2013-08-12T14:04:09-05:00 2012-09-30 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2011-10-01 010285286 PENOBSCOT BAY MEDICAL CENTER PENO 2075946747 4 WHITE STREET ROCKLAND ME 048412953 MAURA KELLY 2075946747 2013-08-06 false 2013-08-12 2011 2016-02-25 16:41:14Z MAURA KELLY 4 WHITE ST ROCKLAND ME 048412953 106454970 false X WWW.PENOBSCOTBAYMEDICALCENTER.ORG X 1969 ME PENOBSCOT BAY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT OFFERS INPATIENT AND OUTPATIENT CARE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE SERVICES, PATIENT AND COMMUNITY EDUCATION, AND A FULL RANGE OF SPECIALTY SERVICES THROUGH THE EMERGENCY DEPARTMENT, SPECIAL CARE UNIT, SURGICAL SERVICES DEPARTMENT, OBSTETRICS AND GYNECOLOGY DEPARTMENT, AND THE PSYCHIATRIC ADDICTION & RECOVERY CENTER. 5 4 1285 178 285274 41475 659161 2962464 54518919 100591607 186395 552293 359719 2348606 55724194 106454970 0 0 26081168 55771949 0 0 28058632 54138457 54139800 109910406 1584394 -3455436 101037451 109517352 45060505 55586952 55976946 53930400 X PENOBSCOT BAY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL THAT OFFERS INPATIENT AND OUTPATIENT CARE, DIAGNOSTIC, THERAPEUTIC AND REHABILITATIVE SERVICES, PATIENT AND COMMUNITY EDUCATION, AND A FULL RANGE OF SPECIALTY SERVICES THROUGH THE EMERGENCY DEPARTMENT, SPECIAL CARE UNIT, SURGICAL SERVICES DEPARTMENT, OBSTETRICS AND GYNECOLOGY DEPARTMENT, AND THE PSYCHIATRIC ADDICTION & RECOVERY CENTER. false false 79909018 79086322 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 3,634 INPATIENTS, INCLUDING NEWBORNS AND 160,782 OUTPATIENTS INCLUDING ER VISITS, DURING FY 12. 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 21,888 VISITS TO THE EMERGENCY ROOM DURING FY 12. 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 85,962,394. DURING FY 12, APPROXIMATELY 58% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 4,312,959 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 12, THE COMMUNITY CONTRIBUTED APPROXIMATELY 10,535 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. 11153151 11038325 PHYSICIAN PRACTICES: PEN BAY PHYSICIAN AND ASSOCIATES, A GROUP OF DEPARTMENTS OF PENOBSCOT BAY MEDICAL CENTER, IS COMPOSED OF 18 PRACTICES COVERING MANY SPECIALITIES. 7220223 7145888 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. 3355619 3321072 PEN BAY BEHAVIORAL HEALTH PHYSICIANS. 3355619 3321072 101638011 true true false true false false false false false true true false false true true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 85 0 true 1285 true true true false false false false false false false false false X 5 4 false false false false true true true true true false false true true true true true true true true true true X LYNN SOUCY 2075946747 4 WHITE STREET ROCKLAND ME 048412953 X BETH KOESTER MD 1.00 X X 0 238968 10202 GREGORY A DUFOUR 1.00 X X 0 0 0 DAVID R WILLIAMS CPA 1.00 X X 0 0 0 JACOB GERRITSEN MD 1.00 X 0 0 0 EVERETT L SPEAR III 1.00 X X 0 0 0 DANA GOLDSMITH MD 40.00 X 250992 64128 22839 MAURA KELLY 40.00 X 187501 0 16426 ERIC WATERS 40.00 X 147985 0 19311 REGINALD ALBERT 40.00 X 140135 0 15715 PAULA DELAHANTY 40.00 X 118399 0 8175 WADE JOHNSON 40.00 X 0 0 0 NADIA RAMDIN MD 40.00 X 292615 0 17001 MCKENZIE ABENDROTH MD 40.00 X 274368 0 11985 CHRISTOPHER MICHALAKES MD 40.00 X 272802 0 14191 JAMES CURTIS MD 40.00 X 221720 0 26502 RICHARD CHANDLER MD 40.00 X 214029 0 16812 ROY A HITCHINGS JR 0.00 X 0 301436 26775 JOEL D LAFLEUR MD X 272072 0 26541 2392618 604532 232475 32 true true false ATTORNEY CARL TRYNOR PO BOX 4290 PORTLAND ME 04101 COLLECTIONS 184306 PEN BAY PATHOLOGY ASSOC PO BOX 1849 LEWISTON ME 04240 SERVICES 183375 DAVID HALL MD 905 BARNSTOWN RD HOPE ME 04847 SERVICES 109980 3 2541163 421301 2962464 INPATIENT & OUTPATIENT CARE 624100 79086322 79086322 PEN BAY PHYSICIANS & ASSOC. 