2012-03-29T10:11:25-05:00 2011-03-31 MAINEHEALTH 110 FREE ST PORTLAND ME 041013908 990 2010-04-01 010285286 PENOBSCOT BAY MEDICAL CENTER PENO 2075946747 4 WHITE STREET ROCKLAND ME 048412953 MAURA KELLY 2075946747 2012-03-22 false 2012-03-29 2010 2016-02-24 21:20:13Z MAURA KELLY 4 WHITE STREET ROCKLAND ME 048412953 108192576 false X WWW.PENOBSCOTBAYMEDICALCENTER.ORG X 1969 ME PENOBSCOT BAY MEDICAL CENTER IS AN ACCUTE 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 & GYNECOLOGY DEPARTMENT, AND THE PSYCHIATRIC ADDICTION & RECOVERY CENTER. 5 3 1424 162 0 481375 593380 104534781 106544140 464519 370672 3343849 684384 108824524 108192576 0 0 55375195 54571039 0 432697 53958008 51820666 109333203 106391705 -508679 1800871 95160011 99565926 42326328 44007798 52833683 55558128 X PENOBSCOT BAY MEDICAL CENTER IS AN ACCUTE 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 & GYNECOLOGY DEPARTMENT, AND THE PSYCHIATRIC ADDICTION & RECOVERY CENTER. false false 78670709 86770430 INPATIENT 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. PENOBSCOT BAY MEDICAL CENTER SERVED 4,117 INPATIENTS, INCLUDING NEWBORNS AND (CONTINUED ON SCHEDULE O) (CONTINUED FROM PART III, LINE 4A) 180,886 OUTPATIENTS INCLUDING, ER VISITS, DURING FY 11. 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 22,519 VISITS TO THE EMERGENCY ROOM DURING FY 11. 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 COSTS OF PROVIDING CARE TO THESE PATIENTS WERE 82,577,382. DURING FY 11, APPROXIMATELY 58% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 3,191,732 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 11 THE COMMUNITY CONTRIBUTED APPROXIMATELY 13,400 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. 6692796 7381868 PHYSICIAN PRACTICES - PEN BAY PHYSICIAN AND ASSOCIATES, A GROUP OF DEPARTMENTS OF PENOBSCOT BAY MEDICAL CENTER, IS COMPOSED OF 18 PRACTICES COVERING MANY SPECIALITIES. 8752567 9653707 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. 2482539 2738135 PEN BAY BEHAVIORAL HEALTH PHYSICIANS. 2482539 2738135 96598611 true true false true false false false false false true true false false true true false 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 89 0 true 1424 true false false false false false false false false false false X 5 3 false false true false true true true true true false false true true true true true true true true true true ME X LYNN SOUCY 2075946747 4 WHITE STREET ROCKLAND ME 048412953 JOEL D LAFLEUR MD 40.00 X X 0 265840 20916 BETH KOESTER MD 40.00 X X 0 37910 1420 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 DANA GOLDSMITH 40.00 X 254028 19552 20472 MAURA KELLY 40.00 X 207498 0 16015 ERIC WATERS 40.00 X 154225 0 15948 PAULA DELAHANTY 40.00 X 139894 0 7373 CHRISTOPHER MICHALAKES 40.00 X 278732 0 12846 FREDERICK GOGGANS 40.00 X 262388 0 22339 NADIA RAMDIN 40.00 X 256829 0 13950 KAREN BACKMAN 40.00 X 247395 0 22839 MCKENZIE ABENDROTH 40.00 X 246428 0 8314 WILLIAM MASTER MD 1.00 X 0 195849 17773 2047417 519151 180205 32 true true false ATTORNEY CARL TRYNOR PO BOX 4290 PORTLAND ME 04101 COLLECTIONS 187774 PENOBSCOT BAY PATHOLOGY ASSOCIATES PO BOX 1849 LEWISTON ME 04240 PATHOLOGY SERV. 177500 DAVID HALL MD 905 BARNSTOWN ROAD HOPE ME 04847 PHYSICIAN SERV. 128960 ANDREW FILDERMAN MD 4 GLEN COVE DRIVE ROCKPORT ME 04856 PHYSICIAN SERV. 112000 4 111477 481903 593380 INPATIENT CARE 624100 86770430 86770430 PEN BAY PHYSICIANS & ASSOC. 