ST MARYS REGIONAL MEDICAL CENTER: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- ST MARYS REGIONAL MEDICAL CENTER (EIN 01-0211551)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-14
- IRS object ID
- 202433199349310373
- Schema version
- 2023v5.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-14T13:44:29-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 Elm Street Suite 302 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010211551 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STMA | BusinessNameControlTxt |
| Phone | 2077778100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 Campus Avenue PO Box 7291 | AddressLine1Txt |
| City | Lewiston | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 042430291 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph E Marino | PersonNm |
| Person Title | CFO & Treasurer | PersonTitleTxt |
| Phone | 2077778100 | PhoneNum |
| Signature | 2024-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Connor Smart | PreparerPersonNm |
| PTIN | P02285543 | PTIN |
| Phone | 6036262200 | PhoneNum |
| Preparation | 2024-11-07 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Cindy Segar Miller | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 Campus Avenue PO Box 7291 | AddressLine1Txt |
| City | Lewiston | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 042430291 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $238,143,973 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stmarysmaine.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1967 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1531 | TotalEmployeeCnt |
| Total Volunteers | 55 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,965,987 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,450,346 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $221,176,337 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $232,688,435 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$464,139 | PYInvestmentIncomeAmt |
| CY Investment Income | -$27,042 | CYInvestmentIncomeAmt |
| PY Other Revenue | $179,213 | PYOtherRevenueAmt |
| CY Other Revenue | $1,843,954 | CYOtherRevenueAmt |
| PY Total Revenue | $222,857,398 | PYTotalRevenueAmt |
| CY Total Revenue | $237,955,693 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $4,600 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $116,912,912 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $113,908,957 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $154,494,881 | PYOtherExpensesAmt |
| CY Other Expenses | $153,837,886 | CYOtherExpensesAmt |
| PY Total Expenses | $271,412,393 | PYTotalExpensesAmt |
| CY Total Expenses | $267,748,843 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$48,554,995 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$29,793,150 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $129,121,652 | TotalAssetsBOYAmt |
| Total Assets EOY | $138,282,868 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $125,532,350 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $164,585,280 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,589,302 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | -$26,302,412 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | St. Mary's Regional Medical Center is comprised of a 233-bed acute care facility, a primary care provider network, urgent care and emergency department, behavioral and mental health services, and outpatient specialty practices that combine talented and compassionate caregivers with state of the art medical technology to meet the healthcare needs in the Androscoggin County area and beyond. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $136,705,047 | ExpenseAmt |
| Grant | $2,000 | GrantAmt |
| Revenue | $166,068,099 | RevenueAmt |
| Desc | The Medical Center provides a vast array of medical care and community health services, which includes, but is not limited to, the following programs and facilities: physician services; orthopedics; chemical dependency services; ICU; PACU; infusion therapy; urgent care; family practice services; endoscopy; neurology; lab services; diagnostic radiology; MRI; mammography; ultrasound; nuclear medicine; CT scans; physical therapy; occupational therapy; speech therapy; respiratory therapy; pulmonary rehabilitation; diagnostic cardiology; cath labs; pharmacy; ambulance services; physiatrist services; urology; sleep lab; diabetes center services; wound and hyperbaric center services; gastroenterology; rheumatology; weight management services; and skilled nursing facilities and nursing home services. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $38,161,380 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $41,368,184 | RevenueAmt |
| Desc | Surgical Care: The Medical Center provides all surgical services and related care (except open heart procedures) to patients who need surgical intervention. Patients range from infaTnts to geriatrics.Total patient days - 3,210 | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,228,303 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $13,255,882 | RevenueAmt |
| Desc | Emergency Care: St. Mary's Regional Medical Center offers a 24-hour per day Level II Emergency Care facility. Services provided include both medical and behavioral care services. Total patient days = 467Total patient visits = 27,184 | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,066,334 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $11,996,270 | RevenueAmt |
| Desc | Behavioral Health: St. Mary's Regional Medical Center offers the most advanced behavioral healthcare diagnostic and treatment services available to children, adolescents and adults in both inpatient and outpatient programs. Inpatient and outpatient treatments include comprehensive psychiatric assessments and evaluations, education, individual and group therapy, individualized bio-psychosocial treatment plans, and discharge and aftercare planning.Total patient days = 12,058 | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,066,334 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $11,996,270 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $198,161,064 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 166 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1531 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joseph E Marino CFO & Treasurer | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2077778100 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 Campus Avenue PO Box 7291 | AddressLine1Txt |
| City | Lewiston | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 042430291 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Jeffery Davila MD | |||||||||
| Director | 40.20 | 0.40 | Yes (X) | $682,295 | $0 | $11,248 | |||
| Anne Brown MD | |||||||||
| Director (end 11/2023) | 40.30 | 0.60 | Yes (X) | $152,877 | $0 | $38,770 | |||
| David Geiger Esq | |||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |||
| Ralph Harder MD | |||||||||
| Director | 0.60 | 1.20 | Yes (X) | $0 | $0 | $0 | |||
| Lena Jo Hartley | |||||||||
| Director | 0.60 | 1.20 | Yes (X) | $0 | $0 | $0 | |||
| John Isaacson | |||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |||
| Deacon Denis Mailhot | |||||||||
| Director | 0.30 | 0.60 | Yes (X) | $0 | $0 | $0 | |||
| Kathy McManus | |||||||||
| Director | 0.60 | 1.20 | Yes (X) | $0 | $0 | $0 | |||
| Steve Ouellette | |||||||||
| Director | 0.50 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Mark Anthoine | |||||||||
| Chair | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Stephen Grubbs | |||||||||
| Covenant Health, President & CEO | 0.10 | 45.00 | $0 | $803,102 | $38,604 | Yes (X) | |||
| Cindy Segar-Miller | |||||||||
| President & CEO | 40.10 | 0.20 | $0 | $177,283 | $0 | Yes (X) | |||
| Steve Jorgensen | |||||||||
| President & CEO (end 8/2023) | 40.10 | 0.20 | $0 | $772,789 | $22,615 | Yes (X) | |||
| Joseph Marino | |||||||||
| CFO & Treasurer | 40.10 | 0.20 | $221,388 | $0 | $2,328 | Yes (X) | |||
| Donald Bevers | |||||||||
| CFO & Treasurer (end 4/2023) | 40.10 | 0.20 | $263,613 | $0 | $25,622 | Yes (X) | |||
| Cynthia Scott | |||||||||
| Secretary | 40.10 | 0.20 | $73,894 | $0 | $15,569 | Yes (X) | |||
| Douglas Smith MD | |||||||||
| Chief Medical Officer | 40.00 | 0.00 | $412,314 | $0 | $44,678 | Yes (X) | |||
| Boris Kovalenko MD | |||||||||
| Physician | 40.00 | 0.00 | $664,185 | $0 | $19,829 | Yes (X) | |||
| Alycia Reppel MD | |||||||||
| Physician | 40.00 | 0.00 | $624,813 | $0 | $52,386 | Yes (X) | |||
| Daniel Landry MD | |||||||||
| Physician | 40.00 | 0.00 | $529,830 | $0 | $43,223 | Yes (X) | |||
| Mark Branda MD | |||||||||
| Physician | 40.00 | 0.00 | $526,194 | $0 | $34,543 | Yes (X) | |||
| Jon Thompson MD | |||||||||
| Physician | 40.00 | 0.00 | $496,871 | $0 | $40,104 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,648,274 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,753,174 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $389,519 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 158 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Covenant Health Inc | |||||
| 40 Shattuck Road 317 | Andover | MA | 01810 | Management services | $24,912,067 |
| Medefis Inc | |||||
| PO Box 5068 | New York | NY | 10087 | Vendor and talent management | $16,298,963 |
