2022-11-10T10:04:59-06:00 2021-12-31 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2021-01-01 010211551 St Mary's Regional Medical Center STMA 2077778100 93 Campus Avenue PO Box 7291 Lewiston ME 042430291 Steven Jorgensen President & CEO 2077778100 2022-11-03 1 Steven Jorgensen 999009999 Connor Smart P02285543 6036262200 2022-11-03 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Steven Jorgensen 93 Campus Avenue PO Box 7291 Lewiston ME 042430291 250661259 0 X www.stmarysmaine.com X 1967 ME lWe are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. 9 6 1696 37 0 0 18339069 12632378 199523933 234092414 367594 2765976 -3130 -855333 218227466 248635435 31907 5000 0 0 107699111 114827664 0 0 0 122509249 140765111 230240267 255597775 -12012801 -6962340 134146748 137492595 72241628 83803349 61905120 53689246 X 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. 0 0 128721180 5000 167070108 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; OB/GYN women's health services; nursery and youth 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. 35932674 0 41617789 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 infants to geriatrics. Total Patient days = 12,910 11514145 0 13335864 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 = 777Total patient visits:- Emergency Department = 21,760- Emergency Psychological Services = 4,636- Emergency Urgent Care = 23,428 10420037 0 12068653 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 = 13,975 10420037 0 12068653 186588036 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 92 0 1 1696 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 ME X X Donald Bevers Jr Treasurer & CFO 2077778100 93 Campus Avenue PO Box 7291 Lewiston ME 042430291 Jeffery Davila MD Director 40.10 0.20 X 748298 0 4958 Anne Brown MD Director 40.10 0.20 X 158929 0 37041 Steve Jorgensen President & CEO 0.10 40.30 X X 0 526409 33283 David Geiger Esq Director 0.10 0.20 X 0 0 0 Ralph Harder MD Director 0.10 0.20 X 0 0 0 Lena Jo Hartley Director 0.10 0.20 X 0 0 0 Kathy McManus Director 0.10 0.20 X 0 0 0 John Murphy MD Director (end 12/2021) 0.10 0.20 X 0 0 0 Steve Ouellette Director 0.10 0.20 X 0 0 0 Mark Anthoine Chair 0.10 0.20 X X 0 0 0 Stephen Grubbs Covenant Health President & CEO 0.10 45.00 X 0 909317 36190 Jeffrey Hundman Treasurer & VP Finance (end 9/2021) 0.10 40.20 X 0 272695 31319 Joan Daigneault Secretary (end 7/2021) 40.10 0.20 X 41886 0 22839 Angela White Secretary 40.10 0.20 X 28123 0 5132 Michael Hendrix Interim CFO (end 12/2021) 0.10 40.70 X 0 345986 41692 Douglas Smith MD Chief Medical Officer 40.00 0.00 X 436239 0 41754 Joseph Strauss MD Physician 40.00 0.00 X 775904 0 41490 Sarah Shubert Physician 40.00 0.00 X 679906 0 23275 Michael Newman Physician 40.00 0.00 X 672963 0 35089 Sacha Matthews Physician 40.00 0.00 X 555127 0 43351 Timothy Dutton Physician 40.00 0.00 X 526493 0 18519 4623868 2054407 415932 233 0 1 0 Covenant Health Inc 100 Ames Pond Drive Suite 102 Tewksbury MA 01876 Management services 30074365 Medefis Inc PO Box 5068 New York NY 10087 Vendor and talent management 14610438 Metz Culinary Management Two Woodland Drive Dallas PA 18612 Dining management services 5298326 United Ambulance Service 192 Russell Street Lewiston ME 04240 Medical transportation 2371142 Health Carousel LLC PO Box 714216 Cincinnati OH 45271 Staffing and nursing solutions 2244100 9 82995 11711355 838028 527996 12632378 Patient and healthcare services 621300 226554699 226554699 Pharmaceutical sales 446110 5507313 5507313 Dining and cafeterias 722514 1070936 1070936 Tuition and education services 611600 959466 959466 234092414 104980 104980 124470 0 124470 124470 124470 2747368 1934210 1632814 387768 1114554 1546442 2660996 2660996 9222 82995 5242 3980 3980 Loss on debt extinguishment 525990 -983783 -983783 -983783 248635435 234092414 0 1910643 X 5000 5000 1491944 947384 544560 92845118 70999304 21845814 1530449 1134309 396140 13030393 9651906 3378487 5929760 4388022 1541738 30074365 30074365 250127 250127 102190 102190 45026923 40503820 4523103 377079 377079 3832389 2835969 996420 851455 630077 221378 6256291 4629655 1626636 32813 24282 8531 409638 303132 106506 1368034 1012345 355689 3929616 2907916 1021700 3989362 2952128 1037234 Drugs/medical supplies 30433095 30433095 Provision for bad debts 6575132 6575132 ME provider tax 4941056 4941056 Food/dietary costs 2092070 1548132 543938 223476 165372 58104 255597775 186588036 69009739 0 10243999 3596768 1068323 94531 1236705 629845 22687199 26202828 2168503 2520540 1125119 990159 133219970 69199641 60574167 64020329 13982688 15071809 21060045 24365786 134146748 137492595 17928133 21573650 5240992 10641596 32194116 0 4296041 3675816 0 367986 12582346 47544301 72241628 83803349 X 52493180 47843284 9411940 5845962 61905120 53689246 134146748 137492595 -6962340 -1253534 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3775 0 0 0 3775 0 