FURP.ORG / PUBLIC DATA EXPLORER

ST MARYS REGIONAL MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
ST MARYS REGIONAL MEDICAL CENTER (EIN 01-0211551)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-07-28
IRS object ID
201622109349300517
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-07-28T08:50:26-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1650 ELM STREET SUITE 302AddressLine1Txt
CityMANCHESTERCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010211551EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone2077778546PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CAMPUS AVENUE PO BOX 0291AddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP042430291ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTOPHER CHEKOURASPersonNm
Person TitlePRESIDENT & CEOPersonTitleTxt
Phone2077778802PhoneNum
Signature2016-07-14SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonE DREW CHENEYPreparerPersonNm
PTINP00182972PTIN
Phone8002447444PhoneNum
Preparation2016-07-14PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2016-12-15 16:53:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTOPHER CHEKOURASPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1CAMPUS AVENUE PO BOX 0291AddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP042430291ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$155,064,460GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.STMARYSMAINE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionST. 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.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1831TotalEmployeeCnt
Total Volunteers284TotalVolunteersCnt
Total Gross UBI$110,325TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$28,398NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,059,470PYContributionsGrantsAmt
CY Contributions Grants$772,955CYContributionsGrantsAmt
PY Program Service Revenue$147,042,319PYProgramServiceRevenueAmt
CY Program Service Revenue$153,598,661CYProgramServiceRevenueAmt
PY Investment Income$637,365PYInvestmentIncomeAmt
CY Investment Income$582,519CYInvestmentIncomeAmt
PY Other Revenue$25,862PYOtherRevenueAmt
CY Other Revenue$92,112CYOtherRevenueAmt
PY Total Revenue$148,765,016PYTotalRevenueAmt
CY Total Revenue$155,046,247CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$85,675,840PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$88,780,617CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$223,306CYTotalFundraisingExpenseAmt
PY Other Expenses$63,898,329PYOtherExpensesAmt
CY Other Expenses$67,511,510CYOtherExpensesAmt
PY Total Expenses$149,574,169PYTotalExpensesAmt
CY Total Expenses$156,292,127CYTotalExpensesAmt
PY Revenues Less Expenses-$809,153PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,245,880CYRevenuesLessExpensesAmt
Total Assets BOY$141,788,097TotalAssetsBOYAmt
Total Assets EOY$150,019,536TotalAssetsEOYAmt
Total Liabilities BOY$58,110,963TotalLiabilitiesBOYAmt
Total Liabilities EOY$62,950,518TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$83,677,134NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$87,069,018NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionST. 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.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$7,761,878ExpenseAmt
Revenue$20,811,134RevenueAmt
DescSURGICAL CARE: PROVIDES ALL SERVICES (EXCEPT OPEN HEART) TO PATIENTS RANGING FROM INFANT TO GERIATRICS WHO NEED SURGICAL INTERVENTION. TOTAL HOURS = 4,605Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$6,728,530ExpenseAmt
Revenue$8,691,189RevenueAmt
DescBEHAVIORAL 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 = 14,923Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$8,960,235ExpenseAmt
Revenue$8,907,483RevenueAmt
DescEMERGENCY 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 = 30,829Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$93,152,215ExpenseAmt
Revenue$115,188,855RevenueAmt
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$93,152,215TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$115,188,855TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$116,602,858TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign OfficeYes (1)ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1831EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1CAROLYN M KASABIANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2077778546PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line196 CAMPUS AVEAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
ANNE SCHUETTINGER
DIRECTOR2.00Yes (X)$0$0$0
CAROLYN LEPAGE
DIRECTOR2.00Yes (X)$0$0$0
CHRISTOPHER BOWE
DIRECTOR38.00Yes (X)$403,941$0$25,2922.00
CHRISTOPHER CHEKOURAS
PRESIDENT/CEO34.00Yes (X)$84,207$0$1,3736.00Yes (X)
CRAIG GUNDERSON
CHAIR2.00Yes (X)$0$0$0Yes (X)
DONALD FOURNIER
DIRECTOR2.00Yes (X)$0$0$0
JAMES PLACEMD
DIRECTOR2.00Yes (X)$0$0$0
JOHN CHAPMAN
DIRECTOR2.00Yes (X)$0$0$0
JOHN ISAACSON
DIRECTOR2.00Yes (X)$0$0$0
JOYCE GIBSON THRU FEB 2015
DIRECTOR2.00Yes (X)$0$0$0
JUDITH ANDRUCKI ESQ
DIRECTOR2.00Yes (X)$0$0$0
LEO MYLES THRU OCT 2015
PRESIDENT/CEO34.00Yes (X)$365,796$0$22,4646.00Yes (X)
MARK ANTHOINE
VICE CHAIR2.00Yes (X)$0$0$0Yes (X)
MARTIN EISENSTEIN
DIRECTOR2.00Yes (X)$0$0$0
MICHAEL KELLEY MD
DIRECTOR1.00Yes (X)$513,963$0$21,14739.00
RICK VAIL
DIRECTOR2.00Yes (X)$0$0$0
VACANT
DIRECTOR0.00Yes (X)$0$0$0
CAROLYN KASABIAN
TREASURY/SECRETARY34.00$274,848$0$23,4176.00Yes (X)
IRA SHAPIRO
PHYSICIAN40.00$281,971$0$22,755Yes (X)
KAREN CLARK
VP PATIENT CARE SERVICES40.00$202,254$0$24,164Yes (X)
SUSAN KEILER
COO35.00$276,777$0$21,3165.00Yes (X)
MARIA IKOSSI
PHYSICIAN40.00$605,166$0$12,156Yes (X)
MICHAEL NEWMAN
PHYSICIAN40.00$591,744$0$11,185Yes (X)
MICHAEL PARKER
PHYSICIAN40.00$806,448$0$7,364Yes (X)
RICHARD KAHN
PHYSICIAN40.00$447,228$0$23,888Yes (X)
WAYNE MOODY
PHYSICIAN40.00$839,585$0$24,249Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,693,928TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$240,770TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K107IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
D'YOUVILLE PAVILION
100 CAMPUS AVELEWISTONME04243LAUNDRY/MEAL SERVICES$3,558,572
COVENANT HEALTH INC
100 AMES POND ROADTEWKSBURYMA01876MANAGEMENT SERVICES$3,121,395
SOUND PHYSICIANS OF MAINE
PO BOX 742936LOS ANGELESCA90074STAFFING AGENCY$1,525,355
ST MARY'S ANESTHESIA
PO BOX 1823LEWISTONME04240HEALTH CARE PROFESSIONAL$1,297,339
MAINEHEALTH
110 FREE STREETPORTLANDME04101TECHNOLOGY SERVICES$661,282
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K17CntrctRcvdGreaterThan100KCnt
Related Organizations$10,000RelatedOrganizationsAmt
Government Grants$96,326GovernmentGrantsAmt
All Other Contributions$666,629AllOtherContributionsAmt
Total Contributions$772,955TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE621300$140,829,126$140,829,126
OTHER OPERATING INCOME621300$12,769,535$12,769,535
FieldValueIRS element (for citing)
Total Program Service Revenue$153,598,661TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$539,782TotalRevenueColumnAmt
Exclusion$539,782ExclusionAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$18,213RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$18,213RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$18,213TotalRevenueColumnAmt
Exclusion-$18,213ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$42,737OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$42,737OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$42,737TotalRevenueColumnAmt
Exclusion$42,737ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLAB REVENUEDesc
Business621500BusinessCd
Total Revenue Column$110,325TotalRevenueColumnAmt
Unrelated Business Revenue$110,325UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$110,325OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$155,046,247TotalRevenueColumnAmt
Related Or Exempt Func Income$153,598,661RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$110,325UnrelatedBusinessRevenueAmt
Exclusion$564,306ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$4,291,800TotalAmt
Program Services$3,290,171ProgramServicesAmt
Management And General$1,001,629ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$72,658,815TotalAmt
Program Services$59,989,544ProgramServicesAmt
Management And General$12,669,271ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$405,477TotalAmt
