2017-11-03T10:03:31-05:00 2016-12-31 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2016-01-01 010211551 ST MARY'S REGIONAL MEDICAL CENTER STMA 2077778546 CAMPUS AVENUE PO BOX 0291 LEWISTON ME 042430291 PETER HOLDEN INTERIM PRESIDENT 2077778802 2017-11-03 E DREW CHENEY P00182972 8002447444 2017-11-03 208.105.168.164 2017-11-03 10:33:21 ED P E1A65C102B06E5C9ADAF8DC78101520DB9B2CC9D CD9BA379DF6EC1A0D15BAC40CC9AB00D59855B06 2016 2021-01-29 14:40:06Z PETER HOLDEN CAMPUS AVENUE PO BOX 0291 LEWISTON ME 042430291 187943352 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 1903 234 249800 -3355 772955 4668289 153598661 182301983 582519 696783 92112 248692 155046247 187915747 0 0 0 0 88780617 97994395 0 0 695988 67511510 83412634 156292127 181407029 -1245880 6508718 150019536 156906692 62950518 64040838 87069018 92865854 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 5978381 25054395 SURGICAL CARE: PROVIDES ALL SERVICES (EXCEPT OPEN HEART) TO PATIENTS RANGING FROM INFANT TO GERIATRICS WHO NEED SURGICAL INTERVENTION. TOTAL HOURS = 5,243 6936833 12095227 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 = 14,740 9039596 9790641 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 = 29,997 115675144 135361720 ST. MARY'S OFFERS A SUBACUTE NURSING CARE CENTER, AN INTENSIVE CARE UNIT, OBSTETRICAL, WOUND AND HYPERBARIC, JOINT REPLACEMENT, ONCOLOGY, RHEUMATOLOGY, AND URGENT CARE SERVICES. PATIENTS MAY ALSO RECEIVE PHYSICIAL AND OCCUPATIONAL THERAPY AND ANCILLARY SERVICES SUCH AS LABORATORY AND IMAGING. 115675144 135361720 137629954 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 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 1 148 0 1 1903 1 1 1 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X X X MICHAEL HENDRIX 2077778546 96 CAMPUS AVE LEWISTON ME 04240 ANNE SCHUETTINGER DIRECTOR 2.00 X 0 0 0 CAROLYN KASABIAN TERM 62016 TREASURY/SECRETARY 34.00 6.00 X X 262122 0 12429 CAROLYN LEPAGE DIRECTOR 2.00 X 0 0 0 CATHERINE RYDER EFF 102016 DIRECTOR 2.00 X 0 0 0 CHRISTOPHER CHEKOURAS PRESIDENT/CEO 34.00 6.00 X X 388288 0 24841 CRAIG GUNDERSON CHAIR 2.00 X X 0 0 0 DONALD FOURNIER DIRECTOR 2.00 X 0 0 0 JACK KEITHMD EFF 32016 DIRECTOR 2.00 X 0 0 0 JAMES PLACEMD DIRECTOR 2.00 X 0 0 0 JOHN CHAPMAN DIRECTOR 2.00 X 0 0 0 JOHN ISAACSON DIRECTOR 2.00 X 0 0 0 JUDITH ANDRUCKIESQ DIRECTOR 2.00 X 0 0 0 KATHY MCMANUS EFF 102016 DIRECTOR 2.00 X 0 0 0 LENA HARTLEY EFF 62016 DIRECTOR 2.00 X 0 0 0 MARK ANTHOINE VICE CHAIR 2.00 X X 0 0 0 MARTIN EISENSTEINESQ DIRECTOR (TERM 10/2016) 2.00 X 0 0 0 MICHAEL HENDRIX EFF 62016 TREASURY/SECRETARY 6.00 34.00 X X 0 204804 30903 MICHAEL KELLEYMD DIRECTOR 1.00 39.00 X 0 489312 23290 RALPH HARDER EFF 92016 DIRECTOR 2.00 X 0 0 0 RICK VALE TERM 62016 DIRECTOR 2.00 X 0 0 0 KAREN CLARK VP PATIENT CARE SERVICE 40.00 X 205438 0 28378 CHRISTOPHER BOWEMD CHIEF MEDICAL OFFICER 40.00 X 371971 0 28284 PHILIP HICKEY CEO POST ACUTE CARE 40.00 X 191276 0 11013 JEFFREY DAVILA PHYSICIAN 40.00 X 600430 0 5932 JOSEPH STRAUSS PHYSICIAN 40.00 X 697922 0 21521 MICHAEL NEWMANMD PHYSICIAN 40.00 X 752897 0 24136 MICHAEL PARKERMD PHYSICIAN 40.00 X 594562 0 9107 MOHAMED AL SAIEDMD PHYSICIAN 40.00 X 518282 0 21509 4583188 694116 241343 125 0 1 0 COVENANT HEALTH INC 100 AMES POND ROAD TEWKSBURY MA 01876 MANAGEMENT SERVICES 5139908 METZ CULINARY MANAGEMENT TWO WOODLAND DRIVE DALLAS PA 18612 MEAL SERVICE 5059142 REHABCARE GROUP EAST INC PO BOX 503534 ST LOUIS MO 631503534 THERAPY SERVICES 1973057 ST MARY'S ANESTHESIA PO BOX 1823 LEWISTON ME 04240 HEALTH CARE PROFESSIONAL 1678263 SOUND PHYSICIANS OF MAINE PO BOX 742936 LOS ANGELES CA 900742936 HOSPITALISTS SERVICES 1566445 15 23970 10000 9340 4624979 53432 4668289 NET PATIENT SERVICE REVENUE 621300 170604444 170604444 OTHER OPERATING INCOME 621300 11697539 11697539 182301983 701614 701614 9158 9972 -814 -814 -814 4831 -4831 -4831 -4831 12508 23970 12802 -294 -294 LAB REVNEUE 621500 249800 249800 249800 187915747 182301983 249800 695675 X 1419095 1058645 360450 83193766 62062549 21131217 421803 314665 107138 7513449 5605033 1908416 5446282 4062926 1383356 684033 684033 286595 286595 128985 128985 25134955 18231469 6207498 695988 349583 260789 88794 5705622 4256394 1449228 2744139 2047128 697011 4797517 3586387 1211130 2086447 1556489 529958 1835523 1369300 466223 5361498 3999678 1361820 3613168 2695423 917745 MEDICAL/PHARMACY SUPPLI 19628622 19628622 DUES 4178532 1061347 3117185 PROVIDER TAX 2765908 2765908 EQUIPMENT RENTAL & REPA 2068993 1543469 525524 2042514 1523733 518781 181407029 137629954 43081087 695988 6604697 3595353 1863871 17893703 20101494 1501092 1446229 1499780 1555022 140632946 82985905 59848132 57647041 65681476 67688338 150019536 156906692 18890370 22867044 425240 437460 41143584 38556976 849022 683092 1642302 1496266 62950518 64040838 X 85033223 87018751 1328766 5140074 707029 707029 87069018 92865854 150019536 156906692 X 6508718 1847504 -2559386 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 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. 2035795 4917990 389 1107071 5847103 2006226 1100997 345 1071773 2035795 1689157 1130245 192 813368 2006226 2239193 411741 961777 1689157 2391960 695209 847976 2239193 0.00000 0.12100 0.87900 0 0 950446 950446 84516436 39826483 44689953 608621 391800 216821 49309363 40625436 8683927 5248080 2142186 3105894 57647041 DUE FROM AFFILIATES 21109223 DONOR RESTRICTED FUNDS 5956783 NOTES RECEIVABLE/INSURANCE 5036767 LONG TERM INVESTMENTS 33041300 INVESTMENT IN JOINT VENTURES 2544265 67688338 DUE TO AFFILIATES 802579 DUE TO THIRD PARTIES 693687 1496266 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, 2016. NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES 1 1 IT PROGRAMMER 93047 1 1 0 0 1 1 93047 0 93047 0 0 0 0 0 0 COMMIT TO GET FIT 36478 23970 12508 12802 36478 23970 12508 12802 12802 -294 1 1 1 X 0 0 1 0 1 1 4120525 4120525 0.02270 32758513 35824256 0 0.00000 36879038 35824256 4120525 0.02270 362467 88899 273568 0.00150 947822 947822 0.00520 95947 95947 0.00050 1406236 88899 1317337 0.00720 38285274 35913155 5437862 0.02990 330 102970 57870 45100 0.00030 370 131372 85823 45549 0.00030 4 23191 8333 14858 0.00000 228 49024 39489 9535 0.00010 24242 24242 0.00010 254 254 0.00000 932 331053 191515 139538 0.00080 1 10362206 207244 36510007 48705645 -12195638 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 WWW.STMARYSMAINE.COM/COMMUNITY-HEALTH/IMPLEMENTATION-STRATEGY 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 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 USETHE PRIORITIES SELECTED INCLUDE THE THREE TOP PRIORITIES IDENTIFIED IN THE SHNAPP CHNA REPORT FOR ANDROSCOGGIN COUNTY (SUBSTANCE USE, MENTAL HEALTH AND OBESITY.) INTERESTINGLY, THE PRIORITIES ARE CONSISTENT WITH HEALTHY PEOPLE 2020 GOALS, THE UNITED STATES PREVENTIVE SERVICES TASK FORCE AND THE SURGEON GENERAL'S NATIONAL PREVENTION STRATEGIES OF TOBACCO AND DRUG FREE LIVING, MENTAL AND EMOTIONAL WELL-BEING, HEALTHY EATING AND ACTIVE LIVING.PRIORITY AREAS THAT WERE NOT SELECTED TO BE ADDRESSED:PREGNANCY AND BIRTH OUTCOMES (OTHER COMMUNITY AGENCIES FOCUS ON THIS HEALTH NEED), INJURIES (OTHER LOCAL HOSPITAL AND COMMUNITY AGENCIES FOCUS ON THIS HEALTH NEED), INFECTIOUS AND SECUALLY TRANSMITTED DISEASES (STATE CENTER FOR DISEASE CONTROL ADDRESSES THIS HEALTH NEED).ST. MARY'S OFFERED A VARIETY OF STRATEGIES AND INITIATIVES TO ADDRESS THE PRIORITIZED HEALTH NEEDS IN ANDROSCOGGIN COUNTY, INCLUDING COMMUNITY HEALTH SCREENINGS AND EDUCATION 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 ALSO DECIDED TO ADVANCE TO THE NEXT LEVEL FOR BECOMING A TOTALLY SMOKE FREE CAMPUS TO HIGHLIGHT THE SIGNIFICANCE OF TOBACCO USE ON HEALTH." ST. MARY'S PARTNERED WITH THE OTHER LOCAL HOSPITAL AND HOME CARE/HOSPICE AGENCY TO PRESENT "BEING MORTAL" COMMUNITY SCREENINGS ON ADVANCE CARE PLANNING. THREE SESSIONS WERE HELD IN THE COMMUNITY IN THE SPRING OF 2016 AND APPROXIMATELY 200 PEOPLE ATTENDED THE SCREENING AND PANEL DISCUSSION." MAINE IS IN THE MIDST OF AN OPIATE CRISIS IN THE STATE. TO ADDRESS THIS, ST. MARY'S PARTNERED WITH THE LOCAL PUBLIC HEALTH AGENCY, LAW ENFORCEMENT, SCHOOLS AND BUSINESSES TO HOLD A COMMUNITY FORUM ON OPIATE USE. A WORKPLAN IS BEING DEVELOPED WITH INSIGHTS FROM THAT FORUM." ST. MARY'S PREVENTION AND WELLNESS OFFERS CLASSES TO THE COMMUNITY TO PROMOTE PHYSICAL ACTIVITY AND WELLNESS. IN 2016 THERE WERE 248 MEMBERS AND APPROXIMATELY 2499 CLASSES OFFERED. ONE PARTICIPANT NOTES: "I HAVE BEEN PARTICIPATING IN HEALTHSTEPS AQUA-AEROBICS/FITNESS CLASS SINCE 1996. IT HAS HONESTLY BECOME PART OF MY WEEKLY ROUTINE. I CANNOT IMAGINE MY LIFE WITHOUT THE SWIM CLASS THREE TIMES A WEEK, THE OTHER PARTICIPANTS WHO HAVE BECOME GREAT FRIENDS OVER THE YEARS, THROUGH OUR EXERCISING AND LAUGHING AND SUPPORTING ONE ANOTHER THROUGH LIFE CHALLENGES, AND THE ENCOURAGEMENT OF THE INSTRUCTORS. WE EXERCISE HARD, MODERATING THE ACTIVITIES ACCORDINGLY, AND WE HAVE FUN. MY LIFE IS RICHER BECAUSE OF THIS PROGRAM. I CANNOT WAIT TO RETIRE SO THAT I CAN TAKE ADVANTAGE OF ALL THE WONDERFUL CLASSES." " ANOTHER STRATEGY FOR INCREASING PHYSICAL ACTIVITY: IN 2016 ST. MARY'S HOSTED ITS THIRD COMMIT TO GET FIT CHALLENGE-A 3K WALK, 5 OR 10K RUN THROUGH THE AUBURN COMMUNITY. ITS PURPOSE WAS TWO-FOLD: TO ENCOURAGE THE COMMUNITY AND EMPLOYEES TO COMMIT TO FITNESS AND TO RAISE MONEY FOR THE MARGUERITE D'YOUVILLE FUND, A FINANCIAL ASSISTANCE CRISIS FUND FOR PATIENTS AND EMPLOYEES. THE EVENT WAS A HUGE SUCCESS WITH MORE THAN 400 PARTICIPANTS. IT BROUGHT IN $25,000 FOR THE FUND. ANDROSCOGGIN COUNTY IS ONE OF THE OLDEST COUNTIES IN THE STATE OF MAINE. ST. MARY'S PROVIDED QUARTERLY COMMUNITY EDUCATION THROUGH SENIORS PLUS, THE LOCAL AREA AGENCY ON AGING. TOPICS INCLUDED "SLEEPING AS WE AGE AND NUTRITION. A PRESENTATION WAS ALSO HELD IN A LOCAL COMMUNITY ORGANIZATION ON DEMENTIA AND ALZHEIMER'S. OVER 200 SENIORS ATTENDED A PRESENTATION ON OPIATE ADDICTION AND HOW ADDICTION CAN START WITH OVER-PRESCRIBING OF COMMON PAIN MEDICATIONS." TO ADDRESS ENVIRONMENTAL HEALTH: IN THE PAST TEN YEARS, 678 CHILDREN HAVE BEEN POISONED BY LEAD IN THE LEWISTON-AUBURN AREA, AND THERE ARE HUNDREDS OF VISITS TO THE EMERGENCY DEPARTMENT EACH YEAR DUE TO ASTHMA. IN ADDITION, NATIONALLY 40% OF ASTHMA EPISODES ARE CAUSED BY TRIGGERS IN THE HOME SUCH AS MOLD, TOBACCO SMOKE AND PESTS. IN 2016 ST. MARY'S PARTNERED WITH BOTH GREEN AND HEALTHY HOMES INITIATIVE (GHHI) AND THE LEWISTON PUBLIC HEALTH COMMITTEE TO ADDRESS THE ISSUE OF LEAD AND IMPROVING THE HOUSING STOCK OF LEWISTON IN GENERAL. AS PART OF A POPULATION HEALTH EFFORT THAT INCLUDES A COMMUNITY COLLABORATIVE, ST. MARY'S IS A CHARTER MEMBER OF THE GREEN AND HEALTHY HOMES INITIATIVE IN MAINE. THIS MODEL IS DESIGNED TO INTEGRATE HEALTH, SAFETY, LEAD HAZARD REDUCTION, ENERGY EFFICIENCY AND WEATHERIZATION HOUSEHOLD INTERVENTIONS TO IMPROVE OUR HOUSING STOCK. IN LEWISTON-AUBURN 77% OF THE BUILDINGS WERE BUILT BEFORE 1980, WHICH MEANS THERE IS STRUCTURAL DECAY, OUTDATED HEATING SYSTEMS, LACK OF INSULATION AND ACCESSIBILITY ISSUES. THIS IS A SERIOUS ISSUE IN OUR COMMUNITY. IN 2016 EFFORTS FOCUSED ON CODE ENFORCEMENT FOR LEAD PAINT VIOLATIONS, A RENTAL REGISTRY FOR LANDLORDS AND LEGISLATION FOR LEAD PAINT ABATEMENT. " TO ADDRESS FOOD INSECURITY AND NUTRITIONAL NEEDS (IMPORTANT ASPECTS OF CHRONIC HEALTH CONDITIONS), WE ARE PROUD TO REPORT THAT WE ARE DISTRIBUTING MORE FRESH PRODUCE THROUGH OUR FOOD PANTRY THAN EVER BEFORE! IN 2014, WE GAVE OUT APPROXIMATELY 20,000 POUNDS OF FRESH PRODUCE, AND DOUBLED THAT TO OVER 40,000 POUNDS IN 2015. WITH A STRATEGIC FOCUS IN 2016, THIS GREW THREE-FOLD TO OVER 150,000 POUNDS IN 2016. UNFORTUNATELY, THE NEED FOR FOOD PANTRY SERVICES CONTINUES TO RISE; WE ARE CURRENTLY PROVIDING FOOD FOR ABOUT 580 PEOPLE EACH WEEK (UP 54% IN THE LAST TWO YEARS). INCREASING THE AMOUNT OF FRESH PRODUCE WE DISTRIBUTE IS ONE WAY THE FOOD PANTRY IS MEETING THIS INCREASED NEED FOR SERVICES WITHIN OUR LIMITED BUDGET. ANOTHER SUCCESS STORY IN THE FOOD PANTRY HAS BEEN A NEW PARTNERSHIP WITH TRI-COUNTY MENTAL HEALTH SERVICES. BEGINNING IN JUNE, WE DEVELOPED VOLUNTEER OPPORTUNITIES FOR TRI-COUNTY CLIENTS TO VOLUNTEER IN A SAFE, SUPPORTIVE ENVIRONMENT. THIS ADULT POPULATION IS ONE THAT IS UNDERSERVED AND UNDERAPPRECIATED, AND IT IS HAS BEEN A WONDERFUL PARTNERSHIP. TRI-COUNTY STAFF REPORT THAT THIS HAS BEEN ONE OF THE FAVORITE ACTIVITIES THEY'VE ORGANIZED FOR THEIR CLIENTS. THEY HAVE A FEW PEOPLE THAT WILL COME TO VOLUNTEER AT THE PANTRY BUT WON'T ENGAGE WITH ANYTHING ELSE. 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 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 WAS SELECTED TO PARTICIPATE IN THE CREATING A CULTURE OF HEALTH LEARNING COLLABORATIVE SPONSORED BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE HEALTH RESEARCH & EDUCATIONAL TRUST (HRET) OF THE AMERICAN HOSPITAL ASSOCIATION. TEN COMMUNITIES ACROSS THE COUNTRY WERE SELECTED BECAUSE OF INNOVATIVE AND PROGRESSIVE APPROACHES TO BUILDING A CULTURE OF HEALTH (WHERE ALL PEOPLE HAVE THE OPPORTUNITY TO LIVE LONGER, HEALTHIER LIVES, WHATEVER THEIR BACKGROUND.) THE INVITATION WAS SENT TO ELIZABETH KEENE, VP OF MISSION INTEGRATION AT ST. MARY'S REGIONAL MEDICAL CENTER, WHO THEN REACHED OUT TO KIRSTEN WALTER, DIRECTOR OF ST. MARY'S NUTRITION CENTER, ERIN GUAY, EXECUTIVE DIRECTOR OF HEALTHY ANDROSCOGGIN, AND CINDIE RICE, DIRECTOR OF COMMUNITY HEALTH, WELLNESS AND CARDIOPULMONARY REHAB, CENTRAL MAINE MEDICAL CENTER TO PARTICIPATE IN THIS EXCITING INITIATIVE. THE GOAL OF THE COLLABORATIVE IS TO HELP FOSTER LEARNING, NETWORKING, SHARING OF EXPERTISE AND RESOURCES AMONG US AND OTHER INDUSTRY LEADERS THROUGH THE COLLABORATIVE. THESE LEARNINGS WILL INFORM CASE STUDIES AND BE EMBEDDED IN A NATIONALLY DISTRIBUTED ROADMAP GUIDE THAT PROVIDES RESOURCES FOR COMMUNITY PARTNERSHIPS, IN ADDITION TO WEBINARS THAT SHOWCASE COMMUNITY COLLABORATIONS. PRIOR TO OUR LEARNING COLLABORATIVE, REPRESENTATIVES FROM THE HRET CONDUCTED A TWO-DAY SITE VISIT IN LEWISTON IN MAY 2016 TO FOSTER CROSS-COMMUNITY LEARNING, SHARING AND INTERACTION WITH US IN PARTNERSHIP DEVELOPMENT. OUR COMMUNITY IS HONORED TO PARTICIPATE IN THIS COLLABORATIVE AND WE BELIEVE IN ITS VISION: WHEN WE MAKE HEALTH A SHARED VALUE; FOSTER CROSS-SECTOR COLLABORATION; CREATE HEALTHIER, MORE EQUITABLE COMMUNITIES; AND STRENGTHEN INTEGRATION OF HEALTH SERVICES AND SYSTEMS, WE ARE MORE LIKELY TO SEE AN OUTCOME OF IMPROVED POPULATION HEALTH, WELL-BEING, AND EQUITY.