Part II-B, Line 1: 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. In 2021, SMRMC reimbursed Covenant Health, Inc. $98,554 due to its membership with the American Hospital Association. The Association has informed SMRMC that approximately 3.83% of the 2021 dues paid, or $3,775, may have been available for lobbying expenditures. Historically, SMRMC was also a member of the Maine Hospital Association (MHA), which requires its members to pay annual fees and dues which may be used for lobbying purposes. However, SMRMC did not pay any dues to the MHA in its 2021 tax year. 9411940 1094141 52011 4712130 5845962 9069879 1409962 5605 1073506 9411940 7805668 1747954 4051 487794 9069879 29998051 1608019 23800402 7805668 5847103 26243632 2092684 29998051 0.00000 0.41450 0.58550 0 0 826146 826146 81247556 39322124 41925432 818703 507649 311054 38958579 29287767 9670812 11368986 82101 11286885 64020329 Investment in Covenant Health Investment Trust 12586566 F Investment in United Ambulance 2485243 F 15071809 Due from affiliates 24365786 24365786 Deferred fixed asset expenditures (FIN 47) 25123 Medicaid obligations (net surplus) -2751174 Due to affiliates 50270352 47544301 X 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, 2021. Commit to Get Fit 92217 82995 9222 5242 92217 82995 9222 5242 5242 3980 Schedule G, Part II, Fundraising Events In accordance with the IRS instructions for the reporting of income on Schedule G, event revenue deemed to be charitable contributions has been reported on line 2, thus reducing the total gross event income on line 3. This presentation gives the appearance on Schedule G of a loss from the respective event. However, when the charitable contributions are considered and added back, the event had a profit of $86,975. 1 1 1 X 1 X 0 1 0 1 1 1842826 1842826 0.00740 55514675 51440969 4073706 0.01640 57357501 51440969 5916532 0.02380 8 52502 1603957 262135 1341822 0.00540 4 321 626733 626733 0.00250 1 175 24051 13945 10106 0.00000 6 179723 77276 102447 0.00040 19 52998 2434464 353356 2081108 0.00830 19 52998 59791965 51794325 7997640 0.03210 1 120 1590 1590 0.00000 1 45 20276 20276 0.00010 2 228 17161 9150 8011 0.00000 2 320 4448 4448 0.00000 3 105476 5000 100476 0.00040 9 713 148951 14150 134801 0.00050 1 6575132 2549179 69690165 113165210 -43475045 X 1 1 1 1 St Mary's Regional Medical Center 93 Campus Avenue Lewiston ME 042430291 38244 X X X St Mary's Regional Medical Center 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X 1 19 1 See Schedule H, Part V, Section C 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 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.)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 Maine Shared Community Health Needs Assessments (Maine Shared CHNAs) 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), Maine Center for Disease Control and Prevention (Maine CDC), MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH) 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: Over 200 health indicators from over 30 sources were used for the Maine Shared CHNA. These indicators were arranged under 24 health topics and analyzed by demographic characteristics and geographic stratification. Community Input: Community outreach and engagement for the Maine Shared CHNA occurred at the statewide, public health district, county and local levels. The statewide community engagement committee met monthly from March 2018-January 2019 to review and oversee the engagement process.In addition, local community engagement planning committees met in each of Maine's 16 counties. St. Mary's facilitated and hosted the Androscoggin local community engagement planning committee through the Community Health Stakeholder Coalition (established for the first cycle of the Maine Shared CHNA 7 years ago.) In Androscoggin County, representatives from the two local hospital systems came together in 2012 to establish the Community Health Stakeholder Coalition, a group of community health agencies, public health and hospitals. They developed this purpose statement:Improve the health of Androscoggin County by convening community health stakeholders to collaborate on:- Conducting community health needs assessments- Educating members and constituents on findings of community health needs assessments- Develop strategies to address prioritized needs- Sharing relevant resources through networkingFor the most recent CHNA, 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; Holly Lasagna and Corrie Brown, Healthy Androscoggin; Catherine Ryder, Executive Director, Tri-County Mental Health Services; Angela Richards, Androscoggin Home Healthcare + Hospice; Sam Boss and Kristen Cloutier, Harwood Center at Bates College; Joan Churchill, Executive Director, Community Clinical Services; Nate Miller, Seniors Plus; Shawn Yardley, Executive Director, Community Concepts; Barry Schmieks, Auburn Police