Program Services$333,441ProgramServicesAmt
Management And General$72,036ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$11,424,525TotalAmt
Program Services$9,394,866ProgramServicesAmt
Management And General$2,029,659ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$397,259TotalAmt
Program Services$326,683ProgramServicesAmt
Management And General$70,576ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$46,134TotalAmt
Program Services$37,938ProgramServicesAmt
Management And General$8,196ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,288,115TotalAmt
Program Services$2,370,071ProgramServicesAmt
Management And General$1,918,044ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$248,989TotalAmt
Program Services$244,160ProgramServicesAmt
Management And General$4,829ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$150,305TotalAmt
Program Services$47,352ProgramServicesAmt
Management And General$102,953ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,858,377TotalAmt
Management And General$1,858,377ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$5,001,743TotalAmt
Program Services$92,558ProgramServicesAmt
Management And General$4,909,185ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,438,121TotalAmt
Program Services$3,430,649ProgramServicesAmt
Management And General$7,472ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmtFundraisingFundraisingAmt
UBI TAX$5,702$5,702
SUPPLIES$17,592,214$281,497$17,310,717
PURCHASED SERVICES$8,699,279$523,332$7,952,641$223,306
MISCELLANEOUS$7,450,640$4,857,985$2,592,655

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$18,334,632TotalAmt
Program Services$9,189,412ProgramServicesAmt
Management And General$9,145,220ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$156,292,127TotalAmt
Program Services$116,602,858ProgramServicesAmt
Management And General$39,465,963ManagementAndGeneralAmt
Fundraising$223,306FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$422,693BOYAmt
EOY$3,595,353EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,857,955BOYAmt
EOY$17,893,703EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,287,305BOYAmt
EOY$1,501,092EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,373,191BOYAmt
EOY$1,499,780EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$137,545,469LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$77,697,337LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$54,497,708BOYAmt
EOY$59,848,132EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$70,349,245BOYAmt
EOY$65,681,476EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$141,788,097BOYAmt
EOY$150,019,536EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$14,409,111BOYAmt
EOY$18,890,370EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$536,458BOYAmt
EOY$425,240EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,387,404BOYAmt
EOY$41,143,584EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$24,777,990BOYAmt
EOY$849,022EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,642,302EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,110,963BOYAmt
EOY$62,950,518EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$81,670,907BOYAmt
EOY$85,033,223EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,309,198BOYAmt
EOY$1,328,766EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$697,029BOYAmt
EOY$707,029EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$83,677,134BOYAmt
EOY$87,069,018EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$141,788,097BOYAmt
EOY$150,019,536EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,245,880ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$992,218NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$5,629,982OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$14,632OtherActivitiesAmt
Total Lobbying Expenditures$14,632TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationST. MARY'S REGIONAL MEDICAL CENTER IS A MEMBER OF THE MAINE HOSPITAL ASSOCIATION AND A PORTION OF THE DUES PAID IN THE AMOUNT OF $14,632 WAS USED FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,006,226BeginningYearBalanceAmt
Contributions$1,100,997ContributionsAmt
Investment Earnings Or Losses$345InvestmentEarningsOrLossesAmt
Other Expenditures$1,071,773OtherExpendituresAmt
End Year Balance$2,035,795EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,689,157BeginningYearBalanceAmt
Contributions$1,130,245ContributionsAmt
Investment Earnings Or Losses$192InvestmentEarningsOrLossesAmt
Other Expenditures$813,368OtherExpendituresAmt
End Year Balance$2,006,226EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,239,193BeginningYearBalanceAmt
Contributions$411,741ContributionsAmt
Other Expenditures$961,777OtherExpendituresAmt
End Year Balance$1,689,157EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,391,960BeginningYearBalanceAmt
Contributions$695,209ContributionsAmt
Other Expenditures$847,976OtherExpendituresAmt
End Year Balance$2,239,193EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,969,636BeginningYearBalanceAmt
Contributions$570,518ContributionsAmt
Investment Earnings Or Losses$14,238InvestmentEarningsOrLossesAmt
Other Expenditures$162,432OtherExpendituresAmt
End Year Balance$2,391,960EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.35000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.65000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$950,446OtherCostOrOtherBasisAmt
Book Value$950,446BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$80,506,470OtherCostOrOtherBasisAmt
Depreciation$37,099,597DepreciationAmt
Book Value$43,406,873BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$608,621OtherCostOrOtherBasisAmt
Depreciation$358,330DepreciationAmt
Book Value$250,291BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$47,775,800OtherCostOrOtherBasisAmt
Depreciation$38,184,734DepreciationAmt
Book Value$9,591,066BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,704,132OtherCostOrOtherBasisAmt
Depreciation$2,054,676DepreciationAmt
Book Value$5,649,456BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$59,848,132TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
LTD USE ASSETS$45,895,951
DUE FROM AFFILIATES$19,239,008
OTHER ACCOUNTS RECEIVABLE$546,517
FieldValueIRS element (for citing)
Total Book Value Other Assets$65,681,476TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
SETTLEMENTS W/ THIRD PARTIES$341,873
DUE TO AFFILIATED ORGANIZATIONS$1,300,429
FieldValueIRS element (for citing)
Total Liability$1,642,302TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4:CONTINUING EDUCATION CAPITAL PURCHASES FOR SPECIFIC SPECIALITIES
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, 2015. UNDER INTERNAL REVENUE SERVICE REGULATIONS, THE SYSTEM'S TAX YEARS FROM 2012 THROUGH 2015 ARE OPEN AND SUBJECT TO EXAMINATION.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionNORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATESRegionTxt
Offices0OfficesCnt
Employee1EmployeeCnt
Type Of Activities ConductedIT PROGRAMMERTypeOfActivitiesConductedTxt
Region Total Expenditures$84,164RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$84,164SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$84,164TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically Indigent0FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,012,937TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,012,937NetCommunityBenefitExpnsAmt
Total Expense0.02670TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,469,060TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,620,772DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,848,288NetCommunityBenefitExpnsAmt
Total Expense0.02560TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$30,481,997TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,620,772DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,861,225NetCommunityBenefitExpnsAmt
Total Expense0.05230TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$330,226TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,747DirectOffsettingRevenueAmt
