2018-11-12T13:06:30-06:00 2017-12-31 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2017-01-01 010211551 ST MARY'S REGIONAL MEDICAL CENTER STMA 2077778546 CAMPUS AVENUE PO BOX 0291 LEWISTON ME 042430291 STEVEN JORGENSEN PRESIDENT 2077778802 2018-11-09 E DREW CHENEY P00182972 8002447444 208.105.168.164 2018-11-09 14:31:34 ES P AEC35488C4CD91AC8DD9FF49E81978A397244AF0 04CC61B167CDE0E44773FADEDCC42558B5AB4057 2017 2019-02-21 02:37:17Z STEVEN JORGENSEN CAMPUS AVENUE PO BOX 0291 LEWISTON ME 042430291 230919129 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. 17 14 1935 160 0 0 4668289 26312432 182301983 203298869 696783 1184715 248692 73506 187915747 230869522 0 0 0 0 97994395 105417810 0 0 0 83412634 100236559 181407029 205654369 6508718 25215153 156906692 182429066 64040838 63847284 92865854 118581782 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 25994220 30259858 SURGICAL CARE: PROVIDES ALL SERVICES (EXCEPT OPEN HEART) TO PATIENTS RANGING FROM INFANT TO GERIATRICS WHO NEED SURGICAL INTERVENTION. TOTAL = 23,397 PROCEDURES. 9973253 11609859 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 = 14,599 7984978 9295309 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 = 28,835 119063490 152133843 PHYSICIAN SERVICES, BEHAVORIAL HEALTH SERVICES, ORTHOPEDICS, CHEMICAL DEPENDENY SERVICES, OB/GYN WOMEN'S HEALTH SERVICES, NURSERY, ICU, PACU, INFUSION THERAPY, URGENT CARE, FAMILY PRACTICES, 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 SERVICE, PHYSIATRY SERVICES, UROLOGY, SLEEP LAB, DIABETES CENTER SERVICES, WOUND & HYPERBARIC CENTER SERVICES, GASTROENTEROLOGY, RHEUMATOLOGY, WEIGHT MANAGEMENT SERVICES, AND SKILLED NURSING FACILITY/NURSING HOME SERVICES. 119063490 152133843 163015941 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 1 0 0 0 0 1 0 0 0 1 136 0 1 1935 1 0 0 0 0 0 0 0 0 0 0 X 17 14 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 CRAIG GUNDERSON-RESIGNED 42017 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 DIRECTOR 40.00 0.20 X 532526 0 17367 CAROLYN LEPAGE DIRECTOR 0.10 0.20 X 0 0 0 KATHY MCMANUS DIRECTOR 0.10 0.20 X 0 0 0 CATHERINE RYDER 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 CHRISTOPHER CHEKOURAS-RESIGNED 917 9/2017 PRESIDENT (EX-OFFICIO) 40.00 0.20 X X 361339 0 15657 PETER HOLDEN AS OF 091117 INTERIM PRESIDENT (EX-OFFICIO) 40.00 0.20 X X 0 0 0 MICHAEL HENDRIX TREASURER & CFO 0.10 40.00 X X 0 255894 22015 MONIQUE SHRADER SECRETARY 40.00 0.20 X X 74190 0 15000 PHILIP HICKEY CEO POST ACUTE 40.00 X 197050 0 6619 CHRISTOPHER T BOWE CHIEF MEDICAL OFFICER 40.00 X 397051 0 16830 KAREN J CLARK VP PATIENT CARE SERVICES 40.00 X 208974 0 17471 MICHAEL T NEWMAN PHYSICIAN 40.00 X 927921 0 18310 JOSEPH E STRAUSS PHYSICIAN 40.00 X 887969 0 17872 JEFFREY N DAVILA PHYSICIAN 40.00 X 717354 0 1816 MOHAMED A AL SAIED PHYSICIAN 40.00 X 518975 0 15204 LARS M QVICK PHYSICIAN 40.00 X 493485 0 15182 5316834 255894 179343 133 0 1 0 