Department; Joe Philippon, Lewiston Police Department; Jennifer McCarthy and Ann Marie Day of Healthcentric Advisors; Katherine Lary of Western Maine Community Action; Ruby Bean of Community Concepts; 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. These members represent community health, public health, hospitals, minority populations, local colleges, community action agencies and the local Federally Qualified Health Center (FQHC.)Three community engagement sessions were held in Androscoggin County in 2018. Two sessions were hosted by the local community engagement planning team (October 3, 2018 and October 11, 2018). One session was held in June and was a County Health Rankings Health Action Forum (to solicit community information from immigrants, refugees and asylum seekers). One session in each county was facilitated by JSI, the vendor hired by the Maine Shared CHNA to oversee the data collection, analysis and community sessions. The other session was facilitated by employees from St. Mary's Regional Medical Center and Central Maine Medical Center who serve on the Community Health Stakeholder Coalition.Other methods for obtaining feedback from organizations and groups included, but were not limited to, key informant interviews (focused conversations) and focus groups. In addition to the two community forums held in Androscoggin County, a forum was held with refugees and immigrants to specifically address health issues in their communities. Key informants were also interviewed to speak to the needs of this population. Mental health was identified as one of the leading health concerns for this population, specifically trauma and stress around immigration status in the current political climate, separation from families, and experiences in their home country. Oral health was another clinical concern identified across several community engagement activities. Community members also identified a need for health services that are linguistically and culturally appropriate and increased efforts to improve health literacy around chronic disease management, substance use, and life skills (e.g., how to keep a healthy home, how to dress appropriately for cold weather). Many health needs for this population fall into the category of social determinants of health: accessible and comprehensive health insurance, safer and more affordable housing, better access to transportation, and more opportunities to bolster community relations and social cohesion.Youth were identified as a priority population in community forums. Specific issues of concern were youth mental health issues (specifically stress, depression, and anxiety); substance use (specifically opioids, marijuana, and vaping/Juuling), lack of education and promotion around nutrition and physical activity, and unsupervised youth. In addition to the data collected and analyzed for the County Health Profiles, the Maine CDC created Health Equity Data Summaries (available at www.mainechna.org) which provides selected data analyzed by sex, race, ethnicity, sexual orientation, education, and income. These data are at the state level, as much of the county level data would be suppressed due to small numbers and privacy concerns, and the previous analyses have shown that health disparities found at the state level are generally similar in individual counties.These forums, essential components of the Maine Shared CHNA, allowed for community members to review the data and vote for community health priorities. Participants at the community forums met in small groups to discuss opportunities for collaboration and specific issues for each priority. The conversations largely informed both the implementation strategies and strategic plans for the hospitals. Health data results were also presented to the hospital's board of trustees' strategy committee. The State of Maine is fortunate to have many sources of data to help assess health needs of communities. The 2016 Maine Shared Community Health Needs Assessment, County Rankings results, the state health plan, the Community Health Needs Index (CHNI), and community engagement results provide a comprehensive picture of all major health indicators in the community.A copy of the 2019 Androscoggin County CHNA can be found at this link:https://www.stmarysmaine.com/media/file/Androscoggin_Report_2019.pdf 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: The following descriptions are the prioritized community health needs identified by the data, community engagement and key informant interviews.Prioritized Significant Community Health Needs: Social Determinants of Health (25%); Mental Health (19%); Substance Use (14%); Access to Care (12%); and Tobacco Use (9%).Social Determinants of Health: A key theme from the community engagement sessions and key interviews in Androscoggin County (as well as the entire state of Maine) was the impact that social