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 SUCH AS THE PUBLIC HEALTH DISTRICT COUNCIL AND THE LOCAL HEALTH PREVENTION AGENCY. 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 BUCKSTHE FULL PILOT SEASON OF THE GOOD FOOD BUS RAN FROM JULY-OCTOBER 2016. OFFERING FARM FRESH PRODUCE, BREAD, EGGS, CHEESE, AND MORE, FOODS COME FROM LOCAL PRODUCERS WHENEVER POSSIBLE; WE ALSO SUPPORT LOCAL DISTRIBUTORS FOR BANANAS, CITRUS, AVOCADOS, ETC. THE BUS OPERATED AT 9 WEEKLY STOPS ACROSS LEWISTON-AUBURN, BATH, WESTBROOK, AND GORHAM, HAD OVER 2000 CUSTOMER TRANSACTIONS, AND MADE APPROXIMATELY $20,000 IN SALES.THE GOOD FOOD BUS IS PART OF GOOD FOOD MOVES, A 3-YEAR MOBILE FOOD INITIATIVE FOUNDED BY ST. MARY'S NUTRITION CENTER (LEWISTON), CULTIVATING COMMUNITY (PORTLAND) AND HARVARD PILGRIM HEALTH CARE FOUNDATION. THE NUTRITION CENTER MADE IT POSSIBLE FOR THE BUS AND THE LEWISTON FARMERS' MARKET TO OFFER MAINE HARVEST BUCKS, A MARKET INCENTIVE PROGRAM WHICH INCREASES THE VALUE OF FEDERAL NUTRITION ASSISTANCE DOLLARS (SNAP/EBT) SPENT - MATCHING EACH DOLLAR SPENT WITH "HARVEST BUCKS" THAT COULD BE USED TO BUY MORE VEGETABLES AND FRUIT. THIS PROGRAM IS NOW A STATE-WIDE EFFORT; THE NUTRITION CENTER HAS BEEN INVOLVED SINCE THE FIRST PILOT IN 2010 AND HAS SERVED IN A LEADERSHIP CAPACITY TO EXPAND THIS PROGRAM ACROSS THE STATE. COMMUNITY GARDENSOVER 130 INDIVIDUALS, FAMILIES AND GROUPS HAD GARDEN PLOTS IN COMMUNITY GARDENS WITHIN LEWISTON, AND NOW AUBURN, THIS YEAR. MOST TANGIBLY, COMMUNITY GARDENS PROVIDE AN ACCESS POINT FOR FRESH VEGETABLES. 100% OF THE GARDENERS WE SURVEYED REPORTED THAT THEY EAT MORE VEGETABLES BECAUSE OF HAVING A GARDEN PLOT. COMMUNITY GARDENS ALSO ALLOW PEOPLE TO TAKE PRIDE IN AND CARE FOR A SPACE OF THEIR OWN, AND SERVE TO BRING PEOPLE TOGETHER, FOSTER FRIENDSHIPS, AND BUILD BRIDGES. IN FACT, 94 % OF THE GARDENERS SURVEYED SAID THAT THEY FELT MORE CONNECTED TO THEIR COMMUNITY OR NEIGHBORS BECAUSE OF THE GARDENS. EVEN MORE THAN JUST HELPING TO MEET A BASIC NEED FOR FOOD SECURITY, IT'S OFTEN MOST AMAZING TO SEE HOW THE GARDENS ARE A PLACE WHERE PEOPLE CAN CONNECT, SHARE, AND FIND HAPPINESS IN TOUGH TIMES.HAVING THE GARDEN WAS AN AVENUE OPENER IN EVERY ASPECT. MY SON LOVES TO EAT THE VEGGIES, I GOT OUT MORE AND GOT TO KNOW MY NEIGHBORS, WE HAD A GREAT COMMUNITY THIS SUMMER. I DIDN'T FEEL LIKE I LIVED IN THE PROJECTS BECAUSE IT DIDN'T LOOK OR FEEL LIKE THE PROJECTS WHEN I CAME OUT AND SAW THE BEAUTIFUL GARDENS. THE GARDEN CHANGED HOW I LOOK AT FOOD. THE GARDEN HAS MADE ME HAPPIER." -GARDENER AT HILLVIEWAFTER A YEAR OF RESEARCH AND ADVOCACY TO SECURE SUPPORT AND SPACE FROM THE CITY OF AUBURN, THE NUTRITION CENTER LAUNCHED A COLLABORATIVE EFFORT, THE AUBURN COMMUNITY GARDEN INITIATIVE (ACGI). ACGI ENGAGED VALUABLE COMMUNITY PARTNERS (INCLUDING THE CITY OF AUBURN, COOPERATIVE EXTENSION AND ANDROSCOGGIN LAND TRUST) AND COUNTLESS VOLUNTEERS, TO CREATE THE VERY FIRST COMMUNITY GARDEN IN AUBURN. THE FIRST YEAR OF THE WEBSTER STREET COMMUNITY GARDEN WAS A GREAT SUCCESS, EXCEEDING ORIGINAL EXPECTATIONS AND LAYING THE GROUNDWORK FOR A PROCESS OF CREATING STRONG COMMUNITY GARDEN PROGRAMS IN AUBURN. FEEDBACK FROM PARTICIPATING GARDENERS, NEIGHBORS, AND COMMUNITY PARTNERS HAS BEEN OVERWHELMINGLY POSITIVE, AND OPPORTUNITIES TO CONTINUE AND EXPAND BEYOND THIS FIRST COMMUNITY GARDEN ARE PROMISING. GOOD FOOD IN THE SCHOOLSTHE ST. MARY'S NUTRITION CENTER'S INVOLVEMENT IN BOTH LEWISTON AND AUBURN SCHOOLS CONTINUES TO EXPAND. OUR KEY ACTIVITIES INCLUDED:- SCHOOL GARDENS AND COOKING/NUTRITION PROGRAMMING AT LONGLEY, MONTELLO AND MCMAHON ELEMENTARY SCHOOLS. THESE PROGRAMS WERE OFFERED DURING THE SCHOOL YEAR (IN THE CLASSROOM AND AFTERSCHOOL) AS WELL AS PART OF SUMMER SCHOOL CURRICULA. SUMMER SCHOOL PROGRAMMING OFFERED AT LONGLEY AND MONTELLO ELEMENTARY SCHOOLS, ENGAGED A TOTAL OF 31 CLASSROOMS OVER A FIVE WEEK PERIOD. OVER 900 UNDUPLICATED STUDENTS PARTICIPATED IN THE GARDEN AND NUTRITION EDUCATION PROGRAMMING.- THE NUTRITION CENTER PROVIDED COORDINATION, TECHNICAL ASSISTANCE, AND TRAINING FOR BOTH SCHOOL DISTRICTS AS PART OF A USDA FARM TO SCHOOL PLANNING GRANT. - ALONGSIDE NUTRITION CENTER STAFF, THE YOUTH CAMPAIGN CREW (YCC) IS RUN BY TWELVE LEWISTON HIGH SCHOOL STUDENTS WHO ARE EAGER TO MAKE CHANGE AROUND FOOD ISSUES IN THEIR CAFETERIA AND WITHIN THE GREATER SCHOOL CULTURE. THIS YEARS' CREW WAS THE BIGGEST YET, AND THEY ARE BUILDING OFF LAST YEAR'S PROGRESS. WORKING WITH FOOD SERVICE STAFF AND HIGH SCHOOL ADMINISTRATION THE YOUTH INPUT HAS ALREADY INFLUENCED SOME PRACTICES IN THE KITCHEN. THEY HAVE ALSO ORGANIZED A SERIES OF TASTE TESTS IN THE CAFETERIA THAT WILL EXPOSE STUDENTS TO NEW AND HEALTHY FOODS, WHILE ALSO INFORMING CAFETERIA STAFF ABOUT WHAT FOODS STUDENTS LIKE AND DON'T LIKE. 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 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 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 WORK 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. IN 2015 A TWO YEAR PROCESS OF EXPLORING COMMUNITY NEEDS WITH PEOPLE LIVING IN THE URBAN CORE CULMINATED IN THE DEVELOPMENT OF "HEALTHY NEIGHBORHOODS" -A COALITION OF MAINSTREAM ORGANIZATIONS, SMALL GROUPS AND ETHNIC COMMUNITY BASED ORGANIZATION THAT WILL FOCUS ON HEALTH ISSUES WITHIN HOMES AND IN NEIGHBORHOODS, ESPECIALLY SOCIAL DETERMINANTS OF HEALTH SUCH AS LEAD PAINT, RADON, MOLD, TOBACCO USE, TRANSPORTATION, SAFE PARKS, GOOD SIDEWALKS, ETC. ST. MARY'S WAS INVOLVED THROUGH REPRESENTATION FROM ST. MARY'S NUTRITION CENTER. 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 36,202 IN THE 2015 CENSUS ESTIMATE) AND AUBURN (POPULATION 22,871 IN THE 2015 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 2015 CENSUS DATA, THE POPULATION OF ANDROSCOGGIN COUNTY IS 107,233, WITH A POVERTY RATE OF 15.4% AND MEDIAN INCOME OF $45,765 ANNUALLY. LEWISTON'S POVERTY RATE IS EVEN HIGHER-24% (2014 AMERICAN COMMUNITY SURVEY) AND THE RATE OF CHILDHOOD POVERTY IN LEWISTON IS 43% (ACCORDING TO THE 2013 MAINE KIDS COUNT SURVEY). THE COUNTY IS PRIMARILY WHITE (92.8%) WITH BLACK (3.8%) AND TWO OR MORE RACES AT 2.1%. WITH THE CONCENTRATION OF CENTRAL AND EASTERN AFRICAN IMMIGRANTS IN LEWISTON, THE CITY HAS A MORE SIGNIFICANT BLACK POPULATION (8%). ANDROSCOGGIN COUNTY'S POPULATION REFLECTS TWO INTERESTING TRENDS: THE GREATEST NUMBER OF PEOPLE IS IN THE "UNDER 18 YEARS" CATEGORY (22%) AND THE SECOND HIGHEST CONCENTRATION OF THE POPULATION IS OVER AGE 65 (16%.) THE 2016 UNEMPLOYMENT RATE IS 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. COUNT PERCENTAGEAMERICAN INDIAN AND ALASKA NATIVE ALONE 156 0.43%ASIAN ALONE 384 1.05% BLACK OR AFRICAN AMERICAN ALONE 3174 8.67%NATIVE HAWAIIAN/OTHER PACIFIC NATIVE ALONE 14 0.04%SOME OTHER RACE ALONE 219 0.60% TWO OR MORE RACES 951 2.60%WHITE ALONE 31,694 86.61%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. THIS LINK DESCRIBES THE POVERTY LEVEL FOR THE CITY OF LEWISTON BY VARIOUS DEMOGRAPHICS:HTTP://WWW.CITY-DATA.COM/POVERTY/POVERTY-LEWISTON-MAINE.HTMLADDITIONALLY 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. THE SCORE IS A WEIGHTED AVERAGE; THE CURRENT (MAY 2016) SCORE FOR ANDROSCOGGIN COUNTY IS 3.2; THE SCORE FOR THE CITY OF LEWISTON IS 4.2 (BASED ON SCALE OF 1-5 WITH 5 BEING THE HIGHEST NEED). BOTH RATES ARE SLIGHTLY HIGHER THAN THE 2013 RESULTS.MEAN(ZIPCODE): 2.6 / MEAN(PERSON): 3.2 CNI SCORE MEDIAN: 2.4 CNI SCORE MODE: 2 ZIP CODE CNI SCORE POPULATION CITY COUNTY STATE 04210 3.2 22805 AUBURN ANDROSCOGGIN MAINE 04222 2 3870 DURHAM ANDROSCOGGIN MAINE 04236 2 4354 GREENE ANDROSCOGGIN MAINE 04240 4.2 36571 LEWISTON ANDROSCOGGIN MAINE 04250 3 4196 LISBON ANDROSCOGGIN MAINE 04252 2.8 4684 LISBON FALLS ANDROSCOGGIN MAINE 04253 2.2 2073 LIVERMORE ANDROSCOGGIN MAINE 04254 3.4 3109 LIVERMORE FALLS ANDROSCOGGIN MAINE 04256 2.6 2972 MECHANIC FALLS ANDROSCOGGIN MAINE 04258 1.6 2586 MINOT ANDROSCOGGIN MAINE 04263 2 2368 LEEDS ANDROSCOGGIN MAINE 04274 2.4 5551 POLAND ANDROSCOGGIN MAINE 04280 2.2 6464 SABATTUS ANDROSCOGGIN MAINE 04282 2.4 5848 TURNER ANDROSCOGGIN MAINE________________________________________DESPITE SOME SIGNIFICANT COMMUNITY HEALTH NEEDS, ANDROSCOGGIN COUNTY HAS A STRONG COMMUNITY SPIRIT, A PRIME LOCATION WITHIN THE STATE, GROWING CULTURAL DIVERSITY AND A BEAUTIFUL NATURAL ENVIRONMENT. WE HAVE AN EXISTING NETWORK OF RESPECTED HOSPITALS (ST. MARY'S REGIONAL MEDICAL CENTER AND CENTRAL MAINE MEDICAL CENTER), PRIMARY CARE PHYSICIANS, A FEDERALLY QUALIFIED HEALTH CENTER, LOCAL SERVICES AGENCIES, GOVERNMENT BODIES, SCHOOL-BASED HEALTH PROGRAMS, FAITH-BASED ORGANIZATIONS, BUSINESSES AND CITIZENS WHO ARE COMMITTED TO COMMUNITY HEALTH. IN THE PAST FEW YEARS MAINE CARDIOVASCULAR MORTALITY RATES HAVE DECREASED 46% AND AS A WHOLE, MAINE IS THE 15TH HEALTHIEST STATE IN THE NATION (AMERICA'S HEALTH RANKINGS , 2015.) 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 REGIONAL MEDICAL CENTER AND CENTRAL MAINE MEDICAL CENTER JOINTLY OWN UNITED AMBULANCE SERVICE IN CENTRAL MAINE. INSTEAD OF SIMPLY WAITING FOR PEOPLE TO BE SICK OR INJURED AND NEED AN AMBULANCE TO TRANSPORT THEM TO THE HOSPITAL, UNITED AMBULANCE NOW OFFERS A WONDERFUL PREVENTION AND WELLNESS SERVICE TO RESIDENTS OF THE SERVICE AREA: A HOME VISIT PROGRAM BY A COMMUNITY PARAMEDIC AIMED AT EDUCATING PEOPLE ON CHRONIC DISEASE MANAGEMENT AND PREVENTING POTENTIAL INJURIES IN THE HOME. A PERSON DOES NOT HAVE TO BE HOMEBOUND TO QUALIFY FOR THE PROGRAM. SOME OF THE SERVICES OFFERED ARE: HOME INSPECTION AND SAFETY CHECKS, REVIEW OF MEDICATIONS, CONNECTION TO LOCAL RESOURCES, SCHEDULED WELL-BEING CHECKS AND SCREENINGS FOR MENTAL STATUS, HEART RATE, BLOOD PRESSURE AND BLOOD SUGAR ANALYSIS (FOR DIAGNOSED DIABETICS.) THE GOAL IS TO HELP PEOPLE STAY AT HOME IN THE SAFEST WAY POSSIBLE. BY GOING INTO THE HOME ENVIRONMENT THE COMMUNITY PARAMEDIC CAN PARTNER WITH THE RESIDENT TO CREATE AN INDIVIDUALIZED PLAN FOR HEALTH AND WELLNESS. ONE PERSON WITH ASTHMA AND DIABETES HAD MULTIPLE ER VISITS IN A TWO MONTH PERIOD. WHEN THE COMMUNITY PARAMEDIC HOME VISIT BEGAN, THEY WERE ABLE TO REVIEW HER MEDICATION AND EDUCATE HER ABOUT WAYS TO REDUCE TRIGGERS FOR ASTHMA IN HER HOME. SINCE THEN, THE NUMBER OF ER VISITS HAS BEEN REDUCED BY 50%. THE PATIENT IS GRATEFUL, NOT ONLY FOR THE SUPPORT AND EDUCATION, BUT ALSO BECAUSE THE SERVICE IS FREE! ST. MARY'S REGIONAL MEDICAL CENTER EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS FROM THE COMMUNITY THAT APPLY FOR PRIVILEGES. THE ORGANIZATION'S GOVERNING BODY IS COMPRISED OF 17 MEMBERS OF WHICH 53% EITHER LIVE OR WORK IN THE LEWISTON AUBURN COMMUNITY. 