2015-08-13T07:25:32-05:00 2015-03-31 450512128 Gibson LeClair LLC 150 Capitol Street Augusta MA 04330 990 2014-04-01 010414441 Maine Migrant Health Program Inc MAIN 2076229252 PO Box 405 Augusta ME 043320405 Lisa Tapert Executive Director 2076229252 2015-08-13 Stephen L LeClair CPA P01370336 2076238401 2014 2016-02-25 16:41:14Z Lisa Tapert PO Box 405 Augusta ME 043320405 1017390 0 X www.mainemigrant.org X 1986 ME To improve the health status of migrant and seasonal farmworkers and their families by providing culturally appropriate care and services. 11 11 31 17 0 0 956089 1006816 10339 10125 399 449 0 0 966827 1017390 0 0 0 0 510194 576838 0 0 6322 426719 463544 936913 1040382 29914 -22992 490991 869499 84741 486241 406250 383258 X Since 1991, the Maine Migrant Health Program (MMHP) has championed the health care needs of migrant and seasonal farmworkers (MSFWs) and their families. The organization provides quality primary, preventive, and chronic health care services to MSFWs across the state. MSFWs are one of the nation's most vulnerable and invisible populations. Their health status is compromised by poverty, living and working conditions, immigration status, interruptions in care, lack of culturally and linguistically appropriate services (CLAS), social isolation, and an overwhelming lack of access to health care in general. As a migrant health voucher program, the MMHP is dedicated to maximizing access to health care for Maine's MSFWs by providing mobile medical care, and by reimbursement arrangements (i.e. vouchers) with a broad network of medical, dental, and behavioral health providers. 0 0 284389 4479 Community Service (Enabling Services) - The Maine Migrant Health Program is a 330g migrant voucher program. As such, it does not operate out of a fixed site or "bricks and mortar" health center. All direct services are provided in the community, so the engagement of patients and clients is always from an 'outreach' perspective. Mobile medical clinics, pesticide safety trainings, health education sessions, etc, all take place in the farmworkers' communities - their camps, homes, work places, Rakers' Center etc. MMHP's enabling services are provided where they are most needed, where farmworkers live and work. These services are the cornerstone of migrant voucher programs across the country and provide a strong base of supportive services that create access. MMHP's existing service area is the entire state of Maine (33,215 sq mi) with major harvest areas in Aroostook, Hancock, Washington, and Androscoggin counties. Both Washington and Aroostook qualify as 'very rural', their population density being 14.0/sq mi and 11.6/sq mi, respectively. Aroostook County also has the distinct honor of being the only county east of the Mississippi that qualifies as a frontier designated area. In addition, parts of these major harvest areas have been classified as Health Professional Shortage Areas, Medically Underserved Areas, or as having a Medically Underserved Population. Unfortunately, they are home to mental health and dental shortage areas as well. Maine state demographics only add to the difficulties MSFWs face as described in Part III, Line 1. Add to this inadequate transportation, geographic isolation, unfamiliarity with local resources and systems, as well as the inability to arrange time off from work. These are the barriers community (enabling) services are designed to bridge and/or eliminate, thereby increasing access to care. This is accomplished through outreach services, health education, case management, transportation, eligibility assistance, medical interpretation, and referral services to local network providers. Community service workers also spend time scouting for new crews and workers to ensure all who need services have the opportunity to access them. Thus, enabling services are an integral component in MMHP's success in meeting migrant and seasonal farmworker needs and in fulfilling its mission to improve the health status of MSFWs and their families. 162808 3791 Medical Services - MMHP's direct medical services include comprehensive mobile care, access to referral services, emergency room care, and coverage for laboratory and radiology testing. MMHP accomplishes this by bringing services directly into MSFW camps, communities, and work sites, as well as utilizing its statewide referral (voucher) network of medical, dental, and behavioral health providers. This unique combination of direct clinical care and voucher arrangements with local providers ensures that Maine's migrant and seasonal farmworkers have access to care that is appropriate, timely, and cost-effective. This model also ensures greater responsiveness to farmworkers' needs as it is designed with an inherent level of flexibility to accommodate ever-changing circumstances affecting the farmworkers and their provision of care. 64973 Mobile Medical Units - As discussed, part of Maine Migrant's unique model of service delivery is to go directly to the migrant and seasonal farmworker camps, communities, and work sites. To accomplish this, MMHP operates a fleet of vehicles designed and utilized as mobile medical centers. These mobile medical units (MMUs) are staffed by, at a minimum, one provider and two outreach and/or intake workers. At least one member of the team is bilingual to ensure that the clinics run smoothly and efficiently, and that farmworker needs are identified correctly and treated appropriately. Team members are either on staff, under contract, or working as volunteers. Clinics are generally scheduled after harvest work hours and, whenever possible, continue until all workers have been seen by a provider. When necessary, arrangements are made and assistance provided for any referrals to local voucher network providers. 