determinants of health (specifically housing, transportation, poverty, employment, cultural barriers, and Adverse Childhood Experiences or ACEs) have on county residents. The number of people living in poverty is higher than the state (14.8% vs. 13.5%). The percentage of households that are food insecure is higher than the state (16% vs. 15.1%). Slightly over 1/4 of high school students have experienced at least 3 adverse childhood experiences, and the number of children with confirmed elevated blood levels for lead is significantly higher than the state (3.4% vs. 2.2%).St. Mary's is addressing this priority by focusing on cultivating equitable access to food and land by increasing access to urban spaces for food production, creating more equitable access to healthy, local food through community engagement and creating community food champions to support outreach and education. New community gardens will be established, two new pilot food access programs will be created and 5-10 community members will be trained as community food champions.Access to Health Care and Primary Care: While Androscoggin County has a relatively low percentage of uninsured residents, access to care is an issue. The percentage of individuals unable to obtain healthcare due to cost was significantly higher than the state (14.5% vs 10.3%).St. Mary's did not select this as a priority. We already offer financial assistance, help connect people to resources and assist patients in applying for MaineCare. In addition, Community Clinical Services, the local Federally Qualified Health Center, offers access and financial assistance.Mental Health: Androscoggin County residents receive outpatient mental health treatment at a higher rate than Maine residents (21% vs. 17%). The percentage of middle school students who reported having seriously considered suicide increased significantly between 2011 and 2017 (from 14.5% to 18.8%). A theme for mental health was the need for increased education and resources around the mental (and physical) health effects of Adverse Childhood Experiences (ACEs). St. Mary's will address mental health by improving integration and treatment of mental health in the community. The strategies will include improving the physical environment for people with psychiatric illness, exploring new treatment options for people who cannot tolerate medication as treatment for mental illness, implementing depress/suicide screening, expanding a pediatric behavioral health home, expanding partnership with schools serving at-risk youth and creating a plan to address Adverse Childhood Experiences (ACEs).Substance and Alcohol Use: Opioid use was the leading substance use issue discussed in the community forums. In Androscoggin County, substance use hospitalizations were higher than the state in 2016 (39 vs 18 per 10,000 population). The rate of overdose deaths increased from 12.5 to 18.4 per 100,000 (2007-2011 and 2012-2016 data).St. Mary's will address this by working to prevent and treat substance use disorder. Strategies will include developing protocols for rapid access to suboxone in the Emergency Department, increasing timely access to treatment after Emergency Department visits for substance use disorder, providing integrative therapies for pain management, providing greater access to polypharmacy guidance for opioid tapers, decreasing access to prescription drugs in the community and facilitating access to 12 step and other recovery programs.Tobacco Use: Tobacco use is one of the leading causes of preventable illnesses and death. Maine has made progress in reducing tobacco use. The percentage of Maine adults who smoked cigarettes in 2017 was significantly lower than in 2011. However, the emergence of electronic products is of grave concern. (Data from a 2018 national youth survey indicate up to a 78% increase in the use of electronic devices since 2017.)St. Mary's did not select this as a priority because the local public health agency, Healthy Androscoggin, addresses this key issue in the community. St. Mary's does participate by hosting tobacco cessation programs. St. Mary's is partnering with the other local hospital, Central Maine Medical Center, to address youth tobacco and vaping use.Potentially available health care facilities and resources available to meet the health needs identified: The assessment identified a number of strong community assets, including the two local hospitals (including behavioral services at SMRMC) and their community benefit programs, an Urgent Care Center by SMRMC, 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), public school systems and Catholic school systems with active home and school associations, numerous religious communities and community coalitions to support downtown Lewiston. 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/2022/09/SMRMC-Implementation-Strategy-2019-2021.pdfThe Implementation Strategy can also be located on the MaineHealth website, at:https://www.mainehealth.org/-/media/Community-Health/CHNA/SMRMC-Implementation-Strategy-2019-2021.pdf Schedule H, Part V, Section B, Line 7: The Center's CHNA report was made available at the Center's own website at the following web address:https://stmarysmaine.com/wp-content/uploads/2022/09/Androscoggin_Report_2019.pdfIn addition, the Center's CHNA report was made available on the website of MaineHealth, at the following web address:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/documents/county-reports/2019/Androscoggin-Report-Web.pdf 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 1 1 - St Mary's D'Youville Pavilion 102 Campus Avenue Lewiston ME 04240 Nursing home and restorative facility Part I, Ln 7 Col(f): The Center has has an estimated ratio of costs-to-charges (RCC) for this year of 38.77%. Accordingly, The Center has estimated that 38.77% of its total annual bad debts, or approximately $2,549,179, 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 II, Community Building Activities: St. Mary's Regional Medical Center 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 Community Support:Activities under this category included: - Stand Against Racism community committee - Preparation for the COVID-19 vaccine clinic for teachers - Food deliveries for families affected by a fire in an apartment building - Support for a breast health outreach eventUnder Leadership Training: St. Mary's Nutrition Center: - St. Mary's Nutrition Center provides extensive leadership development training for VISTA and Food Corps members, as well as the neighborhood garden coordinators. The training includes how to conduct community outreach.Under Coalition Building:Local Foods, Local Places- Despite ongoing challenges from the COVID pandemic, the Local Foods Local Places (LFLP) Action Plan "Leads Team" experienced a year of growth and accomplishment. Created through the LFLP Community Gathering and Visioning Session in October 2019, the (LFLP) Action Plan serves both as a record of a community planning process and a road map for Lewiston-Auburn as it grows and strengthens the local food system and economy. Coordinated by the Good Food Council of Lewiston-Auburn (GFCLA) with support from the St. Mary's Nutrition Center and stewarded by nearly a dozen "Leads" committed community stakeholders from municipal, agricultural, business, and non-profit sectors, the LFLP Action Plan consists of approximately 16 actions connected to the four following goals: 1. Strengthen Access to Local Food While Expanding Market Opportunities and Infrastructure for Farm and Food Businesses 2. Integrate Local Food and Agriculture into City Planning and Economic Development Strategies 3. Build Food and Agriculture as a Defining Brand for Lewiston-Auburn 4. Increase Equitable Access, Ownership, and Preservation of Land to Grow Food in Lewiston-Auburn2021 saw noteworthy successes spanning all four goals. These include:- Community Food Center Feasibility Study: The Cooperative Development Institute in partnership with the Nutrition Center completed a yearlong feasibility study for the development of a Community Food Center in Lewiston that would be home to a cooperatively run low-cost grocery store, commercial kitchen, shared storage space, and retail. Funding for the build out of the Center was secured through the CHOICE Neighborhood Implementation Grant to the City of Lewiston. The feasibility study will be released early 2022.- Local Food in Comprehensive Plan Update: The City of Auburn adopted goals to "Promote Food Access and Grow the Agricultural Economy" - including ensuring equitable access to local food for all - into its 2021 Comprehensive Plan Deliverables Update.- Taste the Harvest: The LA Metro Chamber with support from the GFCLA, the Lewiston Farmers' Market and a range of sponsors, including Hannaford, convened the first annual autumn celebration of local food and agriculture bringing more than 300 guests, volunteers, chefs, and culinary students to highlight the food, producers and culinary talent of the region.- Spotlight on Local Food Scene: An outgrowth of Taste the Harvest, the Chamber created an accessible landing page of local food producers and access points across greater Lewiston Auburn found at: Lametrocc.com/localfoodstore- Little Jubba Central Maine Agrarian Land Trust: With support from Agrarian Trust, the Somali Bantu Community Association (SBCA) secured and finalized the purchase of a 104-acre farm in Wales, Maine providing land access for more than 200 Somali farmers. The Nutrition Center provided critical infrastructure investment funding through a sub-contract of our USDA Community Food Projects grant.- New Roots Cooperative Farm: After securing seed money through grants and foundations New Roots Cooperative Farm raised almost 2/3 of the funds need to purchase necessary farm equipment and infrastructure.To view the full LFLP Action plan along with recent video updates by LFLP Leads and help continue the momentum of Local Foods Local places please visit https://goodfood4la.org/resources/lflp-action-planUnder Community Health Improvement Advocacy:Lewiston Public Health Committee- A member of St. Mary's leadership served on this local public health committee. In 2021, areas of focus included: substance use, youth vaping and COVID-19 testing and vaccinations, especially for minority populations. State Palliative Care and Quality of Life Advisory Council- A member of St. Mary's leadership serves on this statewide council to advise the legislature about palliative care. In 2021 the Palliative Care and Quality of Life Interdisciplinary Advisory Council continued to assess the status of palliative care and explore opportunities for change. The Council made recommendations that would help Maine create legislation to support the expansion of palliative care services in Maine. This resulted in the passage of LD. 1064, An Act to Advance Palliative Care Utilization in the State, as introduced by Representative Margaret Craven. This legislation will result in MaineCare reimbursement for home-based palliative care. We look forward to offering support and conversation to the critical implementation phase that follows. - In 2021, the Maine Health Access Foundation (MeHAF) awarded the Advisory Council a planning grant to explore future activities. In particular, there is a desire and need to support the expansion of palliative care services into rural and remote areas of Maine. In 2016, MeHAF funded our initial assessment of palliative care in Maine, as previously described. Briefly, that study showed access to palliative care in urbanized hospitals, but very little access in rural and community sites. Part of the 2021 MeHAF Grant will fund a follow-up assessment, in order to measure areas of growth and non-growth, and continued opportunities. The remainder of the grant will fund the exploration and further assessment of the needs of rural communities through listening sessions and qualitative research initiatives. Several listening sessions occurred in 2021.- The Council is also coordinating plans for a statewide palliative care conference in the fall of 2022 and the planning committee is meeting monthly to prepare for the conference. Part III, Line 2: This amount represents accounts sent to the collection agency minus payments that have been collected plus a factor estimating the self-pay amounts in accounts receivable that will be uncollectible. Part III, Line 3: For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the System records an allowance for doubtful accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts. 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 that comprise the Western Public Health District. It contains roughly 8% (107,376) of Maine's 1.27 million residents. Androscoggin County contains Maine's second and fifth largest cities: Lewiston (population 36,592 in the 2010 census) and Auburn (population 23,055 in the 2010 census) respectively. Located across from each other on the Androscoggin River, the twin cities of Lewiston and Auburn are the central hub of the region. The county is working to transform the downtown area from vacant textile mills and abandoned shoe factories to a region known for progressive health care, tourism, high-precision manufacturing, telemarketing and financial services. 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 because of this emigration. 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 (92.8%) with black (3.8%) and two or more races at 2.1%. Androscoggin County's population reflects two interesting trends: the highest number of people is in the under 18 years category (22%) and the second highest concentration of the population is over age 65 (17%.) The unemployment rate was 4.6% as of September 2021. Slightly over 10% of the primary languages spoken in the home are categorized as "other than English" so interpretation services are available as well as cultural brokers hired by the local hospitals 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 14.8% and the median income is $48,728 annually. Lewiston's poverty rate is even higher-21% (2017 American Community Survey) and the rate of childhood poverty in Lewiston is 43% (according to the 2013-2017 American Community Survey). 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 2021 score for Androscoggin County is 3.0; the score for the city of Lewiston is 4.0 (based on scale of 1-5 with 5 being the highest need). While the county scored improved from 3.1 to 3.0 since the 2016 CHNA, Lewiston's rating stands at 4.0 which is in the category of "second 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 health. The BroadStreet Network measures social vulnerability through its "Area Deprivation Index" (ADI.) The ADI is calculated by combining 17 indicators of income, education, employment, and housing quality. The ADI has been used for 20 years by the Health Resources & Services Administration (HRSA). The ADI and percentile scores are calculated by using Census Block Group level data. While Androscoggin County has a deprivation score of 100.6, Lewiston's score is even higher at 108.1 (the higher the score, the greater the vulnerability).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. Part VI, Line 5: St. Mary's also promoted community health by strong COVID-19 prevention in 2021. We offered community vaccine clinics for the county's teachers and helped to ensure minority populations in our area had access to vaccines by serving on a community task force. 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 X X X X 1 0 0 0 0 0 0 1 0 Stephen Grubbs Covenant Health President & CEO 0 851411 0 30924 0 26982 0 8700 0 27490 0 945507 0 0 Joseph Strauss MD Physician 754334 0 0 0 21570 0 4350 0 37140 0 817394 0 0 0 Jeffery Davila MD Director 744428 0 0 0 3870 0 3515 0 1443 0 753256 0 0 0 Michael Newman Physician 658511 0 0 0 14452 0 7971 0 27118 0 708052 0 0 0 Sarah Shubert Physician 578907 0 100000 0 999 0 6937 0 16338 0 703181 0 0 0 Sacha Matthews Physician 533557 0 0 0 21570 0 7831 0 35520 0 598478 0 0 0 Steve Jorgensen President & CEO 0 483808 0 18094 0 24507 0 8700 0 24583 0 559692 0 0 Timothy Dutton Physician 501354 0 0 0 25139 0 7861 0 10658 0 545012 0 0 0 Douglas Smith MD Chief Medical Officer 421900 0 12815 0 1524 0 8620 0 33134 0 477993 0 0 0 Michael Hendrix Interim CFO (end 12/2021) 0 324148 0 8509 0 13329 0 7349 0 34343 0 387678 0 0 Jeffrey Hundman Treasurer & VP Finance (end 9/2021) 0 228197 0 3948 0 40550 0 3002 0 28317 0 304014 0 0 Anne Brown MD Director 158139 0 0 0 790 0 4784 0 32257 0 195970 0 0 0 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 4a During the 2021 tax year, Jeffrey Hundman served as the Treasurer and VP of Finance for St. Mary's Regional Medical Center of Lewiston, Maine, and other affiliated organizations within the Covenant Health System operating in the greater Lewiston-Auburn region and community. Jeffrey Hundman was paid directly by Covenant Health Inc., the parent of the System, for his services. In September, 2021, Jeffrey Hundman ended his term of service and employment with the System. As part of his separation from Covenant Health, Jeffrey Hundman received severance compensation in the amount of $39,045 in the 2021 tax year, which was included in his 2021 Form W-2 wages. In accordance with IRS Instructions, Jeffrey Hundman's severance compensation is reported on this Schedule J, Part II, within his column B(iii), Other Compensation total. 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 X 6148 Gift Date FMV X 5 521848 Gift Date FMV 0 1 1 Part I, Line 32b: The Organization sells gifts of stock as soon as administratively possible through its third party broker, Bar Harbor Bank & Trust. 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://www.covenanthealth.net/financial-information/financial-information Form 990, Part IX, line 11g Medical and health care professionals: Program service expenses 29,027,590. Management and general expenses 0. Fundraising expenses 0. Total expenses 29,027,590. Purchased administrative and manintenance services: Program service expenses 11,476,230. Management and general expenses 4,230,012. Fundraising expenses 0. Total expenses 15,706,242. Consulting and management services: Program service expenses 0. Management and general expenses 293,091. Fundraising expenses 0. Total expenses 293,091. 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. Alternative Health Services 360 Broadway Bangor ME 04402 010422885 Home health and hospice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation 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 100 Ames Pond Drive Tewksbury MA 01876 800199674 Charitable foundation MA 501(c)(3) Line 12a, I Covenant Health Inc 0 Covenant Health Investment Trust 420 Bedford Street Lexington MA 02420 046835128 Investment trust MA 501(c)(3) Line 12a, I Covenant Health Inc 0 Covenant Health Inc 100 Ames Pond Drive Tewksbury MA 01876 222484505 Health care management and resource organization MA 501(c)(3) Line 10 N/A 0 Fanny Allen Corporation Inc 790 College Parkway Colchester VT 05446 222495808 Charitable foundation VT 501(c)(3) Line 12a, I Covenant Health Inc 0 Fanny Allen Holdings Inc 790 College Parkway Colchester VT 05446 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 Campus Holding PO Box 7291 Lewiston ME 04240 010406049 Holding company ME N/A C 0 Covenant Health Insurance LTD PO Box 69 Grand Cayman CJ KY1-1102 043360127 Self-insurance company CJ N/A C 0 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 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 1 1 1 1