2016-07-28T08:50:26-05:00 2015-12-31 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2015-01-01 010211551 ST MARY'S REGIONAL MEDICAL CENTER STMA 2077778546 CAMPUS AVENUE PO BOX 0291 LEWISTON ME 042430291 CHRISTOPHER CHEKOURAS PRESIDENT & CEO 2077778802 2016-07-14 E DREW CHENEY P00182972 8002447444 2016-07-14 2015 2016-12-15 16:53:06Z CHRISTOPHER CHEKOURAS CAMPUS AVENUE PO BOX 0291 LEWISTON ME 042430291 155064460 0 X WWW.STMARYSMAINE.COM X 1967 ME ST. MARY'S REGIONAL MEDICAL CENTER IS A 233-LICENSED BED ACUTE CARE FACILITY THAT OFFERS THE BEST OF MEDICAL TECHNOLOGY, PREVENTIVE SERVICES AND A "WHOLE PERSON APPROACH" IN MEETING THE NEEDS OF THE ANDROSCOGGIN COUNTY AREA. 14 11 1831 284 110325 28398 1059470 772955 147042319 153598661 637365 582519 25862 92112 148765016 155046247 0 0 0 0 85675840 88780617 0 0 223306 63898329 67511510 149574169 156292127 -809153 -1245880 141788097 150019536 58110963 62950518 83677134 87069018 X ST. MARY'S REGIONAL MEDICAL CENTER IS A 233-LICENSED BED ACUTE CARE FACILITY THAT OFFERS THE BEST OF MEDICAL TECHNOLOGY, PREVENTIVE SERVICES AND A "WHOLE PERSON APPROACH" TO MEETING THE NEEDS OF THE ANDROSCOGGIN COUNTY AREA.ST. MARY'S REGIONAL MEDICAL CENTER OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE GROWING AND CHANGING NEEDS OF THE COMMUNITY. OUR PROFESSIONAL, QUALIFIED STAFF ARE ABLE TO DELIVER CARDIOPULMONARY, LABORATORY, NURSING, ONCOLOGY, RHEUMATOLOGY, BEHAVIORAL SERVICES, PHYSICAL THERAPY, RADIOLOGY, SOCIAL AND SURGICAL SERVICES WITH THE PERSONALIZED TOUCH DESIGNED TO MAKE OUR PATIENTS FEEL MORE RELAXED AND AT HOME. 0 0 7761878 20811134 SURGICAL CARE: PROVIDES ALL SERVICES (EXCEPT OPEN HEART) TO PATIENTS RANGING FROM INFANT TO GERIATRICS WHO NEED SURGICAL INTERVENTION. TOTAL HOURS = 4,605 6728530 8691189 BEHAVIORAL HEALTH: ST. MARY'S OFFERS THE MOST ADVANCED BEHAVIORAL HEALTHCARE DIAGNOSTIC AND TREATMENT SERVICES FOR CHILDREN, ADOLESCENTS AND ADULTS IN BOTH INPATIENT AND OUTPATIENT PROGRAMS. INPATIENT AND OUTPATIENT TREATMENTS INCLUDE COMPREHENSIVE PSYCHIATRIC ASSESSMENT AND EVALUATIONS, EDUCATION, INDIVIDUAL AND GROUP THERAPY, INDIVIDUALIZED BIO-PSYCHOSOCIAL TREATMENT PLAN AND DISCHARGE AND AFTERCARE PLANNING.TOTAL PATIENT DAYS = 14,923 8960235 8907483 EMERGENCY CARE: ST. MARY'S REGIONAL MEDICAL CENTER OFFERS A 24-HOUR PER DAY LEVEL II EMERGENCY CARE FACILITY. SERVICES PROVIDED INCLUDE MEDICAL AND BEHAVIORAL SERVICES. TOTAL VISITS = 30,829 93152215 115188855 93152215 115188855 116602858 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 1 1 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1831 1 1 1 0 0 0 0 0 0 0 0 0 X 14 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X X X CAROLYN M KASABIAN 2077778546 96 CAMPUS AVE LEWISTON ME 04240 ANNE SCHUETTINGER DIRECTOR 2.00 X 0 0 0 CAROLYN LEPAGE DIRECTOR 2.00 X 0 0 0 CHRISTOPHER BOWE DIRECTOR 38.00 2.00 X 403941 0 25292 CHRISTOPHER CHEKOURAS PRESIDENT/CEO 34.00 6.00 X X 84207 0 1373 CRAIG GUNDERSON CHAIR 2.00 X X 0 0 0 DONALD FOURNIER DIRECTOR 2.00 X 0 0 0 JAMES PLACEMD DIRECTOR 2.00 X 0 0 0 JOHN CHAPMAN DIRECTOR 2.00 X 0 0 0 JOHN