO MOVED AWAY TOOK THOUSANDS OF CHILDREN OUT OF THE BRUNSWICK SCHOOLS, WHICH MEANT THE NEED FOR RESTRUCTURING, AND IN SOME CASES, CLOSING SEVERAL SCHOOLS. SEVERAL LOCALLY OWNED BUSINESSES CLOSED, DUE TO LACK OF ACTIVITY. AND YES, MANY PEOPLE LOST JOBS. THE BASE CLOSURE FORCED THE AREA TO DO THINGS DIFFERENTLY, FORCED BUSINESS OWNERS TO BE SMARTER AND FORCED THE TOWN TO LURE INTERNATIONAL AND NATIONAL BUSINESSES TO THE REGION. THOUGH ECONOMISTS SUSPECTED BRUNSWICK AND NEIGHBORING HAMLETS MIGHT TURN INTO GHOST TOWNS, SOMETHING ODD HAPPENED: RATHER THAN FOLD, THE REGION BECAME STRONGER, DETERMINED TO SUCCEED DESPITE THE DEPARTURE OF THE MILITARY STRONGHOLD. WITHIN 18 MONTHS OF THE CLOSURE OF BNAS, THE TOWN FORMED MRRA, THE MIDCOAST REGIONAL REDEVELOPMENT AUTHORITY. THROUGH MRRA'S EFFORTS, THE BRUNSWICK LANDING (REDEVELOPMENT OF THE FORMER BRUNSWICK NAVAL AIR STATION; AND FOREIGN TRADE ZONE) AND THE BRUNSWICK EXECUTIVE AIRPORT (BXM) WERE CREATED. AS MAINE'S PREMIER TECHNOLOGY BUSINESS PARK AND A CENTER FOR INNOVATION, BRUNSWICK LANDING FEATURES 3,300 ACRES OF PRIME REAL ESTATE, OVER 2 MILLION SQUARE FEET OF COMMERCIAL AND INDUSTRIAL SPACE, A WORLD-CLASS AVIATION COMPLEX, AND ON-SITE EDUCATIONAL INSTITUTIONS. OTHER MAJOR EMPLOYERS AND REDEVELOPMENT EFFORTS INCLUDE: -BRUNSWICK BUSINESS PARK -COOKS CORNER REDEVELOPMENT -MIDCOAST REGIONAL REDEVELOPMENT AUTHORITY (MRRA) -TOWN OF BRUNSWICK -BATH IRON WORKS -L.L. BEAN MANUFACTURING -MOLNLYCKE HEALTH CARE THE 2012 UNEMPLOYMENT RATE WAS 7.1%. ACCORDING TO THE STATE OF MAINE'S "UNEMPLOYMENT & LABOR FORCE REPORT (MAINE.GOV), BRUNSWICK'S UNEMPLOYMENT RATE (4.9%) IS WELL BELOW THE AVERAGE. ACCORDING TO THE STATE STATISTICS, BRUNSWICK'S 'CIVILIAN LABOR FORCE' STANDS AT 34,184, WITH 32,513 GAINFULLY EMPLOYED AND 1,671 UNEMPLOYED. ACCORDING TO THE US BUREAU OF LABOR STATISTICS, CUMBERLAND COUNTY, MAINE'S LARGEST COUNTY, REPORTED AN EMPLOYMENT GAIN OF 0.6 PERCENT FROM SEPTEMBER 2011 TO SEPTEMBER 2012. THE BUREAU OF LABOR STATISTICS DEFINES "LARGE" COUNTIES AS THOSE WITH EMPLOYMENT OF 75,000 OR MORE AS MEASURED BY 2011 ANNUAL AVERAGE EMPLOYMENT. REGIONAL COMMISSIONER DEBORAH A. BROWN NOTED THAT CUMBERLAND RANKED 233RD AMONG THE 328 LARGE COUNTIES FOR EMPLOYMENT GROWTH NATIONALLY. NATIONALLY, EMPLOYMENT INCREASED 1.6 PERCENT DURING THIS 12-MONTH PERIOD, AS 276 OF THE 328 LARGEST U.S. COUNTIES GAINED JOBS. EMPLOYMENT IN CUMBERLAND COUNTY STOOD AT 172,400 IN SEPTEMBER 2012 OF TOTAL EMPLOYMENT WITHIN THE STATE. NATIONWIDE, THE 328 LARGEST COUNTIES MADE UP 71.0 PERCENT OF TOTAL U.S. EMPLOYMENT. THE AVERAGE WEEKLY WAGE IN