| Metz Culinary Management | |||||
| Two Woodland Drive | Dallas | PA | 18612 | Dining management services | $7,024,722 |
| Maxim Healthcare Services | |||||
| 12558 Collections Ctr Dr | Chicago | IL | 60693 | Healthcare solutions | $5,144,533 |
| McKesson Drug | |||||
| 6555 State Highway 161 | Irving | TX | 75039 | Healthcare solutions | $4,234,493 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 74 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $111,904 | FundraisingAmt |
| Government Grants | $2,050,805 | GovernmentGrantsAmt |
| All Other Contributions | $1,287,637 | AllOtherContributionsAmt |
| Noncash Contributions | $2,900 | NoncashContributionsAmt |
| Total Contributions | $3,450,346 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient and healthcare services | 621110 | $228,912,939 | $228,912,939 |
| Tuition and education services | 611600 | $1,601,508 | $1,601,508 |
| Dining and cafeterias | 722514 | $1,266,644 | $1,266,644 |
| Pharmaceutical sales | 456110 | $907,344 | $907,344 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $232,688,435 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $53,299 | TotalRevenueColumnAmt |
| Exclusion | $53,299 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $136,917 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $136,917 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $136,917 | TotalRevenueColumnAmt |
| Exclusion | $136,917 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $72,071 | SecuritiesAmt |
| Other | $25,344 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $172,512 | SecuritiesAmt |
| Other | $5,244 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$100,441 | SecuritiesAmt |
| Other | $20,100 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$80,341 | TotalRevenueColumnAmt |
| Exclusion | -$80,341 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $3,481 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $111,904 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $10,524 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,043 | TotalRevenueColumnAmt |
| Exclusion | -$7,043 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | gain on debt extinguishment | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $1,714,080 | TotalRevenueColumnAmt |
| Exclusion | $1,714,080 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,714,080 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $237,955,693 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $232,688,435 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,816,912 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,000 | TotalAmt |
| Program Services | $2,000 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,944,596 | TotalAmt |
| Program Services | $1,798,497 | ProgramServicesAmt |
| Management And General | $146,099 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,624,120 | TotalAmt |
| Program Services | $83,823,865 | ProgramServicesAmt |
| Management And General | $6,800,255 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,570,623 | TotalAmt |
| Program Services | $1,450,722 | ProgramServicesAmt |
| Management And General | $119,901 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,677,268 | TotalAmt |
| Program Services | $12,633,146 | ProgramServicesAmt |
| Management And General | $1,044,122 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,092,350 | TotalAmt |
| Program Services | $5,635,192 | ProgramServicesAmt |
| Management And General | $457,158 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,584,967 | TotalAmt |
| Management And General | $36,584,967 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $359,706 | TotalAmt |
| Management And General | $359,706 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $240,672 | TotalAmt |
| Management And General | $240,672 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,352,320 | TotalAmt |
| Program Services | $31,886,097 | ProgramServicesAmt |
| Management And General | $15,466,223 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $164,500 | TotalAmt |
| Program Services | $110,771 | ProgramServicesAmt |
| Management And General | $53,729 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,537,624 | TotalAmt |
| Program Services | $1,708,785 | ProgramServicesAmt |
| Management And General | $828,839 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $776,712 | TotalAmt |
| Program Services | $523,022 | ProgramServicesAmt |
| Management And General | $253,690 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,954,472 | TotalAmt |
| Program Services | $4,009,621 | ProgramServicesAmt |
| Management And General | $1,944,851 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,189 | TotalAmt |
| Program Services | $33,123 | ProgramServicesAmt |
| Management And General | $16,066 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $201,282 | TotalAmt |
| Program Services | $135,539 | ProgramServicesAmt |
| Management And General | $65,743 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,140 | TotalAmt |
| Program Services | $852,105 | ProgramServicesAmt |
| Management And General | $284,035 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,570,989 | TotalAmt |
| Program Services | $3,428,242 | ProgramServicesAmt |
| Management And General | $1,142,747 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,435,571 | TotalAmt |
| Program Services | $3,282,323 | ProgramServicesAmt |
| Management And General | $1,153,248 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Drugs/medical supplies | $26,014,386 | $26,014,386 | |
| Provision for bad debts | $7,822,265 | $7,822,265 | |
| Food/dietary costs | $6,760,711 | $5,002,926 | $1,757,785 |
| ME provider tax | $5,538,138 | $5,538,138 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,338,242 | TotalAmt |
| Program Services | $2,470,299 | ProgramServicesAmt |
| Management And General | $867,943 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $267,748,843 | TotalAmt |
| Program Services | $198,161,064 | ProgramServicesAmt |
| Management And General | $69,587,779 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,264,556 | BOYAmt |
| EOY | $2,663,268 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,454 | BOYAmt |
| EOY | $60,706 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,165 | BOYAmt |
| EOY | $600,775 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,393,537 | BOYAmt |
| EOY | $28,374,448 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,441,391 | BOYAmt |
| EOY | $3,044,662 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,587,180 | BOYAmt |
| EOY | $2,447,911 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $136,516,631 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $77,559,305 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,191,944 | BOYAmt |
| EOY | $58,957,326 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,336,800 | BOYAmt |
| EOY | $10,068,656 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,651,787 | BOYAmt |
| EOY | $2,102,843 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,798,838 | BOYAmt |
| EOY | $29,962,273 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,121,652 | BOYAmt |
| EOY | $138,282,868 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,226,264 | BOYAmt |
| EOY | $38,065,057 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $789,362 | BOYAmt |
| EOY | $2,099,535 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,136,999 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $153,899 | BOYAmt |
| EOY | $153,898 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,225,826 | BOYAmt |
| EOY | $124,266,790 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $125,532,350 | BOYAmt |
| EOY | $164,585,280 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$2,254,895 | BOYAmt |
| EOY | -$32,672,607 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,844,197 | BOYAmt |
| EOY | $6,370,195 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,589,302 | BOYAmt |
| EOY | -$26,302,412 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,121,652 | BOYAmt |
| EOY | $138,282,868 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$29,793,150 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$98,564 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Total Lobbying Expenditures | $0 | TotalLobbyingExpendituresAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Part II-B, Line 1f: St. Mary's Regional Medical Center (SMRMC) partners with various like-minded professional associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. To maintain these partnerships, SMRMC pays membership dues back to these various associations. A portion of the dues paid to these associations have been designated as available for lobbying expenditures. Any lobbying expenditures paid by the associations are incurred in order to help track and discuss legislation affecting health care policy. In order to take advantage of group rates and terms, Covenant Health Inc., the parent-organization of SMRMC, arranges for membership and dues with the American Hospital Association on behalf of SMRMC. While SMRMC is ultimately the member of the Association, SMRMC pays its AHA dues by reimbursing Covenant Health for the cost of the membership as part of its shared service fee reimbursements. However, for the period covered by this Form 990, SMRMC is unable to determine what portion of such dues, if any, was ever subject or available for political purposes. Accordingly, this arrangement has been disclosed on this Schedule C for transparency purposes only. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,844,197 | BeginningYearBalanceAmt |