621110 11038325 11038325 KNOX CENTER FOR LT CARE 623000 7145888 7145888 OTHER 624100 3321072 3321072 100591607 572783 572783 -20490 -20490 -20490 -20490 OTHER 621990 1137899 1137899 HEALTH CONNECTIONS 624100 380420 380420 MRI REVENUE 624410 365909 365909 464378 179104 285274 2348606 106454970 103207232 285274 901091 862595 38496 42179393 40377446 1801947 1036903 992605 44298 9015485 8630334 385151 2639077 2526333 112744 99538 99538 30570 30570 12821 12821 10493169 10044890 448279 199 190 9 584525 559553 24972 248057 237460 10597 4425554 4236490 189064 403651 386407 17244 1402684 1342760 59924 5637443 5396606 240837 1448317 1386443 61874 MEDICAL SUPPLIES 12228654 12228654 MEMBER FEES 4463039 4463039 PROVISION FOR BAD DEBTS 4344969 4344969 HEALTH CARE PROVIDER TAX 2620919 2620919 5694348 5463357 230991 109910406 101638011 8272395 0 1282851 11259 1309160 5437202 74577 14948020 15590086 238322 853402 1755849 1722468 1191440 1548334 120115425 79044004 42908886 41071421 16921398 18527830 20481525 24680773 101037451 109517352 11697764 11454431 24603231 23075905 418599 1939430 1526714 6820080 19111303 45060505 55586952 X 48417949 45529901 2660447 3182704 4898550 5217795 55976946 53930400 101037451 109517352 X -3455436 1408890 X X false true true X true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false false false true 12821 12821 false false false false false SCHEDULE C, PART II-B, LINE 1 A PORTION OF THE MEMBERSHIP DUES PAID TO THE MAINE HOSPITAL ASSOCIATION REPRESENT LOBBYING ACTIVITIES. false false false false false false false 4898550 319245 5217795 5320145 -421596 4898550 5120364 199781 5320145 4475854 644510 5120364 1.00000 false false false 951091 951091 49870273 27494732 22375541 1333609 1415252 -81643 65169249 50134020 15035229 2791203 2791203 41071421 ESTIMATED AMOUNTS FROM THIRD PARTY 14054058 PREPAID CAPITAL COSTS 4412730 INVESTMENT IN PINETREE INSURANCE CO. 3748017 TRUSTEE HELD FUNDS 809059 OTHER 703507 DUE FROM AFFILIATES 541077 BOND ISSUANCE COSTS 398929 RESIDENT ACCOUNT DEPOSITS 13396 PREPAID LIFE INSURANCE 24680773 DUE TO MAINEHEALTH AND MEMBERS 16928690 ESTIMATED AMOUNTS DUE TO THIRD PARTY 1299656 DUE TO AFFILIATES 869561 RESIDENT ACCOUNTS & DEPOSITS 13396 19111303 INTENDED USES FOR ENDOWMENT FUNDS SCHEDULE D, PAGE 2, PART V, LINE 4 TO BE INVESTED IN PERPETUITY TO PROVIDE A PERMANENT SOURCE OF INCOME. LIABILITY UNDER FIN 48 FOOTNOTE 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. true true true X 1.75000 true X 2.25000 true true false true true 4643639 4643639 0.04220 20533292 15980122 4553170 0.04140 25176931 15980122 9196809 0.08370 4178319 4178319 0.03800 133242 201811 -68569 4311561 201811 4109750 0.03800 29488492 16181933 13306559 0.12170 143586 143586 82319 82319 0.00070 225905 143586 82319 0.00070 false 2037790 24904964 35215190 -10310226 X true false 1 1 PENOBSCOT BAY MEDICAL CENTER