CUMBERLAND COUNTY FELL 1.6 PERCENT TO $799 IN THE THIRD QUARTER OF 2012. NATIONALLY, THE AVERAGE WEEKLY WAGE DECREASED 1.1 PERCENT OVER THE YEAR TO $906. EMPLOYMENT AND WAGE LEVELS (BUT NOT OVER-THE-YEAR CHANGES) ARE ALSO AVAILABLE FOR THE 15 COUNTIES IN MAINE WITH EMPLOYMENT BELOW 75,000. ALL OF THESE SMALLER COUNTIES HAD AVERAGE WEEKLY WAGES BELOW THE NATIONAL AVERAGE. PROMOTION OF COMMUNITY HEALTH THE ORGANIZATION PROMOTES COMMUNITY HEALTH BY PROVIDING GENERAL WELLNESS SCREENINGS AND PROGRAMS, AS WELL AS OFFERING SUPPORT GROUPS. BLOOD PRESSURE SCREENINGS - FREE BLOOD PRESSURE SCREENINGS ARE AVAILABLE TO ANYONE AT ANYTIME THROUGH THE EMERGENCY DEPARTMENT AT PARKVIEW ADVENTIST MEDICAL CENTER. THERE MAY BE A DELAY IN CASE OF A CRITICAL EMERGENCY. BREATHE FREE PLAN TO STOP SMOKING - THIS COURSE IS FOR INDIVIDUALS SEEKING GROUP SUPPORT IN BECOMING FREE FROM TOBACCO ADDICTION. THE FOCUS IS ON PERSONAL GROWTH AND DEVELOPMENT, WHILE CREATING NEW HABITS TO MEET THE NEEDS THAT TOBACCO ONCE FULFILLED. PERSONAL WELLNESS PROFILE - THIS PROGRAM PROVIDES A COMPLETE HEALTH AND LIFESTYLE ASSESSMENT BASED ON THE MOST CURRENT SCIENTIFIC GUIDELINES FOR OPTIMAL HEALTH. IT EVALUATES FAMILY HISTORY, BIOMETRICS, CLINICAL TESTING, NUTRITION, FITNESS, STRESS MANAGEMENT AND SEVERAL OTHER CRUCIAL HEALTH FACTORS. PARTICIPANTS WILL BE GIVEN A LENGTHY PAGE ANALYSIS OF HIS/HER OVERALL WELLNESS ASSESSMENT, PHYSICAL FITNESS, EATING HABITS, HEART HEALTH, CANCER RISK, BODY COMPOSITION, OSTEOPOROSIS RISK STRESS, SAFETY AND MUCH MORE. SUPPORT GROUPS INCLUDE WEIGHT MANAGEMENT PROGRAM, LIFE BEYOND LOSS - GRIEF RECOVERY, CARE FOR THE CAREGIVER, COPING WITH CHRONIC PAIN AND ILLNESS. true SCHEDULE I, PART 1, LINE 2 MONITORING USE OF GRANT FUNDS: ALL GRANTS ARE MADE TO VERIFIED 501(C)(3) ORGANIZATIONS THAT HAVE HAD LONG-STANDING RELATIONSHIPS WITH THE ORGANIZATION. THERE IS NO FORMAL PROCESS IN PLACE FOR MONITORING HOW THESE ORGANIZATIONS USE GRANTS FUNDS. false false false false false false false false false MATTHEW MECHTENBERG DO BOARD MEM/MD STF PRES END 6/13 198170 0 60954 0 18572 0 5005 0 16911 0 299611 0 0 0 JAMES EWERT MD PHYSICIAN 399675 0 0 0 0 0 5172 0 12098 0 416945 0 0 0 JAMES ROSS MD PHYSICIAN 270630 0 0 0 3173 0 0 0 12019 0 285822 0 0 0 PAUL WENTLAND MD PHYSICIAN 193853 0 33816 0 3662 0 0 0 18309 0 249639 0 0 0 SCHEDULE J, PART I, LINE 3 CEO/EXECUTIVE DIRECTOR COMPENSATION DETERMINATION: THE POSITION OF PRESIDENT OF THE ORGANIZATION IS OUTSOURCED TO CENTRAL MAINE HEALTHCARE CORPORATION (CMHC). THE PRESIDENT IS EMPLOYED BY CMHC, UNDER A