| Contributions | $1,403,021 | ContributionsAmt |
| Investment Earnings Or Losses | -$13,247 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $863,776 | OtherExpendituresAmt |
| End Year Balance | $6,370,195 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,845,962 | BeginningYearBalanceAmt |
| Contributions | $1,083,310 | ContributionsAmt |
| Investment Earnings Or Losses | $38 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,022,113 | OtherExpendituresAmt |
| Administrative Expenses | $63,000 | AdministrativeExpensesAmt |
| End Year Balance | $5,844,197 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,411,940 | BeginningYearBalanceAmt |
| Contributions | $1,094,141 | ContributionsAmt |
| Investment Earnings Or Losses | $52,011 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $4,712,130 | OtherExpendituresAmt |
| End Year Balance | $5,845,962 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,069,879 | BeginningYearBalanceAmt |
| Contributions | $1,409,962 | ContributionsAmt |
| Investment Earnings Or Losses | $5,605 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,073,506 | OtherExpendituresAmt |
| End Year Balance | $9,411,940 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,805,668 | BeginningYearBalanceAmt |
| Contributions | $1,747,954 | ContributionsAmt |
| Investment Earnings Or Losses | $4,051 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $487,794 | OtherExpendituresAmt |
| End Year Balance | $9,069,879 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.35580 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.64420 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $826,146 | OtherCostOrOtherBasisAmt |
| Book Value | $826,146 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $88,318,649 | OtherCostOrOtherBasisAmt |
| Depreciation | $43,367,867 | DepreciationAmt |
| Book Value | $44,950,782 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $818,703 | OtherCostOrOtherBasisAmt |
| Depreciation | $642,004 | DepreciationAmt |
| Book Value | $176,699 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,375,214 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,549,434 | DepreciationAmt |
| Book Value | $11,825,780 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,177,919 | OtherCostOrOtherBasisAmt |
| Book Value | $1,177,919 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $58,957,326 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Covenant Health Investment Trust | $8,276,234 | F |
| Investment in United Ambulance | $1,792,422 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,068,656 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from affiliates | $19,597,804 |
| Third party payor receivables | $10,364,469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $29,962,273 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred fixed asset expenditures (FIN 47) | $25,123 |
| Due to affiliates | $121,828,999 |
| Lease obligations | $2,412,668 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $124,266,790 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | St. Mary's Regional Medical Center's endowmenet funds, in conjunction with any revenues generated from the the funds, are used to further the Medical Center's exempt mission and operations, which includes the following uses: to offer patients the best medical technology available; preventive services; and a "whole person approach" to meeting the needs of the Androscoggin county area. |
| 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. 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. 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, 2023. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Commit to Get Fit | Event1Nm |
| Gross Receipts Event1 | $115,385 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $111,904 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $3,481 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $3,938 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $4,396 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $904 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $1,286 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $115,385 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $111,904 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $3,481 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $3,938 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $4,396 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $904 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $1,286 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $10,524 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$7,043 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | 0 | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,605,895 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,605,895 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $55,054,101 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,454,608 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,599,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01380 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,659,996 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,454,608 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,205,388 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02770 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 13 | ActivitiesOrProgramsCnt |
| Persons Served | 2912 | PersonsServedCnt |
| Total Community Benefit Expns | $11,084 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,084 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 530 | PersonsServedCnt |
| Total Community Benefit Expns | $1,219,256 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,219,256 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $505 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $505 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 6030 | PersonsServedCnt |
| Total Community Benefit Expns | $14,424 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,424 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 9472 | PersonsServedCnt |
| Total Community Benefit Expns | $1,245,269 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,245,269 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00480 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 26 | ActivitiesOrProgramsCnt |
| Persons Served | 9472 | PersonsServedCnt |
| Total Community Benefit Expns | $59,905,265 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $51,454,608 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,450,657 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03250 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $333 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $333 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,337 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,670 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,670 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,215,733 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $65,328,849 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $112,260,035 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$46,931,186 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Regional Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 93 Campus Avenue | AddressLine1Txt |
| City | Lewiston | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 042430291 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 38244 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Mary's Regional Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 22 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Schedule H, Part V, Section C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Schedule H, Part V, Section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 22 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Schedule H, Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Other Method | Yes (X) | OtherMethodInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Schedule H, Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Schedule H, Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Schedule H, Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Mary's Regional Medical Center | Part V, Section B, Line 5: Understanding the health needs of a community allows public health and health care organizations to design and implement cost-effective strategies that improve the health status of the populations they serve. A comprehensive data driven assessment process can identify, with a high degree of accuracy, priority health needs and issues related to prevention, diagnosis and treatment. Assessment tools also may assist in pinpointing access to care barriers, utilization of evidence-based guidelines, and utilization of health services. In Maine, healthcare leaders and public health leaders collaborated to conduct the assessment and analyze the data for this latest CHNA in a collaboration designated as The Maine Shared Health Needs Assessment (Maine Shared CHNA.)The Maine Shared CHNA (MSCHNA) began as the OneMaine Health Collaborative in 2007 as a partnership between MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH - then known as Eastern Maine Healthcare System, or EMHS). After conversations with the Statewide Coordinating Council for Public Health, the Maine Center for Disease Control and Prevention (Maine CDC) joined the collaborative in 2012. The effort was then named the Maine Shared Health Needs Assessment and Planning Process (SHNAPP). Central Maine Healthcare (CMHC) joined the group in 2013. In 2014, CMHC, Maine CDC, MGH, MH and NLH signed a formal Memorandum of Understanding and drafted the Maine Shared CHNA Charter (PDF) to guide the collaborative. In 2017, the name was changed to the Maine Shared Community Health Needs Assessment or Maine Shared CHNA. The Memorandum of Understanding was updated in 2019.