6 GLEN COVE DRIVE ROCKPORT ME 04856

X X X PENOBSCOT BAY MEDICAL CENTER 1 true true 175.0 true 225.0 true X true true X X X X X X true false X X X X true X false true 7 PEN BAY PHYSICIANS & ASSOCIATES

4 GLEN COVE DRIVE ROCKPORT ME 04856

PHYSICIAN PRACTICES THE KNOX CENTER FOR LONG TERM CARE

6 WHITE STREET ROCKLAND ME 04841

LONG TERM CARE PEN BAY SLEEP CENTER

7 MADELYN LANE ROCKPORT ME 04856

SLEEP CENTER PEN BAY PHYSICAL THERAPY

4 GLEN COVE DRIVE ROCKPORT ME 04856

PHYSICAL THERAPY PEN BAY OCCUPATIONAL THERAPY

4 GLEN COVE DRIVE ROCKPORT ME 04856

OCCUPATIONAL THERAPY PEN BAY PHYSICAL THERAPY

116 UNION STREET ROCKPORT ME 04856

PHYSICAL THERAPY PEN BAY PHYSICAL THERAPY

40 WASHINGTON ROAD WALDOBORO ME 04572

PHYSICAL THERAPY COSTING METHODOLOGY EXPLANATION PART I LINE 7 RATIO OF PATIENT CARE COSTS TO CHARGES PER WORKSHEET 2 OF THE INSTRUCTIONS COMMUNITY BUILDING ACTIVITIES PART II 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 WORKFORCE DEVELOPMENT NURSING EDUCATION PBMC PARTNERED WITH THE UNIVERSITY OF MAINE AT AUGUSTA TO PROVIDE COMMUNICATIONS TRAINING FOR NURSES AND OTHER EMPLOYEES BAD DEBT EXPENSE EXPLANATION PART III LINE 4 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 PATIENTS 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 PBHCS 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 MEDICARE EXPLANATION PART III LINE 8 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 COLLECTION PRACTICES EXPLANATION PART III LINE 9B PATIENTS ARE NOTIFIED OF ASSISTANCE OPPORTUNITIES VIA 1 PATIENT ADVOCATE 2 HOSPITAL FINANCIAL COUNSELOR 3 HOSPITAL POSTINGS IN VARIOUS OPTIONS 4 ON THE BACK OF EVERY BILL 5 COMMUNICATION WHEN CALLING OUR OFFICES NEEDS ASSESSMENT PART VI 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 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI SEE PART III LINE 9B COLLECTION OF PRACTICES EXPLANATION FOR METHODS BY WHICH PATIENTS ARE NOTIFIED OF ASSISTANCE OPPORTUNITIES COMMUNITY INFORMATION PART VI PENOBSCOT BAY MEDICAL CENTER IS A FULL SERVICE 99 BED COMMUNITY HOSPITAL SERVING THE PEOPLE OF MIDCOAST MAINE HEALTH OF COMMUNITY IN RELATION TO EXEMPT PURPOSE PART VI SEE PROGRAM SERVICE ACCOMPLISHMENTS AFFILIATED HEALTH CARE INFORMATION PART VI PENOBSCOT BAY MEDICAL CENTER IS AN ACUTE CARE HOSPITAL PROVIDING INPATIENT AND OUTPATIENT HOSPITAL SERVICES AS WELL AS EMERGENCY ROOM SERVICES PHYSICIANS PRACTICES AND LONG TERM CARE QUARRY HILL PROVIDES LONG TERM CARE SERVICES KNOWALLIN HOME HEALTH CARE PROVIDES INHOME HEALTH CARE AND HOSPICE SERVICES KNOWALLIN HELP AT HOME PROVIDES HOMEMAKER SERVICES ADDITIONAL INFORMATION PART VI 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 PENOBSCOT BAY MEDICAL CENTER LINE NUMBER 1 PART V LINE 19D PART V LINE 19D GROSS CHARGES ARE USE IN ALL SITUATIONS PENOBSCOT BAY MEDICAL CENTER LINE NUMBER 1 PART V LINE 21 PART V LINE 21 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 X X X X X false false false false false false false false false BETH KOESTER MD 238968 10202 249170 DANA GOLDSMITH MD 250992 56937 7191 4879 1246 13313 3401 269184 68775 MAURA KELLY 187501 4948 11478 203927 ERIC WATERS 147985 3861 15450 167296 REGINALD ALBERT 140135 294 15421 155850 NADIA RAMDIN MD 292615 6125 10876 309616 MCKENZIE ABENDROTH MD 265944 8424 1648 10337 286353 CHRISTOPHER MICHALAKES MD 264378 8424 9800 4391 286993 JAMES CURTIS MD 213620 8100 9800 16702 248222 RICHARD CHANDLER MD 206541 7488 6125 10687 230841 ROY A HITCHINGS JR 301436 9800 16975 328211 JOEL D LAFLEUR MD 272072 9800 16741 298613 MHHEFA SERIES 2003D 010314384 560425QS2 2003-10-16 36540048 BUILDINGS & FACILITIES false false false MHHEFA SERIES 2004A 010314384 560425TL4 2004-06-03 74141027 BUILDINGS & FACILITIES false false false MHHEFA SERIES 2006F 010314384 560425G20 2006-09-07 91723676 BUILDINGS & FACILITIES false false false MHHEFA SERIES 2007B 010314384 560425V80 2007-11-01 72040461 BUILDINGS & FACILITIES false false false 36540048 98766 2004 false false true true 74141027 76262 2006 false false true true 91723676 22503 2007 false false true true 72040461 63760 2007 false false true true false false false false false