CONTRACT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MAINTAINS OVERSIGHT OF THIS POSITION, BUT DAY TO DAY OPERATIONS ARE MANAGED AND SUPERVISED BY THE PRESIDENT. A ME HLTH & HIGHER EDUC FACILITIES AUTHORITY - 2010B 010314384 560427JA5 2010-06-24 113477369 REFUNDING ISSUE OF 1998B SERIES BO false false false A 0 0 1804946 253505 0 1993127 23538 0 0 0 1807 0 2010 true false true true A 0 A false true false false false false 0 false 0 false false A false SCHEDULE K, PART I , COLUMN E ISSUE PRICE: THE ISSUE PRICE FOR THE MAINE HEALTH AND HIGHER EDUCATION FACILITIES BOND IS THE TOTAL PRICE OF THE ISSUE, WHICH INCLUDES BONDS FOR SEVERAL TAX EXEMPT ENTITIES, OF WHICH THE ORGANIZATION WAS ONLY ONE. MEDICAL OFFICE BUILDINGS 2013-08-16 5244000 CONTRACT PRICE 010386913 CENTRAL MAINE HEALTHCARE CORPORATIO 300 MAIN STREET LEWISTON ME 04240 501(C)(3) false true false false SCHEDULE N, PART II, LINE 2B EMPLOYEE OR INDEPENDENT CONTRACTOR OF SUCCESSOR ORGANIZATION: THE FOLLOWING OFFICERS, DIRECTORS, OR KEY EMPLOYEES ARE EMPLOYED BY CENTRAL MAINE HEALTHCARE CORPORATION: RANDEE REYNOLDS, TRUDY CHASE, SCOTT HEATLEY, WILLIAM GANNON AND GEORGE CANCEL. FORM 990, PART 1, LINE 1 ORGANIZATION'S MISSION: PARKVIEW ADVENTIST MEDICAL CENTER, IN OUR COMMITMENT TO THE COMMUNITY WE SERVE, EXISTS TO REFLECT THE LOVING COMPASSIONATE LIFE AND WORK OF JESUS CHRIST, WHOSE TOTAL MISSION WAS TO OFFER WHOLENESS TO PEOPLE PHYSICALLY, EMOTIONALLY AND SPIRITUALLY. FORM 990, PART III, LINE 4C WELLNESS SERVICES: PAMC'S WELLNESS DEPARTMENT REFLECTS THE SHIFT IN HEALTHCARE FOCUS FROM TREATMENT TO PREVENTION. THE CONCEPT OF WELLNESS IS TO MAKE SICK PEOPLE WELL AND TO KEEP WELL PEOPLE FROM GETTING SICK. RESEARCH IS PROVIDING THAT EXERCISE AND PROPER DIET CAN HELP REVERSE MANY CHRONIC DISEASES AND REDUCE THE USE OF MEDICATION IN MANY ILLNESSES. HEALTH TALKS HAVE BEEN GIVEN TO SCHOOLS, INDUSTRIES, SOCIAL AND CIVIC GROUPS. HEALTH INFORMATION, COUNSELING, AND AUDIOVISUALS HAVE BEEN PROVIDED TO THE COMMUNITY. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES: PAMC HAS AN ACTIVE VOLUNTEER PROGRAM. DURING 2013, THERE WERE VOLUNTEERS WHO GAVE MANY HOURS TOWARD THE COMMON PURPOSE OF MEETING THE HEALTHCARE NEEDS OF THE COMMUNITY. THE VALUE OF THIS PROGRAM IS GIVEN BACK TO THE COMMUNITY THROUGH LOWER COSTS FOR PATIENT SERVICES AND HEALTH EDUCATION. FORM 990, PART VI, SECTION A, LINE 3 MANAGEMENT DUTIES: THE POSITION OF PRESIDENT OF THE ORGANIZATION IS OUTSOURCED TO CENTRAL MAINE HEALTHCARE CORPORATION (CMHC). THE PRESIDENT IS EMPLOYED BY CMHC, UNDER A CONTRACT APPROVED BY THE ORGANIZATION'S BOARD OF DIRECTORS. THE BOARD OF