- Maine Shared Community Health Needs Assessment Charter:Vision: The Maine Shared Community Health Needs Assessment helps to turn data into action so that Maine will become the healthiest state in the US. Mission: The Maine Shared Community Health Needs Assessment is a dynamic public private partnership that creates Shared Community Health Needs Assessment reports, engages and activates communities, and supports data-driven health improvements for Maine people.Steering Committee Statement of Purpose: The Steering Committee provides leadership for the creation of an efficient, integrated, and sustainable process to conduct triennial CHNA's and subsequent public health improvement plans/hospital implementation strategies. In addition, this group provides stewardship of the resources made available through Central Maine Healthcare (CMHC), Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health (MGH), MaineHealth (MH), and Maine CDC to: [a] strengthen Maine's state and community health improvement efforts; [b] meet Treasury Department/Internal Revenue Service (IRS) community benefit reporting requirements for hospitals; and [c] meet public health agencies' Public Health Accreditation Board (PHAB) requirements. St. Mary's Regional Medical Center is an affiliate of MaineHealth.- Data Analysis:The Maine Shared CHNA is a collaboration governed by a Steering Committee, which is made up of representatives of each member organization (CMHC, MGH, MH, NLH, and Maine CDC). The Metrics Committee is charged with creating and reviewing a common set of population/community health indicators and measures every three years. Before the 2018-2019 Maine Shared CHNA, the Metrics Committee conducted an extensive review of the data using the following criteria as a guide: 1.] describes an emerging health issue; 2.] describes one or more social determinants of health; 3.] measures an actionable issue; 4.] the issue is known to have high health and social costs; 5.] rounds out our description of population health; 6.] aligns with national health assessments (i.e.: County Health Rankings, American Health Rankings, Healthy People); 7.] data is less than 2 years old; 8.] data was included in the previous data set, or 9.] the Maine CDC analyzes the indicator in a current program. This review process was carried into the 2021-2022 Maine Shared CHNA, where the Metrics Committee also reviewed the previous data set to check for changes in data sources, potential new sources of data to round out certain topics, and to deepen Social Determinants of Health data which many of our partners have included in their work. A new aspect for this cycle of the assessment was establishing the Health Equity/Community Engagement Committee which is charged with updating outreach methodology to ensure a collection of broad, diverse, and representative qualitative data from those who experience systematic disadvantages. To ensure these methods reflect the needs and cultural expectations this committee included representatives from a variety of Maine's ethnic-based and community-based organizations, along with representatives from public health and health care, and a variety of additional partners. The 2021-2022 Maine Shared CHNA process involved three phases. The first phase of the project involved the analysis of more than 220 health indicators for the state, counties, public health districts, selected cities, and by specific demographics when available. Data analysis was conducted by the Maine CDC and its epidemiology contractor, the University of Southern Maine, with additional support from the contracted vendor, Market Decisions Research. The second phase was the Community Engagement Committee work which included the following efforts: - 17 County Forums (Maine) - 9 Community Sponsored Events - 1,000 Oral Surveys Local planning teams led by local health care and public health district liaisons organized and promoted these events. Participants were shown a PowerPoint presentation with relevant county data and were led through guided discussions to identify indicators of concern. Participants then voted to identify their top four health priorities. They were then asked to share their knowledge on gaps and assets available in their communities to address each of the top priorities identified. For the most recent community engagement forum in Androscoggin County, the Androscoggin Community Health Stakeholder Coalition organized the event. Members included: Jamie Paul, Western Maine District Coordinating Council of the Maine Center for Disease Control and Prevention, Elizabeth Keene, VP of Mission Integration, St. Mary's Health System, Corrie Brown and Holly Lasagna, Healthy Androscoggin, Jamie Owens, Tri-County Mental Health Services, Michelle Couillard, Androscoggin Home Healthcare + Hospice, Coleen Elias, Executive Director, Community Clinical Services, Jennifer Edwards, City of Auburn Public Health, Stephanie Gelinas, Sandcastles, Anne Berry, Sweetser, Cassandra Wallace, Community Concepts, Katherine Lary, Western Maine Community Action, Karen White, Maine Resilience Building Network and Melanie Gagnon, YWCA. This group began meeting monthly in the spring of 2012 and continues to meet to assess and address community health needs.The community engagement session for Androscoggin County was held in November 2021. The session was facilitated by JSI, the vendor hired by the Maine Shared CHNA to oversee the data collection, analysis and community sessions. We collected the following data: - Community identified health priorities- Gaps/barriers which must be overcome to address each priority- Resources/assets potentially available to address each priorityThe purpose of the forum was to allow the community the opportunity to provide input on health priorities to shape future health improvement planning efforts. We reviewed data that describe health outcomes, health behaviors, healthcare access and quality, and the social, community, and physical environments that affect health. Thirty-seven people participated and they represented these community organizations: local home care/hospice agency, local group home for people with developmental and intellectual disabilities, administration from both local hospitals, the city of Auburn public health officer, Community Concepts, Healthy Androscoggin, Lewiston public schools, Maine CDC, the Maine Immigrant Rights Coalition, Sandcastles, Sweetser, Tri-County Mental Health Services, Western Maine Community Action, the YMCA/YWCA, as well as interested community residents.(This narrative continues in the Supplemental Disclosures on this Schedule H, Part VI) |
| St. Mary's Regional Medical Center | Part V, Section B, Line 6a: Central Maine Medical Center |
| St. Mary's Regional Medical Center | Part V, Section B, Line 6b: The Maine Shared CHNA began as the OneMaine Health Collaborative in 2007 as a partnership between MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH, formerly known as Eastern Maine Healthcare System or EMHS). After conversations with the Statewide Coordinating Council for Public Health, the Maine Center for Disease Control (Maine CDC) joined the collaborative in 2012. The effort was then named the Maine Shared Health Needs Assessment and Planning Process (SHNAPP). Central Maine Healthcare (CMHC) joined the group in 2013. In 2014, CMHC, Maine CDC, MGH, MH and NLH signed a formal Memorandum of Understanding and drafted the Maine Shared CHNA Charter (PDF) to guide the collaborative. In 2017, the name was changed to the Maine Shared Community Health Needs Assessment or Maine Shared CHNA. Funding for the Maine Shared CHNA is provided by the partnering healthcare systems with generous in-kind support from the Maine CDC. Governance is provided by the Steering Committee. Countless community partners and stakeholders provide additional support by participating in either the Metrics Committee, Community Engagement Committee, Local Planning Committees, or the Data Analysis Workgroup. Funding for the Maine Shared CHNA is provided by Central Maine Healthcare, MaineGeneral Health, MaineHealth, and Northern Light Health, with generous in-kind support from the Maine Center for Disease Control and Prevention, an office of the Department of Health and Human Services and countless community partners and stakeholder groups. These stakeholder groups include the Metrics Committee, Data Analysis Workgroup, Community Engagement Committee, Local Planning Committees, and the Steering Committee. Special thanks to the Maine Health Data Organization for working with us to access their data. For a listing of committee members please visit www.mainechna.org and click on "About Maine CHNA." Significant analysis was conducted by epidemiologists at the Maine CDC and the University of Southern Maine's Muskie School of Public Service. John Snow, Inc. provided analysis, methodology, and design support. In addition, the Steering Committee gratefully acknowledges the countless community volunteers who gave their time and passionately committed to hosting, facilitating, attending, and engaging in this effort. From Aroostook to York, Oxford to Washington County, over 2,000 Mainers gave their time and talent to this effort. |
| St. Mary's Regional Medical Center | Part V, Section B, Line 11: These are the prioritized community health needs identified by the data, community engagement and key informant interviews: Mental Health; Social Determinants of Health; Substance & Alcohol Use; Access to Care.The impact of the COVID-19 pandemic must be acknowledged in this report. Its effects on health, schools, the economy and the social fabric of communities have been alarming. Androscoggin County has, at times, had low transmission rates and then surging to among the highest transmission rates in the country. As of July 2022, Androscoggin County has reported 24,800 cases and 295 deaths. The COVID-19 Community Vulnerability Index (CCVI) assesses how well any community in the United States could respond to the health, economic and social consequences of COVID-19 without appropriate response and additional support. It overlays indicators of social vulnerability, such as socioeconomic status or language barriers, with indicators of vulnerability unique to the COVID-19 pandemic, such as access to healthcare and comorbidities among the population. The CCVI builds on the Centers for Disease Control and Prevention's (CDC) Social Vulnerability Index (SVI), a validated metric intended to help policy makers and public health officials respond to emergencies. Androscoggin county's CCVI score is .44, mostly due to lack of transportation and population density.In addition, there have been disparities in health for young people, people of color and those with lower incomes related to COVID-19. As noted in the 2022 Androscoggin County Community Health Needs Assessment Report, "Thus, the findings in the 2022 Maine Shared CHNA Reports which show the most often identified priorities such as mental health, substance and alcohol use, access to care and social determinants of health take on new meaning and an increased sense of urgency."- Mental HealthMental health was the top identified community health need in Androscoggin County (and in all other counties in the state.) The areas of concern included extremely long waitlists for services, as well as the need for more case management and wrap-around services. The availability of mental health providers was the most frequently mentioned indicator. In addition, the rate of those seeking mental health care in the emergency department was 278.8 per 10,000 in 2016-2018 which is significantly higher than the rate of Maine overall (181.5 per 10,000.) Mental health issues among youth were particularly concerning. There was a significant increase in the number of children experiencing feel sad and hopeless for two or more weeks in a row (26.7% in 2017 and 34.1% in 2019.)- Social Determinants of HealthSocial determinants of health were also selected as a top priority in Androscoggin County. These are the conditions in which people live, learn, work, play, worship and age. Examples include access to healthy food, housing, economic opportunity and relationships. Challenges related to high housing costs, unreliable transportation, adverse childhood experiences, and high rates of poverty were cited as concerns. While the poverty rate has decreased from prior years, it is still higher than the state average and the median household income is significantly lower than the state. - Substance and Alcohol UseOverdose deaths were the most frequently mentioned health indicator for substance and alcohol use. In 2020, the rate of overdose deaths per 100,000 was 47.9, an increase from 30.5 in 2019. Alcohol-induced deaths rose significantly from earlier data periods (14.9 per 100,000 in 2019 vs 8.8 in 2011.) The rate for drug-affected infants was 113.5 per 1000 births which is significantly higher than the state (73.7/1000 births.)- Access to Health Care and Primary CareAccess to care consists of availability of insurance, availability of services, timely access and the health care workforce. The most frequently cited indicator was cost barriers, followed by lack of easy access to primary care providers. While there was an increase in the percentage of adults who were seen by a primary care provider (from 72.9% to 75.7%), this still means that 24% of residents are at risk of not having access to routine preventive care from a primary care provider. (All prioritized health needs were addressed.)- Potentially available health care facilities and resources available to meet the health needs identifiedThe assessment identified a number of strong community assets, including the two local hospitals (including behavioral services at SMRMC) and their community benefit programs, Urgent Care Center by SMRMC and CMMC, primary care physicians at accredited patient-centered medical homes, dentists, school-based health centers, federally qualified health centers through Community Clinical Services, a free clinic, community health agencies for mental health services and substance abuse, a local home care and hospice agency, social service agencies for outreach to the rural poor, the elderly, victims of domestic violence and children, St. Mary's Nutrition Center (emergency food pantry, community gardens, farmers' markets, cooking classes and outreach for Somali Nutrition programs), ethnic community based organizations, public school systems and Catholic school systems with active home and school associations, numerous religious communities and community coalitions to support downtown Lewiston. An implementation strategy was developed to address the four prioritized health needs from this report. |
| 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. |
| Schedule H, Part V, Section B, Line 10a: | The Center's most recently adopted implementation strategy is available at the following web address, through St. Mary's Medical Center's own website:https://stmarysmaine.com/wp-content/uploads/2022/10/IS-2022-2024.pdf |
| Schedule H, Part V, Section B, Line 7: | The Center's current and prior CHNA report was made available at the Center's own website at the following web address:https://stmarysmaine.com/wp-content/uploads/2022/10/22-24-CHNA-Final.pdfThe 2019 CHNA is available online at the following website:https://stmarysmaine.com/wp-content/uploads/2022/03/SML_CHNA_2018-19.pdfIn addition, the Center participated in the Maine Shared Androscoggin CHNA, which is available at the following web address:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/documents/county-reports/2022/Androscoggin%20County%20MSCHNA%20Report%202022.pdfOther community support information can be obtained on the Hospital's website at the following address:https://stmarysmaine.com/our-mission/community-resources/ |
| Schedule H, Part V, Section B, Line 16a-c: | The Medical Center's Financial Assistance Policy, Application for Financial Assistance and Free Care, and Plain Language Summary can be found online through the following webpage:https://stmarysmaine.com/patients-visitors/billing-insurance/financial-assistance/The Center's Free Care Guidelines are available online at:https://stmarysmaine.com/wp-content/uploads/2022/02/2022-Free-Care-Guidelines-Notice-SML-landscape.pdfThe Center's complete Financial Assistance Policy is available online at:https://stmarysmaine.com/wp-content/uploads/2023/10/Convenant-Financial-Assistance-Policy.pdfThe Center's Financial Assistance Program Application is available online at:https://stmarysmaine.com/wp-content/uploads/2021/12/Covenant-FreeCare-Jan-2021.pdfA list of provider groups covered by the Financial Assistance Policy and a list of provider groups not covered by the Financial Assistance Policy is available through the following website:https://stmarysmaine.com/patients-visitors/billing-insurance/financial-assistance/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 - St Mary's D'Youville Pavilion | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 102 Campus Avenue | AddressLine1Txt |
| City | Lewiston | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04240 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Nursing home and restorative facility | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The community benefit report is based on the Catholic Health Association guidelines and utilizes the Association's CBISA software to record the benefits. |
| Part I, Line 7: | The cost-to-charge ratio was derived from Worksheet 2. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 7,822,265. |
| Part II, Community Building Activities: | St. Mary's is very active in programs that address the root causes of health problems, such as poverty, homelessness and environmental concerns. Leadership is involved in local coalition building and economic development to address these issues. - Under Leadership Training: St. Mary's Nutrition Center: The Nutrition Center provided in-depth training and workforce development opportunities to young adults and adults in our community. These paid training opportunities included a Fellowship program and our Community Food Champion program. Fellows engaged in internships that ranged from 3 to 12 months, up to 30 hours/week. Based on professional and learning goals they identified, they participated in a tailored job experience program - engaging with community members and supporting programs including the community gardens, food pantry, Good Food Bus, Lewiston Farmers' Market, and youth engagement and school partnership programs. One Fellow who is a student at nearby Bates College then decided to complete her anthropology thesis exploring practices of care in a work environment. The Community Food Champions is a peer-to-peer outreach program that hires and trains community members to help increase awareness of fresh food opportunities in the community. Through this program, we provided on-going training, mentorship, and on-the-job skill building through weekly planning meetings and Champions supported more robust outreach at the Food Pantry and other food access outlets.The Nutrition Center also engaged the Restorative Justice Institute of Maine to provide a two-part training for staff and Fellows working with young adults and children. This training provided our team with a solid foundation for how create a more inclusive and safe classroom/program culture and equipped them with concrete tools to use in urgent circumstances. - Under Coalition Building:Local Foods, Local Places: St. Mary's Nutrition Center continued its partnership with the Good Food Council of Lewiston-Auburn to lead the implementation of the community-driven Local Foods, Local Places (LFLP) Action Plan for Lewiston-Auburn. The LFLP initiative connects local food access strategies to city planning and downtown revitalization strategies. Sherie Blumenthal, Community Programs Manager, served in a leadership role supporting the coordination of a group of community "Leads" responsible for implementing one or more of the plan's 16 specific and measurable action steps under four broad goals. Priority areas have included supporting innovative and equitable land access strategies as a well as providing research and guidance for the twin cities to adopt new "urban agriculture ordinances that make it easier to grow, sell, and access local foods.An outcome of one Local Foods, Local Places Action Plan goals focused building a local food brand, the Taste the Harvest is a community dinner that highlights and promotes our local food economy, from farm to table. The Lewiston Auburn Metropolitan Chamber of Commerce, along with the Good Food Council, Local Food Local Places, Sonder & Dram, and Little Ridge Farm organized this event as part of a larger economic growth strategy to build a local food brand for the region that benefits restaurants, the hospitality industry, food producers, and value-added food producers for decades to come.LFLP Partners include: LA Metro Chamber of Commerce, The Somali-Bantu Community Association, Cooperative Development Institute, Planning & Economic Development Staff in Auburn & Lewiston, Land In Common, the Lewiston Farmers' Market, and New Roots Cooperative Farm. The Nutrition Center also co-led an effort to build a Community Agriculture Network and hosted a series of gatherings for the Cities of Lewiston, Auburn, and Portland with garden gatherings for sharing and learning together, listening sessions, planning mini-grant projects, sharing food, and workshops. The Lewiston event was hosted at the Nutrition Center's Learning Garden. Food, transportation, and interpretation was provided.- Under Community Health Improvement Advocacy:Lewiston Public Health Committee: Members of St. Mary's leadership served on this local public health committee. In 2023, areas of focus included: substance use, homelessness and a flavored tobacco ban.- State Palliative Care and Quality of Life Advisory CouncilA member of St. Mary's leadership serves on this statewide council to advise the legislature about palliative care. In 2023 the Palliative Care and Quality of Life Interdisciplinary Advisory Council continued to assess the status of palliative care and explore opportunities for change. LD. 1064, An Act to Advance Palliative Care Utilization in the State was passed the members of the council assisted the state of Maine in developing the rules for this law. This legislation will result in MaineCare reimbursement for home-based palliative care. The rate settings for reimbursement for Maine Care benefits is in progress. Maine is a leader in passing this legislation. Maine is 1 of 6 states chosen to participate in the Institute of Serious Illness. The team will help with the goal of getting MediCare palliative care benefits in other states. |
| Part III, Line 2: | The Center has has an estimated ratio of costs-to-charges (RCC) for this year of 41.11%. Accordingly, The Center has estimated that 41.11% of its total annual bad debts, or approximately $3,215,733, may potentially be due to free care accounts and services. However, this estimated amount has not been included in Part I or Part II. |
| Part III, Line 3: | The Hospital does not estimate any amount of bad debt expense that is attributable to patients eligible under the Hospital's financial assistance policy. Accordingly, no amount has been included on Schedule H, Part III, Line 3. |
| Part III, Line 4: | Accounts are written off when all reasonable internal and external collection efforts have been performed. The estimates for implicit price concessions are based upon management's assessment of historical write-offs and expected net collections, business and economic conditions, trends in federal, state and private employer health care coverage and other collection indicators. Management relies on the results of detailed reviews of historical write-offs and collections at facilities that represent a majority of the systems revenues and accounts receivable as a primary source of information in estimating the collectability of accounts receivable. |
| Part III, Line 8: | None were reported but it is important to note that approximately 30% of Medicare patients also qualify for Medicaid. Costing on line 6 is based on ratio of cost to charge from worksheet 2. |
| Part III, Line 9b: | St. Mary's Regional Medical Center will make a reasonable effort to determine whether an individual qualifies for financial assistance prior to initiating any collection activity. |
| Part VI, Line 2: | In addition to the official community health needs assessment reported in Part V, Section B, St. Mary's assesses the needs of our community in an on-going basis through several key methods. Leaders are active on community health boards; 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. |
| Part VI, Line 3: | St. Mary's Regional Medical Center provides financial education at the point of registration by having brochures available. These brochures provide information about the hospital bill and various options on financial assistance. On the backside of the monthly patient statements also provides education of the financial assistance availability and options to those who need it.Additionally, the Center operates in conformity with the Financial Assistance Policy as defined and mandated within the Covenant Health System. Consistent with its mission to provide high quality health and wellness services for the community, it is the Center's policy that an individual meeting qualified income guidelines may receive financial assistance in paying medically necessary self-pay bills, without discrimination due to race, gender, age, sexual orientation, religious affiliation, social or immigrant status, or health insurance status. In accordance with the Affordable Care Act (ACA), any patient eligible for financial assistance will not be charged more for emergency or medically necessary care than the amount generally billed (AGB) to insured patients. Covenant Health follows all EMTALA regulations, and no patient will be denied emergency services.The Medical Center operates in accordance with 22 M.R.S.A. Section 1716 and the State of Maine Department of Human Services and Bureau of Medical Services Chapter 150, Agency 10-144. Accordingly, this hospital is required to provide Free Care to residents of Maine, whose income fall below the following income guidelines. Before providing Free Care, the Center will ask a patient for information about their income and also ask the patient to show that insurance and a government medical assistance program will not pay for their care. Services that are not medically necessary are not provided as free care. If a patient does not qualify for Free Care, they are allowed to ask for a fair hearing. |
