2016-11-08T07:44:33-06:00 2016-03-31 450512128 Gibson LeClair LLC 150 Capitol Street Augusta MA 04330 990 2015-04-01 010414441 Maine Migrant Health Program Inc MAIN 2076229252 PO Box 405 Augusta ME 043320405 Lisa Tapert Executive Director 2076229252 2016-11-01 Stephen L LeClair CPA P01370336 2076238401 2015 2017-02-10 21:41:12Z Lisa Tapert PO Box 405 Augusta ME 043320405 1538322 0 X www.mainemigrant.org X 1986 ME To improve the health status of migrant and seasonal farmworkers and their families by providing culturally appropriate care and services. 10 10 54 14 0 0 1006816 1524513 10125 13196 449 613 0 0 1017390 1538322 0 0 0 0 576838 741561 0 0 3280 463544 685041 1040382 1426602 -22992 111720 869499 842326 486241 347348 383258 494978 X Since 1991, the Maine Migrant Health Program (MMHP) has championed the health care needs of migrant and seasonal farmworkers (MSFWs) and their families by providing quality primary, preventive, and chronic health care services to MSFWs across the state. MSFWs are one of the nation's most vulnerable and invisible populations. Their health status is compromised by poverty, living/working conditions, immigration status, interruptions in care, lack of culturally and linguistically appropriate services (CLAS), social isolation, and an overwhelming lack of access to health care in general. As a migrant health voucher program, the MMHP is dedicated to maximizing access to health care for Maine's seasonal workers by providing mobile medical care, and by reimbursement arrangements (i.e. vouchers) with a broad network of medical, dental, and behavioral health providers. 0 0 547800 6524 Community Service (Enabling Services) - The Maine Migrant Health Program is a 330g migrant voucher program. However, it does not operate out of a fixed site or "bricks and mortar" health center. All direct services are provided in the community, so the engagement of patients and clients is always from an 'outreach' perspective. Mobile medical clinics, pesticide safety trainings, health education sessions, etc, all take place in the farmworkers' communities - their camps, homes, work places, Rakers' Center etc. MMHP's enabling services are provided where they are most needed, where farmworkers live and work. These services are the cornerstone of migrant voucher programs across the country and provide a strong base of supportive services that create access. MMHP's existing service area is the entire state of Maine (33,215 sq mi) with major harvest areas in Aroostook, Hancock, Washington, and Androscoggin counties. Both Washington and Aroostook qualify as 'very rural', their population density being 14.0/sq mi and 11.6/sq mi, respectively. Aroostook County also has the distinct honor of being the only county east of the Mississippi that qualifies as a frontier designated area. In addition, parts of these major harvest areas have been classified as Health Professional Shortage Areas, Medically Underserved Areas, or as having a Medically Underserved Population. Unfortunately, they are home to mental health and dental shortage areas as well. Maine state demographics only add to the difficulties MSFWs face as described in Part III, Line 1. Add to this inadequate transportation, geographic isolation, unfamiliarity with local resources and systems, as well as the inability to arrange time off from work. These are the barriers community (enabling) services are designed to bridge and/or eliminate, thereby increasing access to care. This is accomplished through outreach services, health education, case management, transportation, eligibility assistance, medical interpretation, and referral services to local network providers. Community service workers also spend time scouting for new crews and workers to ensure all who need services have the opportunity to access them. Thus, enabling services are an integral component in MMHP's success in meeting migrant and seasonal farmworker needs and in fulfilling its mission to improve the health status of Maine's seasonal workers and their families. 254292 4662 Medical Services - MMHP's direct medical services include comprehensive mobile care, access to referral services, emergency room care, and coverage for laboratory and radiology testing. MMHP accomplishes this by bringing services directly into worker camps, communities, and work sites, as well as utilizing its statewide referral (voucher) network of medical, dental, and behavioral health providers. This unique combination of direct clinical care and voucher arrangements with local providers ensures that Maine's migrant and seasonal farmworkers have access to care that is appropriate, timely, and cost-effective. This model also ensures greater responsiveness to farmworkers' needs as it is designed with an inherent level of flexibility to accommodate ever-changing circumstances affecting the farmworkers and their provision of care. 78652 2010 Dental and Pharmacy Services - Dental and pharmacy services are both provided solely under voucher arrangement as MMHP's mobile medical units (MMUs) are not equipped or staffed to provide them directly on site. A number of dentists and pharmacies participate in MMHP's provider network in the communities where seasonal workers live and work. This past year, one dental practice brought its staff and equipment out into the blueberry fields to provide services directly. Another opened its office doors after hours solely to see MMHP patients on more than one occasion. This commitment was much-needed and well-received by the workers, and resulted in increased usage over prior years by approximately 419%. 71976 Mobile Medical Units - As discussed, part of Maine Migrant's unique model of service delivery is to go directly to the worker camps, communities, and work sites. To accomplish this, MMHP operates a fleet of vehicles designed and utilized as mobile medical centers. These mobile medical units (MMUs) are staffed by, at a minimum, one provider and two outreach and/or intake staff. At least one member of the team is bilingual to ensure that the clinics run smoothly and efficiently, and that farmworker needs are identified correctly and treated appropriately. Team members are either on staff or under contract. This past year, contracted interpretation services was secured for worker languages not spoken by staff. Clinics are generally scheduled after harvest work hours and, whenever possible, continue until all workers have been seen by a provider. When necessary, arrangements are made and assistance provided for any referrals to local voucher network providers. 29115 Behavioral Health Services - Due to an overwhelming declaration of need by migrant and seasonal farmworkers, behavioral health services were added to MMHP's core services seven years ago. These services have been successfully integrated into MMHP's primary care model and work hand-in-hand to support and enhance the provision of quality primary, preventive, and chronic health care services to seasonal workers across the state. Behavioral services currently include mental health and substance abuse counseling. In the past, care was provided directly on the MMUs as well as through voucer (referral) providers. Unfortunately, MMHP's Behavioral Health Specialist left the program mid-year. Despite efforts to fill this position, and even upgrade it, it remained vacant at fiscal year-end. It is anticipated that MMHP will be able to resume providing these sorely-needed services next year. 101091 981835 1 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 45 0 1 54 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X X Lisa Tapert Executive Director 2076229252 9 Green Street Augusta ME 04330 Jonathan Wood MD Board Chairperson 1.00 X 0 0 0 Linda Silka PhD Vice Chairperson 1.00 X 0 0 0 Mike Guare Treasurer 1.00 X 0 0 0 Stephen Cole Secretary 1.00 X 0 0 0 Elizabeth Bicknell Director 1.00 X 0 0 0 Susan Cote Director 1.00 X 0 0 0 Judy Dumont Director 1.00 X 0 0 0 Pam Harpine Director 1.00 X 0 0 0 Diana Prescott Director 1.00 X 0 0 0 Nancy Weingarten Director 1.00 X 0 0 0 Lisa Tapert Executive Director 40.00 X 72247 0 7914 72247 0 7914 0 0 0 0 0 1188521 335992 6930 1524513 Migrant Patient/Other 900099 6672 6672 6524 6524 13196 613 613 1538322 13196 0 613 89337 49136 39415 786 495800 306928 187096 1776 110067 57245 52289 533 46357 25657 20515 185 1814 1814 13125 13125 124446 106509 17937 24431 12403 12028 74591 69689 4902 33719 8970 24749 44749 39911 4838 22994 11294 11700 45556 38047 7509 23723 9467 14256 Patient contract servic 163522 163522 Supplies 45240 40486 4754 Minor equipment/maint. 31697 29434 2263 Fees/licenses & dues 11161 1279 9882 24273 11858 12415 1426602 981835 441487 3280 863 1000 634926 504713 51041 33254 19458 21708 535417 379365 163211 156052 0 125599 869499 842326 65839 91785 420402 255563 486241 347348 X 350928 461556 32330 33422 383258 494978 869499 842326 111720 0 X X 0 1 X 1 1 1 X 874351 900065 956089 1006816 1524513 5261834 874351 900065 956089 1006816 1524513 5261834 5261834 303 416 399 449 613 2180 5264014 46633 0.99960 0.99950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 535417 379365 156052 156052 Vehicle deposit 125599 125599 X 1596150 57828 57828 1538322 0 1538322 1484430 57828 57828 1426602 0 1426602 Part X, Line 2: Management believes it has no uncertain tax positions with the Internal Revenue Service that require disclosure in the financial statements. Form 990, Part VI, Section B, line 11 A draft Form 990, including all supplemental forms, is distributed to all Board members approximately one week prior to the scheduled meeting. The Finance Committee meets prior to the Board meeting, reviews the 990, and makes its recommendations to the full Board. Board members then discuss the Committee's recommendation and vote. If approved, either as presented, or as amended based on their discussion, staff is then authorized to submit all forms on its behalf. If not approved, staff resolves problems and resubmits for the next meeting. Form 990, Part VI, Section B, line 12c MMHP has a conflict of interest policy that applies to personnel. MMHP's by-laws include a conflict of interest section for the Board and advisory board members which calls for annual disclosure of potential conflicts. A conflict of interest disclosure form is required to be completed on an annual basis. Form 990, Part VI, Section B, line 15a MMHP'S Board of Directors determines all compensation, including salary adjustments, for the Executive Director. Information is generally provided to Board members for comparable organizations of similar size and operations for comparison and discussion purposes. All issues are discussed at the Board table in the absence of any staff members and voted on for documentation in the Board minutes. All other staff compensation remains the purview of the Executive Director as it falls within the parameters of the agency's annual budget, which is also subject to approval by the Board. Form 990, Part VI, Section C, line 19 Maine Migrant Health Program, as a federally-funded nonprofit corporation, is required to have an annual audit by an outside accounting firm. The audited financial statements and any letters to management, in conjunction with the Federal Financial Report (standard form 425), are subsequently filed with HRSA, and thus available to any public inquiry. In addition, all governing documents, financial statements, and tax returns are available upon request to MMHP's administrative headquarters. Form 990, Part XII, Line 2c, Financial Oversight MMHP's Board of Directors, with guidance from the Finance Committee and input from management, is responsible for fiscal management of the organization and approval of the selection of an independent accountant.