DIRECTORS MAINTAINS OVERSIGHT OF THIS POSITION, BUT DAY TO DAY OPERATIONS ARE MANAGED AND SUPERVISED BY THE PRESIDENT. FORM 990, PART VI, SECTION A, LINE 6, 7A, & 7B MEMBERS: THERE SHALL BE TWO CLASSES OF MEMBERS, EX OFFICIO AND REGULAR. EX-OFFICIO MEMBERS SHALL CONSIST OF: (A) THE PRESIDENT OF THE NORTHERN NEW ENGLAND CONFERENCE OF SEVENTH-DAY ADVENTISTS, WHO SHALL SERVE AS THE CHAIR OF THE MEMBERSHIP; (B) THE TREASURER OF THE NORTHERN NEW ENGLAND CONFERENCE OF SEVENTH-DAY ADVENTISTS, WHO SHALL SERVE AS THE VICE CHAIR OF THE MEMBERSHIP; (C) THE PRESIDENT OF THE ATLANTIC UNION CONFERENCE OF SEVENTH-DAY ADVENTISTS, OR HIS OH HER DESIGNEE; (D) THE PASTOR OF THE BRUNSWICK, MAINE SEVENTH-DAY CHURCH; AND (E) THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION. EACH EX OFFICIO MEMBER SHALL HOLD OFFICE UNTIL HIS OR HER RESIGNATION. THE EX OFFICIO MEMBERS SHALL BE ENTITLED TO ELECT A TOTAL OF FOUR REGULAR MEMBERS. EACH REGULAR MEMBER SHALL: (A) BE A RESIDENT OF THE STATE OF MAINE, NEW HAMPSHIRE, OR VERMONT; (B) BE MORE THAN EIGHTEEN YEARS OF AGE; (C) HAVE AN INTEREST IN HEALTH CARE MATTERS; (D) UNDERSTAND AND SUPPORT THE OPERATIONAL PHILOSOPHY OF SEVENTH-DAY ADVENTIST HEALTH CARE FACILITIES; (E) SUPPORT THE PHILOSOPHY AND OBJECTIVES OF THE CHURCH AND ITS MEDICAL MINISTRY; AND (F) BE A MEMBER TN GOOD STANDING OF THE CHURCH. EXCEPT AS OTHERWISE PROVIDED IN THIS ARTICLE, NO DIRECTOR, EMPLOYEE, OR MEMBER OF THE CORPORATION'S MEDICAL STAFF SHALL SERVE AS A MEMBER. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE MEDICAL CENTER'S FINANCE DEPARTMENT WORKS WITH A PUBLIC ACCOUNTING FIRM TO POPULATE AND COMPLETE THE FORM 990 AND ALL APPLICABLE SCHEDULES. AFTER THE ACCOUNTING FIRM REVIEWS THE FIRST DRAFT FOR ACCURACY AND COMPLETENESS, THE MEDICAL CENTER'S FINANCE DEPARTMENT REVIEWS FOR ACCURACY AND COMPLETENESS. THE RETURN IS THEN SENT BACK TO THE ACCOUNTING FIRM FOR FINAL COMPLETION AND REVIEW. THE MEDICAL CENTER'S BOARD OF DIRECTORS THEN REVIEWS THE COMPLETED RETURN. APPROVAL IS REQUIRED BY THE BOARD PRIOR TO FILING THE RETURN WITH THE INTERNAL REVENUE SERVICE. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY: EACH YEAR THE BOARD CHAIR ASKS THE PRESIDENT TO SEND OUT AN ANNUAL DISCLOSURE AND ACKNOWLEDGEMENT FORM TO EACH BOARD MEMBER. THIS FORM REQUIRES INFORMATION FROM THE BOARD MEMBER RELATED TO ANY POSSIBLE CONFLICTS OF INTEREST IN ACCORDANCE WITH THE BY-LAWS OF THE CORPORATION. THE FORMS ARE REVIEWED BY THE EXECUTIVE COMMITTEE TO ENSURE COMPLIANCE, AND IF THERE ARE QUESTIONS OR CONFLICTS OF INTEREST THAT ARISE, A MEMBER OF THE EXECUTIVE COMMITTEE