| Part VI, Line 4: | St. Mary's Regional Medical Center (SMRMC) is a 233-bed acute care hospital, a primary care provider network, urgent care and emergency department, behavioral and mental health services, and outpatient specialty practices that combine talented and compassionate caregivers with state-of-the-art medical technology to meet the healthcare needs in the Androscoggin County area and beyond. St. Mary's draws most of its inpatient and outpatient population from Androscoggin County, therefore the needs of this geographic area are the focus of the assessment. Androscoggin County is located in south central Maine and is one of three counties comprising the Western Public Health District. It contains roughly 8% (113,765) of Maine's 1.4 million residents according to 2023 ME Population data. Androscoggin County contains Maine's second and fifth largest cities: Lewiston (population 38,404 in the 2023 census data) and Auburn (population 24,793 in the 2023 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. Over the past 20 years, Lewiston has become home to a large African immigrant population (approximately 11% of the population of Lewiston). The "New Mainers" come from Somalia, Djbouti, Angola, Sudan, Ethiopia, and the Democratic Republic of the Congo, among others. Androscoggin County is one of the few counties in Maine experiencing a growth in population ( .33% annually for the last 3 years.) This population growth has enhanced cultural and economic aspects of Lewiston and Auburn while also presenting unique healthcare opportunities and challenges. The rest of the county is comprised of small rural towns with an average population of 222 persons per square mile.The county is primarily white (90%) with black (5.9%) and two or more races at 2.5%. The unemployment rate was 3.4% as of December 2023. Slightly over 10.6% of the primary languages spoken in the home are categorized as "other than English" so interpretation services are available to assist new Mainers in navigating the health systems. 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. The poverty rate in Maine is 10.4% and the median income is $68,251 annually. Lewiston's poverty rate is even higher at 17.8% (2023 US Census) and the rate of childhood poverty in Lewiston is 15.9% (Maine Children's Alliance). The median income in Lewiston is only $54,317. 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 current (July 2021) score for Androscoggin County is 3; the score for the city of Lewiston is 4 (based on scale of 1-5 with 5 being the highest need). Both Androscoggin County and the city of Lewiston improved since the 2019 index (the county moved from 3.1 to 3 and the city of Lewiston moved from 4.2 to 4. Lewiston is now in the category of 2nd highest need.)Androscoggin County currently ranks 12 (out of 16 counties in Maine) for health. This score includes including health behaviors, clinical care, physical environment, and social and environmental factors. These physical, social and environmental factors can contribute to, or detract from, overall healthUnderstanding the health needs of a community allows public health and health care organizations to design and implement cost-effective strategies that improve the health status of the populations they serve. A comprehensive data driven assessment process can identify, with a high degree of accuracy, priority health needs and issues related to prevention, diagnosis and treatment. Assessment tools also may assist in pinpointing access to care barriers, utilization of evidence-based guidelines, and utilization of health services. |
| Part VI, Line 5: | On October 25, 2023, the city of Lewiston suffered a tragic mass shooting event that took the lives of 18 people and injured 13 others. As a leader in the provision of behavioral health services, St. Mary's professionals mobilized to provide counseling and behavioral health interventions for the community and first responders. For weeks following the tragedy, spiritual care providers, social workers and counselors were available to meet the metal health needs of employees, patients, community members, and families of the bereaved. In addition, community support for the families was mobilized within the hospital community. A former employee was one of the victims identified in the shooting and some employees lost family members in the event. Check-ins with those affected occurred on an ongoing basis recognizing the impact of these tragedies is long lasting with effects felt long after the occurrence. Increased security and staffing of the behavioral Emergency Department was realized because of the increased influx of impacted individuals, which lasted for many weeks. Ongoing diligence by hospital leadership resulted in daily incident command briefings which occurred for weeks as a precautionary measure given the significance of the event. The goal was to assess and deliver needed services to those suffering post-event, an initiative which was very successful and resulted in a timely response to community needs. Collaboration with healthcare agencies, local faith communities, first responders, and local agencies, proved to be very effective in the community's time of need. |
| Part VI, Line 6: | St. Mary's Regional Medical Center is a member and related organization to the Covenant Health System.Covenant Health is an innovative, Catholic regional health delivery network and a leader in values-based, not-for-profit health and elder care. Covenant consists of hospitals, skilled nursing and rehabilitation centers, assisted living residences, and community-based health and elder care organizations throughout New England. Through its partnership and membership with Covenant Health, the Medical Center is able to better navigate the increasingly complex and competitive healthcare marketplace while improving its ability to offer high-quality patient service. Access to Covenant Health resources allows the Center to compete on cost and quality of care; to maintain financial strength while fulfilling its care-oriented missions; to enhance the skills of its staff and leadership; and to strengthen the Center's ability to serve its community. Through the Covenant Health System, the Center can access and utilize funds and resources that allow it to better serve its priority communities and their specific health care needs. |
| Part VI, Line 7, Reports Filed With States | ME |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen Grubbs | ||||||||||||||
| Covenant Health, President & CEO | $0 | $773,120 | $0 | $0 | $0 | $29,982 | $0 | $9,900 | $0 | $28,704 | $0 | $841,706 | $0 | $0 |
| Steve Jorgensen | ||||||||||||||
| President & CEO (end 8/2023) | $0 | $435,730 | $0 | $0 | $0 | $337,059 | $0 | $9,900 | $0 | $12,715 | $0 | $795,404 | $0 | $300,000 |
| Jeffery Davila MD | ||||||||||||||
| Director | $677,496 | $0 | $0 | $0 | $4,799 | $0 | $9,701 | $0 | $1,547 | $0 | $693,543 | $0 | $0 | $0 |
| Boris Kovalenko MD | ||||||||||||||
| Physician | $640,804 | $0 | $0 | $0 | $23,381 | $0 | $8,564 | $0 | $11,265 | $0 | $684,014 | $0 | $0 | $0 |
| Alycia Reppel MD | ||||||||||||||
| Physician | $624,045 | $0 | $0 | $0 | $768 | $0 | $9,778 | $0 | $42,608 | $0 | $677,199 | $0 | $0 | $0 |
| Daniel Landry MD | ||||||||||||||
| Physician | $524,191 | $0 | $0 | $0 | $5,639 | $0 | $9,857 | $0 | $33,366 | $0 | $573,053 | $0 | $0 | $0 |
| Mark Branda MD | ||||||||||||||
| Physician | $524,157 | $0 | $0 | $0 | $2,037 | $0 | $0 | $0 | $34,543 | $0 | $560,737 | $0 | $0 | $0 |
| Jon Thompson MD | ||||||||||||||
| Physician | $493,197 | $0 | $0 | $0 | $3,674 | $0 | $9,223 | $0 | $30,881 | $0 | $536,975 | $0 | $0 | $0 |
| Douglas Smith MD | ||||||||||||||
| Chief Medical Officer | $409,411 | $0 | $0 | $0 | $2,903 | $0 | $9,856 | $0 | $34,822 | $0 | $456,992 | $0 | $0 | $0 |
| Donald Bevers | ||||||||||||||
| CFO & Treasurer (end 4/2023) | $262,791 | $0 | $0 | $0 | $822 | $0 | $788 | $0 | $24,834 | $0 | $289,235 | $0 | $0 | $0 |
| Joseph Marino | ||||||||||||||
| CFO & Treasurer | $220,008 | $0 | $0 | $0 | $1,380 | $0 | $1,500 | $0 | $828 | $0 | $223,716 | $0 | $0 | $0 |
| Anne Brown MD | ||||||||||||||
| Director (end 11/2023) | $152,087 | $0 | $0 | $0 | $790 | $0 | $4,831 | $0 | $33,939 | $0 | $191,647 | $0 | $0 | $0 |
| Cindy Segar-Miller | ||||||||||||||
| President & CEO | $0 | $177,283 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $177,283 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the 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. |
| Part I, Line 7 | The Organization may from time-to-time award incentive pay and performance-based compensation and bonuses, based upon agreed upon terms and conditions, review standards, and defined goals. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. Mary's Health System is the sole corporate member of the organization. |
| Form 990, Part VI, Section A, line 7a | As the sole corporate member of the Organization, St. Mary's Health System retains the ability to elect and remove the Organization's board of directors with or without cause. |
| Form 990, Part VI, Section A, line 7b | As the sole corporate member of the Organization, St. Mary's Heath System has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 4. To approve all long-range strategic plans before implementation; 5. To approve the acquisition, sale, or encumbrance of any real estate valued in excess of an amount set by the Member in writing; 6. To approve all capital budgets and non-budgeted expenses in excess of an amount set by the Member in writing; 7. To approve all debt in excess of limits set by the Member in writing; 8. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 9. To approve any reclassification or other change of any capital stock or other equity security; 10. To approve the issuance of, or the creation of any obligation to issue, an equity security; and, 11. To evaluate the performance of the Medical Center in preserving, furthering, and promoting the purposes of the Medical Center. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is provided to the governing body for their review and approval prior to filing. |
| Form 990, Part VI, Section B, line 12c | This process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected. |
| Form 990, Part VI, Section B, line 15 | Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the 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 19 | The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available on the website of its parent organization, Covenant Health, Inc., at the following web address: https://covenanthealth.net/financials/ |
| Form 990, Part IX, line 11g | Medical and health care professionals: Program service expenses 31,886,097. Management and general expenses 9,133,853. Fundraising expenses 0. Total expenses 41,019,950. Purchased administrative and manintenance services: Program service expenses 0. Management and general expenses 5,056,272. Fundraising expenses 0. Total expenses 5,056,272. Consulting and management services: Program service expenses 0. Management and general expenses 1,276,098. Fundraising expenses 0. Total expenses 1,276,098. |
| 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. This audit process has not changed from the previous year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Alternative Health Services | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010422885 | Home health and hospice | ME | 501(c)(3) | Line 10 | St Joseph Healthcare Foundation | 0 | |
| Bangor Nursing & Rehabilitation Center | |||||||||||
| 103 Texas Avenue | Bangor | ME | 04401 | 010538534 | Nursing home and restorative facility | ME | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| CHS of Waltham Inc dba Maristhill Nursing & Rehab Center | |||||||||||
| 66 Newton Street | Waltham | MA | 02453 | 043333609 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| CHS of Worcester Inc dba St Mary Care Center | |||||||||||
| 39 Queen Street | Worchester | MA | 01610 | 043419625 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Community Clinical Services | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010409788 | Physician pratice | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| Covenant Health Foundation Inc | |||||||||||
| 40 Shattuck Road 317 | Andover | MA | 01810 | 800199674 | Charitable foundation | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Covenant Health Investment Trust | |||||||||||
| 40 Shattuck Road 317 | Andover | MA | 01810 | 046835128 | Investment trust | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Covenant Health Inc | |||||||||||
| 40 Shattuck Road 317 | Andover | MA | 01810 | 222484505 | Health care management and resource organization | MA | 501(c)(3) | Line 10 | 0 | N/A | |
| Fanny Allen Corporation Inc | |||||||||||
| 40 Shattuck Road 317 | Andover | MA | 01810 | 222495808 | Charitable foundation | VT | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Fanny Allen Holdings Inc | |||||||||||
| 40 Shattuck Road 317 | Andover | MA | 01810 | 030181052 | Real estate holding company | VT | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Helping Hands of St Marguerite Inc | |||||||||||
| 799 Concord Avenue | Cambridge | MA | 02138 | 800199674 | Private home-care health services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| M & J Company | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480150 | Lease holding company | ME | 501(c)(2) | St Joseph Healthcare Foundation | 0 | ||
| Mary Immaculate Guild | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 463073987 | Nonprofit funding and support | ME | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| MI Adult Day Health Care Center Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042921888 | Adult day care services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Management Inc | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 042857794 | Assisted living services | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| MI Nursing Restorative Center Inc | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 042104851 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Residential Community Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042647207 | HUD low income housing | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Transportation Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042921889 | Elderly transportation services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Mount St Rita Health Centre | |||||||||||
| 15 Sumner Brown Road | Cumberland | RI | 02864 | 050342330 | Nursing home | RI | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Neighborhood Housing Initiative | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010539730 | Affordable housing services | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| Penacook Place Inc | |||||||||||
| 150 Water Street | Haverhill | MA | 01830 | 237090088 | Nursing home | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Souhegan Nursing Association | |||||||||||
| 24 North River Road | Nashua | NH | 03055 | 020222795 | Home health and hospice | NH | 501(c)(3) | Line 10 | St Joseph Hospital of Nashua NH Inc | 0 | |
| St Andre Health Care | |||||||||||
| 407 Pool Street | Biddeford | ME | 04005 | 010342399 | Nursing home and restorative facility | ME | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Joseph Ambulatory Care Inc | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480373 | Physician pratice | ME | 501(c)(3) | Line 10 | St Joseph Healthcare Foundation | 0 | |
| St Joseph Healthcare Foundation | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480149 | Healthcare foundation | ME | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Joseph Hospital | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010212435 | Hospital and health care facility | ME | 501(c)(3) | Line 3 | St Joseph Healthcare Foundation | 0 | |
| St Joseph Manor Health Care | |||||||||||
| 215 Thatcher Street | Brockton | MA | 02302 | 042565937 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Joseph's Hospital of NashuaNH Inc | |||||||||||
| 172 Kinsley Street | Nashua | NH | 03061 | 020222215 | Hospital and health care facility | NH | 501(c)(3) | Line 3 | Covenant Health Inc | 0 | |
| St Mary's D'Youville Pavilion | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010211558 | Nursing home and restorative facility | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| St Mary's Health System | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 222504349 | Hospital and health care facility | ME | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| St Mary's Residences | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 222504356 | Low income housing | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| St Mary's Villa Nursing Home Inc | |||||||||||
| 675 St Marys Villa Road | Moscow | PA | 18444 | 232057177 | Nursing home and restorative facility | PA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| The Surgicenter at St Joseph Hospital Inc | |||||||||||
| 172 Kinsley Street | Nashua | NH | 03061 | 020222215 | Healthcare and surgery center | NH | 501(c)(3) | Line 10 | St Joseph Hospital of Nashua NH Inc | 0 | |
| Youville Hospital and Rehabilitation Center Inc | |||||||||||
| 1575 Cambridge Street | Cambridge | MA | 02138 | 043239563 | Hospital and health care facility | MA | 501(c)(3) | Line 10 | Youville Lifecare Inc | 0 | |
| Youville House Inc | |||||||||||
| 1573 Cambridge Street | Cambridge | MA | 02138 | 043239593 | Assisted living services | MA | 501(c)(3) | Line 10 | Youville Lifecare Inc | 0 | |
| Youville Lifecare Inc | |||||||||||
| 1575 Cambridge Street | Cambridge | MA | 02138 | 042103582 | Hospital and health care facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Youville Place | |||||||||||
| 10 Pelham Road | Lexington | MA | 02421 | 043297834 | Assisted living services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Campus Holding | ||||||||||||||
| PO Box 7291 | Lewiston | ME | 04240 | 010406049 | Holding company | ME | N/A | C | 0 | |||||
| Covenant Health Insurance LTD | ||||||||||||||
| 043360127 | Self-insurance company | N/A | C | 0 | PO Box 69 | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| GNM Corporation | ||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020400550 | Real estate holding company | NH | N/A | C | 0 | |||||
| SJ Physicians Services | ||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020522234 | Physician practice | NH | N/A | C | 0 | |||||
| St Joseph Corporate Services Inc | ||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020405197 | Holding company | NH | N/A | C | 0 | |||||
| Strauss Incorporated | ||||||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010391369 | Repairs and transcriptions | ME | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | Yes (1) | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |