PINES HEALTH SERVICES: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PINES HEALTH SERVICES (EIN 01-0376890)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-05-02
IRS object ID
201611239349301286
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-02T15:58:43-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP041041100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010376890EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Pines Health ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlPINEBusinessNameControlTxt
Phone2074982356PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 40AddressLine1Txt
CityCaribouCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04736ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJames M DavisPersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone2074982356PhoneNum
Signature2016-04-26SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph R Byrne CPAPreparerPersonNm
PTINP01289281PTIN
Phone2077752387PhoneNum
Preparation2016-04-26PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-09-27 15:27:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJames M DavisPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 40AddressLine1Txt
CityCaribouCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04736ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$22,465,713GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.pineshealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1981FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionGroup of health centers serving northern Maine. Five of the centers have FQHC designation.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee185TotalEmployeeCnt
Total Volunteers12TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$3,527,579PYContributionsGrantsAmt
CY Contributions Grants$3,642,207CYContributionsGrantsAmt
PY Program Service Revenue$16,664,376PYProgramServiceRevenueAmt
CY Program Service Revenue$18,820,614CYProgramServiceRevenueAmt
PY Investment Income-$24,006PYInvestmentIncomeAmt
CY Investment Income-$21,350CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$20,167,949PYTotalRevenueAmt
CY Total Revenue$22,441,471CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$42,717CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$15,010,384PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,691,519CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$5,353,951PYOtherExpensesAmt
CY Other Expenses$6,750,614CYOtherExpensesAmt
PY Total Expenses$20,364,335PYTotalExpensesAmt
CY Total Expenses$21,484,850CYTotalExpensesAmt
PY Revenues Less Expenses-$196,386PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$956,621CYRevenuesLessExpensesAmt
Total Assets BOY$6,769,611TotalAssetsBOYAmt
Total Assets EOY$7,346,696TotalAssetsEOYAmt
Total Liabilities BOY$1,737,408TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,357,872TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$5,032,203NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,988,824NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMulti-specialty outpatient healthcare organization, promoting the development of quality health care, health care services and the development and operation of related activities necessary to encourage quality health care in Aroostook County.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,683,908ExpenseAmt
Revenue$5,167,320RevenueAmt
DescFamily Practice Services provide general care to families. The services are performed by physicians, physician assistants, and family nurse practitioners. The services have been provided since the date of inception.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$891,618ExpenseAmt
Revenue$661,417RevenueAmt
DescInternal Medicine Services provide internal medicine to patients with more severe medical complications. The services are performed by physicians. The services have been provided since the date of inception.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,006,240ExpenseAmt
Revenue$2,168,489RevenueAmt
DescObstetrical and gynecological services are provided to female patients. These services are performed by physicians & Certified Nurse Midwives. The services have been provided since the date of inception.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$11,353,218ExpenseAmt
Grant$42,717GrantAmt
Revenue$10,823,388RevenueAmt
DescVarious other medical services provided to patients.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$11,353,218TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$42,717TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$10,823,388TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$19,934,984TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document58IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee185EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Anthony LaheyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2074982356PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 40AddressLine1Txt
CityCaribouCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04736ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Betty Hatch
Director1.00Yes (X)$210$0$0
Chris Bell
Director1.00Yes (X)$330$0$0
Dana Rattray
Vice Chair1.00Yes (X)$330$0$0Yes (X)
John Pelletier
Director1.00Yes (X)$300$0$0
Kevin Barnes
Director1.00Yes (X)$330$0$0
Kris Doody
Director1.00Yes (X)$0$0$0
Norm Collins
Chair1.00Yes (X)$360$0$0Yes (X)
Peter Doebener
Secretary/Treasurer1.00Yes (X)$420$0$0Yes (X)
Steve Rogeski
Director1.00Yes (X)$0$0$0
Tanya Sleeper
Director1.00Yes (X)$150$0$0
Tim Poitras
Director1.00Yes (X)$210$0$0
Jane White-McCall
Past Secretary/Treasurer1.00Yes (X)$0$0$0Yes (X)
James Davis
Chief Executive Officer40.00$135,496$0$15,058Yes (X)
Lisa Caron
Chief Operating Officer40.00$100,194$0$14,250Yes (X)
Jean-Pierre Michaud
Orthopedic Surgeon40.00$724,140$0$15,999Yes (X)
Allan Espinosa
Hematologist/Oncologist40.00$476,530$0$18,074Yes (X)
Carl Flynn
Family Practice Physician40.00$452,333$0$18,798Yes (X)
Murad Bani Hani
General Surgeon40.00$383,997$0$6,968Yes (X)
