2014-05-07T07:57:09-05:00 2013-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2013-01-01 010376890 Pines Health Services PINE 2074982356 PO Box 40 Caribou ME 04736 James M Davis Chief Executive Officer 2074982356 2014-05-05 1 Barbara J McGuan CPA P00219457 2077752387 2014-05-02 2013 2015-11-30 17:44:51Z James M Davis PO Box 40 Caribou ME 04736 20091649 0 X N/A X 1981 ME Group of health centers serving northern Maine. Five of the centers have FQHC designation. 12 12 173 13 0 0 3786234 3842833 15556399 16245548 363 -66 0 0 19342996 20088315 0 0 0 0 12727552 13946984 0 0 0 6308165 5852749 19035717 19799733 307279 288582 6522927 6904474 1582931 1675885 4939996 5228589 X Multi-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. 1 0 4430635 4823529 Family Practice Services provide general care to families. The services are performed by physicians, physician assistants, and family nurse practitioners. This service has been provided since the date of inception. 1752242 1206967 Internal Medicine Services provide internal medicine to patients with more severe medical complications. The services are performed by physicians. This service has been provided since the date of inception. 2054606 2186922 Obstetrical and gynecological services are provided to female patients. These services are performed by physicians & Certified Nurse Midwives. This service has been provided since the date of inception. 9869131 8028130 Various other medical services provided to patients. 9869131 8028130 18106614 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 53 0 1 173 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Anthony Lahey 2074982356 PO Box 40 Caribou ME 04736 Norm Collins Chair 1.00 X X 0 0 0 Kris Doody Director 1.00 X 0 0 0 Darlene Higgins Past Vice Chair 1.00 X X 0 0 0 Dana Rattray Vice Chair 1.00 X X 0 0 0 Betty Hatch Director 1.00 X 0 0 0 Tanya Sleeper Director 1.00 X 0 0 0 Jane White-McCall Secretary/Treasurer 1.00 X X 0 0 0 Tim Poitras Director 1.00 X 0 0 0 Chris Bell Director 1.00 X 0 0 0 Shawn Rogers Director 1.00 X 0 0 0 Peter Doebener Director 1.00 X 0 0 0 Kevin Barnes Director 1.00 X 0 0 0 Steve Rogeski Director 1.00 X 0 0 0 James Davis Chief Executive Officer 40.00 X 119999 0 13402 Lisa Caron Chief Operating Officer 40.00 X 75870 0 15895 Jean-Pierre Michaud Orthopedic Surgeon 40.00 X 637394 0 18316 Carl Flynn Family Physician 40.00 X 422098 0 20797 Brian Wall OB/GYN 40.00 X 365492 0 20797 Scott Walton Physician Assistant 40.00 X 343271 0 19992 Natania Piper Urologist 40.00 X 334592 0 20958 2298716 0 130157 35 0 1 0 Weatherby Locums PO Box 972633 Dallas TX 75397 Locum Placements 2070811 Access Psychiatry LLC PO Box 31172 St Louis MO 63131 Telepsych Services 305120 A&L Construction Inc PO Box 1613 Presque Isle ME 04769 Architectural Services 243245 Aroostook Mental Health Services 43 Hatch Drive Caribou ME 04736 Behavioral Health Services 214739 4 1142833 2700000 3842833 Patient Service Rev. 621110 19492059 19492059 Income Guarantee 621110 4244310 4244310 EMR Revenue 621110 267750 267750 Bad Debt Expense 621110 -670895 -670895 Contractual/Char. Adj. 621110 -7087676 -7087676 16245548 268 268 3000 3334 -334 -334 -334 20088315 16245548 0 -66 X 225166 225166 11845222 11489038 356184 70606 69669 937 1131830 1059572 72258 674160 631238 42922 3186461 3016535 169926 97968 97968 414090 262012 152078 155346 155346 514886 496266 18620 114592 41800 72792 13466 13466 351024 161537 189487 377509 325816 51693 Medical Supplies 363900 363900 CME 94312 94312 Moving Expenses 87742 87742 Physical Plant Expenses 81453 81453 19799733 18106614 1693119 0 355150 522452 75399 75666 3004906 2700000 1200689 1413899 4888 0 47200 43233 12411 38754 3719026 1844443 1586397 1874583 10884 10884 225003 225003 6522927 6904474 1164240 1249331 76888 418691 349666 1582931 1675885 X 1939996 2528589 3000000 2700000 4939996 5228589 6522927 6904474 288582 11 0 X 0 1 X 1 1 1 X 4157101 3631412 3937888 3786234 3842833 19355468 4157101 3631412 3937888 3786234 3842833 19355468 19355468 36 363 268 667 19356135 71050703 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 40025 40025 1167347 791914 375433 2258757 1052529 1206228 252897 252897 1874583 20088315 0 20088315 0 20088315 19799733 0 19799733 0 19799733 X X X 0 0 0 0 0 0 0 0 0 Jean-Pierre Michaud Orthopedic Surgeon 637394 0 0 0 0 0 2550 0 15766 0 655710 0 0 0 Carl Flynn Family Physician 422098 0 0 0 0 0 2550 0 18247 0 442895 0 0 0 Brian Wall OB/GYN 365492 0 0 0 0 0 2550 0 18247 0 386289 0 0 0 Scott Walton Physician Assistant 343271 0 0 0 0 0 1644 0 18348 0 363263 0 0 0 Natania Piper Urologist 334592 0 0 0 0 0 2550 0 18408 0 355550 0 0 0 Cary Medical Center An entity of which Kris Doody, current director, is an officer 225522 Lease of Property 0 Cary Medical Center An entity of which Kris Doody, current director, is an officer 596260 Pines 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 35000 Pines 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 2700000 Pines 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 4244310 Pines 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 Form 990, Part III, line 2 Pines Health Services began offering Hematology/Oncology services in 2013 as a way to offer a more comprehensive service to its patients. This service is new to the Organization. Form 990, Part VI, Section B, line 11 Pines 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 12c Annually, 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 15 For 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 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part IX, line 11g Billing Services: Program service expenses 276,254. Management and general expenses 0. Fundraising expenses 0. Total expenses 276,254. Support Services: Program service expenses 603,983. Management and general expenses 0. Fundraising expenses 0. Total expenses 603,983. Professional Fees: Program service expenses 2,136,298. Management and general expenses 169,926. Fundraising expenses 0. Total expenses 2,306,224.