METZ CULINARY MANAGEMENT TWO WOODLAND DRIVE DALLAS PA 18612 MEAL SERVICE 4855779 MEDEFIS INC PO BOX 5068 NEW YORK NY 100875068 LOCUM NURSING SERVICES 3919539 COVENANT HEALTH INC 100 AMES POND ROAD TEWKSBURY MA 01876 MANAGEMENT SERVICES 3113504 SOUND PHYSICIANS OF MAINE PO BOX 742936 LOS ANGELES CA 900742936 HOSPITALISTS SERVICES 2081673 REHABCARE GROUP EAST INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY SERVICES 1947147 23 8220 13960 37250 9370 26243632 26312432 NET PATIENT SERVICE REVENUE 621300 189766774 189766774 OTHER OPERATING INCOME 621300 8756599 8756599 SERVICES TO AFFILIATES 621300 3697365 3697365 SERVICES TO AFFILIATES 541200 1078131 1078131 203298869 1223258 1223258 38543 -38543 -38543 -38543 84570 13960 11064 73506 73506 230869522 203298869 0 1258221 X 1771130 1321263 449867 88426069 65965847 22460222 484465 361411 123054 8940041 6669271 2270770 5796105 4323894 1472211 615825 615825 156276 156276 56902 56902 31518004 24627270 6890734 290143 216446 73697 6781817 5059235 1722582 3131299 2335949 795350 4725526 3525242 1200284 552015 411803 140212 1802892 1245394 557498 5353275 3993543 1359732 3816122 2846827 969295 MEDICAL/PHARMACY SUPPLI 20782520 20782520 BAD DEBT EXPENSE 10826873 10826873 PROVIDER TAX 4614723 4614723 OTHER EXPENSES 3203868 2390105 813763 2008479 1498325 510154 205654369 163015941 42638428 0 6604697 2860100 1863871 2549271 20101494 23303523 1446229 1824785 1555022 1619887 147946873 88435532 57647041 59511341 67688338 90760159 156906692 182429066 22867044 19941788 437460 676272 38556976 42577122 683092 502235 1496266 149867 64040838 63847284 X 87018751 88583731 5140074 6201269 707029 23796782 92865854 118581782 156906692 182429066 X 25215153 2621594 -2120819 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 17619 17619 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 $17,619 WAS USED FOR LOBBYING. 5847103 26243632 2092684 29998051 2035795 4917990 389 1107071 5847103 2006226 1100997 345 1071773 2035795 1689157 1130245 192 813368 2006226 2239193 411741 961777 1689157 0.79000 0.21000 0 0 950446 950446 86620510 42643345 43977165 1045631 445054 600577 53767236 43090838 10676398 5563050 2256295 3306755 59511341 DUE TO AFFILIATES 22362684 DONOR RESTRICTED FUNDS 30588112 NOTES RECEIVABLE/INSURANCE 21382 LONG TERM INVESTMENTS 29642288 INVESTMENT IN JOINT VENTURES 2679762 FUNDS HELD BY TRUSTEE - DEBT SERVICE RESERVE 5465931 90760159 DUE TO AFFILIATES 13025 DUE TO THIRD PARTIES 98669 DEFERRED FIXED ASSET EXP (FIN47) 38173 149867 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, 2017. COMMIT TO GET FIT 98530 13960 84570 600 515 0 22 0 9927 98530 13960 84570 600 515 22 9927 11064 73506 1 1 1 X 0 0 1 0 1 1 3752545 0 3752545 0.01820 31117373 35018237 0 0.00000 34869918 35018237 3752545 0.01820 20 10111 345584 88510 257074 0.00130 8 381 1059106 0 1059106 0.00510 0 0 0 0 0 12 60893 390136 0 390136 0.00190 40 71385 1794826 88510 1706316 0.00830 