Net Community Benefit Expns$264,479NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$915,317TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$915,317NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$297,333TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$297,333NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,542,876TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$65,747DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,477,129NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$32,024,873TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,686,519DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,338,354NetCommunityBenefitExpnsAmt
Total Expense0.06200TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Persons Served5104PersonsServedCnt
Total Community Benefit Expns$92,769TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$56,860DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,909NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served1529PersonsServedCnt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,798TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,943DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,855NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served16PersonsServedCnt
Total Community Benefit Expns$11,107TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,107NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Persons Served446PersonsServedCnt
Total Community Benefit Expns$20,250TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$16,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,385NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Persons Served26PersonsServedCnt
Total Community Benefit Expns$7,614TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$7,614NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,713TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,713NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served7121PersonsServedCnt
Total Community Benefit Expns$228,251TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$134,668DirectOffsettingRevenueAmt
Net Community Benefit Expns$93,583NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$8,385,013BadDebtExpenseAmt
Bad Debt Expense Attributable$167,700BadDebtExpenseAttributableAmt
Reimbursed By Medicare$55,032,291ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$64,619,681CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$9,587,390MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line11 UNITED AMBULANCEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAMBULANCE SERVICEPrimaryActivitiesTxt
Org Profit Or Ownership0.50000OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.00000OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.00000PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S REGIONAL MEDICAL CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line193 CAMPUS AVEAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP042430291ZIPCd
FieldValueIRS element (for citing)
State License38244StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ST MARY'S REGIONAL MEDICAL CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.STMARYSMAINE.COMOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLWWW.COVENANTHEALTH.NETOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.STMARYSMAINE.COM/COMMUNITY-HEALTH/IMPLEMENTATION-STRATEGYStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Other MethodYes (X)OtherMethodInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.STMARYSMAINE.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.STMARYSMAINE.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.STMARYSMAINE.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ST. MARY'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 5: THE DATA USED FOR DETERMINING THE COMMUNITY HEALTH NEEDS OF ANDROSCOGGIN COUNTY WAS PRIMARILY OBTAINED FROM THE ONE- MAINE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EASTERN MAINE HEALTH SYSTEM, MAINEGENERAL HEALTH AND MAINEHEALTH SYSTEMS COLLABORATED TO CONDUCT THE ASSESSMENT WHICH WAS PUBLISHED IN 2011. THESE HEALTH SYSTEMS CONTRACTED WITH THE UNIVERSITY OF NEW ENGLAND CENTER FOR HEALTH PLANNING, POLICY AND RESEARCH (CHPPR) AND THE UNIVERSITY OF SOUTHERN MAINE'S MUSKIE SCHOOL FOR PUBLIC HEALTH FOR PUBLIC HEALTH EXPERTISE.ON A STATEWIDE BASIS, THE RESEARCH CONSULTANTS DEVELOPED AN ADVISORY COMMITTEE THAT MET TWO TIMES DURING THE ASSESSMENT RESEARCH AND DRAFTING OF THE PUBLICATION. THESE INDIVIDUALS REPRESENTED A BROAD SPECTRUM OF BACKGROUNDS, AND THEY ARE NAMED: CAROL BELL, HEALTHY MAINE PARTNERSHIP DIRECTOR; KELLY BENTLEY, HEALTHY MAINE PARTNERSHIP DIRECTOR; GAIL DANA-SACCO, WABANAKI CENTER (SERVING TRIBAL POPULATIONS); PATRICIA HART, MAINE DEVELOPMENT FOUNDATION; BARBARA LEONARD, MPH, MAINE HEALTH ACCESS FOUNDATION (PHILANTHROPIC FOUNDATION FOCUSED ON ACCESS TO CARE IN MAINE); BECCA MATUSOVICH, MAINE CENTER FOR DISEASE CONTROL; LISA MILLER, BINGHAM FOUNDATION (PHILANTHROPIC FOUNDATION); DORA ANN MILLS, MD, MAINE CENTER FOR DISEASE CONTROL; ELIZABETH MITCHELL, MAINE HEALTH MANAGEMENT COALITION (REPRESENTING THE STATE'S MAJOR EMPLOYERS, INSURERS AND PROVIDERS); TRISH RILEY, GOVERNOR'S OFFICE OF HEALTH POLICY AND FINANCE (GOHPF); BRIAN RINES, ADVISORY COMMITTEE FOR HEALTH SYSTEM DEVELOPMENT (OVERSEEN BY GOHPF); RACHEL TALBOT-ROSS, MAINE CHAPTER, NAACP; TED TRAINER, PUBLIC HEALTH COORDINATING COUNCIL SHAWN YARDLEY, CITY OF BANGOR, DEPARTMENT OF HEALTH AND WELFARE. IN THE LOCAL AREA SERVED BY THE ASSESSMENT, MULTIPLE PARTIES WERE ENGAGED IN DISSEMINATION OF THE ASSESSMENT FINDINGS AND ESTABLISHMENT OF PRIORITIES.AT THE LOCAL LEVEL, A GROUP OF COMMUNITY STAKEHOLDERS WORKED TOGETHER TO ANALYZE RESULTS FOR OUR COUNTY. THEY INCLUDED: BRENDA JOLY*, MPH, PHD ASSISTANT RESEARCH PROFESSOR IN HEALTH POLICY AND MANAGEMENT PROGRAM, MUSKIE SCHOOL OF PUBLIC SERVICE, UNIVERSITY OF SOUTHERN MAINE, 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, STEVE JOHNDRO*, EXECUTIVE DIRECTOR, HEALTHY ANDROSCOGGIN, CATHERINE RYDER*, EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH SERVICES, GINNY ANDREWS, NUTRITION SERVICES PROGRAM MANAGER, WESTERN MAINE COMMUNITY ACTION, BECKY GRANT, WESTERN MAINE COMMUNITY ACTION, BRENDA CZADO, DIRECTOR HOME CARE, ANDROSCOGGIN HOME CARE AND HOSPICE, CARA OUELLETTE, DIRECTOR OF OUTREACH SERVICES, SAFE VOICES, DARBY RAY, EXECUTIVE DIRECTOR, HARWOOD CENTER AT BATES COLLEGE, JOAN CHURCHILL, DIRECTOR OF RESOURCE DEVELOPMENT COMMUNITY CONCEPTS, KAREN WHITE, COMMUNITY TRANSFORMATION GRANT COORDINATOR, COMMUNITY CONCEPTS, ALEXANDER VEGUILLA-APONTE, WELLNESS AND RECOVER SERVICES COORDINATOR, TRI-COUNTY MENTAL HEALTH SERVICES. THIS GROUP BEGAN MEETING MONTHLY IN THE SPRING OF 2012 AND CONTINUES TO MEET TO REVIEW AND ANALYZE THE DATA, AS WELL AS PREPARE FOR THE NEXT CHNA.ANDROSCOGGIN COUNTY COMMUNITY FORUMS WERE HELD IN MARCH 2013 IN LEWISTON AND POLAND, MAINE. THIRTY-EIGHT COMMUNITY MEMBERS ATTENDED, INCLUDING REPRESENTATIVES FROM VULNERABLE POPULATIONS SUCH AS TRI-COUNTY MENTAL HEALTH SERVICES, ADVOCATES FOR CHILDREN, PUBLIC HEALTH NURSING, AND A MEMBER OF THE SOMALI COMMUNITY.(* MEMBERS OF LEWISTON/AUBURN PUBLIC HEALTH STEERING COMMITTEE).
ST. MARY'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6A: CENTRAL MAINE MEDICAL CENTER IN LEWISTON, MAINE
ST. MARY'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 6B: AT THE LOCAL LEVEL, A GROUP OF COMMUNITY STAKEHOLDERS WORKED TOGETHER TO ANALYZE RESULTS FOR OUR COUNTY. THEY INCLUDED: BRENDA JOLY, MPH, PHD ASSISTANT RESEARCH PROFESSOR IN HEALTH POLICY AND MANAGEMENT PROGRAM, MUSKIE SCHOOL OF PUBLIC SERVICE, UNIVERSITY OF SOUTHERN MAINE, CYNTHIA RISE, DIRECTOR OF COMMUNITY HEALTH, WELLNESS AND CARDIOPULMONARY REHAB, CENTRAL MAINE MEDICAL CENTER, ELIZABETH KEENE, VP OF MISSION INTEGRATION, ST. MARY'S HEALTH SYSTEM, STEVE JOHNDRO, EXECUTIVE DIRECTOR, HEALTHY ANDROSCOGGIN, CATHERINE RYDER, EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH SERVICES,GINNY ANDREWS, NUTRITION SERVICES PROGRAM MANAGER, WESTERN MAINE COMMUNITY ACTION, BECKY GRANT, WESTERN MAINE COMMUNITY ACTION, BRENDA CZADO, DIRECTOR HOME CARE, ANDROSCOGGIN HOME CARE AND HOSPICE, CARA OUELLETTE, DIRECTOR OF OUTREACH SERVICES, SAFE VOICES, DARBY RAY, EXECUTIVE DIRECTOR, HARWOOD CENTER AT BATES COLLEGE, JOAN CHURCHILL, DIRECTOR OF RESOURCE DEVELOPMENT COMMUNITY CONCEPTS, KAREN WHITE, COMMUNITY TRANSFORMATION GRANT COORDINATOR, COMMUNITY CONCEPTS, ALEXANDER VEGUILLA-APONTE, WELLNESS AND RECOVER SERVICES COORDINATOR, TRI-COUNTY MENTAL HEALTH SERVICES. THIS GROUP BEGAN MEETING MONTHLY IN THE SPRING OF 2012 AND CONTINUES TO MEET TO REVIEW AND ANALYZE THE DATA, AS WELL AS PREPARE FOR THE NEXT CHNA.