false true false false false false false false true false false false false false false true false false false false false false true true false false true FSA 19.7 true false false true false false true FSA 21.1 true false false true false false true FSA 29.8 true false false false false false true FSA 29.7 true false false MHHEFA SERIES 2003D 010314384 560425QS2 2003-10-16 36540048 BUILDINGS & FACILITIES false false false MHHEFA SERIES 2004A 010314384 560425TL4 2004-06-03 74141027 BUILDINGS & FACILITIES false false false MHHEFA SERIES 2006F 010314384 560425G20 2006-09-07 91723676 BUILDINGS & FACILITIES false false false MHHEFA SERIES 2007B 010314384 560425V80 2007-11-01 72040461 BUILDINGS & FACILITIES false false false 36540048 98766 2004 false false true true 74141027 76262 2006 false false true true 91723676 22503 2007 false false true true 72040461 63760 2007 false false true true false false false false false false true false false false false false false true false false false false false false true false false false false false false true true false false true FSA 19.7 true false false true false false true FSA 21.1 true false false true false false true FSA 29.8 true false false false false false true FSA 29.7 true false false ORGANIZATION'S MISSION 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. FIRST ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A (CONTINUED FROM PART III, LINE 4A) PENOBSCOT BAY MEDICAL CENTER SERVED 3,634 INPATIENTS, INCLUDING NEWBORNS AND 160,782 OUTPATIENTS INCLUDING ER VISITS, DURING FY 12. 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 21,888 VISITS TO THE EMERGENCY ROOM DURING FY 12. 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 85,962,394. DURING FY 12, APPROXIMATELY 58% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 4,312,959 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 12, THE COMMUNITY CONTRIBUTED APPROXIMATELY 10,535 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. ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D PEN BAY BEHAVIORAL HEALTH PHYSICIANS. CLASSES OF MEMBERS OR STOCKHOLDERS 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. ELECTION OF MEMBERS AND THEIR RIGHTS 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. DECISIONS SUBJECT TO APPROVAL OF MEMBERS 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. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY 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. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS 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 OF THE COMPENSATION. IN ADDITION, THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM AND INDUSTRY SURVEY. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR THE PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST. ADDITIONAL INFORMATION FORM 990, PART VII COLUMN B - AVERAGE HOURS PER WEEK AT RELATED ORGANIZATIONS ROY HITCHINGS WAS THE PRESIDENT & CEO OF PEN BAY HEALTHCARE (PBH) AND ITS AFFILIATES. HE DIVIDED HIS TIME AMONG ALL OF THE PBH ENTITIES. WADE JOHNSON IS THE PRESIDENT & CEO OF PBH AND ITS AFFILIATES. HE DIVIDES HIS TIME AMONG ALL OF THE PBH ENTITIES. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 OTHER CHANGES TO NET ASSETS INCLUDE THE FOLLOWING: 927,476 - INCREASE IN MV OF INVESTMENTS 244,059 - OTHER INCOME 146,669 - GAIN ON SALE OF TR INVESTMENTS 109,396 - INV. INCOME ON TR NET ASSETS (17,010) - MISC. FEES (1,700) - TRANSFER TO AFFILIATE 1,408,890 - TOTAL OTHER CHANGES IN NET ASSETS ADDITIONAL INFORMATION FORM 990, PART XII A-133 AUDIT - THE ORGANIZATION DID NOT HAVE A SEPARATE A-133 AUDIT. IT WAS PART OF THE CONSOLIDATED A-133 AUDIT OF ITS PARENT COMPANY, PEN BAY HEALTHCARE (EIN 22-2494475). 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 true MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 010431680 HEALTHCARE ME 501C3 11C NA false NEH MANAGEMENT COMPANY 4 WHITE STREET ROCKLAND ME 04841 010537278 MANAGEMENT ME PEN BAY HC C CORP true false true false false false false false false false true true true false false false false false PEN BAY PHYSICIANS & ASSOCIATES L 14598116 FAIR MARKET VALUE