39139 1855 Dental and Pharmacy Services - Dental and pharmacy services are both provided solely under voucher arrangement as MMHP's mobile medical units (MMUs) are not equipped or staffed to provide them directly on site. A number of dentists and pharmacies are included in MMHP's provider network in the communities where the migrant and seasonal farmworkers live and work. This represents a return to Maine Migrant's original delivery model for these services. For a short period of time, MMHP was able to contract to provide preventive dental services on site on a limited basis. This service was much-needed and well-received by the farmworkers, but unfortunately MMHP was unable to secure these services during the past two years. Providing preventive dental care on site remains a high priority and it is anticipated this service will be re-established in the upcoming harvest season. 63131 Behavioral Health Services - Due to an overwhelming declaration of need by migrant and seasonal farmworkers, behavioral health services were added to MMHP's core services six years ago. These services have been successfully integrated into MMHP's primary care model and work hand in hand to support and enhance the provision of quality primary, preventive, and chronic health care services to MSFWs across the state. Behavioral services currently include mental health and substance abuse counseling. Care is provided directly at migrant camps and work sites on the mobile medical units by MMHP's behavioral health specialist, as well as through voucher (referral) providers. 102270 1855 614440 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 30 0 1 31 1 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 X X X Lisa Tapert Executive Director 2076229252 9 Green Street Augusta ME 04330 Jeremy Gould Board Chairperson 1.00 X 0 0 0 Linda Silka PhD Vice Chairperson 1.00 X 0 0 0 Mike Guare Treasurer 1.00 X 0 0 0 Ray Therrien Secretary 1.00 X 0 0 0 Elizabeth Bicknell Director 1.00 X 0 0 0 Stephen Cole Director 1.00 X 0 0 0 Pam Harpine Director 1.00 X 0 0 0 Rev Carie Johnsen Director 1.00 X 0 0 0 Diana Prescott Director 1.00 X 0 0 0 Nancy Weingarten Director 1.00 X 0 0 0 Jonathan Wood MD Director 1.00 X 0 0 0 Lisa Tapert Executive Director 36.00 X 34669 0 98 Barbara Ginley Interim Executive Director 36.00 X 72262 0 1853 106931 0 1951 0 0 0 0 0 964639 42177 1006816 Migrant Patient/Other 900099 5646 5646 4479 4479 10125 449 449 1017390 10125 0 449 56269 16633 36358 3278 392470 215846 174591 2033 87157 39052 47495 610 40942 21503 19227 212 4696 4696 12615 12615 61587 53933 7514 140 19740 10655 9085 18203 12878 5325 28164 28164 42410 32612 9798 13756 1698 12058 49329 41107 8222 23879 7470 16409 Direct Client Benefits 110689 110689 Supplies 37763 35072 2691 Fees/licenses & dues 9107 1080 8027 Minor equipment/maint. 9016 5380 3636 22590 8832 13709 49 1040382 614440 419620 6322 879 863 224488 634926 53896 51041 7325 19458 497021 333810 204403 163211 490991 869499 58672 65839 26069 420402 84741 486241 X 370635 350928 35615 32330 406250 383258 490991 869499 -22992 0 X X 0 1 X 1 1 1 X 974902 874351 900065 956089 1006816 4712223 974902 874351 900065 956089 1006816 4712223 4712223 940 303 416 399 449 2507 4714730 39120 0.99950 0.99850 X 497021 333810 163211 163211 1044047 26657 26657 1017390 0 1017390 1067039 26657 26657 1040382 0 1040382 Form 990, Part VI, Section B, line 11 A draft Form 990, including all supplemental forms, is distributed to all Board members with other meeting materials approximately one week prior to the scheduled Board meeting date. Information contained in the forms is discussed during the meeting with any requested changes noted for the final draft. Board members then vote to approve the filing as presented, or as amended if changes are required, and authorize staff to submit all forms on its behalf. Staff subsequently follows up with the auditors to complete and submit the Form 990 as directed and approved by the Board of Directors. Form 990, Part VI, Section B, line 12c MMHP had a long-standing conflict of interest policy that applied equally to personnel and members of the Board of Directors and advisory boards. During FY11, MMHP amended this policy to apply to personnel only. At the same time, MMHP amended its by-laws to expand the conflict of interest section for Board and advisory board members and require annual disclosure of potential conflicts. A conflict of interest disclosure form was created and is now required to be completed on an annual basis. Form 990, Part VI, Section B, line 15a MMHP'S Board of Directors determines all compensation, including salary adjustments for the Executive Director. Information is generally provided to Board members for comparable organizations of similar size and operations for comparison and discussion purposes. All issues are discussed at the Board table in the absence of any staff members and voted on for documentation in the Board minutes. All other staff compensation remains the purview of the Executive Director as it falls within the parameters of the agency's annual budget, which is also subject to approval by the Board. Form 990, Part VI, Section C, line 19 Maine Migrant Health Program, as a federally-funded nonprofit corporation, is required to have an annual audit by an outside accounting firm. The audited financial statements and any letters to Management, in conjunction with the Federal Financial Report (standard form 425), are subsequently filed with HRSA, and thus available to any public inquiry. In addition, all governing documents, financial statements, and tax returns are available upon request to MMHP's administrative headquarters. Form 990, Part XII, Line 2c, Financial Oversight MMHP's Board of Directors, with guidance from the Finance Committee and input from management, is responsible for fiscal management of the organization and approval of the selection of an independent accountant.