40 71385 36664744 35106747 5458861 0.02650 6094 150261 62000 88261 0.00040 0 0 1226 109895 55000 54895 0.00030 0 0 12 66450 0 66450 0.00030 425 31483 4500 26983 0.00010 434 16009 0 16009 0.00010 8191 374098 121500 252598 0.00120 1 10826873 35952890 47098286 -11145396 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 2 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:O ENSURED BROAD INTERESTS OF THE LOCAL COMMUNITY WERE REPRESENTED;O OBTAINED STAKEHOLDER INPUT ON IDENTIFYING SIGNIFICANT HEALTH NEEDS BASED ON REVIEW OF DATA;O SOLICITED STAKEHOLDER FEEDBACK ON PRIORITIZING SIGNIFICANT HEALTH NEEDS; ANDO 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:O PROVIDE AWARENESS AMONG COMMUNITY STAKEHOLDERS OF THE DATA/RESULTS FROM THE MAINE SHNAPP OR SUBSEQUENT RESEARCH BUILT ON THAT RESOURCE;O INVITE LOCAL INPUT ON WHAT THE DATA MEANS TO EACH LOCAL COMMUNITY/REGION; O SOLICIT LOCAL INPUT ON WHAT ISSUES SHOULD BE PRIORITIZED LOCALLY; O SOLICIT LOCAL IDEAS ON EXISTING RESOURCES, ASSETS, OR NEW INITIATIVES THAT SHOULD BE ALIGNED/DEVELOPED TO ADDRESS THE PRIORITIZED ISSUES; ANDO 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: IN A CULTURE OF HEALTH, IT IS IMPORTANT TO KNOW THE ELEMENTS THAT AFFECT HEALTH, INCLUDING HEALTH BEHAVIORS, CLINICAL CARE, SOCIOECONOMIC FACTORS AND THE PHYSICAL ENVIRONMENT. MAINE HAS SEVERAL SOCIO-DEMOGRAPHIC CHARACTERISTICS THAT MAY IMPACT THE HEALTH INDICATORS IN ANDROSCOGGIN COUNTY. FOR EXAMPLE, ANDROSCOGGIN COUNTY HAS THE OLDEST POPULATION IN THE STATE (AND MAINE HAS THE OLDEST POPULATION IN THE U.S.) WHILE BEING OLDER DOES NOT NECESSARILY EQUATE TO POOR HEALTH, THE REALITY IS THAT AGING POPULATIONS USE MORE HEALTH SERVICES THAN YOUNGER POPULATIONS.MAINE HAS A LOWER MEDIAN INCOME THAN THE U.S. AND ANDROSCOGGIN COUNTY'S MEDIAN HOUSEHOLD INCOME IS EVEN LOWER THAN THE STATE'S RATE. ANDROSCOGGIN COUNTY HAS A HIGHER THAN STATE AVERAGE RATE OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE AND A LOWER HIGH SCHOOL GRADUATION RATE. AS THE SHNAPP CHNA REPORT NOTES, STAKEHOLDERS SELECTED THE FOLLOWING FIVE FACTORS AS THE GREATEST PROBLEMS LEADING TO POOR HEALTH OUTCOMES IN ANDROSCOGGIN COUNTY: POVERTY, TRANSPORTATION, ACCESS TO BEHAVIORAL HEALTH, HOUSING STABILITY AND ADVERSE CHILDHOOD EXPERIENCES.THESE ARE THE IDENTIFIED HEALTH ISSUES FOR ANDROSCOGGIN COUNTY IN THIS 2016 CHNA BASED ON DATA AND COMMUNITY INPUT:" ACCESS TO HEALTH CARE AND PRIMARY CARE" CHRONIC DISEASE" ENVIRONMENTAL HEALTH" INFECTIOUS DISEASE/SEXUALLY TRANSMITTED DISEASE" INJURIES" MENTAL HEALTH" PHYSICAL ACTIVITY, NUTRITION AND OBESITY" PREGNANCY AND BIRTH OUTCOMES" SUBSTANCE AND ALCOHOL USE" TOBACCO USEPRIORITIZING IDENTIFIED HEALTH NEEDSNEXT THE COMMUNITY HEALTH STAKEHOLDER COALITION COMPLETED A CROSSWALK OF IDENTIFIED COMMUNITY HEALTH NEEDS AND NOTED THE MOST COMMONLY SHARED NEEDS. THE RESULTS WERE THEN PRIORITIZED USING THE RECOMMENDED GUIDELINES IN THE CATHOLIC HEALTH ASSOCIATION OF AMERICA'S ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS (TO RANK HEALTH NEEDS AND ASSIGN WEIGHT TO CRITERIA OF IMPORTANCE.) EACH HEALTH ISSUE WAS EVALUATED BY RATING AND WEIGHT FOR THE FOLLOWING FIVE CRITERIA:-HOW MANY PEOPLE ARE AFFECTED BY THE PROBLEM?-WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM?-ARE EXISTING PROGRAMS ADDRESSING THIS ISSUE?-HOW IMPORTANT IS THIS PROBLEM TO COMMUNITY MEMBERS?-HOW DOES THIS PROBLEM AFFECT VULNERABLE POPULATIONS?THE SEVEN PRIORITY AREAS THAT EMERGED ARE:O ACCESS TO HEALTH CAREO CHRONIC DISEASEO ENVIRONMENTAL HEALTH: LEAD POISONINGO MENTAL HEALTHO PHYSICAL ACTIVITY, NUTRITION AND OBESITYO SUBSTANCE AND ALCOHOL USEO TOBACCO USEOUR GOALS FOR 2017 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.IN 2017, 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 IMPROVEMENT SERVICES FOCUSED ON CHRONIC DISEASES AND SUBSTANCE USE. THEY INCLUDED HEALTH SCREENINGS FOR SKIN CANCER, LUNG CANCER, AND BREAST CANCER, AS WELL AS SELF-HELP PROGRAMS FOR SMOKING CESSATION AND WEIGHT LOSS. ST. MARY'S ALSO FOCUSED ON ACCESS TO CARE FOR UNDERSERVED POPULATIONS. ST. MARY'S OFFERED COMMUNITY EDUCATION 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. GIVEN THE FACT THAT MAINE HAS ONE OF THE HIGHEST CANCER INCIDENCE RATES IN THE COUNTRY, ST. MARY'S FOCUSED ON CANCER PREVENTION: LUNG SCREENINGS WERE HELD TO DETECT CANCER IN HIGH RISK PATIENTS; SPECIAL SATURDAY HOURS WERE HELD TO OFFER COLONOSCOPIES, ALONG WITH MAMMOGRAMS. ST. MARY'S BECAME A TOTALLY SMOKE FREE CAMPUS TO HIGHLIGHT THE SIGNIFICANCE OF TOBACCO USE ON HEALTH IN NOVEMBER 2017. MAINE IS IN THE MIDST OF AN OPIATE CRISIS. IN 2016, 378 PEOPLE DIED FROM OPIATE OVERDOSES. 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. MOST OF 2017 WAS SPENT PLANNING THE PROGRAM, INCLUDING ACCESS TO MEDICATION ASSISTED THERAPY. TO DO SO, A FREE TRAINING WILL BE HELD FOR LOCAL PROVIDERS SO THEY CAN BE CERTIFIED TO PROVIDE THE MEDICATION. (ST. MARY'S HOSTED THE FREE TRAINING FOR LOCAL PROVIDERS IN THE FIRST QUARTER OF 2018.) OTHER ASPECTS OF THE COMMUNITY RESPONSE BEING PLANNED ARE A PEER RECOVERY COMMUNITY PROGRAM AND A COMMUNITY RESOURCE GUIDE. THE 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. FOR THE PAST 10 YEARS, ST. MARY'S NUTRITION CENTER HAS HOSTED AN ADULT COOKING CLASS ON THE LAST TUESDAY EVENING OF EVERY MONTH, AND IN 2017, WE ADDED A NEW TWIST. EACH MONTH, A GUEST COOK IS INVITED TO LEAD THE GROUP IN PREPARING A DISH FROM THEIR NATIVE LAND FOR "EAT THE WORLD." IN ADDITION TO THE MONTHLY CLASS AT THE NUTRITION CENTER, WE CONTINUE TO COLLABORATE ON A MONTHLY PROGRAM AT THE CENTER FOR WISDOM'S WOMEN AND WITH RESIDENTS OF D'YOUVILLE PAVILION. WE ALSO HOLD BI-MONTHLY CLASSES WITH PARTICIPANTS FROM CREATIVE WORK SYSTEMS, PERSONAL ONSITE DEVELOPMENT, ALTERNATIVE SERVICES, AND TRI-COUNTY MENTAL HEALTH. ST. MARY'S HEALTH SYSTEM SUCCESSFULLY COMPLETED ITS 4TH ANNUAL COMMIT