Brian Wall
Obstetrician/Gynecology40.00$382,525$0$20,476Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,657,855TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$109,623TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K39IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Weatherby Locums
PO Box 972633DallasTX75397Locum Services$1,679,333
Cary Medical Center
163 Van Buren RoadCaribouME04736Various$1,144,211
Vista Staffing Solutions
275 East 200 SouthSalt Lake CityUT84111Locum Services$440,226
CompHealth
PO Box 972651DallasTX75397Locum Services$312,261
Aroostook Mental Health Center
43 Hatch DriveCaribouME04736Contracted Behavior Health Providers$205,373
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt
Government Grants$1,642,207GovernmentGrantsAmt
All Other Contributions$2,000,000AllOtherContributionsAmt
Total Contributions$3,642,207TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Rev.621110$19,813,393$19,813,393
Income Guarantee621110$4,841,645$4,841,645
Meaningful Use Revenue621110$153,000$153,000
Bad Debt Expense621110-$561,690-$561,690
Contractual/Char. Adj.621110-$5,425,734-$5,425,734
FieldValueIRS element (for citing)
Total Program Service Revenue$18,820,614TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,892TotalRevenueColumnAmt
Exclusion$2,892ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$24,242OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$24,242OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$24,242TotalRevenueColumnAmt
Exclusion-$24,242ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,441,471TotalRevenueColumnAmt
Related Or Exempt Func Income$18,820,614RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$21,350ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$42,717TotalAmt
Program Services$42,717ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$267,638TotalAmt
Management And General$267,638ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,237,272TotalAmt
Program Services$11,933,201ProgramServicesAmt
Management And General$304,071ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$76,725TotalAmt
Program Services$76,169ProgramServicesAmt
Management And General$556ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,423,089TotalAmt
Program Services$1,396,218ProgramServicesAmt
Management And General$26,871ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$686,795TotalAmt
Program Services$646,604ProgramServicesAmt
Management And General$40,191ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,434,554TotalAmt
Program Services$3,298,269ProgramServicesAmt
Management And General$136,285ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$77,803TotalAmt
Management And General$77,803ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$375,593TotalAmt
Program Services$201,512ProgramServicesAmt
Management And General$174,081ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$146,348TotalAmt
Management And General$146,348ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$822,920TotalAmt
Program Services$793,382ProgramServicesAmt
Management And General$29,538ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$158,458TotalAmt
Program Services$59,595ProgramServicesAmt
Management And General$98,863ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$5,667TotalAmt
Program Services$5,667ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$414,914TotalAmt
Program Services$221,456ProgramServicesAmt
Management And General$193,458ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$461,852TotalAmt
Program Services$407,689ProgramServicesAmt
Management And General$54,163ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Medical Supplies$621,216$621,216
Physical Plant Expenses$118,655$118,655
CME$112,634$112,634

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$21,484,850TotalAmt
Program Services$19,934,984ProgramServicesAmt
Management And General$1,549,866ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$626,445BOYAmt
EOY$424,516EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$385,995BOYAmt
EOY$1,698,197EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,500,000BOYAmt
EOY$2,097,657EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,284,416BOYAmt
EOY$1,428,443EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$40,050BOYAmt
EOY$43,487EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$66,116BOYAmt
EOY$70,957EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,828,016LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,495,798LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,630,078BOYAmt
EOY$1,332,218EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$9,606EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$225,003BOYAmt
EOY$225,003EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,508BOYAmt
EOY$16,612EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$6,769,611BOYAmt
EOY$7,346,696EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,424,323BOYAmt
EOY$1,308,169EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$42,927BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$270,158BOYAmt
EOY$49,703EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,737,408BOYAmt
EOY$1,357,872EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,532,203BOYAmt
EOY$3,988,824EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,500,000BOYAmt
EOY$2,000,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,032,203BOYAmt
EOY$5,988,824EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$6,769,611BOYAmt
EOY$7,346,696EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$956,621ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,937,888CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,786,234CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,842,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,527,579CurrentTaxYearMinus1YearAmt
Current Tax Year$3,642,207CurrentTaxYearAmt
Total$18,736,741TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,937,888CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$3,786,234CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$3,842,833CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$3,527,579CurrentTaxYearMinus1YearAmt