WILL INTERACT WITH THE BOARD MEMBER IN QUESTION, AND REPORT ANY FINDINGS TO THE BOARD FOR RESOLUTION. ANY DISCLOSURE OF POSSIBLE OR ACTUAL CONFLICTS OF INTEREST, BEFORE OR AFTER A TRANSACTION HAS OCCURRED, IS CONVEYED IN A REPORT TO THE FULL BOARD, BY THE EXECUTIVE COMMITTEE. AFTER REVIEW OF THE POSSIBLE CONFLICT, THE BOARD WOULD TAKE ACTIONS IT DEEMED APPROPRIATE IN ADDRESSING THE POSSIBLE OR ACTUAL CONFLICTS, WHICH COULD INCLUDE RESTRICTIONS, OR DISMISSAL FROM THEIR POSITION. FORM 990, PART VI, SECTION B, LINE 15B COMPENSATION REVIEW: THE BOARD OF DIRECTORS HAS A CEO COMPENSATION COMMITTEE THAT REVIEWS THE COMPENSATION OF ALL PARKVIEW EXECUTIVES AT THE VP LEVEL AND ABOVE. RECENT MARKET SALARY AND COMPENSATION INFORMATION FOR THE RESPECTIVE VP POSITION, WHICH COMES FROM THE STATE OF MAINE AND NEW ENGLAND STATES, IS PRESENTED BY THE PRESIDENT. THE COMMITTEE REVIEWS THE RECOMMENDATIONS OF THE PRESIDENT FOR EACH VP POSITION AND DETERMINES WHETHER THE RECOMMENDATION IS APPROPRIATE OR NOT APPROPRIATE. IF DEEMED NOT APPROPRIATE, THE PRESIDENT WILL AMEND THE RECOMMENDATION TO MEET WITH THE COMMITTEE'S APPROVAL. THIS PROCESS IS DOCUMENTED IN THE BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE APPROVED AND FILED IRS FORM 990 IS AVAILABLE TO THE PUBLIC AS REQUESTED. THE MEDICAL CENTER'S ARTICLES 0F INCORPORATION ARE FILED WITH THE STATE GOVERNMENT, ITS CONFLICT OF INTEREST POLICY IS MADE AVAILABLE IN THE ADMINISTRATIVE OFFICES ON REQUEST, AND ITS AUDITED FINANCIAL STATEMENTS ARE SUBMITTED TO THE MAINE HEALTH DATA ORGANIZATION, WHICH WILL MAKE PUBLIC THE INFORMATION IF REQUESTED BY INTERESTED PARTIES. FORM 990, PART IX, COLUMN A, LINE 11G OTHER FEES FOR SERVICES: $ 2,369,464 PHYSICIAN FEES 1,766,004 CONTRACT LABOR 1,349,940 SERVICE CONTRACTS 676,909 PURCHASED SERVICES 447,303 LAB SERVICES 71,368 PROFESSIONAL FEES ------------- $ 6,680,988 FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 101,469 TRANSFER FROM AFFILIATE PARKVIEW AMC ENERGY LLC 329 MAINE ST BRUNSWICK ME 04011 202649824 ELEC CO UTIL ME 198662 9960 PAMC PARKVIEW MGMT SERVICES ORGANIZATION 329 MAINE ST BRUNSWICK ME 04011 201440050 BUS SUPPORT SVCS ME PAMC C CORP 0 268363 1.00000 true PARKVIEW PROFESSIONAL BUILDING 329 MAINE ST BRUNSWICK ME 04011 010396459 REAL ESTATE MGMT ME PAMC C CORP 47537 313982 1.00000 true PARKVIEW MEDICAL ARTS BUILDING 329 MAINE ST BRUNSWICK ME 04011 010505078 REAL ESTATE MGMT ME PAMC C CORP 0 0 1.00000 true false false false true true false false false false false true true true true true true false false true PARKVIEW MEDICAL ARTS BUILDING S 101469 FMV