ST. MARY'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 11: ACCESS TO CARE: ST. MARY'S HAS MADE A COMMITMENT TO PATIENT CENTERED MEDICAL HOMES (PCMH) WHICH AIM AT PROVIDING BETTER ACCESS TO CARE. ALL OF OUR PHYSICIAN PRACTICES ARE LEVEL IV PCMHS. WE ARE PROMOTING A CULTURE OF ACCESS TO REDUCE BARRIERS FOR PATIENTS AND TO DEVELOP CENTRALIZED STANDARDIZED WORK FLOWS. WE HAVE EXPANDED HOURS OF ACCESS INTO THE EVENINGS AND ON WEEKENDS. ST. MARY'S IS ALSO PARTICIPATING IN TWO ACCOUNTABLE CARE ORGANIZATIONS (ACOS) WHICH ALSO FOCUS ON IMPROVING ACCESS FOR PATIENTS.AN INTEGRATIVE MEDICINE CONSULTING SERVICE WAS ESTABLISHED TO EXPAND HOLISTIC CARE. ONE OF THE MIND-BODY GROUPS WAS HELD IN A PRACTICE IN THE POOREST CENSUS TRACK OF LEWISTON AND SCHOLARSHIPS WERE OFFERED FOR THOSE IN FINANCIAL NEED. IN THE EVALUATION RESULTS OF THE MIND-BODY MEDICINE GROUPS, ALL PARTICIPANTS FOUND THIS PROGRAM TO BE HELPFUL; SOME FOUND IT TO BE TRANSFORMATIVE.BECAUSE OUR GEOGRAPHIC AREA QUALIFIES AS A MEDICALLY UNDERSERVED AREA, WE FOCUS ON TRAINING ADDITIONAL HEALTH CARE PROFESSIONALS TO SERVE IN THE AREA, INCLUDING INNOVATIVE PROGRAM WITH TUFTS MEDICAL SCHOOL FOR LONGITUDINAL INTEGRATED CURRICULUM.CARDIOVASCULAR DISEASE: ST. MARY'S IDENTIFIED SEVERAL REASONS FOR THE RATES OF CARDIOVASCULAR DISEASE IN THE AREA AND FOCUSED ON NUTRITION, TOBACCO CESSATION AND REDUCING CARDIAC RISKS (SUCH AS CHOLESTEROL AND HIGH BLOOD PRESSURE.) ALL STAFF IN THE PHYSICIAN NETWORK HAVE BEEN TRAINED ON TOBACCO CESSATIONS AND RESOURCES FOR PATIENTS. WE EXPANDED OUTPATIENT SERVICES FOR CARDIOVASCULAR DISEASE AND ARE INITIATING A SPECIAL PROGRAM FOR HEART FAILURE, AS WELL AS A DYSPNEA CLINIC. AT THE COMMUNITY LEVEL, OUR PREVENTION AND WELLNESS PROGRAM OFFERS EXERCISE CLASSES AND WE OFFER COMMUNITY HEALTH SCREENINGS AS WELL.CANCER: ST. MARY'S CENTER FOR ONCOLOGY AND BLOOD DISORDERS DEVELOPS AND IMPLEMENTS AN ANNUAL COMMUNITY HEALTH PLAN WHICH OFFERS CANCER SCREENING AND EDUCATION IN THE COMMUNITY. GIVEN THE FACT THAT MAINE HAS ONE OF THE HIGHEST CANCER INCIDENCE RATES IN THE COUNTRY, ST. MARY'S FOCUSED ON CANCER PREVENTION. DIABETES: ST. MARY'S FOCUSED ON IMPROVING ACCESS AND THE HEALTH OF OUR PATIENT POPULATION HEALTH SPECIALISTS IN OUR PRIMARY CARE NETWORK TO IDENTIFY PATIENTS WITH CHRONIC DISEASE OR GAPS IN CARE AND THEN PROVIDE FOCUSED ATTENTION ON ADDRESSING THOSE GAPS IN CARE OR MANAGING THE DISEASE. ST. MARY'S IS DEVELOPING A REGIONAL APPROACH TO DIABETES PREVENTION WITH SOME LOCAL EMPLOYERS AND THE LOCAL YMCA. WE DEVELOPED A DIABETES PREVENTION PROGRAM USING THE CENTERS OF DISEASE CONTROL CURRICULUM WHICH WAS IMPLEMENTED IN 2015. SOME OF THE PROGRAMMING THROUGH OUR PREVENTION AND WELLNESS DEPARTMENT IS APPLICABLE HERE AS WELL BECAUSE OF THE GOAL TO INCREASE PHYSICAL EXERCISE.MENTAL HEALTH/SUBSTANCE ABUSE: ST. MARY'S SPECIALIZES IN BEHAVIORAL HEALTH SERVICES. WE HAVE NOW INTEGRATED A LICENSED CLINICAL SOCIAL WORKER AT ALL PRIMARY CARE PRACTICES AND THEY ARE ACTIVELY SCREENING FOR MENTAL HEALTH/SUBSTANCE ABSUE ISSUES. WE IMPLEMENTED AN INTENSIVE OUTPATIENT DAY PROGRAM DURING THE EARLY EVENING HOURS SO MORE WORKING PEOPLE COULD PARTICIPATE IN THE PROGRAM. ST. MARY'S ALSO CREATED AN INNOVATIVE PROGRAM TO SUPPORT THE INCREASING NUMBERS OF PREGNANT MOTHERS WHO ARE USING OPIATES AND NEED SPECIAL SUPPORT FOR THEMSELVES AND THEIR BABIES THROUGH A NEONATAL ABSTINENCE SYNDROME PROGRAM. ONE THOUSAND BABIES IN MAINE WERE BORN EXPOSED TO DRUGS LAST YEAR. IN THIS PROGRAM, STAFF FROM BEHAVIORAL HEALTH AND WOMEN'S CHILDREN'S HEALTH PARTNER TO SUPORT PREGNANT MOTHERS, THEN PROVIDE SPECIALIZED CARE FOR THE BABIES ONCE THEY ARE BORN, AND FINALLY TO OFFER ON GOING SUPPORT FOR THE MOTHERS IN THE FIRST YEAR FOLLOWING THE BIRTH. THE PROGRAM HAS BEEN VERY WELL-RECEIVED AND VERY SUCCESSFUL. WE PARTICIPATE IN A PRESCRIPTION MONITORING PROGRAM TO MONITOR OPIOID USE. RECREACTIONAL THERAPISTS FROM BEHAVIORAL SERVICES ARE OFFERING COMMUNITY EDUCTION SESSIONS ON STRESS TO LOCAL EMPLOYERS.OBESITY: 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. LAUNCH OF THE GOOD FOOD BUSAFTER MUCH ANTICIPATION, THE GOOD FOOD BUS ROLLED INTO TOWN ON SEPTEMBER 22, 2015. A BRIGHTLY COLORED RE-PURPOSED SCHOOL BUS TURNED MOBILE MARKET, THE GOOD FOOD BUS BRINGS FRESH, QUALITY AND PREDOMINATELY LOCAL FOOD TO WHERE MAINE PEOPLE LIVE AND WORK MAKING IT EASIER FOR FAMILIES TO EAT BETTER BY BRING HEALTHY FOOD INTO THEIR HOMES. CUSTOMERS USING THEIR SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) OR WOMEN INFANT AND CHILDREN (WIC) BENEFITS RECEIVED ADDITIONAL INCENTIVE DOLLARS TO PURCHASE MORE FRESH PRODUCE.DURING THE 6 WEEK PILOT, THE GOOD FOOD BUS MADE 6 WEEKLY STOPS AT LOCATIONS ACROSS LEWISTON-AUBURN AND ONE IN BATH, MAINE. VENUES INCLUDED ST. MARY'S REGIONAL MEDICAL CENTER, CENTRAL MAINE MEDICAL CENTER, KNOX STREET COMMUNITY GARDEN, THE AUBURN POLICE ACTIVITIES LEAGUE, BEDARD PHARMACY AND MEDICAL SUPPLIES, AND BATH IRON WORKS. THE PILOT YIELDED A NUMBER OF VALUABLE LESSONS, SERVED NEARLY 800 PEOPLE, AND GENERATED CLOSE TO $10,000 IN SALES. THE PROJECT'S SUCCESS WOULD NOT HAVE BEEN POSSIBLE WITHOUT A TEAM OF DEDICATED ON THE GROUND STAFF AND INCREDIBLY SUPPORTIVE AND ENGAGED HOST SITE PARTNERS AND COMMUNITY ORGANIZATIONS.ST. MARY'S WEIGHT MANAGEMENT PROGRAM IS ALSO PROVING TO BE A VALUABLE RESOURCE FOR PATIENTS. EVALUATION SHOWS THAT THERE ARE SIGNIFICANT IMPROVEMENTS IN BMI, A1C SCORES (RELATED TO DIABETES) AND BLOOD PRESSURE.RESPIRATORY HEALTHST. MARY'S IS DEVELOPING A PATIENT-CENTERED SPECIALTY PRACTICE IN PULMONARY DISEASE TO HELP ADDRESS THIS. THERE IS AN ALGORITHM FOR DIAGNOSING AND TREATING COPD. WE ARE ALSO PILOTING THE USE OF SPIROMETRY IN THE PRIMARY CARE SETTING TO BETTER SERVE PATIENTS. TOBACCO CESSATION EFFORTS ARE ALSO EXAMPLES OF INITIATIVES TO IMPROVE RESPIRATORY HEALTH.
ST. MARY'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 13H: HOUSEHOLD SIZE
ST. MARY'S REGIONAL MEDICAL CENTERPART 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.
ST. MARY'S REGIONAL MEDICAL CENTERPART V, SECTION B, LINE 22D: ST. MARY'S REGIONAL MEDICAL CENTER OFFERS FREE CARE FOR INDIVIDUALS UP TO 200% OF FPG.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

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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:MANY OF ST. MARY'S COMMUNITY BUILDING ACTIVITIES CENTER AROUND EFFORTS AT OUR NUTRITION CENTER FOR YOUTH PROGRAMMING AND GARDENING PROGRAMS. FOR TEENS AGES 14 TO 20, THE LARGEST PROGRAM IS THE YOUTH GARDENER PROGRAM. IN THE SUMMER, 24 YOUTH PARTICIPATE IN ONE OF TWO 4-WEEK SESSIONS FOR FIVE DAYS A WEEK. YOUTH LEARN HOW TO GROW FOOD FOR THEMSELVES, THEIR FAMILY, AND THEIR COMMUNITY, AS WELL AS PARTICIPATE IN LIFE-SKILLS WORKSHOPS THAT FOCUS ON LEADERSHIP DEVELOPMENT, HUNGER, COMMUNITY CHANGE, AND DIVERSITY. IN THE SPRING AND FALL, 6-10 YOUTH WORK AFTER SCHOOL IN THE COMMUNITY GARDENS, SUPPORTING ADULTS AND LEADING CHILDREN. YOUTH PROGRAMS AT THE NUTRITION CENTER CREATE HEALTHY ENVIRONMENTS FOR YOUNG PEOPLE TO DEVELOP THEIR VOICES WITHIN THEIR COMMUNITY AS THEY EXPLORE AND LEARN IN URBAN AND SCHOOL GARDENS AND KITCHENS. YOUTH LEARN TO MAKE HEALTHY CHOICES, GROW AND PREPARE FOOD, AND REGULARLY EAT VEGETABLES; HAVE INCREASED WILLINGNESS TO TRY NEW FOODS; UNDERSTAND IMPORTANCE OF TEAMWORK, COMMUNICATION, AND POSITIVE CONTRIBUTION; AND FEEL EMPOWERED TO CREATE POSITIVE CHANGE. TEENS LEARN JOB SKILLS IN THE FIELD WHILE THEY PROVIDE A CRUCIAL SERVICE TO THE COMMUNITY-MAKING HEALTHY FOOD MORE ACCESSIBLE. THE WINTER LEADERSHIP INTENSIVE PROGRAM RUNS FOR 4 WEEKENDS IN FEBRUARY-MARCH. YOUTH JOIN PEERS FOR COMMUNICATION/STORY-TELLING TRAINING, IN-DEPTH LEADERSHIP DEVELOPMENT AND SKILL-BUILDING. YOUTH POWERED COOKING IS THE NUTRITION CENTER'S NEWEST YOUTH PROGRAM. YOUTH RECEIVE HANDS-ON TRAINING IN COOKING AND SERVING NUTRITIOUS FOODS WHILE DEEPENING THEIR CONNECTION TO THEIR LOCAL FOOD SYSTEM. YOUTH PARTICIPATE IN A SERIES OF SKILL-BASED WORKSHOPS THAT COVER TOPICS SUCH AS SAFE KNIFE HANDLING TECHNIQUES AND FOLLOWING AND SCALING RECIPES. PARTICIPANTS THEN HAVE THE CHANCE TO PUT THESE NEW SKILLS INTO PRACTICE AS THEY PREPARE FOOD TO BE SOLD AT THE LEWISTON WINTER FARMERS' MARKET CAF ON THE FIRST AND THIRD SUNDAYS OF THE MONTH. MENUS INCLUDE INGREDIENTS SOURCED FROM MARKET VENDORS AND OTHER LOCAL PRODUCERS WHEN AVAILABLE. FINALLY, THE YOUTH CAMPAIGN CREW WORKS TO IDENTIFY INJUSTICE IN THE FOOD SYSTEM AND CREATE MEDIA PRODUCTS THAT SHARE THEIR VISION FOR REAL CHANGE. THROUGH BUILDING NEW RELATIONSHIPS WITH ADULT LEADERS IN THE SCHOOL SYSTEM, THE YOUTH EXPAND THEIR INFLUENCE TOWARDS INCREASED ACCESS TO GOOD FOOD IN THEIR SCHOOLS. A KEY COMPONENT OF YOUTH PROGRAMMING IS PROVIDING OPPORTUNITIES FOR GROWTH AND LEADERSHIP. THE YOUTH INTERNSHIP PROGRAM IS AN EIGHT-MONTH AFTER-SCHOOL AND SUMMER PROGRAM, WHICH EMPLOYS UP TO FOUR ALUMNI FROM THE YOUTH GARDENER PROGRAMS. THE INTERNSHIP PROGRAM IS FOCUSED ON LEADERSHIP DEVELOPMENT AND SERVICE EXPERIENCE. INTERNS ACT AS ROLE MODELS AND LEADERS FOR THEIR PEERS BY LEADING THE YOUTH WORKSHOPS AND GARDEN WORKDAYS. BY LEADING THEIR PEERS AND BEING ADVOCATES FOR THEIR OWN NEEDS, YOUTH DEVELOP THEIR ORGANIZING SKILLS. SOME YOUTH GROW EVEN FURTHER WITH THE ORGANIZATION AND WORK AS NUTRITION CENTER FELLOWS AFTER GRADUATING FROM HIGH SCHOOL. ALL YOUTH PARTICIPANTS RECEIVE MODEST STIPENDS FOR PARTICIPATION IN PROGRAMS AND MEETING PROGRAM EXPECTATIONS, WHICH HELPS THEM LEARN ABOUT ACCOUNTABILITY FOR THEIR WORK AND INFUSES A "REAL