2019-11-07T14:14:40-06:00 2018-12-31 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2018-01-01 010211551 ST MARY'S REGIONAL MEDICAL CENTER STMA 2077778865 CAMPUS AVENUE PO BOX 0291 LEWISTON ME 042430291 STEVEN JORGENSEN PRESIDENT 2077778802 2019-10-30 1 E DREW CHENEY P00182972 8002447444 2019-10-30 208.105.168.164 2019-10-30 10:58:04 ED P AEC35488C4CD91AC8DD9FF49E81978A397244AF0 FBBFA7A837B38F65B00B6D63BD28125F9EF4F4BD 2018 2020-01-14 16:20:31Z STEVEN JORGENSEN CAMPUS AVENUE PO BOX 0291 LEWISTON ME 042430291 208505598 0 X WWW.STMARYSMAINE.COM X 1967 ME ST. MARY'S REGIONAL MEDICAL CENTER IS A 233-LICENSED BED ACUTE CARE FACILITY THAT OFFERS THE BEST OF MEDICAL TECHNOLOGY, PREVENTIVE SERVICES AND A "WHOLE PERSON APPROACH" IN MEETING THE NEEDS OF THE ANDROSCOGGIN COUNTY AREA. 16 12 1858 144 0 163736 26312432 1469384 203298869 206534258 1184715 492949 73506 -1076 230869522 208495515 0 0 0 0 105417810 108053214 0 0 0 100236559 124815760 205654369 232868974 25215153 -24373459 182429066 148573306 63847284 79197702 118581782 69375604 X ST. MARY'S REGIONAL MEDICAL CENTER IS A 233-LICENSED BED ACUTE CARE FACILITY THAT OFFERS THE BEST OF MEDICAL TECHNOLOGY, PREVENTIVE SERVICES AND A "WHOLE PERSON APPROACH" TO MEETING THE NEEDS OF THE ANDROSCOGGIN COUNTY AREA.ST. MARY'S REGIONAL MEDICAL CENTER OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE GROWING AND CHANGING NEEDS OF THE COMMUNITY. OUR PROFESSIONAL, QUALIFIED STAFF ARE ABLE TO DELIVER CARDIOPULMONARY, LABORATORY, NURSING, ONCOLOGY, RHEUMATOLOGY, BEHAVIORAL SERVICES, PHYSICAL THERAPY, RADIOLOGY, SOCIAL AND SURGICAL SERVICES WITH THE PERSONALIZED TOUCH DESIGNED TO MAKE OUR PATIENTS FEEL MORE RELAXED AND AT HOME. 0 0 32647920 36718401 SURGICAL CARE: PROVIDES ALL SERVICES (EXCEPT OPEN HEART) TO PATIENTS RANGING FROM INFANT TO GERIATRICS WHO NEED SURGICAL INTERVENTION. TOTAL PATIENT DAYS = 8,496 9467499 10647889 BEHAVIORAL HEALTH: ST. MARY'S OFFERS THE MOST ADVANCED BEHAVIORAL HEALTHCARE DIAGNOSTIC AND TREATMENT SERVICES FOR CHILDREN, ADOLESCENTS AND ADULTS IN BOTH INPATIENT AND OUTPATIENT PROGRAMS. INPATIENT AND OUTPATIENT TREATMENTS INCLUDE COMPREHENSIVE PSYCHIATRIC ASSESSMENT AND EVALUATIONS, EDUCATION, INDIVIDUAL AND GROUP THERAPY, INDIVIDUALIZED BIO-PSYCHOSOCIAL TREATMENT PLAN AND DISCHARGE AND AFTERCARE PLANNING.TOTAL PATIENT DAYS = 15,317 10461590 11765921 EMERGENCY CARE: ST. MARY'S REGIONAL MEDICAL CENTER OFFERS A 24-HOUR PER DAY LEVEL II EMERGENCY CARE FACILITY. SERVICES PROVIDED INCLUDE MEDICAL AND BEHAVIORAL SERVICES. TOTAL VISITS = 28,394 116954252 147402047 PHYSICIAN SERVICES, ORTHOPEDICS, CHEMICAL DEPENDENCY SERVICES, OB/GYN WOMEN'S HEALTH SERVICES, NURSERY, ICU, PACU, INFUSION THERAPY, URGENT CARE, FAMILY PRACTICE SERVICES, ENDOSCOPY, NEUROLOGY, LAB SERVICES, DIAGNOSTIC RADIOLOGY, MRI, MAMMOGRAPHY, ULTRASOUND, NUCLEAR MEDICINE, CT SCANS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, RESPIRATORY THERAPY, PULMONARY REHAB, DIAGNOSTIC CARDIOLOGY, CATH LAB, PHARMACY, AMBULANCE SERVICES, PHYSIATRY SERVICES, UROLOGY, SLEEP LAB, DIABETES CENTER SERVICES, WOUND & HYPERBARIC CENTER SERVICES, GASTROENTEROLOGY, RHEUMATOLOGY,WEIGHT MANAGEMENT SERVICES, AND SKILLED NURSING FACILITY/NURSING HOME SERVICES. 116954252 147402047 169531261 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 110 0 1 1858 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 12 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X X MICHAEL HENDRIX 2079071600 360 BROADWAY PO BOX 403 BANGOR ME 04402 JUDITH ANDRUCKI DIRECTOR 0.10 0.30 X 0 0 0 JOHN CHAPMAN DIRECTOR 0.10 0.30 X 0 0 0 DONALD FOURNIER DIRECTOR 0.10 0.30 X 0 0 0 RALPH HARDER DIRECTOR 0.10 0.30 X 0 0 0 LENA HARTLEY DIRECTOR 0.10 0.20 X 0 0 0 JOHN ISAACSON DIRECTOR 0.10 0.20 X 0 0 0 JACK KEITH DIRECTOR 0.10 0.20 X 0 0 0 MICHAEL KELLEY MD DIRECTOR 40.00 0.20 X 502955 0 25324 CAROLYN LEPAGE DIRECTOR 0.10 0.20 X 0 0 0 KATHY MCMANUS DIRECTOR 0.10 0.20 X 0 0 0 CATHERINE RYDER END 31718 DIRECTOR 0.10 0.20 X 0 0 0 ANNE SCHUETTINGER DIRECTOR 0.10 0.20 X 0 0 0 MARK ANTHOINE CHAIR 0.10 0.20 X X 0 0 0 JAMES PLACE MD VICE CHAIR 0.10 0.20 X X 0 0 0 STEVE JORGENSEN BEG 72418 PRESIDENT (EX-OFFICIO) 0.10 40.00 X X 0 205229 8901 PETER HOLDEN END 72018 INTERIM PRESIDENT (EX-OFFI 0.10 40.00 X X 0 0 0 MICHAEL HENDRIX TREASURER & CFO 0.10 40.00 X X 0 265755 33859 JOAN DAIGNEAULT BEG 72418 SECRETARY 40.00 0.20 X X 45897 0 970 MONIQUE SHRADER END 72018 SECRETARY 40.00 0.20 X X 51949 0 13525 PHILIP HICKEY CEO POST ACUTE 40.00 X 213442 0 8936 CHRISTOPHER T BOWE CHIEF MEDICAL OFFICER 40.00 X 397423 0 25741 KAREN J CLARK VP PATIENT CARE SERVICES 40.00 X 213076 0 26737 MICHAEL T NEWMAN PHYSICIAN 40.00 X 917260 0 34101 JOSEPH E STRAUSS PHYSICIAN 40.00 X 831148 0 33237 JEFFREY N DAVILA PHYSICIAN 40.00 X 719293 0 2004 GREGORY POMEROY PHYSICIAN 40.00 X 575508 0 21821 MICHAEL PARKER PHYSICIAN 40.00 X 557483 0 20534 5025434 470984 255690 132 0 1 0 COVENANT HEALTH INC 100 AMES POND ROAD TEWKSBURY MA 01876 MANAGEMENT SERVICES 20320260 MEDEFIS INC PO BOX 5068 NEW YORK NY 100875068 LOCUM NURSING SERVICES 6065308 METZ CULINARY MANAGEMENT TWO WOODLAND DRIVE DALLAS PA 18612 MEAL SERVICES 5274361 UNITED AMBULANCE SERVICE 192 RUSSELL STREET LEWISTON ME 04240 AMBULANCE SERVICES 2001514 REHABCARE GROUP EAST INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY SERVICES 1768245 34 12442 60900 12250 8763 1375029 1469384 NET PATIENT SERVICE REVENUE 621300 190668099 190668099 SERVICES TO AFFILIATES 621300 8312709 8312709 OTHER OPERATING INCOME 621300 7553450 7553450 206534258 319549 319549 173400 0 173400 173400 173400 9007 60900 10083 -1076 -1076 208495515 206534258 0 491873 X 1525975 951443 574532 90162036 68772973 21389063 487685 360887 126798 10044378 7432840 2611538 5833140 4316524 1516616 1974573 1461184 513389 384882 384882 83639 83639 55017344 27000428 28016916 51089 51089 5227128 3868075 1359053 1536555 1137051 399504 5002459 3701820 1300639 519229 384229 135000 1370909 1014473 356436 5528668 4091214 1437454 2981516 2206322 775194 MEDICAL/PHARMACY SUPPLI 23545192 23545192 BAD DEBT EXPENSE 12547179 12547179 PROVIDER TAX 4544056 4544056 EQUIPMENT RENTAL & REPA 2421224 1105461 1315763 2080118 1089910 990208 232868974 169531261 63337713 0 2860100 11788673 2549271 3787257 23303523 27200907 1824785 1633052 1619887 3095222 152602575 93781720 59511341 58820855 90760159 42247340 182429066 148573306 19941788 24018165 676272 731394 42577122 40833947 502235 318632 149867 13295564 63847284 79197702 X 88583731 61569936 6201269 7098639 23796782 707029 118581782 69375604 182429066 148573306 X -24373459 -623550 -24209169 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 17620 17620 0 PART II-B, LINE 1: ST. MARY'S REGIONAL MEDICAL CENTER IS A MEMBER OF THE MAINE HOSPITAL ASSOCIATION AND A PORTION OF THE DUES PAID IN THE AMOUNT OF $17,620 WAS USED FOR LOBBYING. 29998051 1608019 23800402 7805668 5847103 26243632 2092684 29998051 2035795 4917990 389 1107071 5847103 2006226 1100997 345 1071773 2035795 1689157 1130245 192 813368 2006226 0.09000 0.91000 0 0 950446 950446 89436932 45511605 43925327 1045631 519779 525852 55507138 45391796 10115342 5662428 2358540 3303888 58820855 DUE FROM AFFILIATES 21370158 DONOR RESTRICTED FUNDS 7303772 LONG TERM INVESTMENTS 5493947 INVESTMENT IN JOINT VENTURES 2679762 FUNDS HELD BY TRUSTEE - DEBT SERVICE RESERVE 5399701 42247340 DUE TO AFFILIATES 8000000 DUE TO THIRD PARTIES 5270441 DEFERRED FIXED ASSET EXP (FIN47) 25123 13295564 X PART V, LINE 4: CAPITAL IMPROVEMENTS,PATIENT CARE EQUIPMENT, EDUCATION, AND TO ASSIST PATIENTS AND COMMUNITY MEMBERS EXPERIENCING FINANCIAL HARDSHIPS PART X, LINE 2: COVENANT AND ITS MEMBER ORGANIZATIONS ARE CONSIDERED NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT AS NOTED BELOW. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD, ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE SYSTEM HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2018. COMMIT TO GET FIT MAY 2018 69907 60900 9007 0 600 450 0 0 9033 69907 60900 9007 600 450 9033 10083 -1076 SCHEDULE G, PART II, FUNDRAISING EVENTS IN ACCORDANCE WITH THE IRS INSTRUCTIONS FOR THE REPORTING OF INCOME ON SCHEDULE G, EVENT REVENUE DEEMED TO BE CHARITABLE CONTRIBUTIONS HAS BEEN REPORTED ON LINE 2, THUS REDUCING THE TOTAL GROSS EVENT INCOME ON LINE 3. THIS PRESENTATION GIVES THE APPEARANCE ON SCHEDULE G OF A LOSS FROM THE RESPECTIVE EVENT. HOWEVER, WHEN THE CHARITABLE CONTRIBUTIONS ARE CONSIDERED AND ADDED BACK, THE EVENT HAD A PROFIT OF $59,824. 1 1 1 X 0 0 1 0 1 1 5779566 5779566 0.02480 34833669 26773835 8059834 0.03460 40613235 26773835 13839400 0.05940 11 10546 942460 5000 937460 0.00400 6 716 874614 1800 872814 0.00370 7579 0 7579 0.00000 12 61547 400123 8509 391614 0.00170 29 72809 2224776 15309 2209467 0.00940 29 72809 42838011 26789144 16048867 0.06880 1 10463 154556 76850 77706 0.00030 3 3690 119373 37250 82123 0.00040 1 84 78932 15000 63932 0.00030 2 685 25973 23200 2773 0.00000 2 79 19129 0 19129 0.00010 9 15001 397963 152300 245663 0.00110 1 12547179 31546181 48838843 -17292662 X 1 1 1 UNITED AMBULANCE AMBULANCE SERVICE 0.50000 0.00000 0.00000 1 1 ST MARY'S REGIONAL MEDICAL CENTER 93 CAMPUS AVE LEWISTON ME 042430291 38244 X ST MARY'S REGIONAL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X WWW.STMARYSMAINE.COM X WWW.COVENANTHEALTH.NET X 1 16 1 SEE SCHEDULE H, PART V, SECTION C 0 1 X 200.000000000000 X X 1 1 X X X X 1 X WWW.STMARYSMAINE.COM X WWW.STMARYSMAINE.COM X WWW.STMARYSMAINE.COM X X X X X X 1 X 0 X X X 1 X 0 0 ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 5: UNDERSTANDING THE HEALTH NEEDS OF A COMMUNITY ALLOWS PUBLIC HEALTH AND HEALTH CARE ORGANIZATIONS TO DESIGN AND IMPLEMENT COST-EFFECTIVE STRATEGIES THAT IMPROVE THE HEALTH STATUS OF THE POPULATIONS THEY SERVE. A COMPREHENSIVE DATA DRIVEN ASSESSMENT PROCESS CAN IDENTIFY, WITH A HIGH DEGREE OF ACCURACY, PRIORITY HEALTH NEEDS AND ISSUES RELATED TO PREVENTION, DIAGNOSIS AND TREATMENT. ASSESSMENT TOOLS ALSO MAY ASSIST IN PINPOINTING ACCESS TO CARE BARRIERS, UTILIZATION OF EVIDENCE BASED GUIDELINES, AND UTILIZATION OF HEALTH SERVICES. IN MAINE, HEALTHCARE LEADERS AND PUBLIC HEALTH LEADERS COLLABORATED TO CONDUCT THE ASSESSMENT AND ANALYZE THE DATA FOR THIS LATEST CHNA IN A COLLABORATION DESIGNATED AS THE MAINE SHARED HEALTH NEEDS ASSESSMENT & PLANNING PROCESS.ABOUT THE COLLABORATIVETHE MAINE SHARED HEALTH NEEDS ASSESSMENT & PLANNING PROCESS (SHNAPP) WAS ESTABLISHED FROM A SERIES OF PLANNING EVENTS AND CONVERSATIONS AMONG HEALTHCARE AND PUBLIC HEALTH LEADERS IN RESPONSE TO EMERGING STATE AND FEDERAL MANDATES TO IMPROVE THE HEALTH OF MAINE COMMUNITIES. A MEMORANDUM OF UNDERSTANDING (MOU) WAS DEVELOPED AND SIGNED IN JUNE 2014 BY CEOS FROM CENTRAL MAINE HEALTHCARE, EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH, AND MAINEHEALTH IN ADDITION TO THE COMMISSIONER OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES. TANGIBLE PRODUCTS INCLUDE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS CREATED FROM SECONDARY QUANTITATIVE DATA AND PRIMARY QUALITATIVE DATA ANALYSES, COMMUNITY ENGAGEMENT ACTIVITIES, AND HEALTH IMPROVEMENT PLANS.ABOUT THE SHARED COMMUNITY HEALTH NEEDS ASSESSMENTTHE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY MAINE SHNAPP MEMBERS. THE SERIES OF REPORTS PRODUCED AS A RESULT SUPPORT EFFORTS TO MAKE MAINE'S COMMUNITIES THE HEALTHIEST IN AMERICA. THE CHNA REPORT (SEE APPENDIX 1 FOR THE COMPLETE ANDROSCOGGIN COUNTY REPORT) PRESENTS BOTH QUANTITATIVE AND QUALITATIVE FINDINGS. THE QUANTITATIVE DATA CAME FROM 25 SOURCES (SURVEYS SUCH AS THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE MAINE INTEGRATED YOUTH HEALTH SURVEY; PATIENT CLAIMS DATA FROM THE MAINE HEALTH DATA ORGANIZATION; AND DISEASE REGISTRIES SUCH AS THE CANCER REGISTRY) FOR OVER 160 INDICATORS WITHIN 18 DOMAINS OR HEALTH CATEGORIES. THE QUALITATIVE DATA WAS GLEANED FROM AN ONLINE STAKEHOLDER SURVEY MEANT TO CAPTURE OPINIONS OF HEALTH PROFESSIONALS AND COMMUNITY STAKEHOLDERS ON THE HEALTH ISSUES AND NEEDS OF COMMUNITIES ACROSS THE STATE. THE DATA GATHERED FROM THESE SOURCES ALLOWED LOCAL HOSPITALS TO IDENTIFY THE TOP HEALTH ISSUES OR PRIORITIES FOR THEIR COUNTY AND LOCAL COMMUNITIES.COMMUNITY INPUTCOMMUNITY ENGAGEMENT USING SHARED CHNA REPORTS FOR LOCAL AND REGIONAL PLANNING IS A CRITICAL PART OF THE NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLANNING PROCESS. THE PROCESS, CO-LED BY MAINE CDC DISTRICT LIAISONS AND REPRESENTATIVES FROM MAINE SHNAPP NOT-FOR-PROFIT HOSPITALS, ACHIEVED THE FOLLOWING:- ENSURED BROAD INTERESTS OF THE LOCAL COMMUNITY WERE REPRESENTED;- OBTAINED STAKEHOLDER INPUT ON IDENTIFYING SIGNIFICANT HEALTH NEEDS BASED ON REVIEW OF DATA;- SOLICITED STAKEHOLDER FEEDBACK ON PRIORITIZING SIGNIFICANT HEALTH NEEDS; AND- IDENTIFIED LOCAL ASSETS AND RESOURCES THAT COULD ADDRESS LOCAL HEALTH PRIORITIES.PREPARING FOR COMMUNITY ENGAGEMENTSEPTEMBER 2014-SEPTEMBER 2015THE SHNAPP COMMUNITY ENGAGEMENT PLANNING PROCESS INCLUDED THE DISTRICT LIAISON FROM THE MAINE CDC AND REPRESENTATIVES FROM PARTICIPATING MAINE SHNAPP HOSPITALS IN THE REGION (ST. MARY'S REGIONAL MEDICAL CENTER AND CENTRAL MAINE MEDICAL CENTER IN LEWISTON.) IT WAS DECIDED THAT THE EXISTING COMMUNITY HEALTH STAKEHOLDER COALITION WOULD BE THE LOCAL GROUP TO COORDINATE COMMUNITY ENGAGEMENT SESSIONS IN ANDROSCOGGIN COUNTY.IN 2012, REPRESENTATIVES FROM THE TWO LOCAL HOSPITAL SYSTEMS CAME TOGETHER TO ESTABLISH THE COMMUNITY HEALTH STAKEHOLDER COALITION, A GROUP OF COMMUNITY HEALTH AGENCIES, THE PUBLIC HEALTH SECTOR AND HOSPITALS. THEY DEVELOPED THIS PURPOSE STATEMENT:IMPROVE THE HEALTH OF ANDROSCOGGIN COUNTY BY CONVENING COMMUNITY HEALTH STAKEHOLDERS TO COLLABORATE ON:-CONDUCTING COMMUNITY HEALTH NEEDS ASSESSMENTS-EDUCATING MEMBERS AND CONSTITUENTS ON FINDINGS OF COMMUNITY HEALTH NEEDS ASSESSMENTS-DEVELOPING STRATEGIES TO ADDRESS PRIORITIZED NEEDS-SHARING RELEVANT RESOURCES THROUGH NETWORKINGADDITIONALLY THE STAKEHOLDER GROUP CONTINUES TO ASSESS METHODS TO INCREASE THE COMMUNITIES' KNOWLEDGE OF, AND ACCESS TO, RESOURCES IN OUR AREA SUCH AS 2-1-1 MAINE AND TO EXPLORE OPTIONS FOR DIRECT REFERRAL TO RESOURCES FROM WITHIN THE HEALTHCARE SYSTEMS. OBTAINING LOCAL COMMUNITY ENGAGEMENT INPUTOCTOBER 2015-MARCH 2016IN ORDER TO OBTAIN LOCAL COMMUNITY INPUT, THE COMMUNITY HEALTH STAKEHOLDER COALITION REVIEWED THE DATA IN THE ANDROSCOGGIN COUNTY SHNAPP CHNA REPORT AND THEN DEVELOPED AN APPROACH TO COMMUNITY ENGAGEMENT TO MAXIMIZE PARTICIPATION OF A CROSS SECTION OF THE COMMUNITYTHE COMMUNITY HEALTH STAKEHOLDER COALITION COORDINATED TWO COMMUNITY FORUMS HELD IN MARCH 2016 AND 13 OTHER GROUP PRESENTATION/KEY INFORMANT INTERVIEWS WITH EXISTING COMMUNITY GROUPS (SEE APPENDIX 2-COMMUNITY ENGAGEMENT)THE OBJECTIVES OF THE FORUM INCLUDED:- PROVIDE AWARENESS AMONG COMMUNITY STAKEHOLDERS OF THE DATA/RESULTS FROM THE MAINE SHNAPP OR SUBSEQUENT RESEARCH BUILT ON THAT RESOURCE;- INVITE LOCAL INPUT ON WHAT THE DATA MEANS TO EACH LOCAL COMMUNITY/REGION; - SOLICIT LOCAL INPUT ON WHAT ISSUES SHOULD BE PRIORITIZED LOCALLY; - SOLICIT LOCAL IDEAS ON EXISTING RESOURCES, ASSETS, OR NEW INITIATIVES THAT SHOULD BE ALIGNED/DEVELOPED TO ADDRESS THE PRIORITIZED ISSUES; AND- CAPTURE AND SHARE INPUT FROM THE FORUM USING THE MODEL LOCAL SHNAPP COMMITTEE REPORTING FORM.THE COALITION ALSO DECIDED TO APPROACH EXISTING COMMUNITY GROUPS SUCH AS THE CHAMBER OF COMMERCE AND SENIORS PLUS AND INDIVIDUAL COMMUNITY MEMBERS TO OFFER GROUP PRESENTATIONS, KEY INFORMANT INTERVIEWS AND EVEN WRITTEN SURVEYS OFFERING THE ABOVE ELEMENTS. IN ALL, 520 PEOPLE PARTICIPATED IN EITHER THE COMMUNITY FORUMS, GROUP PRESENTATIONS, INTERVIEWS AND WRITTEN SURVEYS IN ANDROSCOGGIN COUNTY. THE SECTORS REPRESENTED INCLUDED: PUBLIC HEALTH, MEDICALLY UNDERSERVED, COMMUNITY HEALTH COALITION, NON-PROFIT AGENCIES, LOW INCOME, RACIAL/ETHNIC MINORITIES, BUSINESS AND EDUCATION. THE CONVERSATIONS LARGELY INFORMED BOTH THE IMPLEMENTATION STRATEGIES AND STRATEGIC PLANS FOR THE HOSPITALS. SUMMARIES AND/OR NOTES FROM ALL OF THE FORUMS ARE AVAILABLE AT: HTTPS://WWW.MAINEGENERAL.ORG/PAGES/MAINE-PUBLIC-HEALTH-DISTRICTS.ASPZ ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6A: CENTRAL MAINE MEDICAL CENTER IN LEWISTON, MAINE ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: THE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY MAINE SHNAPP MEMBERS. THE MAINE SHARED HEALTH NEEDS ASSESSMENT & PLANNING PROCESS (SHNAPP) WAS ESTABLISHED FROM A SERIES OF PLANNING EVENTS AND CONVERSATIONS AMONG HEALTHCARE AND PUBLIC HEALTH LEADERS IN RESPONSE TO EMERGING STATE AND FEDERAL MANDATES TO IMPROVE THE HEALTH OF MAINE COMMUNITIES. A MEMORANDUM OF UNDERSTANDING (MOU) WAS DEVELOPED AND SIGNED IN JUNE 2014 BY CEOS FROM CENTRAL MAINE HEALTHCARE, EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH, AND MAINEHEALTH IN ADDITION TO THE COMMISSIONER OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES. FOR THE MOST RECENT CHNA, COALITION MEMBERS INCLUDED: JAMIE PAUL, WESTERN MAINE DISTRICT COORDINATING COUNCIL OF THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION, CYNTHIA RICE, DIRECTOR OF COMMUNITY HEALTH, WELLNESS AND CARDIOPULMONARY REHAB, CENTRAL MAINE MEDICAL CENTER, ELIZABETH KEENE, VP OF MISSION INTEGRATION, ST. MARY'S HEALTH SYSTEM, ERIN GUAY, EXECUTIVE DIRECTOR, HEALTHY ANDROSCOGGIN, CATHERINE RYDER, EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH SERVICES, GINNY ANDREWS, NUTRITION SERVICES PROGRAM MANAGER, WESTERN MAINE COMMUNITY ACTION, STEVE JOHNDRO, EXECUTIVE DIRECTOR, WESTERN MAINE COMMUNITY ACTION, BRENDA CZADO, DIRECTOR HOME CARE, ANDROSCOGGIN HOME CARE AND HOSPICE, REBECCA AUSTIN, DIRECTOR OF OUTREACH SERVICES, SAFE VOICES, SAM BOSS, HARWOOD CENTER AT BATES COLLEGE, JOAN CHURCHILL, EXECUTIVE DIRECTOR, COMMUNITY CLINICAL SERVICES, SHAWN YARDLEY, EXECUTIVE DIRECTOR, COMMUNITY CONCEPTS, LARRY MARCOUX, UNITED WAY AND QUINN GORMLEY, HEALTH EQUITY ALLIANCE. THESE MEMBERS REPRESENTED COMMUNITY HEALTH, PUBLIC HEALTH, HOSPITALS, MINORITY POPULATIONS, LOCAL COLLEGES, COMMUNITY ACTION AGENCIES AND THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC.) ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 11: ST. MARY'S WAS ESTABLISHED IN 1888 BY THE SISTERS OF CHARITY OF SAINT-HYACINTHE, CANADA. THEIR LEGACY, IN THE SPIRIT OF FOUNDRESS ST. MARGUERITE D'YOUVILLE, COMPELS US TO CONTINUE THEIR VISION OF SERVING THE MOST VULNERABLE OF OUR COMMUNITY. OUR GOALS FOR 2018 WERE TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS BY PROVIDING PROGRAMS AND SERVICES RELATED TO THESE NEEDS, CARING FOR THE POOR AND VULNERABLE IN ANDROSCOGGIN COUNTY, PROVIDING EDUCATION TO COMMUNITY GROUPS AND HEALTH CARE PROFESSIONALS, AND FACILITATING COMMUNITY PARTNERSHIPS TO DEEPEN THE IMPACT OF OUR EFFORTS.COMMUNITY HEALTH NEEDS ASSESSMENT AND COMMUNITY ENGAGEMENTTHE MAINE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IS INTENDED TO COORDINATE STATE AND COUNTY NEEDS ASSESSMENTS. THIS EFFORT IS A UNIQUE PUBLIC-PRIVATE STATEWIDE COLLABORATIVE EFFORT AMONG THE MAJOR HEALTH SYSTEMS IN MAINE AND THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION OF THE MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES (MAINE CDC).THE MAINE SHARED CHNA COLLABORATIVE CONTRACTED WITH JOHN SNOW, INC. (JSI) TO CONDUCT DATA ANALYSIS AND SUPPORT THE COMMUNITY ENGAGEMENT PROCESS.THE MAINE SHARED CHNA PROCESS WILL ROLL OUT IN THREE STAGES:- HEALTH DATA PROFILES WERE RELEASED IN AUGUST 2018. ALMOST 200 INDICATORS HAVE BEEN SELECTED TO DESCRIBE THE HEALTH OUTCOMES, HEALTH BEHAVIORS, HEALTHCARE ACCESS AND QUALITY, AND THE SOCIAL, COMMUNITY, AND PHYSICAL ENVIRONMENT THAT AFFECT OUR HEALTH.- FORUMS AND OTHER OUTREACH WERE CONDUCTED IN THE FALL OF 2018. FORUMS WERE FOLLOWED BY KEY INFORMANT INTERVIEWS AND A COMMUNITY HEALTH SURVEY. THE PURPOSE OF THIS OUTREACH WAS TO GATHER FEEDBACK ON THE DATA, IDENTIFY HEALTH PRIORITIES AND COMMUNITY ASSETS THAT CAN BE USED IN HEALTH IMPROVEMENT PLANNING.- FINAL CHNA REPORTS ARE SCHEDULED TO BE RELEASED IN MARCH OF 2019. THESE REPORTS WILL INCLUDE THE INFORMATION FROM THE HEALTH PROFILES ALONG WITH SUMMARIES FROM FORUMS, KEY INFORMANT INTERVIEWS, AND THE SURVEY TO CREATE 1 STATE, 16 COUNTY, AND PUBLIC HEALTH DISTRICT LEVEL REPORTS. IN 2012, ST. MARY'S AND THE OTHER LOCAL HOSPITAL ESTABLISHED A GROUP OF COMMUNITY HEALTH-CARE RELATED AGENCIES TO REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE GROUP HAS CONTINUED MONTHLY MEETINGS TO ANALYZE COMMUNITY HEALTH NEEDS ASSESSMENT DATA, COLLABORATE ON APPROPRIATE INITIATIVES AND NETWORK ABOUT EXISTING COMMUNITY RESOURCES. IN 2018 THE COALITION FOCUSED ON THE THREE PRIORITY AREAS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: SUBSTANCE USE, MENTAL HEALTH AND PHYSICAL ACTIVITY/OBESITY/NUTRITION AND THEN BEGAN WORKING ON THE NEXT CHNA BY PLANNING AND HOSTING COMMUNITY ENGAGEMENT FORUMS TO OBTAIN FEEDBACK ON THE HEALTH INDICATOR DATA FOR ANDROSCOGGIN COUNTY AND THEN ASK FOR THE COMMUNITY'S PERSPECTIVE IN PRIORITIZING THE HEALTH ISSUES. TWO SESSIONS WERE HELD IN ANDROSCOGGIN COUNTY IN THE FALL OF 2018. ATTENDANCE INCLUDED REPRESENTATIVES OF THE COMMUNITY, LEADERS OF COMMUNITY HEALTH AND SOCIAL SERVICE AGENCIES AND THE PRESIDENTS OF BOTH LOCAL HOSPITALS. PARTICIPANTS REVIEWED THE DATA ELEMENTS FOR ANDROSCOGGIN COUNTY, FOCUSING PRIMARILY ON AREAS WHERE THE HEALTH OF THIS COMMUNITY WAS SIGNIFICANTLY WORSE THAN THE STATE OR THE COUNTRY. PARTICIPANTS THEN REVIEWED THE NEEDS AND PRIORITIZED THEM (WITH AN OPPORTUNITY TO ADD THEIR OWN CONCERNS.) IN ADDITION, KEY INFORMANT INTERVIEWS FROM VULNERABLE POPULATIONS (SUCH AS VETERANS, MINORITY COMMUNITIES AND THE ELDERLY) PROVIDED ADDITIONAL FEEDBACK, PERSPECTIVE AND PRIORITIZED NEEDS. THE PRIORITIZED NEEDS WILL THEN INFORM ST. MARY'S IMPLEMENTATION STRATEGY AND STRATEGIC PLANNING IN 2019.ST. MARY'S IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH STAFF LEADERSHIP, STRATEGIC PARTNERSHIPS, COMMUNITY AND HEALTH CARE PROFESSIONAL'S EDUCATION AND COMMUNITY BUILDING. THESE EFFORTS ARE EXAMPLES OF HOW WE LIVE AND FULFILL OUR MISSION OF HEALING AND CARE SO THAT THOSE IN OUR COMMUNITY CAN FLOURISH. ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 13H: HOUSEHOLD SIZE ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 15E: ST. MARY'S WEBSITE PROVIDES ACCESS TO THE FREE CARE APPLICATION AS WELL AS CONTACT INFORMATION FOR ASSISTANCE IN ANSWERING ANY QUESTIONS OR IN COMPLETING THE APPLICATION. SCHEDULE H, PART V, SECTION B, LINE 10A: WWW.STMARYSMAINE.COM/COMMUNITY-HEALTH/IMPLEMENTATION-STRATEGY-2016-2018 1 1 - ST MARY'S D'YOUVILLE PAVILION 102 CAMPUS AVE LEWISTON ME 04240 NURSING HOME PART I, LN 7 COL(F): WE HAVE ESTIMATED THAT 2% OF OUR BAD DEBT MAY POTENTIALLY BE FREE CARE ACCOUNTS HOWEVER THIS HAS NOT BEEN INCLUDED IN PART I OR PART II. PART II, COMMUNITY BUILDING ACTIVITIES: ST. MARY'S IS VERY ACTIVE IN PROGRAMS THAT ADDRESS THE ROOT CAUSES OF HEALTH PROBLEMS, SUCH AS POVERTY, HOMELESSNESS AND ENVIRONMENTAL CONCERNS. LEADERSHIP IS INVOLVED IN LOCAL ECONOMIC DEVELOPMENT AND COALITION BUILDING TO ADDRESS THESE ISSUES. ST. MARY'S NUTRITION CENTER HAS MANY PROGRAMS FOCUSED ON COMMUNITY BUILDING, INCLUDING OUR FARMERS' MARKETS, COMMUNITY GARDENS, AND PARTICIPATION ON COUNCILS RELATED TO IMPROVING FOOD ACCESS. THE NUTRITION CENTER HAS IDENTIFIED KEY STRATEGIC PRIORITIES FRAMED UNDER THE UMBRELLA OF GROWING FOOD TOGETHER, WITH A BROAD GOAL TO BRING OUR COMMUNITY TOGETHER AND STRENGTHEN COLLECTIVE ASSETS TOWARDS CULTIVATING MORE EQUITABLE AND RESILIENT ACCESS TO FOOD AND LAND IN LEWISTON-AUBURN. THIS WORK AIMS TO ADDRESS SEVERAL INTERRELATED ISSUES IN THE GREATER LEWISTON-AUBURN MAINE REGIONS: - THE NEED FOR EXPANDED AND EQUITABLE ACCESS TO LAND TO GROW FOOD - BOTH IN URBAN COMMUNITY GARDENS AND NEARBY FARMLAND ACCESS. THIS IS OF PARTICULAR NEED FOR DISADVANTAGED AFRICAN IMMIGRANTS, REFUGEES, AND ASYLEES.- THE NEED OF LOW-INCOME HOUSEHOLDS FOR ACCESS TO HEALTHY FOOD IN A COMMUNITY WITH HIGH LEVELS OF POVERTY AND FOOD INSECURITY.- THE NEED FOR MORE COORDINATED, IMPROVED LOCAL FOOD ACCESS STRATEGIES THAT ARE CONVENIENT, AFFORDABLE, EASY TO NAVIGATE, AND RESPOND TO COMMUNITY INPUT.- THE NEED TO CULTIVATE LOCAL LEADERSHIP, VISION, AND POLITICAL WILL TO PROTECT FARMLAND AND TO INCLUDE AGRICULTURE AND FARM/FOOD ENTERPRISE AS AN INTEGRATED PART OF COMMUNITY AND ECONOMIC DEVELOPMENT PLANNING.- THE NEED FOR TRAINING AND LEADERSHIP OPPORTUNITIES FOR UNDERSERVED YOUTH THAT CREATE PATHWAYS FOR MEANINGFUL COMMUNITY ENGAGEMENT. THE GOOD FOOD BUS IS A MOBILE FOOD MARKET WHICH CREATES EASIER ACCESS TO GOOD FOOD. IT PROVIDES DIRECT AND CONVENIENT ACCESS TO FRESH VEGETABLES, FRUIT, EGGS, BREAD, HONEY, PICKLES, NUTS, FROZEN PREPARED ITEMS AND ANCHOR MEALS (READY-TO-MAKE MEALS.). IN 2018 SNAP/EBT SALES REACHED $2500 WITH TOTAL SALES OF $35,177 FOR THE MOBILE MARKET. OUR "MAINE HARVEST BUCKS" PROGRAM ALLOWS PEOPLE TO INCREASE THEIR PURCHASE POWER OF SNAP BENEFITS AND BRING HOME MORE FRESH FRUITS AND VEGETABLES THROUGH A MATCHING PROGRAM. ANOTHER NEW INITIATIVE IN 2018 WAS A MEMBERSHIP PROGRAM BASED ON FEEDBACK FROM COMMUNITY LISTENING SESSIONS. IT WAS LAUNCHED IN RECOGNITION OF THE DECLINE OF FEDERAL FOOD ASSISTANCE ELIGIBILITY TO MANY IN OUR COMMUNITY. THE MEMBERSHIP PROGRAM AUTOMATICALLY DISCOUNTED PRODUCE COSTS AT LOW-INCOME STOPS AND REWARDED RETURN VISITS. THERE WERE 700 PEOPLE WHO SIGNED UP FOR THE MEMBERSHIP PROGRAM. COMMUNITY GARDENS THREE NEW URBAN GARDENS WERE CONSTRUCTED, PROVIDING GROWING SPACES FOR AN ADDITIONAL 54 HOUSEHOLDS, BRINGING THE TOTAL HOUSEHOLDS TO 176. THE GARDENS ARE INTENTIONALLY LOCATED IN NEIGHBORHOODS OF LOW-INCOME THAT FACE BARRIERS TO ACCESSING FRESH FOODS.WE PUBLISHED A CASE STUDY ABOUT THE HISTORY OF COMMUNITY GARDENS AND THE ROLE THEY PLAY IN POPULATION HEALTH IN LEWISTON-AUBURN:- FROM THE GROUND UP: IMPROVING COMMUNITY HEALTH THROUGH COLLABORATION." IN PARTNERSHIP WITH THE ASSOCIATION FOR COMMUNITY HEALTH IMPROVEMENT, AN AFFILIATE OF THE AMERICAN HOSPITAL ASSOCIATION AND THE HEALTH RESEARCH & EDUCATIONAL TRUST, PUBLISHED AN ONLINE CASE STUDY, OR "BRIGHT SPOT." THIS USES A WEB PLATFORM TO SHARE STORIES, MODELS, AND LESSONS - OUR CASE STUDY EXAMINED THE VALUABLE ROLE COMMUNITY GARDENING CAN PLAY IN COMMUNITY DEVELOPMENT AND COMMUNITY ENGAGEMENT, WHILE STRENGTHENING FOOD ACCESS AND LOCAL FOOD SYSTEMS. THIS WAS THE FEATURED STORY FOR ONE DAY OF THE NATIONAL COMMUNITY HEALTH IMPROVEMENT WEEK:HTTPS://INSIGHT.LIVESTORIES.COM/S/V2/NEW-STORY/CECAC080-44D4-4CD7-A3D9-20552B15AD49/YOUTH PROGRAMSTHE GOAL OF ST. MARY'S NUTRITION CENTER YOUTH PROGRAMS IS TO PROVIDE FOOD, GARDEN-BASED LEADERSHIP AND JOB TRAINING OPPORTUNITIES FOR YOUTH. THE FOCUS FOR YOUTH PROGRAMMING IN 2018 WAS TO EXPAND THE OPPORTUNITIES OFFERED FOR THE 59 UNDERSERVED TEENS IN THE PROGRAM:- EXPANDED TRAINING OPPORTUNITIES FOR YOUTH AND STAFF: SEVEN CONFERENCE AND TRAININGS WERE ATTENDED INCLUDING THE NATIONAL ROOTED IN COMMUNITY CONFERENCE, MAINE YOUTH ACTION NETWORK YOUTH LEADERSHIP SUMMIT, EMERGING ENVIRONMENTAL CHANGEMAKERS GATHERING RUN BY THE NEW ENGLAND ENVIRONMENTAL EDUCATION ASSOCIATION, THE AND MAINE YOUTH AGRICULTURE SUMMIT. - EXPANDED COMMUNITY ENGAGEMENT OPPORTUNITIES FOR YOUTH PARTICIPANTS INCLUDING COMMUNITY EVENTS, SITE VISITS, AND COMMUNITY PLANNING EFFORTS. GOOD FOOD IN THE SCHOOLSANOTHER FOCUS FOR 2018 WAS TO EXPAND FARM TO SCHOOL OPPORTUNITIES IN LEWISTON AND AUBURN SCHOOL DISTRICTS. THE NUTRITION CENTER BROUGHT TOGETHER BOTH SCHOOL DISTRICTS AND PARTNERS AND SUBMITTED A SUCCESSFUL FARM TO SCHOOL IMPLEMENTATION PROPOSAL THAT WAS AWARDED IN JUNE 2018. THE NUTRITION CENTER ALSO HOSTED TWO FULL-TIME FOOD CORPS MEMBERS TO SUPPORT ONGOING SCHOOL GARDEN EDUCATION PROGRAMMING. WE WERE ABLE TO PROVIDE REGULAR PROGRAMMING IN OVER 60 DISTINCT CLASSROOMS AND AFTERSCHOOL/SUMMER SCHOOL PROGRAMS, IN 7 LOCATIONS. 2415 YOUTH AND CHILDREN PARTICIPATED IN GARDEN-BASED EDUCATIONAL PROGRAMMING. COMMUNITY FOOD CHAMPIONS FROM JULY -OCTOBER 2018 THE ST. MARY'S NUTRITION CENTER PILOTED A PEER-TO-PEER OUTREACH PROGRAM, COMMUNITY FOOD CHAMPIONS, TO HELP INCREASE AWARENESS OF FRESH FOOD OPPORTUNITIES ACROSS LEWISTON-AUBURN INCLUDING FARMERS' MARKETS, FARM STANDS, STORES, AND MOBILE MARKETS. THE PROGRAM ALSO SOUGHT TO GATHER QUALITATIVE INFORMATION FROM COMMUNITY MEMBERS ABOUT HOW THEY PURCHASE FRESH FOOD AND WHAT BARRIERS PREVENTED THEM FROM DOING SO EASILY. ST. MARY'S NUTRITION CENTER PARTNERED TO FORM THE ANDROSCOGGIN GLEANERS. THIS EFFORT IS BASED ON THE ANCIENT TRADITION OF GLEANING WHEN FARMERS AND FRUIT GROWERS ALLOW PEOPLE INTO THEIR FIELDS OR ORCHARDS TO GATHER THE FOOD THAT WAS NOT HARVESTED. IT IS DEDICATED TO CONNECTING PEOPLE THROUGH VOLUNTEERISM TO ALLEVIATE FOOD INSECURITY AND LOCAL FOOD WASTE IN OUR COUNTY. THE ANDROSCOGGIN GLEANERS WORK WITH FARMS, VOLUNTEERS AND FOOD ACCESS SITES TO HARVEST SURPLUS PRODUCE AND DELIVER TO PEOPLE WHO CAN USE IT. TOGETHER IN 2018, THE ANDROSCOGGIN GLEANERS - FARMERS, FOOD PANTRIES, SOUP KITCHENS, HOUSING SITES, VOLUNTEERS - COLLABORATIVELY HARVESTED, COLLECTED, DELIVERED AND DISTRIBUTED OVER 14,000 POUNDS OF FRESH, NUTRITIOUS AND DELICIOUS FOOD TO OUR NEIGHBORS AND COMMUNITY MEMBERS. PARTNERS IN THIS INITIATIVE INCLUDED THE COOPERATIVE EXTENSION, HEALTHY ANDROSCOGGIN, ANDROSCOGGIN LAND TRUST, WHITING FARM, SCATTERGOOD FARM, AND BATES COLLEGE (FACULTY AND STUDENTS CONDUCTED A SEMESTER-LONG RESEARCH PROJECT TO SUPPORT THE EFFORT).AS ONE OF THE LARGEST EMERGENCY FOOD PANTRIES IN MAINE, ST. MARY'S FOOD PANTRY PROVIDES NUTRITIOUS FOOD TO THOSE IN OUR COMMUNITY WHO ARE FOOD INSECURE. THE FOOD PANTRY DISTRIBUTED OVER 800,000 POUNDS OF FOOD IN 2018, INCLUDING MANY THOUSANDS OF POUNDS OF FRESH PRODUCE. PART III, LINE 2: THIS AMOUNT REPRESENTS ACCOUNTS SENT TO THE COLLECTION AGENCY MINUS PAYMENTS THAT HAVE BEEN COLLECTED PLUS A FACTOR ESTIMATING THE SELF-PAY AMOUNTS IN ACCOUNTS RECEIVABLE THAT WILL BE UNCOLLECTIBLE. PART III, LINE 3: FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. PART III, LINE 4: FOOTNOTE 3, PAGE 20 : ACCOUNTS ARE WRITTEN OFF WHEN ALL REASONABLE INTERNAL AND EXTERNAL COLLECTION EFFORTS HAVE BEEN PERFORMED. THE ESTIMATES FOR IMPLICIT PRICE CONCESSIONS ARE BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL WRITEOFFS AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL, STATE AND PRIVATE EMPLOYER HEALTH CARE COVERAGE AND OTHER COLLECTION INDICATORS. MANAGEMENT RELIES ON THE RESULTS OF DETAILED REVIEWS OF HISTORICAL WRITEOFFS AND COLLECTIONS AT FACILITIES THAT REPRESENT A MAJORITY OF THE SYSTEMS REVENUES AND ACCOUNTS RECEIVABLE AS A PRIMARY SOURCE OF INFORMATION IN ESTIMATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE. PART III, LINE 8: NONE WERE REPORTED BUT IT IS IMPORTANT TO NOTE THAT APPROXIMATELY 30% OF MEDICARE PATIENTS ALSO QUALIFY FOR MEDICAID. COSTING ON LINE 6 IS BASED ON RATIO OF COST TO CHARGE FROM WORKSHEET 2. PART III, LINE 9B: ST. MARY'S REGIONAL MEDICAL CENTER WILL MAKE A REASONABLE EFFORT TO DETERMINE WHETHER AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE PRIOR TO INITIATING ANY COLLECTION ACTIVITY. PART VI, LINE 2: IN ADDITION TO THE OFFICIAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORTED IN PART V, SECTION B, ST. MARY'S ASSESSES THE NEEDS OF OUR COMMUNITY IN AN ON-GOING BASIS THROUGH SEVERAL KEY METHODS. LEADERS ARE ACTIVE ON COMMUNITY HEALTH BOARDS; THESE MONTHLY MEETINGS ALLOW FOR CONTINUED ASSESSMENT AND SHARING OF INFORMATION. PATIENT OR RESIDENT ADVISORY PANELS ALSO HELP US ASSESS NEEDS OF PATIENTS AND THE COMMUNITY. WE ALSO WORK CLOSELY WITH COMMUNITY CLINICAL SERVICES (AN FQHC LOOK-ALIKE) TO SHARE INFORMATION ABOUT SOME OF THE HEALTH DISPARITIES EXPERIENCED BY COMMUNITY MEMBERS. ST. MARY'S WORKS WITH THE LOCAL ETHNIC COMMUNITY BASED ORGANIZATIONS FOR INFORMATION AS WELL. ST. MARY'S WORKS WITH THE LOCAL ETHNIC COMMUNITY BASED ORGANIZATIONS FOR INFORMATION AS WELL. PART VI, LINE 3: ST. MARY'S REGIONAL MEDICAL CENTER PROVIDES FINANCIAL EDUCATION AT THE POINT OF REGISTRATION BY HAVING BROCHURES AVAILABLE. THESE BROCHURES PROVIDE INFORMATION ABOUT THE HOSPITAL BILL AND VARIOUS OPTIONS ON FINANCIAL ASSISTANCE. ON THE BACKSIDE OF THE MONTHLY PATIENT STATEMENTS ALSO PROVIDES EDUCATION OF THE FINANCIAL ASSISTANCE AVAILABILITY AND OPTIONS TO THOSE WHO NEED IT. PART VI, LINE 4: ST. MARY'S REGIONAL MEDICAL CENTER (SMRMC) DRAWS MOST OF ITS INPATIENT AND OUTPATIENT POPULATION FROM ANDROSCOGGIN COUNTY, THEREFORE THE NEEDS OF THIS GEOGRAPHIC AREA ARE THE FOCUS OF THE DESCRIPTION. ANDROSCOGGIN COUNTY IS A COUNTY LOCATED IN SOUTH CENTRAL MAINE. IT CONTAINS ROUGHLY 8% OF MAINE'S 1.27 MILLION RESIDENTS. ANDROSCOGGIN COUNTY CONTAINS MAINE'S SECOND AND FIFTH LARGEST CITIES: LEWISTON (POPULATION 36,136 IN THE 2016 CENSUS ESTIMATE) AND AUBURN (POPULATION 22,969 IN THE 2016 CENSUS ESTIMATE) RESPECTIVELY. LOCATED ACROSS FROM EACH OTHER ON THE ANDROSCOGGIN RIVER, THE TWIN CITIES OF LEWISTON AND AUBURN ARE THE CENTRAL HUB OF THE REGION. THE COUNTY IS WORKING TO TRANSFORM THE DOWNTOWN AREA FROM VACANT TEXTILE MILLS AND ABANDONED SHOE FACTORIES TO A REGION KNOWN FOR PROGRESSIVE HEALTH CARE, TOURISM, HIGH-PRECISION MANUFACTURING, TELEMARKETING AND FINANCIAL SERVICES. LEWISTON AND AUBURN ARE ALSO HOME TO A LARGE FRANCO-AMERICAN POPULATION AS WELL AS AN INCREASING NUMBER OF CENTRAL AND EAST AFRICAN IMMIGRANTS. THE REST OF THE COUNTY IS COMPRISED OF SMALL RURAL TOWNS WITH AN AVERAGE POPULATION OF 222 PERSONS PER SQUARE MILE.FROM THE JULY 1, 2018 CENSUS ESTIMATE DATA, THE POPULATION OF ANDROSCOGGIN COUNTY IS 107,679, WITH AN ESTIMATED POVERTY RATE OF 12.4% AND MEDIAN INCOME OF $49,538 ANNUALLY. LEWISTON'S 2016 ESTIMATED POVERTY RATE IS EVEN HIGHER-22% AND THE RATE OF CHILDHOOD POVERTY IN LEWISTON IS 43% (ACCORDING TO THE 2013 MAINE KIDS COUNT SURVEY). THE COUNTY IS PRIMARILY WHITE (91.9%) WITH BLACK/AFRICAN AMERICAN AT 4.4%. WITH THE CONCENTRATION OF CENTRAL AND EASTERN AFRICAN IMMIGRANTS IN LEWISTON, THE CITY HAS A MORE SIGNIFICANT BLACK POPULATION (4.3%) AND TWO OR MORE RACES AT 6.1%. ANDROSCOGGIN COUNTY'S POPULATION REFLECTS TWO INTERESTING TRENDS: THE GREATEST NUMBER OF PEOPLE IS IN THE "UNDER 18 YEARS" CATEGORY (21.7%) AND THE SECOND HIGHEST CONCENTRATION OF THE POPULATION IS OVER AGE 65 (17.7%.) THE DEC 2018 UNEMPLOYMENT RATE WAS 3.1%. SLIGHTLY OVER 10% OF THE PRIMARY LANGUAGES SPOKEN IN THE HOME IS CATEGORIZED "OTHER THAN ENGLISH" SO THERE ARE A MULTITUDE OF INTERPRETATION SERVICES AVAILABLE, AS WELL AS CULTURAL BROKERS HIRED BY THE LOCAL HOSPITALS TO ASSIST NEW MAINERS IN NAVIGATING THE HEALTH SYSTEMS. LEWISTON/AUBURN QUALIFIES AS A MEDICALLY UNDERSERVED AREA DEFINED AS HAVING TOO FEW PRIMARY CARE PROVIDERS, WITH HIGH INFANT MORTALITY, HIGH POVERTY RATES AND/OR HIGH ELDERLY POPULATIONS. ADDITIONALLY THE COMMUNITY NEEDS INDEX (CNI) IDENTIFIES THE SEVERITY OF COMMUNITY HEALTH NEEDS FOR A SPECIFIC GEOGRAPHY BY ANALYZING THE DEGREE TO WHICH THE FOLLOWING HEALTH CARE ACCESS BARRIERS EXIST IN THE COMMUNITY: A. INCOME BARRIERS; B. EDUCATION/LITERACY BARRIERS, C. CULTURE/LANGUAGE BARRIERS, D. INSURANCE BARRIERS, AND E. HOUSING BARRIERS. AS STATED IN "HOSPITAL-BASED STRATEGIES FOR CREATING A CULTURE OF HEALTH" PUBLISHED IN 2014 BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE HEALTH RESEARCH AND EDUCATION TRUST (HRET), "THE PROCESS OF ASSESSING COMMUNITY HEALTH NEEDS PROVIDES A PLATFORM FOR HOSPITALS TO CLEARLY DEFINE AND PRIORITIZE COMMUNITY HEALTH CONCERNS, DEVELOP STRATEGIES TO ADDRESS THEM AND FOSTER SUSTAINABLE COLLABORATIONS WITH KEY PARTNERS. AS THE POPULATION HEALTH PARADIGM GAINS TRACTION, HOSPITALS INCREASINGLY ARE FOSTERING LEADERSHIP COMMITMENT AND ALIGNING THEIR MISSIONS TO ADVANCE THE ULTIMATE GOAL OF A HOSPITAL OR HEALTH CARE SYSTEM: A CULTURE OF HEALTH IN THEIR COMMUNITY." (P. 5) THE PROCESS USED IN THE STATE OF MAINE AND ANDROSCOGGIN COUNTY IS REFLECTIVE OF THIS TYPE OF COLLABORATION. PART VI, LINE 5: ST. MARY'S PROVIDED MANY COMMUNITY HEALTH IMPROVEMENT SERVICES TO ADDRESS THE PUBLIC HEALTH NEEDS IDENTIFIED IN ANDROSCOGGIN COUNTY IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE MOST SIGNIFICANT PUBLIC HEALTH ISSUES CONTINUE TO BE CHRONIC DISEASES, MENTAL HEALTH, SUBSTANCE USE, OBESITY AND TOBACCO USE. COMMUNITY HEALTH EDUCATION AND IMPROVEMENT SERVICES FOCUSED ON CHRONIC DISEASES AND SUBSTANCE USE. INITIATIVES INCLUDED HEALTH SCREENINGS FOR CANCER, COOKING CLASSES (EMBEDDED WITHIN FOOD ACCESS STRATEGIES) AND SELF-HELP PROGRAMS FOR SMOKING CESSATION AND WEIGHT LOSS. ST. MARY'S ALSO FOCUSED ON ACCESS TO CARE FOR UNDERSERVED POPULATIONS. COMMUNITY EDUCATION AND HEALTH IMPROVEMENT EFFORTSST. MARY'S OFFERED COMMUNITY EDUCATION AND HEALTH SCREENINGS TO ADDRESS THE PRIORITIZED HEALTH NEEDS IN ANDROSCOGGIN COUNTY. ST. MARY'S ALSO HOSTED AND/OR FACILITATED COMMUNITY SUPPORT GROUPS FOR HEALTH SERVICES AS WELL AS EXERCISE PROGRAMS TARGETED FOR WELLNESS AND PREVENTION. - SINCE MAINE HAS AN EXCESSIVELY HIGH RATE OF CANCER INCIDENCE, SEVERAL INITIATIVES WERE RELATED TO CANCER PREVENTION AND SCREENING. STAFF OFFERED SPECIAL MAMMOGRAPHY SCREENINGS ON A SATURDAY FOR THOSE WHO WORK ON WEEKDAYS. TWO EDUCATIONAL SESSIONS WERE HELD AT THE LOCAL AREA ON AGING THAT FOCUSED ON RISK AND PREVENTION OF BREAST CANCER. SIX EMPLOYEES ALSO PARTICIPATED IN THE ANNUAL SURVIVORSHIP DAY AT THE LOCAL CANCER SUPPORT CENTER AND OFFERED A COOKING CLASS THAT FOCUSED ON THE IMPORTANCE OF NUTRITION. ABOUT 100 PEOPLE ATTENDED THE PROGRAM. THE MEDICAL DIRECTOR OF OUR OCCUPATIONAL MEDICINE PROGRAM (WORKMED) ATTENDED A CONFERENCE THAT REPORTED ON THE INCREASED RISK OF CANCER FOR FIREFIGHTERS AND THEN DEVELOPED AND OFFERED A SPECIAL WORKSHOP FOR FIRE CHIEFS IN THE STATE OF MAINE ABOUT CANCER SCREENING AND PREVENTION FOR FIREFIGHTERS. OVER 50 FIRE CHIEFS FROM AROUND THE STATE (AS WELL AS OTHER TOWN/CITY OFFICIALS) ATTENDED THE FALL 2018 PROGRAM WHERE THEY RECEIVED EDUCATION ON THE TYPES OF CANCER FOR WHICH THEIR FIREFIGHTERS ARE AT GREATEST RISK.- MAINE IS FACING AN OPIATE CRISIS. IN 2017, MAINE'S FATAL OPIOID OVERDOSE RATE WAS 29.9 PER 100,000 PEOPLE (THE SIXTH HIGHEST IN THE COUNTRY.) ST. MARY'S IS A PARTNER IN A MAJOR COMMUNITY GRANT FOR THE COMMUNITY IN RECOVERY PROGRAM. ITS GOAL IS TO CREATE A COMMUNITY RESPONSE AND SAFE PATHWAY TO RECOVERY THAT PROVIDES FULL ACCESS, REDUCES STIGMA AND ENCOURAGES THE POSSIBILITY OF SUCCESSFUL OVERALL WELL-BEING AND PARTICIPATION. IN 2018 ST. MARY'S LEADERSHIP CONTINUED TO SERVE ON THE STEERING COMMITTEE AND ALSO OFFERED MEDICATION ASSISTED THERAPY (MAT) TRAINING FOR PROVIDERS IN ORDER TO INCREASE ACCESS TO MAT IN OUR COMMUNITY. PROVIDERS FROM BOTH LOCAL HOSPITALS AND THE LOCAL MENTAL HEALTH SOCIAL SERVICE AGENCY PARTICIPATED IN THE TRAINING.ST. MARY'S ALSO HOSTED A SESSION TO EDUCATE COMMUNITY HEALTH AGENCIES ABOUT STATISTICS RELATED TO SUBSTANCE USE IN ANDROSCOGGIN COUNTY IN THE SUMMER OF 2018 FOLLOWING THE RELEASE OF THE COUNTY LEVEL DATA FOR THE MAINE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT.- ST. MARY'S HOSTED A FOUR-PART FILM CONVERSATION SERIES IN NOVEMBER 2018 ENTITLED "IT'S ABOUT HOW YOU LIVE" IN ORDER TO EDUCATE THE COMMUNITY ABOUT THE IMPORTANCE OF ADVANCE CARE PLANNING AND THE RESOURCES AND SUPPORT AVAILABLE THROUGH PALLIATIVE CARE. THE SERIES WAS WELL-RECEIVED BY THE COMMUNITY MEMBERS WHO ATTENDED.HIV CASE MANAGEMENT PROGRAMTHE HIV/AIDS CASE MANAGEMENT PROGRAM STARTED IN 1998 WHEN ST. MARY'S WAS AWARDED THE RYAN WHITE GRANT/CONTRACT UNDER THE MAINE CDC AND IS NOW THE SECOND LARGEST AIDS SERVICE ORGANIZATION IN THE STATE OF MAINE. THE PROGRAM SERVES 95 CLIENTS BETWEEN PORTLAND AND ELLSWORTH, MAINE. SERVICES PROVIDED INCLUDE: MEDICAL, DENTAL AND EYE CARE LINKAGES; ONGOING MONITORING OF CLIENT HEALTH STATUS INCLUDING TREATMENT AND CARE, LAB RESULTS AND HELPING TO ENSURE ONGOING TREATMENT ADHERENCE ON ALL LEVELS; ACCESS TO VITAL MEDICATIONS, LINKAGES TO HEALTH CARE, SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES; AND ACCESS TO FOOD AND FINANCIAL ASSISTANCE AS WELL AS HOUSING AND TRANSPORTATION ASSISTANCE. THE PROGRAM ALSO OFFERS CLIENT SUPPORT GROUPS, HOLIDAY LUNCHEONS AND MUCH NEEDED PERSONAL CARE SUPPLIES. IN 2018 THE NUMBER OF CLIENTS WHO ARE ASYLUM SEEKERS DOUBLED (FROM 5 TO 10 CLIENTS). SINCE MOST ASYLUM SEEKERS ARE NOT ELIGIBLE FOR ANY ASSISTANCE, THEY ARE VERY GRATEFUL FOR THE SUPPORT PROVIDED THROUGH THE HIV CASE MANAGEMENT PROGRAM, IN TERMS OF BOTH TANGIBLE SUPPORT AND BEING TREATED RESPECTFULLY. ONE CLIENT REMARKED, "WHEREVER I GO HERE AT ST. MARY'S, PEOPLE ATTEND TO ME, RATHER THAN IGNORING ME." HEALTH INITIATIVES/COLLABORATION WITH OTHER HEALTH ENTITIESST. MARY'S IS AN AFFILIATE MEMBER OF MAINEHEALTH, ONE OF THE MAJOR HEALTH SYSTEMS IN MAINE. MAINEHEALTH HAS CREATED THE CENTER FOR HEALTH IMPROVEMENT WHICH SUPPORTS AND SERVES MAINEHEALTH ORGANIZATIONS AND OTHERS WITH INTEGRATED CLINICAL, COMMUNITY AND POLICY APPROACHES. ONE OF ST. MARY'S SENIOR LEADERS HAS BEEN APPOINTED TO SERVE ON THIS COUNCIL. IN 2018, THE COUNCIL DEVELOPED A CHARTER WHICH OUTLINES AREAS FOR WHICH INPUT AND RECOMMENDATIONS WILL BE PROVIDED: - DEVELOPMENT OF POPULATION HEALTH PRIORITIES WITHIN MAINEHEALTH STRATEGIC PLANS (SYSTEM, SERVICE LINES, MEMBER ORGANIZATIONS, ETC.)- DEVELOPMENT AND DISSEMINATION OF ALIGNED STRATEGIES IN CLINICAL, COMMUNITY AND POLICY DOMAINS- IMPLEMENTATION OF APPROPRIATE MEASUREMENT, EVALUATION, AND ACHIEVEMENT OF OUTCOMES- COORDINATION OF POPULATION HEALTH-RELATED INITIATIVES AMONG SYSTEM MEMBERS AND AFFILIATES- CREATION AND MAINTENANCE OF PARTNERSHIPS WITH PUBLIC AND PRIVATE SECTORS- ADVOCACY REGARDING FUNDING AND RESOURCE ALLOCATIONS- EFFECTIVE IMPLEMENTATION OF THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS- EFFECTIVE IMPLEMENTATION OF THE HEALTH INDEX COMMIT TO GET FIT CHALLENGESINCE LACK OF PHYSICAL ACTIVITY AND OBESITY ARE SIGNIFICANT HEALTH CHALLENGES IN OUR COUNTRY, ST. MARY'S DECIDED TO CREATE A COMMUNITY EVENT TO ENCOURAGE PHYSICAL ACTIVITY. THE HEALTH AND WELLBEING OF OUR EMPLOYEES AND COMMUNITY MEMBERS ARE OF THE UTMOST IMPORTANCE TO ST. MARY'S. THE COMMIT TO GET FIT CHALLENGE IS FOCUSED ON ENCOURAGING INDIVIDUALS OF ALL LEVELS OF PHYSICAL ACTIVITY TO ENGAGE IN OUR EVENT. WE WELCOME AND SUPPORT THE PERSON WHO IS COMMITTED TO RUNNING THEIR FIRST 5K WITH AS MUCH ENTHUSIASM AS THE PERSON WHO IS PUTTING ALL THEIR EFFORT INTO WALKING OUR 3K. OUR SUCCESS CAN BE SEEN ON THE FACES OF THE WALKERS AND RUNNERS AS THEY CROSS THE FINISH LINE. ON MAY 5TH, 2018, ST. MARY'S HEALTH SYSTEM HELD OUR 5TH ANNUAL COMMIT TO GET FIT CHALLENGE. CLOSE TO 400 HUNDRED INDIVIDUALS PARTICIPATED IN OUR 3K WALK, 5K, 10K AND 15K RUN WITH 60 PLUS VOLUNTEERS HELPING TO MAKE OUR EVENT RUN SMOOTHLY. THANKS TO OUR MANY GENEROUS SPONSORS, DONATIONS FROM EMPLOYEES AND COMMUNITY MEMBERS AND THE FEES FROM REGISTRATIONS WE WERE ABLE TO RAISE CLOSE TO $70,000. THE PROCEEDS FROM THIS EVENT HELP TO SUPPORT THREE IMPORTANT AREAS OF OUR HEALTHCARE SYSTEM, THE MARGUERITE D'YOUVILLE FUND FOR THE NEEDY, THE NUTRITION CENTER AND THE RESIDENT ACTIVITY FUND AT ST. MARY'S D'YOUVILLE PAVILION. ST. MARY'S NUTRITION CENTER: COOKING CLASSES POVERTY AND POOR NUTRITION ARE SIGNIFICANT PUBLIC HEALTH ISSUES IN THE AREA WE SERVE. ST. MARY'S SUBSIDIZES THE ST. MARY'S NUTRITION CENTER TO ADDRESS THESE NEEDS. THE LONG-TERM GOAL OF THE NUTRITION CENTER IS TO BUILD A VIABLE, JUST FOOD SYSTEM, WHILE SUPPORTING LOCAL LEADERS, STRENGTHENING COMMUNITY TIES, AND ENGAGING YOUTH AS AGENTS OF CHANGE. THE NUTRITION CENTER OPERATES ON THE BELIEF THAT EQUITY IN OUR FOOD SYSTEM IS DEEPLY TIED TO INEQUITY WITHIN OUR COMMUNITY, AND THAT A WHOLE-PERSON, AND WHOLE-COMMUNITY, APPROACH IS CRITICAL TO CREATING LONG-TERM CHANGE IN ORDER TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY. LOCATED IN A PREVIOUSLY VACANT, BUT BEAUTIFUL, HISTORIC SCHOOL BUILDING IN THE MIDST OF DOWNTOWN LEWISTON, MAINE'S MOST ECONOMICALLY CHALLENGED NEIGHBORHOODS, THE NUTRITION CENTER SERVES FAMILIES, YOUTH, ADULTS, ELDERS AND REFUGEES ACROSS THE CITY'S MANY DIVERSE COMMUNITIES WITH A FOCUS ON THOSE WHO HAVE LIMITED INCOMES AND AN INCREASED RISK FOR FOOD INSECURITY. IN 2018 COMMUNITY COOKING CLASSES FEATURED THE THEME "EAT THE WORLD." EACH COOKING CLASS FEATURED A DIFFERENT COUNTRY AND A CHEF NATIVE TO THAT COUNTRY LED THE CLASS. TEN SESSIONS WERE HELD IN 2018 WITH ATTENDANCE RANGING FROM 12-45 PEOPLE AT EACH SESSION. CUISINE INCLUDED FOOD FROM SUDAN, IRAQ, MOROCCO, SENEGAL, NIGERIA, ANGOLA, AND YEMEN. PART VI, LINE 6: ST. MARY'S HEALTH SYSTEM, A MEMBER OF COVENANT HEALTH, INCLUDES ST. MARY'S REGIONAL MEDICAL CENTER, A 233-LICENSED BED ACUTE CARE FACILITY; COMMUNITY CLINICAL SERVICES, WITH PRIMARY CARE AND BEHAVIORAL PHYSICIANS, AND NURSE PRACTITIONERS; ST. MARY'S D'YOUVILLE PAVILION, ONE OF THE LARGEST NURSING HOMES NORTH OF BOSTON, WITH 210 BEDS DEDICATED TO LONG-TERM CARE, A SECURE ALZHEIMER'S UNIT, A REHAB SPECIALITY CARE SUITE, AND A STATE OF THE ART REHAB CENTER; ST. MARY'S RESIDENCES, AN INDEPENDENT LIVING CENTER.OUR MISSION IS TO CONTINUE THE HEALING MINISTRY OF THE CATHOLIC CHURCH IN THE SPIRIT OF ST. MARGUERITE D'YOUVILLE BY PROVIDING PREVENTIVE, CURATIVE, RESTORATIVE, AND SUPPORTIVE SERVICES WITH COMPASSION AND RESPECT FOR EVERYONE. WE TAKE SERIOUSLY THE "PREVENTIVE" ASPECT OF THE MISSION STATEMENT BY OFFERING PREVENTION AND WELLNESS PROGRAMS FOR THE COMMUNITY, OFFER HEALTH SCREENINGS AND WORKING TO PROVIDE ACCESS TO HEALTHY FOOD THROUGH THE NUTRITION CENTER. THE NURSING HOME OFFERS EDUCATION TO THE COMMUNITY ABOUT FALL PREVENTION, GRIEF SUPPORT AND CAREGIVER SUPPORT. HEALTH SYSTEM LEADERSHIP PARTICIPATE IN VARIOUS COMMUNITY GROUPS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS AND TO DEVELOP COMMUNITY INTERVENTIONS TO IMPROVE HEALTH. PART VI, LINE 7, REPORTS FILED WITH STATES ME X X X X 0 0 0 0 0 0 0 0 0 MICHAEL KELLEY MD DIRECTOR 502955 0 0 0 0 0 2700 0 22624 0 528279 0 0 0 STEVE JORGENSEN BEG 72418 PRESIDENT (EX-OFFICIO) 0 205229 0 0 0 0 0 992 0 7909 0 214130 0 0 MICHAEL HENDRIX TREASURER & CFO 0 265755 0 0 0 0 0 2414 0 31445 0 299614 0 0 PHILIP HICKEY CEO POST ACUTE 213442 0 0 0 0 0 0 0 8936 0 222378 0 0 0 CHRISTOPHER T BOWE CHIEF MEDICAL OFFICER 397423 0 0 0 0 0 144 0 25597 0 423164 0 0 0 KAREN J CLARK VP PATIENT CARE SERVICES 213076 0 0 0 0 0 1956 0 24781 0 239813 0 0 0 MICHAEL T NEWMAN PHYSICIAN 917260 0 0 0 0 0 2700 0 31401 0 951361 0 0 0 JOSEPH E STRAUSS PHYSICIAN 831148 0 0 0 0 0 2657 0 30580 0 864385 0 0 0 JEFFREY N DAVILA PHYSICIAN 719293 0 0 0 0 0 0 0 2004 0 721297 0 0 0 GREGORY POMEROY PHYSICIAN 575508 0 0 0 0 0 2691 0 19130 0 597329 0 0 0 MICHAEL PARKER PHYSICIAN 557483 0 0 0 0 0 2700 0 17834 0 578017 0 0 0 A MHHEFA REVENUE BOND SERIES 2007A 010314384 560425V80 2007-11-01 6685000 CONSTRUCTION 0 0 0 B MHHEFA REVENUE BOND SERIES 2010B 010314384 560427JA5 2010-06-24 7825000 REFINANCING OF 1999 & 2001 TAX-EXEMPT BONDS 0 0 0 C MHHEFA REVENUE BOND SERIES 2014A 010314384 560427W77 2014-07-24 8490000 REFINANCING OF 2004A BONDS 0 0 0 D MHHEFA REVENUE BOND SERIES 2014 010314384 560427U61 2014-07-24 2450000 REFINANCING OF 2004 BONDS 0 0 0 A 6853065 444500 89925 6318640 2007 0 0 1 1 B 9077696 603175 96465 2010 1 0 1 1 C 9406745 1615380 1560850 52292 2014 0 1 1 1 D 2661384 616000 2993216 19344 2014 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 1 0 0 1 FSA 30.000000000000 1 0 0 B 1 0 0 1 FSA 20.000000000000 1 0 0 C 1 0 0 1 FSA 9.000000000000 1 0 0 D 0 0 0 0 0 0 1 FSA 9.000000000000 1 0 0 A 0 B 0 C 0 D 0 SCHEDULE K. PART IV, LINE 7 AND PART V: ALL BONDS ARE CAREFULLY AND CONSISTENTLY MONITORED FOR POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS, BUT THE PROCEDURES WERE NOT WRITTEN AS OF THE END OF THE YEAR COVERED BY THIS TAX RETURN. HOWEVER, THE ORGANIZATION IS IN THE PROCESS OF ADOPTING FORMAL POLICIES THAT SET FORTH THE ORGANIZATION'S METHODOLOGY FOR ENSURING POST-ISSUANCE COMPLIANCE WITH IRS REQUIREMENTS PERTAINING TO TAX-EXEMPT DEBT AND CONTAIN SPECIFIC LANGUAGE REGARDING ORGANIZATIONAL RESPONSIBILITY, RECORD RETENTION, PRIVATE BUSINESS USE, ARBITRAGE REBATE, AND REMEDIAL ACTION. ALTHOUGH FORMAL POLICIES ARE NOT IN PLACE IN REGARDS TO THE REMEDIATION OF OUR BONDS, THE MONITORING REQUIREMENTS OF SECTION 148, AND PROCEDURES TO ENSURE THAT VIOLATIONS ARE TIMELY IDENTIFIED AND CORRECTED, THE ORGANIZATION HAS COMPLIANCE CHECKS IN PLACE THAT SUBSTANTIATE THESE REQUIREMENTS. A MHHEFA REVENUE BOND SERIES 2017B 010314384 00056042R 2017-03-21 6000000 CONSTRUCTION 0 0 0 A 6000000 414069 120000 5465931 2017 0 0 0 1 A 0 0 0 0 0 0 0 A 1 0 0 1 FSA 30.000000000000 0 0 0 A 0 FORM 990, PART VI, SECTION A, LINE 3 PETER HOLDEN WAS THE INTERIM PRESIDENT BEGINNING SEPTEMBER 2017. LEADERS FOR TODAY WAS PAID $442,295 FOR HIS SERVICES FROM JAN 2018 THRU JULY 2018. SERVICES WERE TERMINATED IN JULY 2018 WHEN STEVEN JORGENSEN JOINED THE ORGANIZATION AS PRESIDENT. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, COVENANT HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER MAY APPOINT OR REMOVE ONE OR MORE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTIAN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND WAS REVIEWED AT THE OCTOBER 2019 MEETING. FORM 990, PART VI, SECTION B, LINE 12C THIS PROCESS IS THE RESPONSIBILITY OF ORGANIZATIONAL INTEGRITY OFFICER. A FORM IS USUALLY SUBMITTED TO ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, AND CERTAIN EMPLOYEES IN KEY POSITIONS ANNUALLY TO BE COMPLETED. REMINDERS ARE USUALLY SENT TO MAKE CERTAIN ALL CONFLICT OF INTEREST FORMS ARE RETURNED. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED A HUMAN RESOURCES CONSULTING FIRM TO CONDUCT THIS ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. FORM 990, PART VI, SECTION C, LINE 18 FORM 990 IS AVAILABLE ON THE WEBSITE OF COVENANT HEALTH INC., A RELATED ORGANIZATION (WWW.COVENANTHEALTH.NET). 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 EACH INDIVIDUAL REQUEST. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 3,282,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,282,623. CONTRACT NURSING PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,187,613. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,187,613. CONTRACTED LABOR - MGMT ADMIN: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,019,500. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,019,500. INTERCOMPANY MANAGEMENT SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 24,892,613. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 24,892,613. CONTRACTED LABOR - PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 8,057,644. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,057,644. MAINTENANCE CONTRACTS: PROGRAM SERVICE EXPENSES 969,545. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 969,545. COLLECTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 279,787. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 279,787. OUTSIDE WORK: PROGRAM SERVICE EXPENSES 3,819,047. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,819,047. LANGUAGE INTERPRETER SERVICES: PROGRAM SERVICE EXPENSES 482,322. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 482,322. MEDICAL TRANSPORT: PROGRAM SERVICE EXPENSES 1,923,462. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,923,462. LOCUM PHYSICIANS: PROGRAM SERVICE EXPENSES 780,539. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 780,539. RADIOLOGY/IMAGING SERVICES: PROGRAM SERVICE EXPENSES 482,231. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 482,231. PATIENT REGISTRATION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 400,685. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 400,685. PURCHASED SERVICES - GENERAL: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 424,331. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 424,331. RADIOLOGY ONCOLOGY SERVICES: PROGRAM SERVICE EXPENSES 102,422. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 102,422. MEDICAL TESTING: PROGRAM SERVICE EXPENSES 912,980. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 912,980. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES -1,259,022. TRANSFER FOR PPE 139,623. OTHER CHANGE RESTRICTED ASSETS -23,089,770. FORM 990 PART XI, LINE 2C THE AUDIT COMMITTEE OF COVENANT HEALTH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR. ST MARY'S HEALTH SYSTEM PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 222504349 PARENT COMPANY ME 501(C)(3) 12A COVENANT HEALTH 0 COMMUNITY CLINICAL SERVICES PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 010409788 PHYSICIAN PRACTICE ME 501(C)(3) 10 ST MARY'S HEALTH SYSTEM 0 ST MARY'S RESIDENCES PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 222504356 LOW INCOME HOUSING ME 501(C)(3) 10 ST MARY'S HEALTH SYSTEM 0 COVENANT HEALTH 100 AMES POND DRIVE TEWKSBURY MA 01876 222484505 HEALTHCARE MANAGEMENT AND RESOURCE ADMINISTRATION MA 501(C)(3) 10 ST MARY'S HEALTH SYSTEM 0 ST JOSEPH HOSPITAL 360 BROADWAY BANGOR ME 04401 010212435 AFFILIATED HOSPITAL ME 501(C)(3) 10 STJOSEPH HEALTHCARE FOUNDATION 0 CAMPUS HOLDING PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 010406049 HOLDING COMPANY ME N/A C 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 1 1 1 0