ISAACSON DIRECTOR 2.00 X 0 0 0 JOYCE GIBSON THRU FEB 2015 DIRECTOR 2.00 X 0 0 0 JUDITH ANDRUCKI ESQ DIRECTOR 2.00 X 0 0 0 LEO MYLES THRU OCT 2015 PRESIDENT/CEO 34.00 6.00 X X 365796 0 22464 MARK ANTHOINE VICE CHAIR 2.00 X X 0 0 0 MARTIN EISENSTEIN DIRECTOR 2.00 X 0 0 0 MICHAEL KELLEY MD DIRECTOR 1.00 39.00 X 513963 0 21147 RICK VAIL DIRECTOR 2.00 X 0 0 0 VACANT DIRECTOR 0.00 X 0 0 0 CAROLYN KASABIAN TREASURY/SECRETARY 34.00 6.00 X 274848 0 23417 IRA SHAPIRO PHYSICIAN 40.00 X 281971 0 22755 KAREN CLARK VP PATIENT CARE SERVICES 40.00 X 202254 0 24164 SUSAN KEILER COO 35.00 5.00 X 276777 0 21316 MARIA IKOSSI PHYSICIAN 40.00 X 605166 0 12156 MICHAEL NEWMAN PHYSICIAN 40.00 X 591744 0 11185 MICHAEL PARKER PHYSICIAN 40.00 X 806448 0 7364 RICHARD KAHN PHYSICIAN 40.00 X 447228 0 23888 WAYNE MOODY PHYSICIAN 40.00 X 839585 0 24249 5693928 0 240770 107 0 1 0 D'YOUVILLE PAVILION 100 CAMPUS AVE LEWISTON ME 04243 LAUNDRY/MEAL SERVICES 3558572 COVENANT HEALTH INC 100 AMES POND ROAD TEWKSBURY MA 01876 MANAGEMENT SERVICES 3121395 SOUND PHYSICIANS OF MAINE PO BOX 742936 LOS ANGELES CA 90074 STAFFING AGENCY 1525355 ST MARY'S ANESTHESIA PO BOX 1823 LEWISTON ME 04240 HEALTH CARE PROFESSIONAL 1297339 MAINEHEALTH 110 FREE STREET PORTLAND ME 04101 TECHNOLOGY SERVICES 661282 17 10000 96326 666629 772955 NET PATIENT SERVICE REVENUE 621300 140829126 140829126 OTHER OPERATING INCOME 621300 12769535 12769535 153598661 539782 539782 18213 -18213 -18213 -18213 42737 0 42737 42737 42737 LAB REVENUE 621500 110325 110325 110325 155046247 153598661 110325 564306 X 4291800 3290171 1001629 72658815 59989544 12669271 405477 333441 72036 11424525 9394866 2029659 397259 326683 70576 46134 37938 8196 4288115 2370071 1918044 248989 244160 4829 150305 47352 102953 1858377 1858377 5001743 92558 4909185 3438121 3430649 7472 UBI TAX 5702 5702 SUPPLIES 17592214 17310717 281497 PURCHASED SERVICES 8699279 7952641 523332 223306 MISCELLANEOUS 7450640 2592655 4857985 18334632 9189412 9145220 156292127 116602858 39465963 223306 422693 3595353 13857955 17893703 1287305 1501092 1373191 1499780 137545469 77697337 54497708 59848132 70349245 65681476 141788097 150019536 14409111 18890370 536458 425240 18387404 41143584 24777990 849022 0 1642302 58110963 62950518 X 81670907 85033223 1309198 1328766 697029 707029 83677134 87069018 141788097 150019536 X -1245880 -992218 5629982 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 14632 14632 0 PART II-B, LINE 1: ST. MARY'S REGIONAL MEDICAL CENTER IS A MEMBER OF THE MAINE HOSPITAL ASSOCIATION AND A PORTION OF THE DUES PAID IN THE AMOUNT OF $14,632 WAS USED FOR LOBBYING. 2006226 1100997 345 1071773 2035795 1689157 1130245 192 813368 2006226 2239193 411741 961777 1689157 2391960 695209 847976 2239193 1969636 570518 14238 162432 2391960 0.00000 0.35000 0.65000 0 0 950446 950446 80506470 37099597 43406873 608621 358330 250291 47775800 38184734 9591066 7704132 2054676 5649456 59848132 LTD USE ASSETS 45895951 DUE FROM AFFILIATES 19239008 OTHER ACCOUNTS RECEIVABLE 546517 65681476 SETTLEMENTS W/ THIRD PARTIES 341873 DUE TO AFFILIATED ORGANIZATIONS 1300429 1642302 X 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. 