WORLD" EMPLOYER/EMPLOYEE RELATIONSHIP COMPONENT INTO THE TRAINING PROGRAM. THE ST. MARY'S NUTRITION CENTER HAS TAKEN STEPS IN RECENT YEARS TO ESTABLISH RELATIONSHIPS WITH LOCAL SCHOOLS IN ORDER TO OFFER A VARIETY OF GARDEN, COOKING, AND NUTRITION-BASED EDUCATION PROGRAMS. CHILDREN HAVE THE OPPORTUNITY TO PLANT PEAS, PREPARE KALE PESTO, AND LEARN TO "EAT YOUR COLORS," FOR EXAMPLE, THROUGH A VARIETY OF AFTER SCHOOL COOKING CLUBS, GARDEN LESSONS, CAFETERIA TASTE TESTS AND MORE. OVER THE COURSE OF THE YEAR, THE NUTRITION CENTER STAFF AND ITS FOODCORPS MEMBER OFFERED MORE THAN 250 SESSIONS, REACHING OVER 800 STUDENTS THROUGH SCHOOL-BASED PROGRAMS. SCHOOL SITES INCLUDED: LONGLEY ELEMENTARY, MONTELLO ELEMENTARY, MCMAHON ELEMENTARY, PARK AVENUE ELEMENTARY, LEWISTON MIDDLE SCHOOL, EDWARD LITTLE HIGH SCHOOL, AND AFTERSCHOOL PROGRAMS AT HILLVIEW APARTMENTS, THE LEWISTON PUBLIC LIBRARY, AND TREE STREET YOUTH. THE NUTRITION CENTER ALSO SUPPORTS THE ANDROSCOGGIN FARM TO SCHOOL (AF2S) NETWORK, WHICH CURRENTLY SERVES AS AN INFORMATION AND RESOURCE SHARING VENUE FOR THOSE INVOLVED OR INTERESTED IN FARM TO SCHOOL EFFORTS IN ANDROSCOGGIN COUNTY. FARM TO SCHOOL ACTIVITIES FOCUS ON SCHOOL GARDENS, NUTRITION EDUCATION, AND LOCAL FOOD PROCUREMENT BY SCHOOL CAFETERIAS. THIS PASSIONATE GROUP OF TEACHERS, PRINCIPALS, NUTRITION EDUCATORS, COMMUNITY NONPROFITS, SCHOOL NUTRITION SERVICE DIRECTORS, PARENTS, FARMERS, AND VOLUNTEERS WORKS TO BUILD A STRONGER RELATIONSHIP BETWEEN STUDENTS AND THE FOOD THEY EAT BY DEMONSTRATING TO THEM WHAT REAL FOOD IS AND HOW IT GROWS. IN 2015 THE NUTRITION CENTER'S COMMUNITY COOKING EDUCATORS PROVIDED A VARIETY OF COOKING-CENTERED HEALTHY EATING PROGRAMS FOR ADULTS, SENIORS AND YOUTH HELD ON SITE AT THE NUTRITION CENTER, AT THE ST. MARY'S CAMPUS, AND AT PARTNER SITES. ADULT CLASSES WERE SPECIALLY TAILORED TO THE NEEDS OF PARTICIPANTS, THEIR SKILL-SETS AND PARTICULAR LIVING SITUATIONS. MONTHLY CLASSES WITH ST. MARY'S RESIDENCES AT MAISON MARCOTTE FEATURED A RECIPE FOR 1 OR 2 AND HAS LIMITED BUT WELL-CHOSEN INGREDIENTS THAT CAN EASILY BE PREPARED IN A MICROWAVE. CLASSES WITH ST. MARY'S BEHAVIORAL SERVICES TOOK ON THE FORM OF A TASTING AND A DIALOGUE ABOUT HEALTHY CHOICES, WHILE COOKING TIMES AT THE CENTER FOR WISDOM'S WOMEN FOCUSED ON A ONE DISH MENU THAT IS GLOBAL, SEASONAL, AFFORDABLE, ACCESSIBLE AND HEALTHY AND SERVED AS A PREPARATION DAY FOR THE CENTER'S MONTHLY PEASANT PANTRY CAFE. DURING BIMONTHLY CLASSES WITH FOOD PANTRY PATRONS, WHICH INCLUDE MEMBERS FROM THE LOOKING AHEAD CLUBHOUSE AND CREATIVE WORK SYSTEMS, PARTICIPANTS REWORK FAMILIAR RECIPES TO MAKE BETTER CHOICES AND TEST OUT NEW RECIPES THAT WOULD CHALLENGE EVEN AN EXPERIENCED COOK! YOUTH IN OUR SUMMER YOUTH GARDENER PROGRAM ALSO HAD THE CHANCE TO SHARPEN THEIR COOKING SKILLS, BUILD THEIR KNOWLEDGE BASE OF HEALTHY EATING AND THE ABILITY TO CREATE COMMUNITY MEALS THROUGH TWICE WEEKLY COOKING SESSIONS THAT FEATURE SEASONAL INGREDIENTS FROM OUR GARDENS AND ACCESSIBLE RECIPES (AS A PART OF OUR COOKING MATTERS PARTNERSHIP). CLASSES THROUGH THE SOMALI NUTRITION PROJECT BROUGHT REFUGEE AND IMMIGRANTS TOGETHER FOR GROCERY STORE TOURS AND HANDS-ON LESSONS IN THE KITCHEN TO HELP FAMILIES BUILD CONFIDENCE AND SKILLS IN SHOPPING FOR AND PREPARING HEALTHY MEALS.GHHIIN 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.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 2015 ST. MARY'S LEADERSHIP SERVED ON THE STEERING COMMITTEE TO CREATE COOPERATION ACROSS MULTIPLE SECTORS. A LEAD POISONING AWARENESS EVENT WAS HELD IN THE FALL OF 2015; IT REACHED 150 PEOPLE. RESIDENT EDUCATORS WERE HIRED BY THE LOCAL PUBLIC HEALTH ORGANIZATION IN ORDER TO CONDUCT HEALTH ASSESSMENTS AND EDUCATE FAMILIES. APPROXIMATELY 10 HOMES WERE ALSO SELECTED TO RECEIVE BRAIDED FUNDING AND COORDINATED RESOURCES IN ORDER TO ADDRESS THE LEAD HAZARDS, SAFETY HAZARDS AND ENERGY ISSUES IN THE HOMES.OLYMPIA SNOWE WOMAN'S LEADERSHIP INSTITUTEST. MARY'S DONATED FUNDS TO BECOME A FOUNDING MEMBER OF THE OLYMPIA SNOWE WOMEN'S LEADERSHIP INSTITUTE. (OLYMPIA SNOWE BECAME A NATIONAL LEADER IN PUBLIC SERVICE WHILE REPRESENTING MAINE IN BOTH THE U.S. HOUSE OF REPRESENTATIVES AND THE U.S. SENATE.) THE MISSION OF THE OLYMPIA SNOWE WOMEN'S LEADERSHIP INSTITUTE IS TO ELEVATE THE CONFIDENCE AND ASPIRATIONS OF HIGH SCHOOL GIRLS BY HELPING THEM BUILD THE LEADERSHIP, COLLABORATION AND PROBLEM-SOLVING SKILLS NEEDED TO BECOME SUCCESSFUL IN THEIR LIVES, FAMILIES, CAREERS AND COMMUNITIES. THIS PARTNERSHIP SEEMS PARTICULARLY FITTING AS THE BETA SITE FOR THE PILOT IS ANDROSCOGGIN COUNTY (THE COUNTY WE SERVE) WHERE FIFTY HIGH SCHOOL STUDENTS ARE PARTICIPATING IN THE INAUGURAL THREE-YEAR PROGRAM. TWO SENIOR LEADERS FROM ST. MARY'S ARE ALSO SERVING ON THE INSTITUTE'S LEADERSHIP NETWORK.
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 THE 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 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 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 ON 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. 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. 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:DURING 2012-2013, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY ST. MARY'S REGIONAL MEDICAL CENTER, CENTRAL MAINE MEDICAL CENTER, HEALTHY ANDROSCOGGIN AND OTHER COMMUNITY HEALTH AGENCIES.ST. MARY'S REGIONAL MEDICAL CENTER (SMRMC) DRAWS MOST OF ITS INPATIENT AND OUTPATIENT POPULATION FROM ANDROSCOGGIN COUNTY, THEREFORE WE FOCUS ON THE NEEDS OF THIS COMMUNITY. 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 36,592 IN THE 2010 CENSUS) AND AUBURN (POPULATION 23,055 IN THE 2010 CENSUS) 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 SOMALI AND SUDANESE IMMIGRANTS. THE REST OF THE COUNTY IS COMPRISED OF SMALL RURAL TOWNS WITH AN AVERAGE POPULATION OF 222 PERSONS PER SQUARE MILE.FROM THE 2010 CENSUS DATA, THE POPULATION OF ANDROSCOGGIN COUNTY IS 107,702, WITH A POVERTY RATE OF 14.3% AND MEDIAN INCOME OF $44,470 ANNUALLY. LEWISTON'S POVERTY RATE IS EVEN HIGHER-25% AND THE RATE OF CHILDHOOD POVERTY IN LEWISTON IS 42% (ACCORDING TO THE 2011 AMERICAN COMMUNITY SURVEY). THE COUNTY IS PRIMARILY WHITE (91.9%) WITH BLACK (3.6%) AND TWO OR MORE RACES AT 1.8%. WITH THE CONCENTRATION OF SOMALI AND SUDANESE IMMIGRANTS IN LEWISTON, THE CITY HAS A MORE SIGNIFICANT BLACK POPULATION (8%). ANDROSCOGGIN COUNTY HAS 51.05% MALES AND 48.95% FEMALES WITH THE HIGHEST NUMBER OF PEOPLE IN THE 18-64 YEAR AGE RANGE (63.33%). HOWEVER ACCORDING TO THE 2010 CENSUS, MAINE IS THE OLDEST STATE IN THE COUNTRY AND ANDROSCOGGIN COUNTY HAS THE "OLDEST" POPULATION IN THE STATE OF MAINE. THE 2012 UNEMPLOYMENT RATE IS 7.1%. WITH 13% OF THE PRIMARY LANGUAGE SPOKEN IN THE HOME BEING OTHER THAN ENGLISH, 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, MAINE: 2010 CENSUS RACE BY AGERACE COUNT PERCENT AMERICAN 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.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. THE SCORE IS A WEIGHTED AVERAGE; THE SCORE FOR ANDROSCOGGIN COUNTY IS 2.9; THE SCORE FOR THE CITY OF LEWISTON IS 4 (BASED ON SCALE OF 1-5 WITH 5 BEING THE HIGHEST NEED). 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, 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 HAS SEEN THE THIRD LARGEST DECREASE IN CARDIOVASCULAR MORTALITY RATES IN THE COUNTRY AND AS A WHOLE, MAINE IS THE 9TH HEALTHIEST STATE IN THE NATION (AMERICA'S HEALTH RANKINGS, 2012.) IN 2012 MAINE ALSO HAD THE HIGHEST HEALTH RANKING AMONG STATES WITH A MEDIAN INCOME OF BELOW $50,000 (AMERICA'S HEALTH RANKINGS, 2012.)
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! PROVIDING MORE FRESH FOOD FOR OUR COMMUNITYST. MARY'S NUTRITION CENTER IS COMMITTED TO MAKING SURE ALL PEOPLE HAVE ACCESS TO GOOD FOOD, PARTICULARLY THOSE MOST VULNERABLE IN OUR COMMUNITY, AND TO STRENGTHENING THE LOCAL FOOD SYSTEM THROUGH THAT PROCESS. THIS SEASON PARTNERSHIPS WERE BUILT WITH LOCAL FARMERS TO BRING IN EVEN MORE FRESH FRUITS AND VEGETABLES FROM THE FIELDS THAT MAY HAVE OTHERWISE GONE TO WASTE. THE FOOD WAS EITHER DONATED DIRECTLY FROM FARMERS OR GLEANED BY VOLUNTEERS. THE FRESH PRODUCE WAS GIVEN OUT OVER 14 WEEKS IN WEEKLY BAGS OF VEGETABLES, "VEGGIE SHARES," TO 10 LOW-INCOME SENIORS AND 38 YOUTH PARTICIPATING IN OUR SUMMER AND FALL YOUTH PROGRAMS. A PORTION WAS ALSO DONATED TO OUR FOOD PANTRY. IN TOTAL, APPROXIMATELY 3,850 POUNDS OF LOCAL FARM FRESH PRODUCE WERE RECEIVED FROM JUNE THROUGH OCTOBER. ADDITIONALLY, THE ST. MARY'S FOOD PANTRY RECEIVED 3,000 POUNDS OF PRODUCE FROM FRESH START FARMS THROUGH THE MAINERS FEEDING MAINERS PROGRAM RUN BY THE GOOD SHEPHERD FOOD BANK. AS A RESULT OF THESE AND OTHER PROCUREMENT EFFORTS, THE FOOD PANTRY ALMOST DOUBLED THE AMOUNT OF FRESH PRODUCE DISTRIBUTED THIS YEAR TO OVER 40,000 POUNDS - PART OF AN ON-GOING STRATEGY TO DISTRIBUTE HEALTHIER FOOD THROUGH THE PANTRY. OVER 500 THANKSGIVING BOXES WERE DISTRIBUTED AS WELL, AND EACH CONTAINED AN ASSORTMENT OF FRESH, SEASONAL VEGETABLES.
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. ST. MARY'S D'YOUVILLE PAVILION MERGED INTO THE ST. MARY'S REGIONAL MEDICAL CENTER EFFECTIVE NOVEMBER 1, 2015.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 STATESME

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CHRISTOPHER BOWE
DIRECTOR$403,941$0$0$0$0$0$2,609$0$22,683$0$429,233$0$0$0
LEO MYLES THRU OCT 2015
PRESIDENT/CEO$365,796$0$0$0$0$0$2,614$0$19,850$0$388,260$0$0$0
MICHAEL KELLEY MD
DIRECTOR$396,612$0$117,351$0$0$0$2,637$0$18,510$0$535,110$0$0$0
CAROLYN KASABIAN
TREASURY/SECRETARY$274,848$0$0$0$0$0$2,624$0$20,793$0$298,265$0$0$0
IRA SHAPIRO
PHYSICIAN$281,971$0$0$0$0$0$2,580$0$20,175$0$304,726$0$0$0
KAREN CLARK
VP PATIENT CARE SERVICES$202,254$0$0$0$0$0$2,119$0$22,045$0$226,418$0$0$0
SUSAN KEILER
COO$276,777$0$0$0$0$0$2,634$0$18,682$0$298,093$0$0$0
MARIA IKOSSI
PHYSICIAN$605,166$0$0$0$0$0$2,592$0$9,564$0$617,322$0$0$0
MICHAEL NEWMAN
PHYSICIAN$591,744$0$0$0$0$0$0$0$11,185$0$602,929$0$0$0
MICHAEL PARKER
PHYSICIAN$806,448$0$0$0$0$0$2,520$0$4,844$0$813,812$0$0$0
RICHARD KAHN
PHYSICIAN$447,228$0$0$0$0$0$2,530$0$21,358$0$471,116$0$0$0
WAYNE MOODY
PHYSICIAN$839,585$0$0$0$0$0$2,600$0$21,649$0$863,834$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATHE 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 7IN CONJUNCTION WITH ITS SOLE MEMBER, COVENANT HEALTH, THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY COVENANT HEALTH'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHHEFA REVENUE BOND SERIES 2007A
A010314384560425V802007-11-01$6,685,000CONSTRUCTION000
MHHEFA REVENUE BOND SERIES 2010B
B010314384560427JA52010-06-24$7,825,000REFINANCING OF 1999 & 2001 TAX-EXEMPT BONDS000
MHHEFA REVENUE BOND SERIES 2014A
C010314384560427W772014-07-24$8,490,000REFINANCING OF 2004A BONDS000
MHHEFA REVENUE BOND SERIES 2014
D010314384560427U612014-07-24$2,450,000REFINANCING OF 2004 BONDS000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$6,853,065$444,500$89,925$6,318,640200700Yes (1)Yes (1)
B$9,077,696$603,175$96,4652010Yes (1)0Yes (1)Yes (1)
C$9,406,745$1,615,380$52,29220140Yes (1)Yes (1)Yes (1)$1,560,850
D$2,661,384$616,000$19,3442014Yes (1)0Yes (1)Yes (1)$2,993,216

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000
B0000000
C0000000
D0000000

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
FSA
AYes (1)00Yes (1)30.000000000000Yes (1)00
FSA
BYes (1)00Yes (1)20.000000000000Yes (1)00
FSA
CYes (1)00Yes (1)9.000000000000Yes (1)00
FSA
D000Yes (1)9.000000000000Yes (1)00000

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
A0
B0
C0
D0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE K. PART IV, LINE 7 AND PART V:FormAndLineReferenceDesc
ExplanationALL 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.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonLINDA MYLESPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSPOUSE OF CEORelationshipDescriptionTxt
Transaction$29,803TransactionAmt
TransactionWAGES PAID TO LINDA MYLES, WIFE OF LEO MYLES. LEO MYLES WAS THE CEO/DIRECTOR THROUGH OCTOBER 2015. LINDA IS EMPLOYED AS A NURSE AT D'YOUVILLE PAVILION.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE NUMBER AND QUALIFICATIONS OF THE BOARD OF DIRECTORS WAS CHANGED FROM HAVING 3 ADDITIONAL DIRECTORS WHO ARE PROVIDERS TO 3 ADDITIONAL DIRECTORS WHO ARE CLINICIANS. ALSO, THE FOLLOWING CRITERIA WAS ADDED TO THE BYLAWS "THE CHIEF EXECUTIVE OFFICER OF ST. MARY'S REGIONAL MEDICAL CENTER SHALL SERVICE ON THE BOARD, WITHOUT VOTE, SO LONG AS THIS INDIVIDUAL IS NOT ALSO THE CURRENT CHIEF EXECUTIVE OFFICER OF ST. MARY'S HEALTH SYSTEM."
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, COVENANT HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7ATHE SOLE CORPORATE MEMBER MAY APPOINT OR REMOVE ONE OR MORE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND REVIEWED AT THE JUNE 2016 MEETING.
FORM 990, PART VI, SECTION B, LINE 12CTHIS 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 15EVERY 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 MERCER HUMAN RESOURCES CONSULTING 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 18FORM 990 IS AVAILABLE ON OUR WEBSITE.
FORM 990, PART VI, SECTION C, LINE 19THE 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 24EOUTSIDE LABOR: PROGRAM SERVICE EXPENSES 4,744,365. MANAGEMENT AND GENERAL EXPENSES 609,800. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,354,165. DUES: PROGRAM SERVICE EXPENSES 678,719. MANAGEMENT AND GENERAL EXPENSES 3,044,779. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,723,498. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 1,204,016. MANAGEMENT AND GENERAL EXPENSES 1,780,863. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,984,879. COMPUTERS SERVICES: PROGRAM SERVICE EXPENSES 318,416. MANAGEMENT AND GENERAL EXPENSES 2,271,799. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,590,215. MINOR EQUIPMENT: PROGRAM SERVICE EXPENSES 556,368. MANAGEMENT AND GENERAL EXPENSES 540,247. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,096,615. CONSULTANTS: PROGRAM SERVICE EXPENSES 161,376. MANAGEMENT AND GENERAL EXPENSES 535,342. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 696,718. MEALS: PROGRAM SERVICE EXPENSES 581,136. MANAGEMENT AND GENERAL EXPENSES 83,524. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 664,660. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 534,699. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 534,699. TELEPHONE: PROGRAM SERVICE EXPENSES 324,684. MANAGEMENT AND GENERAL EXPENSES 2,031. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 326,715. POSTAGE: PROGRAM SERVICE EXPENSES 3,088. MANAGEMENT AND GENERAL EXPENSES 199,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 202,760. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 82,545. MANAGEMENT AND GENERAL EXPENSES 77,163. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 159,708.
FORM 990, PART XI, LINE 9:NET TRANSFERS 5,629,982.
FORM 990 PART XI, LINE 2CTHE AUDIT COMMITTEE OF COVENANT HEALTH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
ST MARY'S HEALTH SYSTEM
PO BOX 7291 CAMPUS AVENUELEWISTONME04240222504349PARENT COMPANYME501(C)(3)11COVENANT HEALTH0
COMMUNITY CLINICAL SERVICES
PO BOX 7291 CAMPUS AVENUELEWISTONME04240010409788PHYSICIAN PRACTICEME501(C)(3)9ST MARY'S HEALTH SYSTEM0
ST MARY D'YOUVILLE PAVILION
102 CAMPUS AVELEWISTONME04240010211558NURSING HOMEME501(C)(3)9ST MARY'S HEALTH SYSTEM0
ST MARY'S RESIDENCES
PO BOX 7291 CAMPUS AVENUELEWISTONME04240222504356LOW INCOME HOUSINGME501(C)(3)9ST MARY'S HEALTH SYSTEM0
COVENANT HEALTH
100 AMES POND DRIVETEWKSBURYMA01876222484505HEALTHCARE MANAGEMENT AND RESOURCE ADMINISTRATIONMA501(C)(3)90

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1CAMPUS HOLDINGBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 7291 CAMPUS AVENUEAddressLine1Txt
CityLEWISTONCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04240ZIPCd
FieldValueIRS element (for citing)
EIN010406049EIN
Primary ActivitiesHOLDING COMPANYPrimaryActivitiesTxt
Legal Domicile StateMELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd