2024-11-14T13:13:17-06:00 2023-12-31 010523282 Berry Dunn McNeil & Parker LLC 1000 Elm Street 4th Floor Manchester NH 03101 990 2023-01-01 010514750 Penobscot Community Health Center PENO 2079929200 103 Maine Avenue PO Box 1358 Bangor ME 04401 Lori L Dwyer President & CEO 2079929200 2024-11-09 1 1 Melissa Magoon CPA P01712842 6036697337 2024-11-09 2023 2024-10-15 13:58:12Z Lorelle L Dwyer 103 Maine Avenue PO Box 1358 Bangor ME 04401 109784602 0 X WWW.PCHC.COM X 1997 ME See Mission Statement on Schedule O 15 15 1081 24 66654 65654 22104411 11185485 81018248 97459676 6916 14794 270764 127058 103400339 108787013 0 176768 0 0 70164641 66941553 0 0 0 37474691 40913297 107639332 108031618 -4238993 755395 67912290 70982783 59210963 61526061 8701327 9456722 X See Schedule O 0 0 47182482 176768 67267746 PCHC's Family Medicine Services provided 233,826 patient visits in 2023. 4865415 4288226 PCHC's Dental Services provided 19,590 patient visits in 2023. 25032429 25903704 All other services as described in Line 1, including 21,337 other visits in 2023 (this includes pharmacy, podiatry, audiologist, chiro, PT, nutritionist and speech). 77080326 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 256 0 1 1081 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Christine McLaughlin 2079929200 103 Maine Avenue PO Box 1358 Bangor ME 04402 Christopher Winstead Chair 1.00 X X 0 0 0 Shelly Okere Vice Chair 1.00 X X 0 0 0 Christopher Linder Treasurer 1.00 X X 0 0 0 Robert P Allen Director 1.00 X 0 0 0 Aaron Ballman Director 1.00 X 0 0 0 Alan Duplessis Director 1.00 X 0 0 0 Monique Gautreau Director 1.00 X 0 0 0 Kelley Strout Director 1.00 X 0 0 0 Carin Sychterz Director 1.00 X 0 0 0 Daniel Williams Director 1.00 X 0 0 0 Edwin Goodwin Director 1.00 X 0 0 0 Angela Marcolini Director 1.00 X 0 0 0 Mary Ellen Dunfield Director 1.00 X 0 0 0 Suetta Tenney Director 1.00 X 0 0 0 Katie Spencer White Director 1.00 X 0 0 0 Jennifer Eastman Past Director 1.00 X 0 0 0 Dan Frye Past Director 1.00 X 0 0 0 Lorelle LDwyer CEO and President 40.00 X 286878 0 42769 Christine C Finn-McLaughlin Chief Financial Officer 40.00 X 223760 0 32955 Sharyl White Chief IT Officer 40.00 X 168542 0 23581 Megan ASanders Chief HR Officer & Chief Legal Officer 40.00 X 227041 0 19680 Dawn ECook Chief Operations Officer 40.00 X 224160 0 28129 Candice Davis Residency Director 40.00 X 152880 0 6164 RachelSolotaroff Exec. Clin. Dir. 40.00 X 291367 0 28223 Susan Cheff Exec. Clin. Dir. Primary Care 40.00 X 293687 0 14906 Jeffrey Bowers Physician 40.00 X 266977 0 27074 Hyun San Lee Orthodontist 40.00 X 263250 0 14053 Laurie Yntema Physician 40.00 X 254258 0 33664 Patricia Doyle Physician 40.00 X 251567 0 16703 2904367 0 287901 117 0 1 0 DunBar & Brawn Construction 223 Hildreth St North Bangor ME 04401 Construction Services 1620943 Virence Health Technologies WC Holding PO Box 840952 Dallas TX 752840952 Software 844983 Office Pride of MaineManasseh Group 45 Robertson Blvd Brewer ME 04412 Cleaning Services 540595 OI Insusion 111 New Hampshire Ave 200 Portsmouth NH 03801 Management Fees/Services 525641 Clearwave Corp 400 Perimeter Center Terrace NE Su Atlanta GA 303461234 Software 379516 21 36013 9274520 1874952 770153 11185485 Net Patient Revenue 621110 75072784 75072784 Low Cost Pharmaceuticals 456110 12640179 12640179 Care Management Revenue 621110 6411380 6411380 Other Program Income 621110 3335333 3335333 97459676 14794 14794 1100423 994992 105431 105431 38777 66654 24224 2597 21627 21627 108787013 97498453 66654 36421 176768 176768 1756130 1756130 53230767 39875020 13355747 840277 629919 210358 7159595 5322641 1836954 3954784 2877401 1077383 89935 89935 96155 96155 2298148 1382023 916125 15310 7708 7602 1473471 1152841 320630 2796095 2498321 297774 3197967 435194 2762773 233073 117349 115724 2202159 42609 2159550 3530995 1164030 2366965 271386 136640 134746 Program Supplies 22512996 20030849 2482147 Other Expenses 2192178 1229287 962891 UBTI Taxes 3429 1726 1703 108031618 77080326 30951292 0 X 84472 1071600 719630 2642450 963133 360063 7889453 7427630 0 6401360 1092727 1001748 803556 1097481 48897110 24536891 28960443 24360219 27398876 26620232 67912290 70982783 9551390 9609719 7567999 7452890 12477403 15249454 29614171 29213998 59210963 61526061 X 8218530 8441051 482797 1015671 8701327 9456722 67912290 70982783 755395 0 X 0 1 X 1 1 1 X 11919851 21929441 24579371 22104411 11185485 91718559 72275292 67140688 74732948 81018248 97459676 392626852 84195143 89070129 99312319 103122659 108645161 484345411 69230 69230 0 69230 69230 484276181 170211 216563 174021 43693 53571 658059 170211 216563 174021 43693 53571 658059 268598 88281 356879 187350 187350 84552704 89286692 99486340 103434950 108787013 485547699 0.99740 0.99710 0.00140 0.00170 X Schedule A, Part III, Line 12, Explanation of Other Income: Forgiveness of Debt - 2019 Amount: $ 187,350. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 50955 50955 107983220 108034175 1000000 250000 0 0 1000000 1000000 1000000 1000000 4000000 6000000 241 333 2253 50955 53782 250000 250000 250000 250000 1000000 1500000 Part I-A, Line 1: To lobby for improved reimbursement from Maine Care for Opioid Health Home Services and shelter funding. 886639 886639 20864036 8598385 12265651 8832784 3784656 5048128 14064353 12153850 1910503 4249298 4249298 24360219 Due to Third Party Payers 978000 Deferred Compensation 451222 Finance Lease Liability 27784776 29213998 X Part X, Line 2: PCHC is a public charity under Section 501(c)(3) of the Internal Revenue Code (IRC). QALICB's application for tax exemption under Section 501(c)(3) is pending. As public charities, the Organization is exempt from state and federal income taxes on income earned in accordance with their tax exempt purpose. Unrelated business income is subject to state and federal income tax. Management has evaluated the Organization's tax positions and concluded that the Organization has no unrelated business income or uncertain tax positions that require adjustment to the consolidated financial statements. Softball Tournament 11527 11527 347 Melodies of the Mind 12697 12697 2250 24224 24224 2250 347 2597 21627 0 PCHC Belfast QALICB Inc 103 Maine Avenue Bangor ME 04401 881355865 501c (3) 0 176768 FMV Property General Assistance 1 0 X X 0 0 0 0 0 0 0 1 0 Lorelle LDwyer CEO and President 264128 0 22750 0 0 0 5426 0 37343 0 329647 0 0 0 RachelSolotaroff Exec. Clin. Dir. 278867 0 12500 0 0 0 6066 0 22157 0 319590 0 0 0 Susan Cheff Exec. Clin. Dir. Primary Care 293687 0 0 0 0 0 5881 0 9025 0 308593 0 0 0 Jeffrey Bowers Physician 266977 0 0 0 0 0 5005 0 22069 0 294051 0 0 0 Laurie Yntema Physician 254258 0 0 0 0 0 5095 0 28569 0 287922 0 0 0 Hyun San Lee Orthodontist 255404 0 7846 0 0 0 4752 0 9301 0 277303 0 0 0 Patricia Doyle Physician 251567 0 0 0 0 0 4511 0 12192 0 268270 0 0 0 Christine C Finn-McLaughlin Chief Financial Officer 208760 0 15000 0 0 0 4546 0 28409 0 256715 0 0 0 Dawn ECook Chief Operations Officer 224160 0 0 0 0 0 1661 0 26468 0 252289 0 0 0 Megan ASanders Chief HR Officer & Chief Legal Offic 212291 0 14750 0 0 0 2343 0 17337 0 246721 0 0 0 Sharyl White Chief IT Officer 168542 0 0 0 0 0 3065 0 20516 0 192123 0 0 0 Candice Davis Residency Director 152880 0 0 0 0 0 2395 0 3769 0 159044 0 0 0 Part I, Line 7 The bonuses paid during calendar year 2023 were signing bonus for new providers. These are pre-established amounts approved by Recruitment and Chief Operating Officer. A Maine Health and Higher Educational Facilities Authority 010314384 2022-06-02 8312796 USDA Refinancing 0 0 1 A 679906 8312796 551875 118144 30362 7612415 2022 0 0 1 1 A 0 0 0 0 0 0 1 A 0 0 0 0 0 0 0 0 1 A 1 X 55 770153 FMV 0 1 0 Part I, Line 1, Description of Organization Mission: Penobscot Community Health Center (PCHC) is a non-profit organization incorporated in 1997 that is governed by a Board of community volunteers and is the largest Federally Qualified Health Center in Maine. PCHC is driven by its mission statement "to provide comprehensive, integrated primary health care services for all to improve the health and wellbeing of our patients and the Maine Communities we serve," regardless of the ability to pay and demonstrates its dedication to quality care through Accreditation Association for Ambulatory Health Care as well as NCQA certification as a Primary Care Medical Home. As part of its Patient Centered Medical Home model, PCHC is proud to provide high quality family medical care to over 57,650 people in the greater Bangor Region, Waldo County and Jackman area. PCHC's four largest medical practices in Bangor, Brewer, and Old Town, Maine are open six days a week, Pediatrics open 5 days, and offer an integrated care model with medical care. Four of our practices provide pharmacy and one provides physical therapy under one roof. Also available are same day sick care, convenient early morning and evening hours, providers or nurses available by telephone call 24-hours a day, and six-day Walk-in Care at three locations. In addition to family medicine, PCHC offers a full range of services including pediatrics, dental care, pharmacy, care management, laboratory and x-ray services, physical therapy, speech therapy, audiology, infusion services, homeless health care and emergency shelter and transitional housing, as well as GYN, podiatry, chiropractic, and other specialty services. To learn more about PCHC's many services, providers, and locations, please visit www.PCHC.com. Our mission is to provide comprehensive, integrated primary health care services for all to improve the health and wellbeing of our patients and Maine Communities we serve. We commit not only to building the infrastructure for patient centeredness, but also to embracing the evolution of our personal roles, responsibilities, and attitudes as we shift to a collaborative, team-based model of care, partnered with the patient. We work to integrate community-based resources, family, and health care services in order to promote wellness, manage disease, advocate for helpful public policy, and celebrate successes. We strive to understand the full picture of our patients' lives and all of the factors which impact their wellbeing, to consider those strengths and challenges as we provide care, to understand who they are in their family, workplace, and community, and to ask about and listen for what matters most to them. We also commit, on a daily basis, to understand the role of our co-workers, to support each other in those roles, to properly value the contribution that every person makes to our success in fulfilling our mission, to communicate richly, to work together to solve problems and address challenges, and to interact with humor and good nature. We believe that health care is an inherent human right. We share an intellectual and emotional commitment to the care of our patients, which motivates us, sustains us and creates a generosity psychiatry, mental health counseling, geriatrics care and nursing home of spirit as we work together to fulfill our mission. We understand that quality occurs both in medical decision making and in human interaction, and that there is value both in that which we can measure, and in that which relies on our best nature and commitment to serve. We work for continuous improvement, in systems, in the effectiveness and efficiency of our care, in the experience of our patients and in the satisfaction of our team. We seek to challenge ourselves and each other, to innovate and to evaluate our work with humility as we undertake this bold endeavor. We embrace a collaborative spirit as we strive to fulfill our mission, and as we work with partners in our communities and across the state to transform health care. Form 990, Part III, Line 1 - Organization's Mission Penobscot Community Health Center (PCHC) is a non-profit organization incorporated in 1997 that is governed by a Board of community volunteers and is the largest Federally Qualified Health Center in Maine. PCHC is driven by its mission statement "to provide comprehensive, integrated primary health care services for all to improve the health and wellbeing of our patients and the Maine Communities we serve," regardless of the ability to pay and demonstrates its dedication to quality care through Accreditation Association for Ambulatory Health Care as well as NCQA certification as a Primary Care Medical Home. As part of its Patient Centered Medical Home model, PCHC is proud to provide high quality family medical care to over 57,650 people in the greater Bangor Region, Waldo County and Jackman area. PCHC's four largest medical practices in Bangor, Brewer, and Old Town, Maine are open five and six days a week and offer an integrated care model with medical care. Four of our practices provide pharmacy and one provides physical therapy under one roof. Also available are same day sick care, convenient early morning and evening hours, providers or nurses available by telephone call 24-hours a day, and six-day Walk-in Care at three locations. In addition to family medicine, PCHC offers a full range of services including pediatrics, dental care, pharmacy, care management, laboratory and x-ray services, physical therapy, speech therapy, audiology, infusion services, homeless health care and emergency shelter and transitional housing, as well as GYN, podiatry, chiropractic, and other specialty services. To learn more about PCHC's many services, providers, and locations, please visit www.PCHC.com. Our mission is to provide comprehensive, integrated primary health care services for all to improve the health and wellbeing of our patients and Maine Communities we serve. We commit not only to building the infrastructure for patient centeredness, but also to embracing the evolution of our personal roles, responsibilities, and attitudes as we shift to a collaborative, team-based model of care, partnered with the patient. We work to integrate community-based resources, family, and health care services in order to promote wellness, manage disease, advocate for helpful public policy, and celebrate successes. We strive to understand the full picture of our patients' lives and all of the factors which impact their wellbeing, to consider those strengths and challenges as we provide care, to understand who they are in their family, workplace and community, and to ask about and listen for what matters most to them. We also commit, on a daily basis, to understand the role of our co-workers, to support each other in those roles, to properly value the contribution that every person makes to our success in fulfilling our mission, to communicate richly, to work together to solve problems and address challenges, and to interact with humor and good nature. We believe that health care is an inherent human right. We share an intellectual and emotional commitment to the care of our patients, which motivates us, sustains us and creates a generosity psychiatry, mental health counseling, geriatrics care and nursing home of spirit as we work together to fulfill our mission. We understand that quality occurs both in medical decision making and in human interaction, and that there is value both in that which we can measure, and in that which relies on our best nature and commitment to serve. We work for continuous improvement, in systems, in the effectiveness and efficiency of our care, in the experience of our patients and in the satisfaction of our team. We seek to challenge ourselves and each other, to innovate and to evaluate our work with humility as we undertake this bold endeavor. We embrace a collaborative spirit as we strive to fulfill our mission, and as we work with partners in our communities and across the state to transform health care. Form 990, Part VI, Section B, line 11b The Treasurer of the Board initially reviews the 990 return. The Treasurer then reviews the 990 return with the Finance Committee and discusses any issues raised with the Board of Directors. The Chief Financial Officer sends a final draft of the 990 to each Board Member asking them to review and approve at the board meeting or via e-mail. Form 990, Part VI, Section B, line 12c The Compliance Officer does regular board updates and policy reviews, and a conflict of interest statement is completed annually. Form 990, Part VI, Section B, line 15 1. The Compensation Committee: The Executive Committee of the PCHC Board of Directors shall serve as the Compensation Committee. Pursuant to the PCHC's Bylaws, the Executive Committee (and, therefore, the Compensation Committee) shall consist of the following Board members: the Chair, Vice-Chair, Chair of Finance Committee, Chair of Quality Management Committee, and Chair of the Governance/Corporate Compliance Committee. With respect to all compensation levels other than the compensation for the President & CEO, the President & CEO shall serve as ex officio member(s) of the Compensation Committee and shall make recommendations to the committee on appropriate and reasonable compensation levels for the Executives. 2. The Board Chair shall be responsible for leading the review of the compensation package of the President & CEO. The President & CEO shall not participate in the compensation review of his or her own salary. However, the President & CEO may negotiate with respect to compensation level, provided the final review and decision on compensation is made independently by the Compensation Committee. 3. The President/CEO will be responsible for initiating and leading the Compensation Committee in the review of compensation packages for all Executives other than the President & CEO (as defined in the policy). 4. Compensation levels of other key executives shall be approved by the Compensation Committee as the Board's designee. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy and financial statements are maintained in the administrative office and are available to the public during standard business hours. Form 990, Part X, Line 10: Land, Buildings, and Equipment: Section 1.263(a)-3(n) Election: Penobscot Community Health Center 103 Maine Avenue, PO Box 1358 Bangor, ME 04401 EIN: 01-0514750 Section 1.263(a)-3(n) Election: Penobscot Community Health Center is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). PCHC Belfast QALICB Inc 103 Maine Avenue Bangor ME 04401 881355865 Supporting Organization ME 501(c)(3) Line 12c, III-FI N/A 0 Community Care Partnership ME LLC PO Box 1358 Bangor ME 04402 463666823 ACO ME N/A Related 3947082 4577441 0 1 0.38450 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 Community Care Partnership of ME LLC L 1044636 FMV Community Care Partnership of ME LLC S 2227318 FMV