2013-11-14T12:52:25-06:00 2013-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2012-07-01 010538534 Bangor Nursing & Rehabilitation Center BANG 2079474557 103 Texas Avenue Bangor ME 04401 Phillip Bennett 2079474557 2013-11-14 1 Barbara J McGuan CPA P00219457 2077752387 2013-11-14 2012 2016-02-24 21:20:13Z Phillip Bennett 103 Texas Avenue Bangor ME 04401 5785611 0 X N/A X 2001 ME Long-term care nursing facility 16 16 142 27 0 0 9486 10040 5637258 5629206 1726 135 144785 144449 5793255 5783830 0 0 0 0 3053600 2882803 0 0 0 2750769 2976963 5804369 5859766 -11114 -75936 3745296 3637982 380365 348987 3364931 3288995 It is the mission of the Bangor Nursing and Rehabilitation Center to provide the highest level of care with the highest level of quality, competency and professionalism that focuses on the health and well-being of the community it serves. 0 0 5148859 5629206 BNRC is a 60-bed skilled nursing facility providing complex nursing and rehabilitation care to a significantly large sub-acute population with short average lengths of stay. 5148859 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 20 0 1 142 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 0 1 0 0 ME X Phillip Bennett 2079474557 103 Texas Ave Bangor ME 04401 Carolanne Dube 1.00 X X 0 0 0 Jon Pottle Esq 1.00 X 0 0 0 G Clifton Eames 1.00 X 0 0 0 Nichi Farnham 1.00 X 0 0 0 Kenneth Huhn 1.00 X 0 0 0 Patrick Kelly 1.00 X X 0 0 0 Larry Lavigne 1.00 X 0 0 0 Garrett Martin MD 1.00 X 0 0 0 Clare Hudson Payne Esq 1.00 X 0 0 0 Andrew Sturgeon 4.00 X X 0 0 0 Allen Campbell 1.00 X 0 0 0 Stephen Rich 1.00 X 0 0 0 Deborah Cyr 1.00 X X 0 0 0 James Tyler 1.00 X 0 0 0 Helen Burlock 1.00 X 0 0 0 Mary Prybylo 1.00 X 0 0 0 Frank McGarry 1.00 X 0 0 0 Phillip Bennett 40.00 X 89328 0 9230 89328 0 9230 0 0 0 0 Unidine Corporation 100 Washington Street Suite 510 Boston MA 02118 Food Services 486144 Miller Drug 210 State Street Bangor ME 04401 Pharmacy 273560 Healthcare Services Group Inc 3220 Tillman Dr Ste 300 Bensalem PA 19020 Housekeep, Laundry & Maint Services 242507 North Country Associates 179 Lisbon Street Lewiston ME 04243 Management, Nursing & Data Processing 172941 4 10040 10040 Resident Revenue 623000 9758827 9758827 Other Revenue 900099 6680 6680 Contractual Adjustment 623000 -4136301 -4136301 5629206 1916 1916 144449 0 144449 144449 144449 1781 -1781 -1781 -1781 5783830 5629206 0 144584 X 91424 91424 2244081 2111059 133022 341143 312479 28664 206155 193935 12220 10157 10157 22271 22271 1226699 1107015 119684 25771 25771 88490 43743 44747 137929 137929 254542 254542 5801 3361 2440 6982 3286 3696 1223 1223 215354 215354 112560 61729 50831 Medical Supplies 489550 489550 Provider Tax Expense 335444 335444 Bad Debt 12539 12539 Miscellaneous 10760 10760 20891 16139 4752 5859766 5148859 710907 0 721412 269981 253547 705110 612229 574961 12643 24448 99186 95487 5505397 3782346 1838520 1723051 207759 244944 3745296 3637982 357014 335656 23351 13331 380365 348987 X 3364931 3288995 3364931 3288995 3745296 3637982 -75936 0 X 1 X 0 1 0 X 256780 362741 15612 9486 10040 654659 5487949 6079356 5967428 5637258 5629206 28801197 5744729 6442097 5983040 5646744 5639246 29455856 0 0 0 29455856 153646 150976 146216 146689 146365 743892 153646 150976 146216 146689 146365 743892 5898375 6593073 6129256 5793433 5785611 30199748 0.97540 0.97520 0.02460 0.02480 X 0 0 0 0 0 0 0 0 1 535 535 0 Explanation of Lobbying Activities: Part II-B, Line 1: The Organization pays dues to various organizations, a portion of which is attributable to lobbying. 4663837 3208356 1455481 790441 563875 226566 51119 10115 41004 1723051 Estimated Third-Party Payor Settlements 242399 Deposits - Patient Trust 2545 244944 5783830 0 5783830 0 5783830 5859766 0 5859766 0 5859766 Form 990, Part VI, Section A, line 6 Any person, group of persons, corporation or association with an interest in or expertise useful for the provision of medical, rehabilitative, and support services to individuals served by or who qualify for services by the corporation, shall be eligible to be a voting member. Employees of Bangor Nursing and Rehabiliation Center cannot be members. Form 990, Part VI, Section A, line 7a The Board of Directors are elected by the members at the annual meeting. Form 990, Part VI, Section B, line 11 The Form 990 is reviewed by the finance committee and is presented to the full board before it is filed. Form 990, Part VI, Section B, line 12c A copy of the conflict of interest policy is given to every officer, board member, and key employee on an annual basis, along with an annual disclosure statement, listing any known financial interest that the individual, or a member of the individual's family, has in any business entity that transacts business with the organization. The executive committee of the board then reviews and maintains the disclosure statements for future reference. If a conflict arises, the board member will recuse themself from participation in the deliberations and decisions relating to the conflict. The administrator personally approves contracts, dealings with subcontractors, and any internal hires to ensure that there is no conflict of interest. The Organization also maintains an electronic disclosure policy that requires an annual manager review and sign off. The board is also made aware of any contractors of consequence and is alerted to any potential conflicts of interest. Form 990, Part VI, Section B, line 15a The compensation packages of officers and key employees are determined by independent members of the board. The compensation arrangements are approved in advance and are based upon appropriate comparability data. The deliberations and decisions made by the board are contemporaneously substantiated in written meeting minutes. Comparability data involves looking to compensation levels paid by similarly situated organizations for functionally comparable positions, including the use of compensation surveys and studies from outside organizations. Form 990, Part VI, Section C, line 19 The Organization maintains copies of these documents on file. They are made available to the public upon request. Other Fees Form 990, Part IX, line 11g Consultant Services: Program service expenses 10,656. Management and general expenses 89,022. Fundraising expenses 0. Total expenses 99,678. Service Contracts: Program service expenses 731,004. Management and general expenses 21,621. Fundraising expenses 0. Total expenses 752,625. Contract Labor: Program service expenses 340,280. Management and general expenses 0. Fundraising expenses 0. Total expenses 340,280. Outside Services: Program service expenses 25,075. Management and general expenses 9,041. Fundraising expenses 0. Total expenses 34,116.