TO GET FIT CHALLENGE ON SATURDAY, MAY 6, 2017. THROUGH GENEROUS COMMUNITY SPONSORS AND EVENT REGISTRATIONS OUR COMMIT TO GET FIT CHALLENGE GENERATED OVER $25,000 FOR OUR ST. MARGUERITE D'YOUVILLE FUND FOR THE NEEDY. OUR EVENT SAW WALKERS AND RUNNERS OF ALL LEVELS; FOR SOME OUR RACE WOULD SET "FIRST RACE OF THE SEASON" TIME, FOR OTHERS THIS WAS THEIR FIRST 5K. HELPING PREPARE FUTURE HEALTH CARE PROFESSIONALS IS AN IMPORTANT ASPECT OF NOT-FOR-PROFIT HEALTH CARE. ST. MARY'S IS PROUD TO SERVE AS A CLINICAL SETTING FOR UNDERGRADUATE TRAINING AND INTERNSHIPS FOR MANY HEALTH CARE DISCIPLINES. THE TIME EMPLOYEES SPEND MENTORING THESE STUDENTS IS INCLUDED IN THIS CATEGORY. TUFTS MEDICAL SCHOOL: THE THIRD YEAR OF MEDICAL SCHOOL TYPICALLY REQUIRES STUDENTS TO COMPLETE SIX 6-8 WEEK ROTATION BLOCKS IN SPECIALTIES LIKE FAMILY MEDICINE, SURGERY, OB/GYN, PEDIATRICS, INTERNAL MEDICINE, AND PSYCHIATRY. THE TUFTS UNIVERSITY SCHOOL OF MEDICINE - MAINE MEDICAL CENTER PROGRAM ALLOWS STUDENTS TO COMPLETE A LONGITUDINAL PROGRAM OVER A PERIOD OF NINE MONTHS AT MORE RURAL HOSPITALS, LIKE ST. MARY'S REGIONAL MEDICAL CENTER IN LEWISTON. MEMBERS OF ST. MARY'S LEADERSHIP SERVE ON MANY COMMUNITY HEALTH-RELATED BOARDS SUCH AS THE UNITED WAY, THE LOCAL HOSPICE AND HEALTHY ANDROSCOGGIN, THE LOCAL PUBLIC HEALTH ORGANIZATION. ST. MARY'S IS ALSO GENEROUS IN OFFERING HOSPITALITY FOR LOCAL COMMUNITY GROUPS BY PROVIDING MEETING ROOMS AT NO CHARGE FOR OTHER NOT-FOR-PROFIT ORGANIZATIONS. THE PERINATAL SUBSTANCE USE SUPPORT GROUP WAS ESTABLISHED HERE AT ST. MARY'S REGIONAL MEDICAL CENTER, A TOTAL OF 37 WOMEN HAVE ATTENDED THE PROGRAM AT VARIOUS STAGES OF THEIR PREGNANCY AND POSTPARTUM EXPERIENCE. ST. MARY'S STAFF SERVES ON THE STEERING COMMITTEE FOR SOPHIA'S HOUSE, A NEW PROGRAM OF THE CENTER FOR WISDOM'S WOMEN (CWW). IT IS MODELED AFTER THE MAGDALENE COMMUNITY AT THISTLE FARMS IN NASHVILLE, TN. THIS WAS A RECORD YEAR FOR ST. MARY'S FOOD PANTRY. WE PROVIDED OVER 21,000 BOXES OF FOOD FOR 60,817 PEOPLE IN 2017. THIS FIGURE IS DOUBLE THE AMOUNT SERVED IN 2016 AND A 378% INCREASE FROM 2014. WE PROVIDED OVER 446,000 POUNDS OF FRESH PRODUCE (A 197% INCREASE FROM 2016.) MAINE SAW A 24% DROP IN PEOPLE RECEIVING SNAP (FOOD STAMPS) FROM FY 2013 TO FY 2016 DUE TO POLICY CHANGES THAT REMOVED PEOPLE WHO PREVIOUSLY QUALIFIED, AND REDUCED THE BENEFIT LEVELS OF THOSE STILL RECEIVING SNAP. AS A RESULT, PEOPLE ARE LIKELY RELYING MORE HEAVILY ON FOOD FROM FOOD PANTRIES. 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. POVERTY AND POOR NUTRITION ARE SIGNIFICANT PUBLIC HEALTH ISSUES IN THE AREA WE SERVE. ST. MARY'S SUBSIDIZES THE NUTRITION CENTER TO ADDRESS THESE NEEDS. THIS INCLUDES OUR FARMERS' MARKETS, COMMUNITY GARDENS, AND COOKING CLASSES. THE GOOD FOOD BUS AND MAINE HARVEST BUCKSST. MARY'S NUTRITION CENTER MADE SEVERAL EXCITING CHANGES FOR THE GOOD FOOD BUS (MOBILE FARMER'S MARKET) THAT TRANSLATED INTO POSITIVE GROWTH AND SUCCESS ON THE GROUND IN 2017. MOST NOTABLE WERE IMPROVEMENTS TO THE MOBILE MARKET SET-UP, STAFF STRUCTURE AND SCHEDULE. EXCHANGING THE 30 FOOT SCHOOL BUS FOR A TRUCK AND TRAILER, HIRING A COORDINATOR AND ASSISTANT COORDINATOR, AND INCLUDING MORE STOPS ALLOWED US TO BRING MORE GOOD FOOD TO MORE PEOPLE AND MORE EASILY. COMMUNITY GARDENS AND YOUTH PROGRAMS.IN EACH OF THE NUTRITION CENTER'S COMMUNITY GARDENS, AMONG THE DOZENS OF BEDS AND HUNDREDS OF PLANTS CRANING THEIR NECKS FOR THE SUN AND BURYING THEIR FEET TO FIND WATER, THERE ARE COUNTLESS STORIES BEING CULTIVATED RIGHT ALONGSIDE ONE ANOTHER. SOMETIMES THESE STORIES CAN BE DIFFICULT TO FIND. LIKE THE FIRST RIPE TOMATO OF THE SEASON HIDING BENEATH THE COVER OF HUNDREDS OF LEAVES, YOU HAVE TO GO SEARCHING. OTHERS STAND OUT TALL AND PROUD LIKE THE MAMMOTH SUNFLOWER IN AUGUST. SUCH IS THE STORY OF CHARLES, A LONG-TIME COMMUNITY GARDENER. CHARLES, LIKE MORE THAN HALF OF OUR GARDENERS, RETURNED FOR ANOTHER SEASON OF GARDENING. AS IN THE SEASON BEFORE, HIS GROWTH DID NOT STOP AT THE EDGES OF THE GARDEN, BUT WOUND ITS WAY OUT INTO THE WORLD AND INTO HIS EVERYDAY LIFE. WE ARE GRATEFUL THAT CHARLES HAS BEEN BOTH UNABASHED IN SHARING HIS GROWTH AND STRUGGLE, AND CONSISTENT IN REMINDING US OF THE SUSTAINING ROLE THE GARDENS PLAY IN PEOPLES' LIVES. CHARLES TELLS US THAT THE GARDEN GIVES HIM NOT ONLY GOOD FOOD TO EAT, BUT AN OUTLET AND SOMETHING BEAUTIFUL. A RECOVERING ADDICT, CLEAN FOR MORE THAN 5 YEARS, HE SAYS THE GARDEN IS HIS NEW "POSITIVE ADDICTION." "WHAT THE ST. MARY'S NUTRITION CENTER PROVIDES OVERALL HELPS IN MANY, MANY WAYS AND THIS COMMUNITY NEEDS THAT". WE PROVIDED NEARLY 130 GARDENERS WITH SPACE, SEEDLINGS AND TECHNICAL ASSISTANCE FOR THEIR GARDENING PLOT. THIS SEASON THE NUTRITION CENTER WORKED ALONGSIDE ORGANIZATIONS, BUSINESSES AND RESIDENTS FROM BOTH LEWISTON AND AUBURN TO SUPPORT THE CREATION OF THREE MORE NEIGHBORHOOD-CENTERED GARDENS. AS PART OF ITS CONTINUING LEADERSHIP ROLE IN THE AUBURN COMMUNITY GARDEN INITIATIVE (ACGI) COORDINATING TEAM, THE NUTRITION CENTER COLLABORATED WITH OTHER ACGI MEMBERS INCLUDING THE CITY OF AUBURN, ANDROSCOGGIN LAND TRUST (ALT), THE UNIVERSITY OF MAINE COOPERATIVE EXTENSION AND CITY RESIDENTS TO SECURE A FORMER HOUSE LOT AT 88 NEWBURY STREET FOR A SECOND COMMUNITY GARDEN IN AUBURN. MEMBERS OF THE ACGI KNOCKED ON NEIGHBORHOOD DOORS TO GATHER FEEDBACK AND MET WITH CITY OFFICIALS TO BETTER UNDERSTAND THE HISTORY OF THE SITE AS WELL AS ITS FUTURE AS PART OF THE REVITALIZATION OF THE CITY'S DOWNTOWN. A GROUNDBREAKING AND INFORMATION GATHERING SESSION WAS HELD ON OCTOBER 24TH OF 2017. THE ACGI WILL SPEND THE WINTER PLANNING AND CONTINUING TO COLLECT INPUT FROM COMMUNITY MEMBERS. OUR YOUTH PROGRAM (YOUTH CAMPAIGN CREW) NOT ONLY TEACHES YOUTH ABOUT GARDENING; IT PROVIDES FORMATION FOR PERSONAL AND LEADERSHIP DEVELOPMENT AS WELL. NUTRITION CENTER PROGRAMMING WITH KIDS CONTINUES TO EXPAND. THIS SEASON NUTRITION CENTER STAFF GARDENED AND COOKED WITH OVER 2000 KIDS IN 60+ CLASSROOMS AND AFTERSCHOOL SITES, AND PLANS TO INCREASE THAT NUMBER IN 2018. STAFF CONTINUED TO WORK WITH STUDENTS AND TEACHERS AT LONGLEY, MONTELLO, AND MCMAHON ELEMENTARY SCHOOLS THROUGH CLASSROOM-BASED LESSONS, AFTER SCHOOL COOKING AND GARDENING CLUBS, AND SUMMER SCHOOL PROGRAMMING. THIS FALL WE CULTIVATED AN ADDITIONAL PARTNERSHIP WITH MARTEL ELEMENTARY SCHOOL. WE ALSO WORKED THIS YEAR TO HELP MORE TEACHERS AND ADULTS WORK WITH KIDS IN GARDENS. THIS YEAR WE ENGAGED 43 AREA TEACHERS AND GARDEN EDUCATORS IN FARM TO SCHOOL TRAINING OPPORTUNITIES OFFERED BY NC STAFF AND OTHER STATE-WIDE ORGANIZATIONS SUCH AS THE 5-DAY MAINE AGRICULTURE IN THE CLASSROOM SUMMER TEACHERS INSTITUTE AND MAINE SCHOOL GARDEN DAY. 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: FOOTNOTE 3, PAGE 17 OF THE AUDITED FINANCIAL STATEMENTS: 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 18 OF THE AUDITED FINANCIAL STATEMENTS: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 A PROVISION FOR BAD DEBTS 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 THE REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. 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 INCLUDING LEWISTON-AUBURN PUBLIC HEALTH, HEALTHY ANDROSCOGGIN AND THE COMMUNITY HEALTH STAKEHOLDER GROUP; 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, 2017 CENSUS ESTIMATE DATA, THE POPULATION OF ANDROSCOGGIN COUNTY IS 107,651, WITH AN ESTIMATED POVERTY RATE OF 12.7% AND MEDIAN INCOME OF $48,728 ANNUALLY. LEWISTON'S 2017 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 (92%) WITH BLACK/AFRICAN AMERICAN AT (4.2%) AND TWO OR MORE RACES AT 2.3%. 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 (19.8%) AND THE SECOND HIGHEST CONCENTRATION OF THE POPULATION IS OVER AGE 65 (17%.) THE 2016 UNEMPLOYMENT RATE WAS 3.8%. 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: IN 2016 ST. MARY'S AND THE COMMUNITY OF LEWISTON WERE SELECTED TO PARTICIPATE IN A LEARNING COLLABORATIVE THROUGH THE ROBERT WOOD JOHNSON FOUNDATION AND THE AMERICAN HOSPITAL ASSOCIATION FOR "BUILDING A CULTURE OF HEALTH." THIS INCLUDED A SITE VISIT FROM THE AMERICAN HOSPITAL ASSOCIATION TO LEARN ABOUT OUR COMMUNITY'S EFFORT TO IMPROVE PUBLIC HEALTH, AS WELL AS NATIONAL MEETINGS WITH THE OTHER 9 COMMUNITIES SELECTED TO PARTICIPATE IN THE COLLABORATIVE. IN MARCH 2017, ST. MARY'S PARTICIPATED IN A SITE VISIT TO DENVER, CO FOR THE SECOND SITE MEETING. THE FOCUS WAS ON SOCIAL DETERMINANTS OF HEALTH. IN AUGUST 2017, ST. MARY'S PRESENTED IN A NATIONAL WEBINAR ABOUT THE WORK AND LEARNINGS OF THE COLLABORATIVE. 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 2017 THE COALITION FOCUSED ON THE THREE PRIORITY AREAS IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT: SUBSTANCE USE, MENTAL HEALTH AND PHYSICAL ACTIVITY/OBESITY/NUTRITION. 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 ONE WAY WE USE OUR "EXPERT MINDS AND CARING HANDS" TO TURN HURT INTO HOPE. 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 NEWLY OPENED REHAB SPECIALTY 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 1 0 MICHAEL KELLEY DIRECTOR 416855 0 115671 0 0 0 2666 0 14701 0 549893 0 0 0 CHRISTOPHER CHEKOURAS-RESIGNED 917 9/2017 PRESIDENT (EX-OFFICIO) 361339 0 0 0 0 0 2623 0 13034 0 376996 0 0 0 MICHAEL HENDRIX TREASURER & CFO 0 245894 0 0 0 10000 0 2268 0 19747 0 277909 0 0 PHILIP HICKEY CEO POST ACUTE 197050 0 0 0 0 0 0 0 6619 0 203669 0 0 0 CHRISTOPHER T BOWE CHIEF MEDICAL OFFICER 378691 0 0 0 18360 0 1764 0 15066 0 413881 0 0 0 KAREN J CLARK VP PATIENT CARE SERVICES 208974 0 0 0 0 0 2111 0 15360 0 226445 0 0 0 MICHAEL T NEWMAN PHYSICIAN 850570 0 77351 0 0 0 2677 0 15633 0 946231 0 0 0 JOSEPH E STRAUSS PHYSICIAN 800347 0 87622 0 0 0 2662 0 15210 0 905841 0 0 0 JEFFREY N DAVILA PHYSICIAN 717354 0 0 0 0 0 0 0 1816 0 719170 0 0 0 MOHAMED A AL SAIED PHYSICIAN 518975 0 0 0 0 0 0 0 15204 0 534179 0 0 0 LARS M QVICK PHYSICIAN 493485 0 0 0 0 0 0 0 15182 0 508667 0 0 0 PART I, LINE 7 A FEW OF THE EMPLOYEES LISTED UNDER SECTION J RECEIVED PHYSICIAN CALL IN PAY BONUSES AND/OR RELATIVE VALUE UNIT (RVU) COMPENSATION PER EMPLOYMENT CONTRACT. PHYSICIANS ARE PAID A BASE SALARY WHICH IS CALCULATED AT THE BEGINNING OF THE YEAR BASED ON THE EXPECTATION THAT THE PHYSICIAN WILL PRODUCE A SET AMOUNT OF RVUS PER CALENDAR YEAR. IF THE PHYSICIAN PRODUCES RVUS ABOVE THE AGREED UPON BASE, THE PHYSICIAN IS COMPENSATED FOR THE ADDITIONAL RVUS PRODUCED BASED ON A UNIVERSAL RVU MODEL USED BY MOST HOSPITALS. THIS BREAKOUT OF COLUMN J FOR THE BONUSES IS: PHYSICIAN CALL IN BONUS FOR MICHAEL KELLEY IS $15,988, RVU BONUSES ARE $99,683 FOR MICHAEL KELLEY, $77,351 FOR MICHAEL NEWMAN AND $87,622 FOR JOSEPH STRAUSS. 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 X 8 19270 0 0 0 FORM 990, PART VI, SECTION A, LINE 3 PETER HOLDEN WAS THE INTERIM PRESIDENT BEGINNING SEPTEMBER 2017. LEADERS FOR TODAY WAS PAID $271,839 FOR HIS SERVICES IN 2017. 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 CERTAIN 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 NOVEMBER 2018 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 2,853,692. MANAGEMENT AND GENERAL EXPENSES 971,632. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,825,324. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,052,775. MANAGEMENT AND GENERAL EXPENSES 5,673,681. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,726,456. MEDICAL TESTING: PROGRAM SERVICE EXPENSES 720,803. MANAGEMENT AND GENERAL EXPENSES 245,421. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 966,224. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES -1,264,811. TRANSFER FOR PPE 1,236,676. OTHER CHANGE RESTRICTED ASSETS -2,092,684. 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 JOSPEH 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