Pines Health Services

Name

Pines Health Services

Legal name

Pines Health Services

Website

https://pineshealth.org

Company type

Private

Founded year

1981

Operating status

Operating

Headcount range

11–50 employees

Ownership category

akta.pro rank

Product category

Community Health Services

NAICS

All Other Outpatient Care Centers (621498)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011), Services-Health Services (8000)

akta.pro primary industry

Primary Care for Underserved Populations (e.g., migrant, homeless, refugee clinics) (HLAFAGAN)

akta.pro secondary industry

Outpatient Substance Use Disorder (SUD) Treatment Programs (HLAFABAD)

Keywords

• Community health center
• Federally qualified health center
• Primary care services
• Multi-specialty physician practice
• Rural health services

Headquarters

HQ city

Caribou

HQ country

United States

HQ region

North America

Offices10 records

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Infrastructure, Marketing or Sales

Revenue model

1. Federally Qualified Health Center (FQHC) Reimbursements: As an FQHC, Pines Health Services receives enhanced Medicare and Medicaid reimbursements under the Prospective Payment System (PPS). Services are billed to Medicare, MaineCare, and commercial insurance carriers. Patients without adequate insurance may qualify for the Sliding Fee Discount Program.
2. Patient Service Revenue: Fee-for-service revenue from patient visits across primary care, specialty care, dental, and behavioral health services. Co-pays and co-insurance collected at time of service. Payment plans and sliding fee discounts available for qualifying patients.
3. Federal Grant Funding: Congressionally directed federal funding through the Labor, Health and Human Services and Education Appropriations bill. Funds support capital projects including emergency room upgrades, dental clinic expansions, and facility improvements.

Pricing tiers

Go-to-market motion1 record

Distribution channels3 records

Marketing channels6 records

Core offering

Pines Health Services is a community-based, Federally Qualified Health Center that delivers comprehensive primary care, specialty care, dental, behavioral health, and addiction medicine services across six locations in Aroostook County, Maine. More than 40 providers deliver whole-person, team-based care to individuals and families regardless of insurance status, supported by care coordination, prescription assistance, and a sliding-fee discount program.

Product overview

Pines Health Services is a non-profit, community-based physician practice operating as a single unified healthcare delivery organization (not a platform-plus-modules architecture). The organization provides comprehensive primary care, specialty care, dental services, and integrated behavioral health through a network of six primary care/health center locations across Aroostook County, Maine (Caribou, Presque Isle, Van Buren, and Fort Fairfield). Primary Care Services include family medicine, internal medicine, obstetrics, and pediatrics delivered by over 40 providers. Specialty Care Services encompass acute care, behavioral health, addiction medicine, gynecology, hematology/oncology, hospital medicine, ophthalmology, orthopedics/sports medicine, surgical services, pathology, and urology. Dental Services (Pines Dental) provides preventive and restorative care. The organization also offers patient support services including care coordination, prescription assistance, sliding fee discount program, health insurance marketplace enrollment, and MyChart patient portal. Pines holds Federally Qualified Health Center (FQHC) and Patient Centered Medical Home (PCMH) designations.

Differentiator

Problem solved

Functional benefit

Products and services

• Primary Care Services Comprehensive primary care including family medicine, internal medicine, obstetrics, and pediatrics delivered by over 40 providers across multiple locations, focused on whole-person care from an integrated physical and behavioral health perspective.
• Dental Services (Pines Dental) Preventive dental care for children and adults including prophylaxis (cleanings), digital X-rays, dental sealants, fluoride application, and oral health instruction at Pines Dental location, using digital X-ray units that reduce radiation exposure by up to 80% versus traditional dental X-rays.
• Behavioral Health Services Outpatient psychiatric evaluations, medication management, and counseling services provided by Psychiatric Mental Health Nurse Practitioners and Licensed Clinical Social Workers for various mental health symptoms and disorders, integrated with primary care.
• Addiction Medicine Services Medical subspecialty services for prevention, evaluation, diagnosis, treatment, and recovery from addiction disease, including substance use disorder treatment with Suboxone MAT (medication-assisted treatment).
• Acute Care Services Same-day care for acute illnesses including colds, infections, COVID-19, and influenza delivered by healthcare professionals specializing in acute diagnosis and treatment.
• Surgical Services General surgery services including minimally invasive and laparoscopic surgery, emergency surgeries, and complex abdominal procedures performed by board-certified surgeons.
• Orthopedics and Sports Medicine Orthopedic and sports medicine services on Cary Medical Center Campus providing bone, muscle, tendon, joint treatment, joint replacement, and sports injury care.
• Hematology/Oncology (Jefferson Cary Cancer Center) Cancer care and blood disorder treatment at Jefferson Cary Cancer Center providing consultations, treatment plans, chemotherapy, and comprehensive cancer support services.
• Ophthalmology Services Eye care services at 647 Main St, Caribou including treatment for dry eye, cataracts, diabetic eye disease, glaucoma, macular degeneration, eyelid conditions, and surgical procedures.
• Urology Services Urological care at 163 Van Buren Rd, Caribou for diagnosis and treatment of kidney stones, prostate health, urinary incontinence, UTIs, male sexual health, and bladder conditions.
• Hospital Medicine (Hospital-Based Physicians) Inpatient hospital care at Cary Medical Center by hospitalists specializing in internal medicine who manage patient care throughout hospitalization and coordinate with primary care providers.
• Pathology/Laboratory Services Laboratory diagnostic services including chemistry, coagulation, cytology, hematology, histology, immunology, microbiology, toxicology, transfusion medicine, and urinalysis; accredited by College of American Pathologists (CAP).
• Pediatrics Pediatric care for infants, children, and adolescents including diagnosing/treating illnesses, routine physical exams, growth/development monitoring, immunizations, and sub-specialty areas like neonatology and pediatric nephrology.
• Obstetrics Services Prenatal care, labor and delivery oversight, and postpartum care provided by obstetricians and Certified Nurse Midwives for normal and complicated pregnancies.
• MyChart Patient Portal Secure online patient portal (OCHIN MyChart) enabling bill payment, demographic and insurance information updates, prescription refill requests, health record downloads, and secure messaging with the care team.
• Sliding Fee Discount Program Financial assistance program providing free or low-cost healthcare based on household income and family size, with charges determined by a sliding fee scale updated annually.
• Prescription Assistance Program Program guiding patients through options for affordable prescriptions including brand name/generic programs, co-pay foundations, pharmacy discounts, and state/federal programs.
• Care Coordination Services Free care coordination by Registered Nurses and Social Workers who advocate for patients, help sort through options and resources, and coordinate multiple services.
• Health Insurance Marketplace Enrollment ACA health insurance marketplace enrollment assistance with trained certified application counselors helping patients select affordable healthcare plans; 85% of enrollees qualify for financial assistance.

Quantifiable outcome

• Participates in Medicare Shared Savings Program ACO, coordinating care across providers to reduce unnecessary utilization and improve patient outcomes.
• +2 more outcomes

Named customers1 record

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature3 records

Partnerships

Six partnerships are on record, tiered core.

• Community Health Center Network of Maine (CHCNet)coreStrategic or Co-development Partner · 1 August 2016CHCNet is a Health Center Controlled Network (HCCN) operated by the Maine Primary Care Association since 2005. Pines participates in this network of 16 health centers with 66 sites statewide, supporting transition to value-based care, implementation of certified EHR technology, enhanced data analytics, and PCMH and other transformative accreditations. The network received $1.875 million in HHS funding over three years starting August 1, 2016.
• Community Care Partnership of Maine (CCPM)coreStrategic or Co-development PartnerPines Health Services partners with CCPM, an Accountable Care Organization (ACO) consisting of other FQHCs and community hospitals across Maine. The partnership focuses on quality improvement, data tool development to coordinate patient care, and working with local health care agencies on individualized patient treatment plans. Eight practice sites participate in the CCPM ACO.
• Cary Medical CentercoreStrategic or Co-development PartnerPines Health Services and Cary Medical Center have a close joint venture relationship. Many Pines providers are members of Cary Medical Center's active medical staff. Pines and Cary work together to deliver hospitalist coverage, seamless health and wellness services, and coordinated care for every patient. Pines locations including Surgical Services, Urology, Women's and Children's Health Center, and Orthopedics are located on the Cary Medical Center campus.
• Aroostook Mental Health CentercoreStrategic or Co-development PartnerPines Health Services coordinates with the Aroostook Mental Health Center as part of its commitment to improving access to high-quality, evidence-based addiction prevention and treatment services.
• OCHIN (Open Community Health Information Network)coreTechnology or IntegrationPines Health Services uses the OCHIN MyChart patient portal platform, enabling patients to pay bills, update demographics and insurance information, request prescription refills, download health records, and communicate with their care team.
• Centers for Medicare & Medicaid Services (CMS) - Medicare Shared Savings ProgramcoreOthersPines Health Services participates as an Accountable Care Organization (ACO) in the Medicare Shared Savings Program, coordinating care for Medicare beneficiaries to improve outcomes and reduce costs.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• HealthReach Community Health Centers: Federally Qualified Health Center operating 11 health centers across central and western Maine, serving rural populations with primary care, behavioral health, and dental services. Directly comparable to Pines as a Maine-based FQHC in a rural service area.
• Greater Portland Health: Federally Qualified Health Center serving the Greater Portland, Maine area with multiple health center locations offering primary care, behavioral health, and care coordination. Directly comparable to Pines as a Maine FQHC serving underserved populations.
• Bucksport Regional Health Center: Federally Qualified Health Center serving the Bucksport, Maine area with primary care, behavioral health, and dental services. Comparable to Pines as a Maine FQHC operating in a rural community with similar patient demographics.
• Penobscot Community Health Care: Largest FQHC in Maine, operating multiple sites in the Bangor area providing primary care, behavioral health, dental, and specialty care. Comparable to Pines as a Maine FQHC with integrated multi-specialty services and PCMH recognition.
• Eastport Health Care: Federally Qualified Health Center serving Washington County, Maine with multiple sites providing primary care, behavioral health, and dental services. Comparable to Pines as a rural Maine FQHC serving an underserved geographic area.

Others

• Maine Primary Care Association: Statewide association representing Maine's FQHCs, including Pines. Operates CHCNet, the Health Center Controlled Network of which Pines is a member. Relevant as an ecosystem organization that supports Pines's value-based care and PCMH initiatives.
• Community Care Partnership of Maine (CCPM): Accountable Care Organization (ACO) consisting of Maine FQHCs and community hospitals, including Pines Health Services. Directly comparable as the ACO in which Pines participates for Medicare Shared Savings Program coordination.

Broad incumbents

• Cary Medical Center: Acute care hospital located in Caribou, Maine with a close joint venture relationship with Pines Health Services. Comparable as a rural Maine healthcare provider that partners with Pines for hospitalist and specialty care delivery.
• Aroostook Mental Health Center: Community mental health center serving Aroostook County, Maine with behavioral health and substance use disorder services. Comparable to Pines as a community-based healthcare provider in the same Aroostook County service area, with partnership in addiction medicine.

Regional players

• Hometown Health Centers: Federally Qualified Health Center operating in Schenectady, New York with multiple primary care, behavioral health, and dental locations. Comparable to Pines as an FQHC serving an underserved Northeast population, though operating in a different state.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• YouTubeyoutube.com/channel/UCdJ5j8vjKjbAAm3JjnTzqoA
• Facebookfacebook.com/pineshealthservices
• LinkedInlinkedin.com/company/pines-health-services

Compliance6 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Pines Health Services