Current Tax Year$3,642,207CurrentTaxYearAmt
Total$18,736,741TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$18,736,741PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$36CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$363CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$268CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$329CurrentTaxYearMinus1YearAmt
Current Tax Year$2,892CurrentTaxYearAmt
Total$3,888TotalAmt
FieldValueIRS element (for citing)
Total Support$18,740,629TotalSupportAmt
Gross Receipts Rltd Activities$80,335,013GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99980PublicSupportCY170Pct
Public Support PY1700.99990PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,025OtherCostOrOtherBasisAmt
Book Value$40,025BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,503,756OtherCostOrOtherBasisAmt
Depreciation$915,711DepreciationAmt
Book Value$588,045BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,284,235OtherCostOrOtherBasisAmt
Depreciation$1,580,087DepreciationAmt
Book Value$704,148BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,332,218TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$22,441,471TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$22,441,471RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$22,441,471TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$21,484,850TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$21,484,850ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$21,484,850TotalExpensesPerForm990Amt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Aroostook Area Agency on Aging
PO Box 1288Presque IsleME04769010322531501(c)(3)$15,000Maintenance on Van for Patient Transport
City of Caribou
25 High StreetCaribouME04736016000101Municipality$10,000Sponsorship of 2016 Caribou Marathon
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization provides grants and other assistance payments only to other 501(c)(3) organizations or governmental entities. Therefore, additional monitoring is not deemed necessary.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James Davis
Chief Executive Officer$135,496$0$0$0$0$0$1,385$0$13,673$0$150,554$0$0$0
Jean-Pierre Michaud
Orthopedic Surgeon$724,140$0$0$0$0$0$2,650$0$13,349$0$740,139$0$0$0
Allan Espinosa
Hematologist/Oncologist$476,530$0$0$0$0$0$0$0$18,074$0$494,604$0$0$0
Carl Flynn
Family Practice Physician$452,333$0$0$0$0$0$2,650$0$16,148$0$471,131$0$0$0
Murad Bani Hani
General Surgeon$383,997$0$0$0$0$0$0$0$6,968$0$390,965$0$0$0
Brian Wall
Obstetrician/Gynecology$382,525$0$0$0$0$0$2,192$0$18,284$0$403,001$0$0$0

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Cary Medical Center
An entity of which Kris Doody, current director, is an officer$225,522Lease of Property0
Cary Medical Center
An entity of which Kris Doody, current director, is an officer$554,826Pines Health Services receives housekeeping services and management and staffing services by Cary Medical Center, of which Kris Doody is Chief Executive Officer.0
Cary Medical Center
An entity of which Kris Doody, current director, is an officer$35,000Pines Health Services provides management and staffing services to Cary Medical Center, of which Kris Doody is the Chief Executive Officer.0
Cary Medical Center
An entity of which Kris Doody, current director, is an officer$2,000,000Pines Health Services received charitable contributions in the form of a community benefit grant from Cary Medical Center, of which Kris Doody is Chief Executive Officer.0
Cary Medical Center
An entity of which Kris Doody, current director, is an officer$4,841,645Pines Health Services received an income guarantee as part of a contractual relationship for the recruitment and retention of providers pertaining to the non-FQHC side of operations from Cary Medical Center.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2During 2015, the Organization participated in the 340B Contract Pharmacy Program.
Form 990, Part VI, Section B, line 11Pines Health Services has its Form 990 reviewed by the board prior to filing. The 990 is given to the CEO for review and forwarded to the Board of Directors to be discussed at a regularly scheduled Board of Directors meeting. If a meeting cannot be held prior to the submission deadline, the Organization forwards the 990 electronically to the Board of Directors for review and comment.
Form 990, Part VI, Section B, line 12cAnnually, the Board of Directors sign forms indicating there are no conflicts of interest. If a conflict is brought to the board's attention, appropriate action will take place depending on the situation. This includes not allowing the member to vote on issues where there is a conflict, or other actions deemed necessary and appropriate by the board.
Form 990, Part VI, Section B, line 15For executives, the Board Executive Committee will review local market conditions and other factors. The salary is set below the MGMA national median range for practices of comparable size group by number of physicians, revenues and number of employees. For key employees (physicians, mid level providers), salary is set based on the MGMA annual Physician Compensation & Productivity Survey.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part IX, line 11gBilling Services: Program service expenses 469,639. Management and general expenses 0. Fundraising expenses 0. Total expenses 469,639. Support Services: Program service expenses 218,586. Management and general expenses 0. Fundraising expenses 0. Total expenses 218,586. Professional Fees: Program service expenses 2,610,044. Management and general expenses 136,285. Fundraising expenses 0. Total expenses 2,746,329.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 1.263(a)-3(n) Election: Pines Health Services PO Box 40 Caribou, ME 04736 EIN: 01-0376890 Pines Health Services is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).

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