623000 9653707 9653707 KNOX CENTER FOR LT CARE 621110 7381868 7381868 OTHER 624100 2738135 2738135 106544140 379009 379009 -8337 -8337 -8337 -8337 OTHER REVENUE 621990 370553 370553 MRI REVENUE 624100 313831 313831 684384 108192576 107599196 1018409 963044 55365 41838967 39564368 2274599 931647 880997 50650 8015236 7579483 435753 2766780 2616362 150418 4582428 4149731 432697 67692 67692 4783 4783 16055 16055 2961 2800 161 3562115 3368459 193656 231869 219263 12606 3337511 3156065 181446 434953 411307 23646 1462681 1383162 79519 5740151 5427887 312264 1577018 1491282 85736 SUPPLIES & OTHER 23292626 22026309 1266317 PROVISION FOR BAD DEBTS 5046521 5046521 HEALTH CARE PROVIDER TAX 2461302 2461302 106391705 96598611 9360397 432697 1199596 7174520 6073300 2679627 1750 11213846 13397738 7529437 196648 1411923 1606055 1073807 1436464 116433656 75222672 43186869 41210984 16570613 17747524 6900620 14114616 95160011 99565926 14416105 12978816 27690592 26299017 646595 219631 4083370 42326328 44007798 X 45348507 47583279 2364811 2654704 5120365 5320145 52833683 55558128 95160011 99565926 X 1800871 923574 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false false false false false true 16055 16055 false false false false false SCHEDULE C, PART II-B, LINE 1I A PORTION OF MEMBERSHIP DUES PAID TO VARIOUS ORGANIZATIONS REPRESENT LOBBYING ACTIVITIES. LOBBYING PORTION OF AHA DUES: 5,673 LOBBYING PORTION OF MHA DUES: 8,340 LOBBYING PORTION OF MHCA DUES: 2,042 false false false false false false false 5120364 199781 5320145 4475854 644510 5120364 5637758 -1161904 4475854 1.00000 false false false 951091 951091 47836662 25395219 22441443 1778922 1373851 405071 64995939 48453602 16542337 871042 871042 41210984 DUE FROM THIRD PARTY 5735000 INVESTMENT IN FIRST MAINE CAPTIVE 2944394 TRUSTEE HELD BOND FUNDS 1676723 PREPAID LIFE INSURANCE 1468282 DUE FROM AFFILIATES 1149385 OTHER ASSETS 675291 BOND ISSUE COSTS 455684 RESIDENT ACCOUNTS & DEPOSITS 9857 14114616 DUE TO MAINEHEALTH & MEMBERS 3506079 DUE TO THIRD PARTY 567434 RESIDENT ACCOUNTS 9857 CAPITAL LEASES PAYABLE 4083370 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. true true true X true X true true true false false 3945457 3945457 0.03710 15683881 13399932 2283949 0.02150 19629338 13399932 6229406 0.05860 119986 136151 -16165 119986 136151 -16165 19749324 13536083 6213241 0.05860 91555 69141 22414 0.00020 129742 75000 54742 0.00040 221297 144141 77156 0.00060 false 2891657 25316842 32869388 -7552546 X true true 1 1 PENOBSCOT BAY MEDICAL CENTER

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X X X PENOBSCOT BAY MEDICAL CENTER 1 6 PEN BAY PHYSICIANS & ASSOCIATES

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PHYSICIAN PRACTICES THE KNOX CENTER FOR LONG TERM CARE

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LONG TERM CARE PEN BAY SLEEP CENTER

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SLEEP CENTER PEN BAY PHYSICAL THERAPY

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PHYSICAL THERAPY PEN BAY OCCUPATIONAL THERAPY

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OCCUPATIONAL THERAPY PEN BAY PHYSICAL THERAPY

116 UNION STREET ROCKPORT ME 04856

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 PBH 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 PBH THESE POLICIES DEFINE FREE CARE SERVICES AS THOSE SERVICES FOR WHICH NO PAYMENT IS ANTICIPATED IN ASSESSING A PATIENTS ELIGIBILITY FOR FREE CARE PBH UTILIZES FEDERALLY ESTABLISHED POVERTY GUIDELINES FREE CARE PROVIDED IS NOT INCLUDED IN NET PATIENT SERVICE REVENUE AND IS MEASURED BASED ON PBHS 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 PBMC 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 OPPORUNITIES 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 WE ARE CONTINUALLY ASSESSING THE NEEDS OF THE COMMUNITIES WE SERVE TO THE EXTENT POSSIBLE IN REGARD TO HEALTH CARE SERVICES AND AVAILABILITY SEE PROGRAM SERVICE ACCOMPLISHMENTS PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE PART VI PATIENTS ARE NOTIFIED OF ASSISTANCE OPPORUNITIES 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 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 X X X X X false false false false false false false false false JOEL D LAFLEUR MD 265840 6125 14791 286756 DANA GOLDSMITH 254028 19552 5710 14762 274500 19552 MAURA KELLY 207498 5125 10890 223513 ERIC WATERS 154225 4000 11948 170173 CHRISTOPHER MICHALAKES 278732 9800 3046 291578 FREDERICK GOGGANS 262388 9800 12539 284727 NADIA RAMDIN 256829 6125 7825 270779 KAREN BACKMAN 247395 9800 13039 270234 MCKENZIE ABENDROTH 246428 8314 254742 WILLIAM MASTER MD 195849 4264 13509 213622 MHHEFA SERIES 2003D 010314384 560425QS2 2003-10-16 36540048 BUILDINGS & FACILITIES false false false MHHEFA SERIES 2004A 010314384 560425TL4 2004-06-03 74141027 BUILDING & FACILITIES false false false MHHEFA SERIES 2006F 010314384 560425G20 2006-09-07 91723676 BUILDING & FACILITIES false false false MHHEFA SERIES 2007B 010314384 560425V80 2007-11-01 72040461 BUILDING & FACILITIES false false false 243334 2004 false false true true 186667 2006 false false true true 105783 2007 false false true true 156667 2007 false false true true false false false false true true false false false false true true false false false false true true false false false false true true false false false false false false false false false false false false false false false false false false false false false false 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 BUILDING & FACILITIES false false false MHHEFA SERIES 2006F 010314384 560425G20 2006-09-07 91723676 BUILDING & FACILITIES false false false MHHEFA SERIES 2007B 010314384 560425V80 2007-11-01 72040461 BUILDING & FACILITIES false false false 243334 2004 false false true true 186667 2006 false false true true 105783 2007 false false true true 156667 2007 false false true true false false false false true true false false false false true true false false false false true true false false false false true true false false false false false false false false false false false false false false false false false false false false false false false false ORGANIZATION'S MISSION FORM 990 - ORGANIZATION'S MISSION PENOBSCOT BAY MEDICAL CENTER IS AN ACCUTE 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 & GYNECOLOGY DEPARTMENT, AND THE PSYCHIATRIC ADDICTION & RECOVERY CENTER. FIRST ACHIEVEMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4A (CONTINUED FROM PART III, LINE 4A) 180,886 OUTPATIENTS INCLUDING, ER VISITS, DURING FY 11. 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 22,519 VISITS TO THE EMERGENCY ROOM DURING FY 11. 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 COSTS OF PROVIDING CARE TO THESE PATIENTS WERE 82,577,382. DURING FY 11, APPROXIMATELY 58% OF SERVICES WERE TO PATIENTS COVERED BY THESE GOVERNMENTAL PROGRAMS. ADDITIONALLY, PENOBSCOT BAY MEDICAL CENTER PROVIDED 3,191,732 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 11 THE COMMUNITY CONTRIBUTED APPROXIMATELY 13,400 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 ACHIEVEMENTS DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D PEN BAY BEHAVIORAL HEALTH PHYSICIANS. SIGNIFICANT CHANGES TO ORGANIZATIONAL DOCUMENTS FORM 990, PAGE 6, PART VI, LINE 4 EFFECTIVE JANUARY 1, 2011, PEN BAY HEALTHCARE (PBH) (PARENT COMPANY OF PENOBSCOT BAY MEDICAL CENTER) BECAME A MEMBER ORGANIZATION OF MAINEHEALTH, WITH MAINEHEALTH BECOMING THE SOLE CORPORATE MEMBER OF PBH. THE BY-LAWS WERE REVISED TO REFLECT THIS CHANGE. 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 (EIN01-0431680), 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 FINANCE COMMITTEE PERFORMS A DETAILED REVIEW OF THE FORM 990. THE FORM 990 IS THEN MADE AVAILABLE TO THE FULL BOARD. A FINAL DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE CHIEF FINANCIAL OFFICER 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. OTHER CHANGES IN NET ASSETS EXPLANATION FORM 990, PART XI, LINE 5 OTHER CHANGES TO NET ASSETS INCLUDE THE FOLLOWING: 6,394 INVESTMENT INCOME EARNED ON TEMPORARILY RESTRICTED NET ASSETS 67,104 OTHER INCOME 850,074 TOTAL INCREASE IN THE MARKET VALUE OF UNRESTRICTED, TEMP RESTRICTED AND PERM RESTRICTED INVESTMENTS. QUARRY HILL 4 WHITE STREET ROCKLAND ME 04841 010213976 LT CARE ME 501C3 11C PEN BAY HC false PEN BAY HEALTHCARE 4 WHITE STREET ROCKLAND ME 04841 222494475 ADMIN. ME 501C3 9 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 11C PEN BAY HC false PENOBSCOT BAY PHYSICIANS & ASSOC 4 WHITE STREET ROCKLAND ME 04841 010530517 PHYS. SVCS ME 501C3 11C PB MED CEN false 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 false false false true false false false false false false true true true true true true false false PEN BAY PHYSICIANS & ASSOC L 13289799 PHYSICIAN SALARIES