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 1 1 X X X X 0 0 0 0 0 0 0 1 0 CAROLYN KASABIAN TERM 62016 TREASURY/SECRETARY 262122 0 0 0 0 0 2627 0 9802 0 274551 0 0 0 CHRISTOPHER CHEKOURAS PRESIDENT/CEO 388288 0 0 0 0 0 0 0 24841 0 413129 0 0 0 MICHAEL HENDRIX EFF 62016 TREASURY/SECRETARY 0 204804 0 0 0 0 0 2129 0 28774 0 235707 0 0 MICHAEL KELLEYMD DIRECTOR 0 416762 0 72550 0 0 0 2610 0 20680 0 512602 0 0 KAREN CLARK VP PATIENT CARE SERVICE 205438 0 0 0 0 0 2168 0 26210 0 233816 0 0 0 CHRISTOPHER BOWEMD CHIEF MEDICAL OFFICER 371971 0 0 0 0 0 2637 0 25647 0 400255 0 0 0 PHILIP HICKEY CEO POST ACUTE CARE 191276 0 0 0 0 0 0 0 11013 0 202289 0 0 0 JEFFREY DAVILA PHYSICIAN 575430 0 25000 0 0 0 0 0 5932 0 606362 0 0 0 JOSEPH STRAUSS PHYSICIAN 697922 0 0 0 0 0 0 0 21521 0 719443 0 0 0 MICHAEL NEWMANMD PHYSICIAN 752897 0 0 0 0 0 2586 0 21550 0 777033 0 0 0 MICHAEL PARKERMD PHYSICIAN 594562 0 0 0 0 0 2609 0 6498 0 603669 0 0 0 MOHAMED AL SAIEDMD PHYSICIAN 518282 0 0 0 0 0 0 0 21509 0 539791 0 0 0 PART I, LINE 1A THE PRESIDENT/CEO OR THE CFO MAY AUTHORIZE PAYMENT OF SPOUSAL TRAVEL EXPENSES. THE PAYMENT OF SUCH AMOUNTS ARE TREATED AS TAXABLE COMPENSATION AND REPORTED ON FORM W-2 OR 1099 AS REQUIRED. PART I, LINE 7 DR. JEFFEREY DAVILA, ORTHOPEDIC SURGEON, RECEIVED A $25,000 SIGN ON BONUS WHEN HE JOINED ST. MARY'S ON A FULL TIME BASIS IN 2016. THE BONUS WAS IN CONNECTION WITH A RECRUITING PROGRAM AS AN INCENTIVE TO ENCOURAGE EMPLOYMENT IN "HARD TO FILL SPECIALTIES". 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 1 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. X 1 53432 FAIR MARKET VALUE 0 0 0 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 REVIEWED AT THE OCTOBER 2017 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 OUR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 990, FORM 990-T AND FORM 1023 TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT CURRENTLY PROVIDE ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. FORM 990, PART IX, LINE 11G PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,917,264. MANAGEMENT AND GENERAL EXPENSES 993,278. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,910,542. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,717,321. MANAGEMENT AND GENERAL EXPENSES 2,287,131. FUNDRAISING EXPENSES 695,988. TOTAL EXPENSES 9,700,440. MEDICAL TESTING: PROGRAM SERVICE EXPENSES 617,188. MANAGEMENT AND GENERAL EXPENSES 210,142. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 827,330. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 4,369,265. MANAGEMENT AND GENERAL EXPENSES 1,487,658. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,856,923. CONTRACT NURSING/MEDICAL TRANSPORT: PROGRAM SERVICE EXPENSES 3,610,431. MANAGEMENT AND GENERAL EXPENSES 1,229,289. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,839,720. FORM 990, PART XI, LINE 9: TRANSFER FROM AFFILIATES -1,643,280. TRANSFER FOR PPE & RELEASE FROM RESTRICTIONS -916,106. 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) LINE 12A, I COVENANT HEALTH 0 COMMUNITY CLINICAL SERVICES PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 010409788 PHYSICIAN PRACTICE ME 501(C)(3) LINE 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) LINE 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) LINE 10 ST MARY'S HEALTH SYSTEM 0 ST JOSPEH HOSPITAL 360 BROADWAY BANGOR ME 04401 010212435 AFFILIATED HOSPITAL ME 501(C)(3) LINE 10 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