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MARY'S REGIONAL MEDICAL CENTER PART 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 CENTER PART V, SECTION B, LINE 6A: CENTRAL MAINE MEDICAL CENTER IN LEWISTON, MAINE ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 6B: 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 CENTER PART 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 CENTER PART V, SECTION B, LINE 13H: HOUSEHOLD SIZE ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 15E: ST. MARY'S WEBSITE PROVIDES ACCESS TO THE FREE CARE APPLICATION AS WELL AS CONTACT INFORMATION FOR ASSISTANCE IN ANSWERING ANY QUESTIONS OR IN COMPLETING THE APPLICATION. ST. MARY'S REGIONAL MEDICAL CENTER PART V, SECTION B, LINE 22D: ST. MARY'S REGIONAL MEDICAL CENTER OFFERS FREE CARE FOR INDIVIDUALS UP TO 200% OF FPG. 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 STATES ME X 1 1 X X X X 0 0 0 0 0 0 0 1 0 CHRISTOPHER BOWE DIRECTOR 403941 0 0 0 0 0 2609 0 22683 0 429233 0 0 0 LEO MYLES THRU OCT 2015 PRESIDENT/CEO 365796 0 0 0 0 0 2614 0 19850 0 388260 0 0 0 MICHAEL KELLEY MD DIRECTOR 396612 0 117351 0 0 0 2637 0 18510 0 535110 0 0 0 CAROLYN KASABIAN TREASURY/SECRETARY 274848 0 0 0 0 0 2624 0 20793 0 298265 0 0 0 IRA SHAPIRO PHYSICIAN 281971 0 0 0 0 0 2580 0 20175 0 304726 0 0 0 KAREN CLARK VP PATIENT CARE SERVICES 202254 0 0 0 0 0 2119 0 22045 0 226418 0 0 0 SUSAN KEILER COO 276777 0 0 0 0 0 2634 0 18682 0 298093 0 0 0 MARIA IKOSSI PHYSICIAN 605166 0 0 0 0 0 2592 0 9564 0 617322 0 0 0 MICHAEL NEWMAN PHYSICIAN 591744 0 0 0 0 0 0 0 11185 0 602929 0 0 0 MICHAEL PARKER PHYSICIAN 806448 0 0 0 0 0 2520 0 4844 0 813812 0 0 0 RICHARD KAHN PHYSICIAN 447228 0 0 0 0 0 2530 0 21358 0 471116 0 0 0 WAYNE MOODY PHYSICIAN 839585 0 0 0 0 0 2600 0 21649 0 863834 0 0 0 PART I, LINE 1A THE PRESIDENT/CEO OR THE CFO MAY AUTHORIZE PAYMENT OF SPOUSAL TRAVEL EXPENSES. THE PAYMENT OF SUCH AMOUNTS ARE TREATED AS TAXABLE COMPENSATION AND REPORTED ON FORM W-2 OR 1099 AS REQUIRED. PART I, LINE 7 IN 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. A MHHEFA REVENUE BOND SERIES 2007A 010314384 560425V80 2007-11-01 6685000 CONSTRUCTION 0 0 0 B MHHEFA REVENUE BOND SERIES 2010B 010314384 560427JA5 2010-06-24 7825000 REFINANCING OF 1999 & 2001 TAX-EXEMPT BONDS 0 0 0 C MHHEFA REVENUE BOND SERIES 2014A 010314384 560427W77 2014-07-24 8490000 REFINANCING OF 2004A BONDS 0 0 0 D MHHEFA REVENUE BOND SERIES 2014 010314384 560427U61 2014-07-24 2450000 REFINANCING OF 2004 BONDS 0 0 0 A 6853065 444500 89925 6318640 2007 0 0 1 1 B 9077696 603175 96465 2010 1 0 1 1 C 9406745 1615380 1560850 52292 2014 0 1 1 1 D 2661384 616000 2993216 19344 2014 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 D 0 0 0 0 0 0 0 A 1 0 0 1 FSA 30.000000000000 1 0 0 B 1 0 0 1 FSA 20.000000000000 1 0 0 C 1 0 0 1 FSA 9.000000000000 1 0 0 D 0 0 0 0 0 0 1 FSA 9.000000000000 1 0 0 A 0 B 0 C 0 D 0 SCHEDULE K. PART IV, LINE 7 AND PART V: ALL BONDS ARE CAREFULLY AND CONSISTENTLY MONITORED FOR POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS, BUT THE PROCEDURES WERE NOT WRITTEN AS OF THE END OF THE YEAR COVERED BY THIS TAX RETURN. HOWEVER, THE ORGANIZATION IS IN THE PROCESS OF ADOPTING FORMAL POLICIES THAT SET FORTH THE ORGANIZATION'S METHODOLOGY FOR ENSURING POST-ISSUANCE COMPLIANCE WITH IRS REQUIREMENTS PERTAINING TO TAX-EXEMPT DEBT AND CONTAIN SPECIFIC LANGUAGE REGARDING ORGANIZATIONAL RESPONSIBILITY, RECORD RETENTION, PRIVATE BUSINESS USE, ARBITRAGE REBATE, AND REMEDIAL ACTION. ALTHOUGH FORMAL POLICIES ARE NOT IN PLACE IN REGARDS TO THE REMEDIATION OF OUR BONDS, THE MONITORING REQUIREMENTS OF SECTION 148, AND PROCEDURES TO ENSURE THAT VIOLATIONS ARE TIMELY IDENTIFIED AND CORRECTED, THE ORGANIZATION HAS COMPLIANCE CHECKS IN PLACE THAT SUBSTANTIATE THESE REQUIREMENTS. LINDA MYLES SPOUSE OF CEO 29803 WAGES 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. 0 FORM 990, PART VI, SECTION A, LINE 4 THE 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 6 THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, COVENANT HEALTH, INC. FORM 990, PART VI, SECTION A, LINE 7A THE SOLE CORPORATE MEMBER MAY APPOINT OR REMOVE ONE OR MORE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11 FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND REVIEWED AT THE JUNE 2016 MEETING. FORM 990, PART VI, SECTION B, LINE 12C THIS PROCESS IS THE RESPONSIBILITY OF ORGANIZATIONAL INTEGRITY OFFICER. A FORM IS USUALLY SUBMITTED TO ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, AND CERTAIN EMPLOYEES IN KEY POSITIONS ANNUALLY TO BE COMPLETED. REMINDERS ARE USUALLY SENT TO MAKE CERTAIN ALL CONFLICT OF INTEREST FORMS ARE RETURNED. FORM 990, PART VI, SECTION B, LINE 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED 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 18 FORM 990 IS AVAILABLE ON OUR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES FORM 990, FORM 990-T AND FORM 1023 TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT CURRENTLY PROVIDE ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS. FORM 990, PART IX, LINE 24E OUTSIDE 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 2C THE AUDIT COMMITTEE OF COVENANT HEALTH ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT AUDITOR. ST MARY'S HEALTH SYSTEM PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 222504349 PARENT COMPANY ME 501(C)(3) 11 COVENANT HEALTH 0 COMMUNITY CLINICAL SERVICES PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 010409788 PHYSICIAN PRACTICE ME 501(C)(3) 9 ST MARY'S HEALTH SYSTEM 0 ST MARY D'YOUVILLE PAVILION 102 CAMPUS AVE LEWISTON ME 04240 010211558 NURSING HOME ME 501(C)(3) 9 ST MARY'S HEALTH SYSTEM 0 ST MARY'S RESIDENCES PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 222504356 LOW INCOME HOUSING ME 501(C)(3) 9 ST MARY'S HEALTH SYSTEM 0 COVENANT HEALTH 100 AMES POND DRIVE TEWKSBURY MA 01876 222484505 HEALTHCARE MANAGEMENT AND RESOURCE ADMINISTRATION MA 501(C)(3) 9 0 CAMPUS HOLDING PO BOX 7291 CAMPUS AVENUE LEWISTON ME 04240 010406049 HOLDING COMPANY ME N/A C 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 1 1 1 0