ST MARYS REGIONAL MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: ST MARYS REGIONAL MEDICAL CENTER (EIN 01-0211551)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-12
IRS object ID: 201833169349303258
Schema version: 2017v2.3
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 K
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-12T13:06:30-06:00	ReturnTs
Tax Period End	2017-12-31	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 LLC	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	2017-01-01	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	2077778546	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	CAMPUS AVENUE PO BOX 0291	AddressLine1Txt
City	LEWISTON	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	042430291	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEVEN JORGENSEN	PersonNm
Person Title	PRESIDENT	PersonTitleTxt
Phone	2077778802	PhoneNum
Signature	2018-11-09	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	E DREW CHENEY	PreparerPersonNm
PTIN	P00182972	PTIN
Phone	8002447444	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.105.168.164	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-09	IPDt
IP Tm	14:31:34	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	AEC35488C4CD91AC8DD9FF49E81978A397244AF0	AtSubmissionCreationDeviceId
At Submission Filing Device Id	04CC61B167CDE0E44773FADEDCC42558B5AB4057	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEVEN JORGENSEN	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	CAMPUS AVENUE PO BOX 0291	AddressLine1Txt
City	LEWISTON	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	042430291	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$230,919,129	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	ST. MARY'S REGIONAL MEDICAL CENTER IS A 233-LICENSED BED ACUTE CARE FACILITY THAT OFFERS THE BEST OF MEDICAL TECHNOLOGY, PREVENTIVE SERVICES AND A "WHOLE PERSON APPROACH" IN MEETING THE NEEDS OF THE ANDROSCOGGIN COUNTY AREA.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	1935	TotalEmployeeCnt
Total Volunteers	160	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$4,668,289	PYContributionsGrantsAmt
CY Contributions Grants	$26,312,432	CYContributionsGrantsAmt
PY Program Service Revenue	$182,301,983	PYProgramServiceRevenueAmt
CY Program Service Revenue	$203,298,869	CYProgramServiceRevenueAmt
PY Investment Income	$696,783	PYInvestmentIncomeAmt
CY Investment Income	$1,184,715	CYInvestmentIncomeAmt
PY Other Revenue	$248,692	PYOtherRevenueAmt
CY Other Revenue	$73,506	CYOtherRevenueAmt
PY Total Revenue	$187,915,747	PYTotalRevenueAmt
CY Total Revenue	$230,869,522	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$97,994,395	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$105,417,810	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$83,412,634	PYOtherExpensesAmt
CY Other Expenses	$100,236,559	CYOtherExpensesAmt
PY Total Expenses	$181,407,029	PYTotalExpensesAmt
CY Total Expenses	$205,654,369	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,508,718	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$25,215,153	CYRevenuesLessExpensesAmt
Total Assets BOY	$156,906,692	TotalAssetsBOYAmt
Total Assets EOY	$182,429,066	TotalAssetsEOYAmt
Total Liabilities BOY	$64,040,838	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$63,847,284	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$92,865,854	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$118,581,782	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	ST. MARY'S REGIONAL MEDICAL CENTER IS A 233-LICENSED BED ACUTE CARE FACILITY THAT OFFERS THE BEST OF MEDICAL TECHNOLOGY, PREVENTIVE SERVICES AND A "WHOLE PERSON APPROACH" TO MEETING THE NEEDS OF THE ANDROSCOGGIN COUNTY AREA.ST. MARY'S REGIONAL MEDICAL CENTER OFFERS A FULL RANGE OF INPATIENT AND OUTPATIENT SERVICES TO MEET THE GROWING AND CHANGING NEEDS OF THE COMMUNITY. OUR PROFESSIONAL, QUALIFIED STAFF ARE ABLE TO DELIVER CARDIOPULMONARY, LABORATORY, NURSING, ONCOLOGY, RHEUMATOLOGY, BEHAVIORAL SERVICES, PHYSICAL THERAPY, RADIOLOGY, SOCIAL AND SURGICAL SERVICES WITH THE PERSONALIZED TOUCH DESIGNED TO MAKE OUR PATIENTS FEEL MORE RELAXED AND AT HOME.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$25,994,220	ExpenseAmt
Revenue	$30,259,858	RevenueAmt
Desc	SURGICAL CARE: PROVIDES ALL SERVICES (EXCEPT OPEN HEART) TO PATIENTS RANGING FROM INFANT TO GERIATRICS WHO NEED SURGICAL INTERVENTION. TOTAL = 23,397 PROCEDURES.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$9,973,253	ExpenseAmt
Revenue	$11,609,859	RevenueAmt
Desc	BEHAVIORAL HEALTH: ST. MARY'S OFFERS THE MOST ADVANCED BEHAVIORAL HEALTHCARE DIAGNOSTIC AND TREATMENT SERVICES FOR CHILDREN, ADOLESCENTS AND ADULTS IN BOTH INPATIENT AND OUTPATIENT PROGRAMS. INPATIENT AND OUTPATIENT TREATMENTS INCLUDE COMPREHENSIVE PSYCHIATRIC ASSESSMENT AND EVALUATIONS, EDUCATION, INDIVIDUAL AND GROUP THERAPY, INDIVIDUALIZED BIO-PSYCHOSOCIAL TREATMENT PLAN AND DISCHARGE AND AFTERCARE PLANNING.TOTAL PATIENT DAYS = 14,599	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$7,984,978	ExpenseAmt
Revenue	$9,295,309	RevenueAmt
Desc	EMERGENCY CARE: ST. MARY'S REGIONAL MEDICAL CENTER OFFERS A 24-HOUR PER DAY LEVEL II EMERGENCY CARE FACILITY. SERVICES PROVIDED INCLUDE MEDICAL AND BEHAVIORAL SERVICES. TOTAL VISITS = 28,835	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$119,063,490	ExpenseAmt
Revenue	$152,133,843	RevenueAmt
Desc	PHYSICIAN SERVICES, BEHAVORIAL HEALTH SERVICES, ORTHOPEDICS, CHEMICAL DEPENDENY SERVICES, OB/GYN WOMEN'S HEALTH SERVICES, NURSERY, ICU, PACU, INFUSION THERAPY, URGENT CARE, FAMILY PRACTICES, ENDOSCOPY,NEUROLOGY, LAB SERVICES, DIAGNOSTIC RADIOLOGY, MRI, MAMMOGRAPHY, ULTRASOUND, NUCLEAR MEDICINE, CT SCANS, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, RESPIRATORY THERAPY, PULMONARY REHAB, DIAGNOSTIC CARDIOLOGY, CATH LAB, PHARMACY,AMBULANCE SERVICE, PHYSIATRY SERVICES, UROLOGY, SLEEP LAB, DIABETES CENTER SERVICES, WOUND & HYPERBARIC CENTER SERVICES, GASTROENTEROLOGY, RHEUMATOLOGY, WEIGHT MANAGEMENT SERVICES, AND SKILLED NURSING FACILITY/NURSING HOME SERVICES.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$119,063,490	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$152,133,843	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$163,015,941	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	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	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	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	136	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1935	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	0	QuidProQuoContributionsInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	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	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	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	MICHAEL HENDRIX	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2079071600	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	360 BROADWAY PO BOX 403	AddressLine1Txt
City	BANGOR	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04402	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 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
JUDITH ANDRUCKI
DIRECTOR	0.10	0.30	Yes (X)	$0	$0	$0
JOHN CHAPMAN
DIRECTOR	0.10	0.30	Yes (X)	$0	$0	$0
DONALD FOURNIER
DIRECTOR	0.10	0.30	Yes (X)	$0	$0	$0
CRAIG GUNDERSON-RESIGNED 42017
DIRECTOR	0.10	0.30	Yes (X)	$0	$0	$0
RALPH HARDER
DIRECTOR	0.10	0.30	Yes (X)	$0	$0	$0
LENA HARTLEY
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
JOHN ISAACSON
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
JACK KEITH
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
MICHAEL KELLEY
DIRECTOR	40.00	0.20	Yes (X)	$532,526	$0	$17,367
CAROLYN LEPAGE
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
KATHY MCMANUS
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
CATHERINE RYDER
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
ANNE SCHUETTINGER
DIRECTOR	0.10	0.20	Yes (X)	$0	$0	$0
MARK ANTHOINE
CHAIR	0.10	0.20	Yes (X)	$0	$0	$0	Yes (X)
JAMES PLACE MD
VICE CHAIR	0.10	0.20	Yes (X)	$0	$0	$0	Yes (X)
CHRISTOPHER CHEKOURAS-RESIGNED 917
9/2017 PRESIDENT (EX-OFFICIO)	40.00	0.20	Yes (X)	$361,339	$0	$15,657	Yes (X)
PETER HOLDEN AS OF 091117
INTERIM PRESIDENT (EX-OFFICIO)	40.00	0.20	Yes (X)	$0	$0	$0	Yes (X)
MICHAEL HENDRIX
TREASURER & CFO	0.10	40.00	Yes (X)	$0	$255,894	$22,015	Yes (X)
MONIQUE SHRADER
SECRETARY	40.00	0.20	Yes (X)	$74,190	$0	$15,000	Yes (X)
PHILIP HICKEY
CEO POST ACUTE	40.00			$197,050	$0	$6,619		Yes (X)
CHRISTOPHER T BOWE
CHIEF MEDICAL OFFICER	40.00			$397,051	$0	$16,830		Yes (X)
KAREN J CLARK
VP PATIENT CARE SERVICES	40.00			$208,974	$0	$17,471		Yes (X)
MICHAEL T NEWMAN
PHYSICIAN	40.00			$927,921	$0	$18,310			Yes (X)
JOSEPH E STRAUSS
PHYSICIAN	40.00			$887,969	$0	$17,872			Yes (X)
JEFFREY N DAVILA
PHYSICIAN	40.00			$717,354	$0	$1,816			Yes (X)
MOHAMED A AL SAIED
PHYSICIAN	40.00			$518,975	$0	$15,204			Yes (X)
LARS M QVICK
PHYSICIAN	40.00			$493,485	$0	$15,182			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,316,834	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$255,894	TotReportableCompRltdOrgAmt
Total Other Compensation	$179,343	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	133	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
METZ CULINARY MANAGEMENT
TWO WOODLAND DRIVE	DALLAS	PA	18612	MEAL SERVICE	$4,855,779
MEDEFIS INC
PO BOX 5068	NEW YORK	NY	100875068	LOCUM NURSING SERVICES	$3,919,539
COVENANT HEALTH INC
100 AMES POND ROAD	TEWKSBURY	MA	01876	MANAGEMENT SERVICES	$3,113,504
SOUND PHYSICIANS OF MAINE
PO BOX 742936	LOS ANGELES	CA	900742936	HOSPITALISTS SERVICES	$2,081,673
REHABCARE GROUP EAST INC
PO BOX 503534	ST LOUIS	MO	631503534	THERAPY SERVICES	$1,947,147

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	23	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$8,220	FederatedCampaignsAmt
Fundraising	$13,960	FundraisingAmt
Related Organizations	$37,250	RelatedOrganizationsAmt
Government Grants	$9,370	GovernmentGrantsAmt
All Other Contributions	$26,243,632	AllOtherContributionsAmt
Total Contributions	$26,312,432	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$189,766,774	$189,766,774
OTHER OPERATING INCOME	621300	$8,756,599	$8,756,599
SERVICES TO AFFILIATES	621300	$3,697,365	$3,697,365
SERVICES TO AFFILIATES	541200	$1,078,131	$1,078,131

Field	Value	IRS element (for citing)
Total Program Service Revenue	$203,298,869	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,223,258	TotalRevenueColumnAmt
Exclusion	$1,223,258	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$38,543	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$38,543	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$38,543	TotalRevenueColumnAmt
Exclusion	-$38,543	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$84,570	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$13,960	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$11,064	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$73,506	TotalRevenueColumnAmt
Exclusion	$73,506	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$230,869,522	TotalRevenueColumnAmt
Related Or Exempt Func Income	$203,298,869	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,258,221	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,771,130	TotalAmt
Program Services	$1,321,263	ProgramServicesAmt
Management And General	$449,867	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$88,426,069	TotalAmt
Program Services	$65,965,847	ProgramServicesAmt
Management And General	$22,460,222	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$484,465	TotalAmt
Program Services	$361,411	ProgramServicesAmt
Management And General	$123,054	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$8,940,041	TotalAmt
Program Services	$6,669,271	ProgramServicesAmt
Management And General	$2,270,770	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,796,105	TotalAmt
Program Services	$4,323,894	ProgramServicesAmt
Management And General	$1,472,211	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$615,825	TotalAmt
Management And General	$615,825	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$156,276	TotalAmt
Management And General	$156,276	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$56,902	TotalAmt
Management And General	$56,902	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$31,518,004	TotalAmt
Program Services	$24,627,270	ProgramServicesAmt
Management And General	$6,890,734	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$290,143	TotalAmt
Program Services	$216,446	ProgramServicesAmt
Management And General	$73,697	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,781,817	TotalAmt
Program Services	$5,059,235	ProgramServicesAmt
Management And General	$1,722,582	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,131,299	TotalAmt
Program Services	$2,335,949	ProgramServicesAmt
Management And General	$795,350	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,725,526	TotalAmt
Program Services	$3,525,242	ProgramServicesAmt
Management And General	$1,200,284	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$552,015	TotalAmt
Program Services	$411,803	ProgramServicesAmt
Management And General	$140,212	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,802,892	TotalAmt
Program Services	$1,245,394	ProgramServicesAmt
Management And General	$557,498	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$5,353,275	TotalAmt
Program Services	$3,993,543	ProgramServicesAmt
Management And General	$1,359,732	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,816,122	TotalAmt
Program Services	$2,846,827	ProgramServicesAmt
Management And General	$969,295	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL/PHARMACY SUPPLI	$20,782,520	$20,782,520
BAD DEBT EXPENSE	$10,826,873	$10,826,873
PROVIDER TAX	$4,614,723	$4,614,723
OTHER EXPENSES	$3,203,868	$2,390,105	$813,763

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,008,479	TotalAmt
Program Services	$1,498,325	ProgramServicesAmt
Management And General	$510,154	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$205,654,369	TotalAmt
Program Services	$163,015,941	ProgramServicesAmt
Management And General	$42,638,428	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,604,697	BOYAmt
EOY	$2,860,100	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$1,863,871	BOYAmt
EOY	$2,549,271	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$20,101,494	BOYAmt
EOY	$23,303,523	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,446,229	BOYAmt
EOY	$1,824,785	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,555,022	BOYAmt
EOY	$1,619,887	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$147,946,873	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$88,435,532	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$57,647,041	BOYAmt
EOY	$59,511,341	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$67,688,338	BOYAmt
EOY	$90,760,159	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,906,692	BOYAmt
EOY	$182,429,066	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$22,867,044	BOYAmt
EOY	$19,941,788	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$437,460	BOYAmt
EOY	$676,272	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$38,556,976	BOYAmt
EOY	$42,577,122	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$683,092	BOYAmt
EOY	$502,235	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,496,266	BOYAmt
EOY	$149,867	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$64,040,838	BOYAmt
EOY	$63,847,284	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$87,018,751	BOYAmt
EOY	$88,583,731	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,140,074	BOYAmt
EOY	$6,201,269	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$707,029	BOYAmt
EOY	$23,796,782	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$92,865,854	BOYAmt
EOY	$118,581,782	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,906,692	BOYAmt
EOY	$182,429,066	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$25,215,153	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,621,594	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,120,819	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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

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
Other Activities	$17,619	OtherActivitiesAmt
Total Lobbying Expenditures	$17,619	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	ST. MARY'S REGIONAL MEDICAL CENTER IS A MEMBER OF THE MAINE HOSPITAL ASSOCIATION AND A PORTION OF THE DUES PAID IN THE AMOUNT OF $17,619 WAS USED FOR LOBBYING.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,847,103	BeginningYearBalanceAmt
Contributions	$26,243,632	ContributionsAmt
Other Expenditures	$2,092,684	OtherExpendituresAmt
End Year Balance	$29,998,051	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,035,795	BeginningYearBalanceAmt
Contributions	$4,917,990	ContributionsAmt
Investment Earnings Or Losses	$389	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,107,071	OtherExpendituresAmt
End Year Balance	$5,847,103	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

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

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.79000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.21000	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	$950,446	OtherCostOrOtherBasisAmt
Book Value	$950,446	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,620,510	OtherCostOrOtherBasisAmt
Depreciation	$42,643,345	DepreciationAmt
Book Value	$43,977,165	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,045,631	OtherCostOrOtherBasisAmt
Depreciation	$445,054	DepreciationAmt
Book Value	$600,577	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,767,236	OtherCostOrOtherBasisAmt
Depreciation	$43,090,838	DepreciationAmt
Book Value	$10,676,398	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,563,050	OtherCostOrOtherBasisAmt
Depreciation	$2,256,295	DepreciationAmt
Book Value	$3,306,755	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$59,511,341	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
DUE TO AFFILIATES	$22,362,684
DONOR RESTRICTED FUNDS	$30,588,112
NOTES RECEIVABLE/INSURANCE	$21,382
LONG TERM INVESTMENTS	$29,642,288
INVESTMENT IN JOINT VENTURES	$2,679,762
FUNDS HELD BY TRUSTEE - DEBT SERVICE RESERVE	$5,465,931

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$90,760,159	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$13,025
DUE TO THIRD PARTIES	$98,669
DEFERRED FIXED ASSET EXP (FIN47)	$38,173

Field	Value	IRS element (for citing)
Total Liability	$149,867	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

CAPITAL IMPROVEMENTS,PATIENT CARE EQUIPMENT, EDUCATION, AND TO ASSIST PATIENTS AND COMMUNITY MEMBERS EXPERIENCING FINANCIAL HARDSHIPS

PART X, LINE 2:

COVENANT AND ITS MEMBER ORGANIZATIONS ARE CONSIDERED NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT AS NOTED BELOW. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD, ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE SYSTEM HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2017.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	COMMIT TO GET FIT	Event1Nm
Gross Receipts Event1	$98,530	GrossReceiptsEvent1Amt
Charitable Contri Event1	$13,960	CharitableContriEvent1Amt
Gross Revenue Event1	$84,570	GrossRevenueEvent1Amt
Cash Prizes Event1	$600	CashPrizesEvent1Amt
Non Cash Prizes Event1	$515	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$0	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$22	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$9,927	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$98,530	GrossReceiptsTotalAmt
Charitable Contributions Tot	$13,960	CharitableContributionsTotAmt
Gross Revenue Total Events	$84,570	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$600	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$515	NonCashPrizesTotalEventsAmt
Food And Beverage Total Events	$22	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$9,927	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$11,064	DirectExpenseSummaryEventsAmt
Net Income Summary	$73,506	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	0	FPGReferenceDiscountedCareInd
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	$3,752,545	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,752,545	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,117,373	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,018,237	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,869,918	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,018,237	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,752,545	NetCommunityBenefitExpnsAmt
Total Expense	0.01820	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	20	ActivitiesOrProgramsCnt
Persons Served	10111	PersonsServedCnt
Total Community Benefit Expns	$345,584	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,510	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$257,074	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	381	PersonsServedCnt
Total Community Benefit Expns	$1,059,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,059,106	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	60893	PersonsServedCnt
Total Community Benefit Expns	$390,136	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$390,136	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	71385	PersonsServedCnt
Total Community Benefit Expns	$1,794,826	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$88,510	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,706,316	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	40	ActivitiesOrProgramsCnt
Persons Served	71385	PersonsServedCnt
Total Community Benefit Expns	$36,664,744	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$35,106,747	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,458,861	NetCommunityBenefitExpnsAmt
Total Expense	0.02650	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Persons Served	6094	PersonsServedCnt
Total Community Benefit Expns	$150,261	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$88,261	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Persons Served	1226	PersonsServedCnt
Total Community Benefit Expns	$109,895	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$54,895	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$66,450	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$66,450	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Persons Served	425	PersonsServedCnt
Total Community Benefit Expns	$31,483	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,983	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	434	PersonsServedCnt
Total Community Benefit Expns	$16,009	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,009	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	8191	PersonsServedCnt
Total Community Benefit Expns	$374,098	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$121,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$252,598	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$10,826,873	BadDebtExpenseAmt
Reimbursed By Medicare	$35,952,890	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$47,098,286	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$11,145,396	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 UNITED AMBULANCE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	AMBULANCE SERVICE	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.00000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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 AVE	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

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	2	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	16	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	WWW.STMARYSMAINE.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.COVENANTHEALTH.NET	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	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
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	WWW.STMARYSMAINE.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.STMARYSMAINE.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.STMARYSMAINE.COM	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
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 (7 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 & PLANNING PROCESS.ABOUT THE COLLABORATIVETHE MAINE SHARED HEALTH NEEDS ASSESSMENT & PLANNING PROCESS (SHNAPP) WAS ESTABLISHED FROM A SERIES OF PLANNING EVENTS AND CONVERSATIONS AMONG HEALTHCARE AND PUBLIC HEALTH LEADERS IN RESPONSE TO EMERGING STATE AND FEDERAL MANDATES TO IMPROVE THE HEALTH OF MAINE COMMUNITIES. A MEMORANDUM OF UNDERSTANDING (MOU) WAS DEVELOPED AND SIGNED IN JUNE 2014 BY CEOS FROM CENTRAL MAINE HEALTHCARE, EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH, AND MAINEHEALTH IN ADDITION TO THE COMMISSIONER OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES. TANGIBLE PRODUCTS INCLUDE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) REPORTS CREATED FROM SECONDARY QUANTITATIVE DATA AND PRIMARY QUALITATIVE DATA ANALYSES, COMMUNITY ENGAGEMENT ACTIVITIES, AND HEALTH IMPROVEMENT PLANS.ABOUT THE SHARED COMMUNITY HEALTH NEEDS ASSESSMENTTHE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY MAINE SHNAPP MEMBERS. THE SERIES OF REPORTS PRODUCED AS A RESULT SUPPORT EFFORTS TO MAKE MAINE'S COMMUNITIES THE HEALTHIEST IN AMERICA. THE CHNA REPORT (SEE APPENDIX 1 FOR THE COMPLETE ANDROSCOGGIN COUNTY REPORT) PRESENTS BOTH QUANTITATIVE AND QUALITATIVE FINDINGS. THE QUANTITATIVE DATA CAME FROM 25 SOURCES (SURVEYS SUCH AS THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, THE MAINE INTEGRATED YOUTH HEALTH SURVEY; PATIENT CLAIMS DATA FROM THE MAINE HEALTH DATA ORGANIZATION; AND DISEASE REGISTRIES SUCH AS THE CANCER REGISTRY) FOR OVER 160 INDICATORS WITHIN 18 DOMAINS OR HEALTH CATEGORIES. THE QUALITATIVE DATA WAS GLEANED FROM AN ONLINE STAKEHOLDER SURVEY MEANT TO CAPTURE OPINIONS OF HEALTH PROFESSIONALS AND COMMUNITY STAKEHOLDERS ON THE HEALTH ISSUES AND NEEDS OF COMMUNITIES ACROSS THE STATE. THE DATA GATHERED FROM THESE SOURCES ALLOWED LOCAL HOSPITALS TO IDENTIFY THE TOP HEALTH ISSUES OR PRIORITIES FOR THEIR COUNTY AND LOCAL COMMUNITIES.COMMUNITY INPUTCOMMUNITY ENGAGEMENT USING SHARED CHNA REPORTS FOR LOCAL AND REGIONAL PLANNING IS A CRITICAL PART OF THE NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLANNING PROCESS. THE PROCESS, CO-LED BY MAINE CDC DISTRICT LIAISONS AND REPRESENTATIVES FROM MAINE SHNAPP NOT-FOR-PROFIT HOSPITALS, ACHIEVED THE FOLLOWING:O ENSURED BROAD INTERESTS OF THE LOCAL COMMUNITY WERE REPRESENTED;O OBTAINED STAKEHOLDER INPUT ON IDENTIFYING SIGNIFICANT HEALTH NEEDS BASED ON REVIEW OF DATA;O SOLICITED STAKEHOLDER FEEDBACK ON PRIORITIZING SIGNIFICANT HEALTH NEEDS; ANDO IDENTIFIED LOCAL ASSETS AND RESOURCES THAT COULD ADDRESS LOCAL HEALTH PRIORITIES.PREPARING FOR COMMUNITY ENGAGEMENTSEPTEMBER 2014-SEPTEMBER 2015THE SHNAPP COMMUNITY ENGAGEMENT PLANNING PROCESS INCLUDED THE DISTRICT LIAISON FROM THE MAINE CDC AND REPRESENTATIVES FROM PARTICIPATING MAINE SHNAPP HOSPITALS IN THE REGION (ST. MARY'S REGIONAL MEDICAL CENTER AND CENTRAL MAINE MEDICAL CENTER IN LEWISTON.) IT WAS DECIDED THAT THE EXISTING COMMUNITY HEALTH STAKEHOLDER COALITION WOULD BE THE LOCAL GROUP TO COORDINATE COMMUNITY ENGAGEMENT SESSIONS IN ANDROSCOGGIN COUNTY.IN 2012, REPRESENTATIVES FROM THE TWO LOCAL HOSPITAL SYSTEMS CAME TOGETHER TO ESTABLISH THE COMMUNITY HEALTH STAKEHOLDER COALITION, A GROUP OF COMMUNITY HEALTH AGENCIES, THE PUBLIC HEALTH SECTOR 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-DEVELOPING STRATEGIES TO ADDRESS PRIORITIZED NEEDS-SHARING RELEVANT RESOURCES THROUGH NETWORKINGADDITIONALLY THE STAKEHOLDER GROUP CONTINUES TO ASSESS METHODS TO INCREASE THE COMMUNITIES' KNOWLEDGE OF, AND ACCESS TO, RESOURCES IN OUR AREA SUCH AS 2-1-1 MAINE AND TO EXPLORE OPTIONS FOR DIRECT REFERRAL TO RESOURCES FROM WITHIN THE HEALTHCARE SYSTEMS. OBTAINING LOCAL COMMUNITY ENGAGEMENT INPUTOCTOBER 2015-MARCH 2016IN ORDER TO OBTAIN LOCAL COMMUNITY INPUT, THE COMMUNITY HEALTH STAKEHOLDER COALITION REVIEWED THE DATA IN THE ANDROSCOGGIN COUNTY SHNAPP CHNA REPORT AND THEN DEVELOPED AN APPROACH TO COMMUNITY ENGAGEMENT TO MAXIMIZE PARTICIPATION OF A CROSS SECTION OF THE COMMUNITYTHE COMMUNITY HEALTH STAKEHOLDER COALITION COORDINATED TWO COMMUNITY FORUMS HELD IN MARCH 2016 AND 13 OTHER GROUP PRESENTATION/KEY INFORMANT INTERVIEWS WITH EXISTING COMMUNITY GROUPS (SEE APPENDIX 2-COMMUNITY ENGAGEMENT)THE OBJECTIVES OF THE FORUM INCLUDED:O PROVIDE AWARENESS AMONG COMMUNITY STAKEHOLDERS OF THE DATA/RESULTS FROM THE MAINE SHNAPP OR SUBSEQUENT RESEARCH BUILT ON THAT RESOURCE;O INVITE LOCAL INPUT ON WHAT THE DATA MEANS TO EACH LOCAL COMMUNITY/REGION; O SOLICIT LOCAL INPUT ON WHAT ISSUES SHOULD BE PRIORITIZED LOCALLY; O SOLICIT LOCAL IDEAS ON EXISTING RESOURCES, ASSETS, OR NEW INITIATIVES THAT SHOULD BE ALIGNED/DEVELOPED TO ADDRESS THE PRIORITIZED ISSUES; ANDO CAPTURE AND SHARE INPUT FROM THE FORUM USING THE MODEL LOCAL SHNAPP COMMITTEE REPORTING FORM.THE COALITION ALSO DECIDED TO APPROACH EXISTING COMMUNITY GROUPS SUCH AS THE CHAMBER OF COMMERCE AND SENIORS PLUS AND INDIVIDUAL COMMUNITY MEMBERS TO OFFER GROUP PRESENTATIONS, KEY INFORMANT INTERVIEWS AND EVEN WRITTEN SURVEYS OFFERING THE ABOVE ELEMENTS. IN ALL, 520 PEOPLE PARTICIPATED IN EITHER THE COMMUNITY FORUMS, GROUP PRESENTATIONS, INTERVIEWS AND WRITTEN SURVEYS IN ANDROSCOGGIN COUNTY. THE SECTORS REPRESENTED INCLUDED: PUBLIC HEALTH, MEDICALLY UNDERSERVED, COMMUNITY HEALTH COALITION, NON-PROFIT AGENCIES, LOW INCOME, RACIAL/ETHNIC MINORITIES, BUSINESS AND EDUCATION. THE CONVERSATIONS LARGELY INFORMED BOTH THE IMPLEMENTATION STRATEGIES AND STRATEGIC PLANS FOR THE HOSPITALS. SUMMARIES AND/OR NOTES FROM ALL OF THE FORUMS ARE AVAILABLE AT: HTTPS://WWW.MAINEGENERAL.ORG/PAGES/MAINE-PUBLIC-HEALTH-DISTRICTS.ASPZ
ST. MARY'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6A: CENTRAL MAINE MEDICAL CENTER IN LEWISTON, MAINE
ST. MARY'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 6B: THE SHARED COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY MAINE SHNAPP MEMBERS. THE MAINE SHARED HEALTH NEEDS ASSESSMENT & PLANNING PROCESS (SHNAPP) WAS ESTABLISHED FROM A SERIES OF PLANNING EVENTS AND CONVERSATIONS AMONG HEALTHCARE AND PUBLIC HEALTH LEADERS IN RESPONSE TO EMERGING STATE AND FEDERAL MANDATES TO IMPROVE THE HEALTH OF MAINE COMMUNITIES. A MEMORANDUM OF UNDERSTANDING (MOU) WAS DEVELOPED AND SIGNED IN JUNE 2014 BY CEOS FROM CENTRAL MAINE HEALTHCARE, EASTERN MAINE HEALTHCARE SYSTEMS, MAINEGENERAL HEALTH, AND MAINEHEALTH IN ADDITION TO THE COMMISSIONER OF MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES. FOR THE MOST RECENT CHNA, COALITION MEMBERS INCLUDED: JAMIE PAUL, WESTERN MAINE DISTRICT COORDINATING COUNCIL OF THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION, CYNTHIA RICE, DIRECTOR OF COMMUNITY HEALTH, WELLNESS AND CARDIOPULMONARY REHAB, CENTRAL MAINE MEDICAL CENTER, ELIZABETH KEENE, VP OF MISSION INTEGRATION, ST. MARY'S HEALTH SYSTEM, ERIN GUAY, EXECUTIVE DIRECTOR, HEALTHY ANDROSCOGGIN, CATHERINE RYDER, EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH SERVICES, GINNY ANDREWS, NUTRITION SERVICES PROGRAM MANAGER, WESTERN MAINE COMMUNITY ACTION, STEVE JOHNDRO, EXECUTIVE DIRECTOR, WESTERN MAINE COMMUNITY ACTION, BRENDA CZADO, DIRECTOR HOME CARE, ANDROSCOGGIN HOME CARE AND HOSPICE, REBECCA AUSTIN, DIRECTOR OF OUTREACH SERVICES, SAFE VOICES, SAM BOSS, HARWOOD CENTER AT BATES COLLEGE, JOAN CHURCHILL, EXECUTIVE DIRECTOR, COMMUNITY CLINICAL SERVICES, SHAWN YARDLEY, EXECUTIVE DIRECTOR, COMMUNITY CONCEPTS, LARRY MARCOUX, UNITED WAY AND QUINN GORMLEY, HEALTH EQUITY ALLIANCE. THESE MEMBERS REPRESENTED COMMUNITY HEALTH, PUBLIC HEALTH, HOSPITALS, MINORITY POPULATIONS, LOCAL COLLEGES, COMMUNITY ACTION AGENCIES AND THE LOCAL FEDERALLY QUALIFIED HEALTH CENTER (FQHC.)
ST. MARY'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 11: IN A CULTURE OF HEALTH, IT IS IMPORTANT TO KNOW THE ELEMENTS THAT AFFECT HEALTH, INCLUDING HEALTH BEHAVIORS, CLINICAL CARE, SOCIOECONOMIC FACTORS AND THE PHYSICAL ENVIRONMENT. MAINE HAS SEVERAL SOCIO-DEMOGRAPHIC CHARACTERISTICS THAT MAY IMPACT THE HEALTH INDICATORS IN ANDROSCOGGIN COUNTY. FOR EXAMPLE, ANDROSCOGGIN COUNTY HAS THE OLDEST POPULATION IN THE STATE (AND MAINE HAS THE OLDEST POPULATION IN THE U.S.) WHILE BEING OLDER DOES NOT NECESSARILY EQUATE TO POOR HEALTH, THE REALITY IS THAT AGING POPULATIONS USE MORE HEALTH SERVICES THAN YOUNGER POPULATIONS.MAINE HAS A LOWER MEDIAN INCOME THAN THE U.S. AND ANDROSCOGGIN COUNTY'S MEDIAN HOUSEHOLD INCOME IS EVEN LOWER THAN THE STATE'S RATE. ANDROSCOGGIN COUNTY HAS A HIGHER THAN STATE AVERAGE RATE OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE AND A LOWER HIGH SCHOOL GRADUATION RATE. AS THE SHNAPP CHNA REPORT NOTES, STAKEHOLDERS SELECTED THE FOLLOWING FIVE FACTORS AS THE GREATEST PROBLEMS LEADING TO POOR HEALTH OUTCOMES IN ANDROSCOGGIN COUNTY: POVERTY, TRANSPORTATION, ACCESS TO BEHAVIORAL HEALTH, HOUSING STABILITY AND ADVERSE CHILDHOOD EXPERIENCES.THESE ARE THE IDENTIFIED HEALTH ISSUES FOR ANDROSCOGGIN COUNTY IN THIS 2016 CHNA BASED ON DATA AND COMMUNITY INPUT:" ACCESS TO HEALTH CARE AND PRIMARY CARE" CHRONIC DISEASE" ENVIRONMENTAL HEALTH" INFECTIOUS DISEASE/SEXUALLY TRANSMITTED DISEASE" INJURIES" MENTAL HEALTH" PHYSICAL ACTIVITY, NUTRITION AND OBESITY" PREGNANCY AND BIRTH OUTCOMES" SUBSTANCE AND ALCOHOL USE" TOBACCO USEPRIORITIZING IDENTIFIED HEALTH NEEDSNEXT THE COMMUNITY HEALTH STAKEHOLDER COALITION COMPLETED A CROSSWALK OF IDENTIFIED COMMUNITY HEALTH NEEDS AND NOTED THE MOST COMMONLY SHARED NEEDS. THE RESULTS WERE THEN PRIORITIZED USING THE RECOMMENDED GUIDELINES IN THE CATHOLIC HEALTH ASSOCIATION OF AMERICA'S ASSESSING AND ADDRESSING COMMUNITY HEALTH NEEDS (TO RANK HEALTH NEEDS AND ASSIGN WEIGHT TO CRITERIA OF IMPORTANCE.) EACH HEALTH ISSUE WAS EVALUATED BY RATING AND WEIGHT FOR THE FOLLOWING FIVE CRITERIA:-HOW MANY PEOPLE ARE AFFECTED BY THE PROBLEM?-WHAT ARE THE CONSEQUENCES OF NOT ADDRESSING THIS PROBLEM?-ARE EXISTING PROGRAMS ADDRESSING THIS ISSUE?-HOW IMPORTANT IS THIS PROBLEM TO COMMUNITY MEMBERS?-HOW DOES THIS PROBLEM AFFECT VULNERABLE POPULATIONS?THE SEVEN PRIORITY AREAS THAT EMERGED ARE:O ACCESS TO HEALTH CAREO CHRONIC DISEASEO ENVIRONMENTAL HEALTH: LEAD POISONINGO MENTAL HEALTHO PHYSICAL ACTIVITY, NUTRITION AND OBESITYO SUBSTANCE AND ALCOHOL USEO TOBACCO USEOUR GOALS FOR 2017 WERE TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS BY PROVIDING PROGRAMS AND SERVICES RELATED TO THESE NEEDS, CARING FOR THE POOR AND VULNERABLE IN ANDROSCOGGIN COUNTY, PROVIDING EDUCATION TO COMMUNITY GROUPS AND HEALTH CARE PROFESSIONALS, AND FACILITATING COMMUNITY PARTNERSHIPS TO DEEPEN THE IMPACT OF OUR EFFORTS.IN 2017, ST. MARY'S PROVIDED MANY COMMUNITY HEALTH IMPROVEMENT SERVICES TO ADDRESS THE PUBLIC HEALTH NEEDS IDENTIFIED IN ANDROSCOGGIN COUNTY IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT. THE MOST SIGNIFICANT PUBLIC HEALTH ISSUES CONTINUE TO BE CHRONIC DISEASES, MENTAL HEALTH, SUBSTANCE USE, OBESITY AND TOBACCO USE. COMMUNITY HEALTH IMPROVEMENT SERVICES FOCUSED ON CHRONIC DISEASES AND SUBSTANCE USE. THEY INCLUDED HEALTH SCREENINGS FOR SKIN CANCER, LUNG CANCER, AND BREAST CANCER, AS WELL AS SELF-HELP PROGRAMS FOR SMOKING CESSATION AND WEIGHT LOSS. ST. MARY'S ALSO FOCUSED ON ACCESS TO CARE FOR UNDERSERVED POPULATIONS. ST. MARY'S OFFERED COMMUNITY EDUCATION TO ADDRESS THE PRIORITIZED HEALTH NEEDS IN ANDROSCOGGIN COUNTY. ST. MARY'S ALSO HOSTED AND/OR FACILITATED COMMUNITY SUPPORT GROUPS FOR HEALTH SERVICES AS WELL AS EXERCISE PROGRAMS TARGETED FOR WELLNESS AND PREVENTION. GIVEN THE FACT THAT MAINE HAS ONE OF THE HIGHEST CANCER INCIDENCE RATES IN THE COUNTRY, ST. MARY'S FOCUSED ON CANCER PREVENTION: LUNG SCREENINGS WERE HELD TO DETECT CANCER IN HIGH RISK PATIENTS; SPECIAL SATURDAY HOURS WERE HELD TO OFFER COLONOSCOPIES, ALONG WITH MAMMOGRAMS. ST. MARY'S BECAME A TOTALLY SMOKE FREE CAMPUS TO HIGHLIGHT THE SIGNIFICANCE OF TOBACCO USE ON HEALTH IN NOVEMBER 2017. MAINE IS IN THE MIDST OF AN OPIATE CRISIS. IN 2016, 378 PEOPLE DIED FROM OPIATE OVERDOSES. ST. MARY'S IS A PARTNER IN A MAJOR COMMUNITY GRANT FOR THE COMMUNITY IN RECOVERY PROGRAM. ITS GOAL IS TO CREATE A COMMUNITY RESPONSE AND SAFE PATHWAY TO RECOVERY THAT PROVIDES FULL ACCESS, REDUCES STIGMA AND ENCOURAGES THE POSSIBILITY OF SUCCESSFUL OVERALL WELL-BEING AND PARTICIPATION. MOST OF 2017 WAS SPENT PLANNING THE PROGRAM, INCLUDING ACCESS TO MEDICATION ASSISTED THERAPY. TO DO SO, A FREE TRAINING WILL BE HELD FOR LOCAL PROVIDERS SO THEY CAN BE CERTIFIED TO PROVIDE THE MEDICATION. (ST. MARY'S HOSTED THE FREE TRAINING FOR LOCAL PROVIDERS IN THE FIRST QUARTER OF 2018.) OTHER ASPECTS OF THE COMMUNITY RESPONSE BEING PLANNED ARE A PEER RECOVERY COMMUNITY PROGRAM AND A COMMUNITY RESOURCE GUIDE. THE HIV/AIDS CASE MANAGEMENT PROGRAM STARTED IN 1998 WHEN ST. MARY'S WAS AWARDED THE RYAN WHITE GRANT/CONTRACT UNDER THE MAINE CDC AND IS NOW THE SECOND LARGEST AIDS SERVICE ORGANIZATION IN THE STATE OF MAINE. THE PROGRAM SERVES 95 CLIENTS BETWEEN PORTLAND AND ELLSWORTH, MAINE. SERVICES PROVIDED INCLUDE: MEDICAL, DENTAL AND EYE CARE LINKAGES; ONGOING MONITORING OF CLIENT HEALTH STATUS INCLUDING TREATMENT AND CARE, LAB RESULTS AND HELPING TO ENSURE ONGOING TREATMENT ADHERENCE ON ALL LEVELS; ACCESS TO VITAL MEDICATIONS, LINKAGES TO HEALTH CARE, SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES; AND ACCESS TO FOOD AND FINANCIAL ASSISTANCE AS WELL AS HOUSING AND TRANSPORTATION ASSISTANCE. THE PROGRAM ALSO OFFERS CLIENT SUPPORT GROUPS, HOLIDAY LUNCHEONS AND MUCH NEEDED PERSONAL CARE SUPPLIES. FOR THE PAST 10 YEARS, ST. MARY'S NUTRITION CENTER HAS HOSTED AN ADULT COOKING CLASS ON THE LAST TUESDAY EVENING OF EVERY MONTH, AND IN 2017, WE ADDED A NEW TWIST. EACH MONTH, A GUEST COOK IS INVITED TO LEAD THE GROUP IN PREPARING A DISH FROM THEIR NATIVE LAND FOR "EAT THE WORLD." IN ADDITION TO THE MONTHLY CLASS AT THE NUTRITION CENTER, WE CONTINUE TO COLLABORATE ON A MONTHLY PROGRAM AT THE CENTER FOR WISDOM'S WOMEN AND WITH RESIDENTS OF D'YOUVILLE PAVILION. WE ALSO HOLD BI-MONTHLY CLASSES WITH PARTICIPANTS FROM CREATIVE WORK SYSTEMS, PERSONAL ONSITE DEVELOPMENT, ALTERNATIVE SERVICES, AND TRI-COUNTY MENTAL HEALTH. ST. MARY'S HEALTH SYSTEM SUCCESSFULLY COMPLETED ITS 4TH ANNUAL COMMIT TO GET FIT CHALLENGE ON SATURDAY, MAY 6, 2017. THROUGH GENEROUS COMMUNITY SPONSORS AND EVENT REGISTRATIONS OUR COMMIT TO GET FIT CHALLENGE GENERATED OVER $25,000 FOR OUR ST. MARGUERITE D'YOUVILLE FUND FOR THE NEEDY. OUR EVENT SAW WALKERS AND RUNNERS OF ALL LEVELS; FOR SOME OUR RACE WOULD SET "FIRST RACE OF THE SEASON" TIME, FOR OTHERS THIS WAS THEIR FIRST 5K. HELPING PREPARE FUTURE HEALTH CARE PROFESSIONALS IS AN IMPORTANT ASPECT OF NOT-FOR-PROFIT HEALTH CARE. ST. MARY'S IS PROUD TO SERVE AS A CLINICAL SETTING FOR UNDERGRADUATE TRAINING AND INTERNSHIPS FOR MANY HEALTH CARE DISCIPLINES. THE TIME EMPLOYEES SPEND MENTORING THESE STUDENTS IS INCLUDED IN THIS CATEGORY. TUFTS MEDICAL SCHOOL: THE THIRD YEAR OF MEDICAL SCHOOL TYPICALLY REQUIRES STUDENTS TO COMPLETE SIX 6-8 WEEK ROTATION BLOCKS IN SPECIALTIES LIKE FAMILY MEDICINE, SURGERY, OB/GYN, PEDIATRICS, INTERNAL MEDICINE, AND PSYCHIATRY. THE TUFTS UNIVERSITY SCHOOL OF MEDICINE - MAINE MEDICAL CENTER PROGRAM ALLOWS STUDENTS TO COMPLETE A LONGITUDINAL PROGRAM OVER A PERIOD OF NINE MONTHS AT MORE RURAL HOSPITALS, LIKE ST. MARY'S REGIONAL MEDICAL CENTER IN LEWISTON. MEMBERS OF ST. MARY'S LEADERSHIP SERVE ON MANY COMMUNITY HEALTH-RELATED BOARDS SUCH AS THE UNITED WAY, THE LOCAL HOSPICE AND HEALTHY ANDROSCOGGIN, THE LOCAL PUBLIC HEALTH ORGANIZATION. ST. MARY'S IS ALSO GENEROUS IN OFFERING HOSPITALITY FOR LOCAL COMMUNITY GROUPS BY PROVIDING MEETING ROOMS AT NO CHARGE FOR OTHER NOT-FOR-PROFIT ORGANIZATIONS. THE PERINATAL SUBSTANCE USE SUPPORT GROUP WAS ESTABLISHED HERE AT ST. MARY'S REGIONAL MEDICAL CENTER, A TOTAL OF 37 WOMEN HAVE ATTENDED THE PROGRAM AT VARIOUS STAGES OF THEIR PREGNANCY AND POSTPARTUM EXPERIENCE. ST. MARY'S STAFF SERVES ON THE STEERING COMMITTEE FOR SOPHIA'S HOUSE, A NEW PROGRAM OF THE CENTER FOR WISDOM'S WOMEN (CWW). IT IS MODELED AFTER THE MAGDALENE COMMUNITY AT THISTLE FARMS IN NASHVILLE, TN. THIS WAS A RECORD YEAR FOR ST. MARY'S FOOD PANTRY. WE PROVIDED OVER 21,000 BOXES OF FOOD FOR 60,817 PEOPLE IN 2017. THIS FIGURE IS DOUBLE THE AMOUNT SERVED IN 2016 AND A 378% INCREASE FROM 2014. WE PROVIDED OVER 446,000 POUNDS OF FRESH PRODUCE (A 197% INCREASE FROM 2016.) MAINE SAW A 24% DROP IN PEOPLE RECEIVING SNAP (FOOD STAMPS) FROM FY 2013 TO FY 2016 DUE TO POLICY CHANGES THAT REMOVED PEOPLE WHO PREVIOUSLY QUALIFIED, AND REDUCED THE BENEFIT LEVELS OF THOSE STILL RECEIVING SNAP. AS A RESULT, PEOPLE ARE LIKELY RELYING MORE HEAVILY ON FOOD FROM FOOD PANTRIES.
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:	WWW.STMARYSMAINE.COM/COMMUNITY-HEALTH/IMPLEMENTATION-STRATEGY-2016-2018

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 AVE	AddressLine1Txt
City	LEWISTON	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04240	ZIPCd

Field	Value	IRS element (for citing)
Facility	NURSING HOME	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LN 7 COL(F):	WE HAVE ESTIMATED THAT 2% OF OUR BAD DEBT MAY POTENTIALLY BE FREE CARE ACCOUNTS HOWEVER THIS HAS NOT BEEN INCLUDED IN PART I OR PART II.
PART II, COMMUNITY BUILDING ACTIVITIES:	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 ECONOMIC DEVELOPMENT AND COALITION BUILDING TO ADDRESS THESE ISSUES. POVERTY AND POOR NUTRITION ARE SIGNIFICANT PUBLIC HEALTH ISSUES IN THE AREA WE SERVE. ST. MARY'S SUBSIDIZES THE NUTRITION CENTER TO ADDRESS THESE NEEDS. THIS INCLUDES OUR FARMERS' MARKETS, COMMUNITY GARDENS, AND COOKING CLASSES. THE GOOD FOOD BUS AND MAINE HARVEST BUCKSST. MARY'S NUTRITION CENTER MADE SEVERAL EXCITING CHANGES FOR THE GOOD FOOD BUS (MOBILE FARMER'S MARKET) THAT TRANSLATED INTO POSITIVE GROWTH AND SUCCESS ON THE GROUND IN 2017. MOST NOTABLE WERE IMPROVEMENTS TO THE MOBILE MARKET SET-UP, STAFF STRUCTURE AND SCHEDULE. EXCHANGING THE 30 FOOT SCHOOL BUS FOR A TRUCK AND TRAILER, HIRING A COORDINATOR AND ASSISTANT COORDINATOR, AND INCLUDING MORE STOPS ALLOWED US TO BRING MORE GOOD FOOD TO MORE PEOPLE AND MORE EASILY. COMMUNITY GARDENS AND YOUTH PROGRAMS.IN EACH OF THE NUTRITION CENTER'S COMMUNITY GARDENS, AMONG THE DOZENS OF BEDS AND HUNDREDS OF PLANTS CRANING THEIR NECKS FOR THE SUN AND BURYING THEIR FEET TO FIND WATER, THERE ARE COUNTLESS STORIES BEING CULTIVATED RIGHT ALONGSIDE ONE ANOTHER. SOMETIMES THESE STORIES CAN BE DIFFICULT TO FIND. LIKE THE FIRST RIPE TOMATO OF THE SEASON HIDING BENEATH THE COVER OF HUNDREDS OF LEAVES, YOU HAVE TO GO SEARCHING. OTHERS STAND OUT TALL AND PROUD LIKE THE MAMMOTH SUNFLOWER IN AUGUST. SUCH IS THE STORY OF CHARLES, A LONG-TIME COMMUNITY GARDENER. CHARLES, LIKE MORE THAN HALF OF OUR GARDENERS, RETURNED FOR ANOTHER SEASON OF GARDENING. AS IN THE SEASON BEFORE, HIS GROWTH DID NOT STOP AT THE EDGES OF THE GARDEN, BUT WOUND ITS WAY OUT INTO THE WORLD AND INTO HIS EVERYDAY LIFE. WE ARE GRATEFUL THAT CHARLES HAS BEEN BOTH UNABASHED IN SHARING HIS GROWTH AND STRUGGLE, AND CONSISTENT IN REMINDING US OF THE SUSTAINING ROLE THE GARDENS PLAY IN PEOPLES' LIVES. CHARLES TELLS US THAT THE GARDEN GIVES HIM NOT ONLY GOOD FOOD TO EAT, BUT AN OUTLET AND SOMETHING BEAUTIFUL. A RECOVERING ADDICT, CLEAN FOR MORE THAN 5 YEARS, HE SAYS THE GARDEN IS HIS NEW "POSITIVE ADDICTION." "WHAT THE ST. MARY'S NUTRITION CENTER PROVIDES OVERALL HELPS IN MANY, MANY WAYS AND THIS COMMUNITY NEEDS THAT". WE PROVIDED NEARLY 130 GARDENERS WITH SPACE, SEEDLINGS AND TECHNICAL ASSISTANCE FOR THEIR GARDENING PLOT. THIS SEASON THE NUTRITION CENTER WORKED ALONGSIDE ORGANIZATIONS, BUSINESSES AND RESIDENTS FROM BOTH LEWISTON AND AUBURN TO SUPPORT THE CREATION OF THREE MORE NEIGHBORHOOD-CENTERED GARDENS. AS PART OF ITS CONTINUING LEADERSHIP ROLE IN THE AUBURN COMMUNITY GARDEN INITIATIVE (ACGI) COORDINATING TEAM, THE NUTRITION CENTER COLLABORATED WITH OTHER ACGI MEMBERS INCLUDING THE CITY OF AUBURN, ANDROSCOGGIN LAND TRUST (ALT), THE UNIVERSITY OF MAINE COOPERATIVE EXTENSION AND CITY RESIDENTS TO SECURE A FORMER HOUSE LOT AT 88 NEWBURY STREET FOR A SECOND COMMUNITY GARDEN IN AUBURN. MEMBERS OF THE ACGI KNOCKED ON NEIGHBORHOOD DOORS TO GATHER FEEDBACK AND MET WITH CITY OFFICIALS TO BETTER UNDERSTAND THE HISTORY OF THE SITE AS WELL AS ITS FUTURE AS PART OF THE REVITALIZATION OF THE CITY'S DOWNTOWN. A GROUNDBREAKING AND INFORMATION GATHERING SESSION WAS HELD ON OCTOBER 24TH OF 2017. THE ACGI WILL SPEND THE WINTER PLANNING AND CONTINUING TO COLLECT INPUT FROM COMMUNITY MEMBERS. OUR YOUTH PROGRAM (YOUTH CAMPAIGN CREW) NOT ONLY TEACHES YOUTH ABOUT GARDENING; IT PROVIDES FORMATION FOR PERSONAL AND LEADERSHIP DEVELOPMENT AS WELL. NUTRITION CENTER PROGRAMMING WITH KIDS CONTINUES TO EXPAND. THIS SEASON NUTRITION CENTER STAFF GARDENED AND COOKED WITH OVER 2000 KIDS IN 60+ CLASSROOMS AND AFTERSCHOOL SITES, AND PLANS TO INCREASE THAT NUMBER IN 2018. STAFF CONTINUED TO WORK WITH STUDENTS AND TEACHERS AT LONGLEY, MONTELLO, AND MCMAHON ELEMENTARY SCHOOLS THROUGH CLASSROOM-BASED LESSONS, AFTER SCHOOL COOKING AND GARDENING CLUBS, AND SUMMER SCHOOL PROGRAMMING. THIS FALL WE CULTIVATED AN ADDITIONAL PARTNERSHIP WITH MARTEL ELEMENTARY SCHOOL. WE ALSO WORKED THIS YEAR TO HELP MORE TEACHERS AND ADULTS WORK WITH KIDS IN GARDENS. THIS YEAR WE ENGAGED 43 AREA TEACHERS AND GARDEN EDUCATORS IN FARM TO SCHOOL TRAINING OPPORTUNITIES OFFERED BY NC STAFF AND OTHER STATE-WIDE ORGANIZATIONS SUCH AS THE 5-DAY MAINE AGRICULTURE IN THE CLASSROOM SUMMER TEACHERS INSTITUTE AND MAINE SCHOOL GARDEN DAY.
PART III, LINE 2:	THIS AMOUNT REPRESENTS ACCOUNTS SENT TO THE COLLECTION AGENCY MINUS PAYMENTS THAT HAVE BEEN COLLECTED PLUS A FACTOR ESTIMATING THE SELF-PAY AMOUNTS IN ACCOUNTS RECEIVABLE THAT WILL BE UNCOLLECTIBLE.
PART III, LINE 3:	FOOTNOTE 3, PAGE 17 OF THE AUDITED FINANCIAL STATEMENTS: FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS AN ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 4:	FOOTNOTE 3, PAGE 18 OF THE AUDITED FINANCIAL STATEMENTS:FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THE SYSTEM RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER THE REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	NONE WERE REPORTED BUT IT IS IMPORTANT TO NOTE THAT APPROXIMATELY 30% OF MEDICARE PATIENTS ALSO QUALIFY FOR MEDICAID. COSTING ON LINE 6 IS BASED ON RATIO OF COST TO CHARGE FROM WORKSHEET 2.
PART III, LINE 9B:	ST. MARY'S REGIONAL MEDICAL CENTER WILL MAKE A REASONABLE EFFORT TO DETERMINE WHETHER AN INDIVIDUAL QUALIFIES FOR FINANCIAL ASSISTANCE PRIOR TO INITIATING ANY COLLECTION ACTIVITY.
PART VI, LINE 2:	IN ADDITION TO THE OFFICIAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORTED IN PART V, SECTION B, ST. MARY'S ASSESSES THE NEEDS OF OUR COMMUNITY IN AN ON-GOING BASIS THROUGH SEVERAL KEY METHODS. LEADERS ARE ACTIVE ON COMMUNITY HEALTH BOARDS INCLUDING LEWISTON-AUBURN PUBLIC HEALTH, HEALTHY ANDROSCOGGIN AND THE COMMUNITY HEALTH STAKEHOLDER GROUP; THESE MONTHLY MEETINGS ALLOW FOR CONTINUED ASSESSMENT AND SHARING OF INFORMATION. PATIENT OR RESIDENT ADVISORY PANELS ALSO HELP US ASSESS NEEDS OF PATIENTS AND THE COMMUNITY. WE ALSO WORK CLOSELY WITH COMMUNITY CLINICAL SERVICES (AN FQHC LOOK-ALIKE) TO SHARE INFORMATION ABOUT SOME OF THE HEALTH DISPARITIES EXPERIENCED BY COMMUNITY MEMBERS. ST. MARY'S WORKS WITH THE LOCAL ETHNIC COMMUNITY BASED ORGANIZATIONS FOR INFORMATION AS WELL. 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.
PART VI, LINE 4:	ST. MARY'S REGIONAL MEDICAL CENTER (SMRMC) DRAWS MOST OF ITS INPATIENT AND OUTPATIENT POPULATION FROM ANDROSCOGGIN COUNTY, THEREFORE THE NEEDS OF THIS GEOGRAPHIC AREA ARE THE FOCUS OF THE DESCRIPTION. ANDROSCOGGIN COUNTY IS A COUNTY LOCATED IN SOUTH CENTRAL MAINE. IT CONTAINS ROUGHLY 8% OF MAINE'S 1.27 MILLION RESIDENTS. ANDROSCOGGIN COUNTY CONTAINS MAINE'S SECOND AND FIFTH LARGEST CITIES: LEWISTON (POPULATION 36,136 IN THE 2016 CENSUS ESTIMATE) AND AUBURN (POPULATION 22,969 IN THE 2016 CENSUS ESTIMATE) RESPECTIVELY. LOCATED ACROSS FROM EACH OTHER ON THE ANDROSCOGGIN RIVER, THE TWIN CITIES OF LEWISTON AND AUBURN ARE THE CENTRAL HUB OF THE REGION. THE COUNTY IS WORKING TO TRANSFORM THE DOWNTOWN AREA FROM VACANT TEXTILE MILLS AND ABANDONED SHOE FACTORIES TO A REGION KNOWN FOR PROGRESSIVE HEALTH CARE, TOURISM, HIGH-PRECISION MANUFACTURING, TELEMARKETING AND FINANCIAL SERVICES. LEWISTON AND AUBURN ARE ALSO HOME TO A LARGE FRANCO-AMERICAN POPULATION AS WELL AS AN INCREASING NUMBER OF CENTRAL AND EAST AFRICAN IMMIGRANTS. THE REST OF THE COUNTY IS COMPRISED OF SMALL RURAL TOWNS WITH AN AVERAGE POPULATION OF 222 PERSONS PER SQUARE MILE.FROM THE JULY 1, 2017 CENSUS ESTIMATE DATA, THE POPULATION OF ANDROSCOGGIN COUNTY IS 107,651, WITH AN ESTIMATED POVERTY RATE OF 12.7% AND MEDIAN INCOME OF $48,728 ANNUALLY. LEWISTON'S 2017 ESTIMATED POVERTY RATE IS EVEN HIGHER-22% AND THE RATE OF CHILDHOOD POVERTY IN LEWISTON IS 43% (ACCORDING TO THE 2013 MAINE KIDS COUNT SURVEY). THE COUNTY IS PRIMARILY WHITE (92%) WITH BLACK/AFRICAN AMERICAN AT (4.2%) AND TWO OR MORE RACES AT 2.3%. WITH THE CONCENTRATION OF CENTRAL AND EASTERN AFRICAN IMMIGRANTS IN LEWISTON, THE CITY HAS A MORE SIGNIFICANT BLACK POPULATION (4.3%) AND TWO OR MORE RACES AT 6.1%. ANDROSCOGGIN COUNTY'S POPULATION REFLECTS TWO INTERESTING TRENDS: THE GREATEST NUMBER OF PEOPLE IS IN THE "UNDER 18 YEARS" CATEGORY (19.8%) AND THE SECOND HIGHEST CONCENTRATION OF THE POPULATION IS OVER AGE 65 (17%.) THE 2016 UNEMPLOYMENT RATE WAS 3.8%. SLIGHTLY OVER 10% OF THE PRIMARY LANGUAGES SPOKEN IN THE HOME IS CATEGORIZED "OTHER THAN ENGLISH" SO THERE ARE A MULTITUDE OF INTERPRETATION SERVICES AVAILABLE, AS WELL AS CULTURAL BROKERS HIRED BY THE LOCAL HOSPITALS TO ASSIST NEW MAINERS IN NAVIGATING THE HEALTH SYSTEMS. LEWISTON/AUBURN QUALIFIES AS A MEDICALLY UNDERSERVED AREA DEFINED AS HAVING TOO FEW PRIMARY CARE PROVIDERS, WITH HIGH INFANT MORTALITY, HIGH POVERTY RATES AND/OR HIGH ELDERLY POPULATIONS. ADDITIONALLY THE COMMUNITY NEEDS INDEX (CNI) IDENTIFIES THE SEVERITY OF COMMUNITY HEALTH NEEDS FOR A SPECIFIC GEOGRAPHY BY ANALYZING THE DEGREE TO WHICH THE FOLLOWING HEALTH CARE ACCESS BARRIERS EXIST IN THE COMMUNITY: A. INCOME BARRIERS; B. EDUCATION/LITERACY BARRIERS, C. CULTURE/LANGUAGE BARRIERS, D. INSURANCE BARRIERS, AND E. HOUSING BARRIERS. AS STATED IN "HOSPITAL-BASED STRATEGIES FOR CREATING A CULTURE OF HEALTH" PUBLISHED IN 2014 BY THE ROBERT WOOD JOHNSON FOUNDATION AND THE HEALTH RESEARCH AND EDUCATION TRUST (HRET), "THE PROCESS OF ASSESSING COMMUNITY HEALTH NEEDS PROVIDES A PLATFORM FOR HOSPITALS TO CLEARLY DEFINE AND PRIORITIZE COMMUNITY HEALTH CONCERNS, DEVELOP STRATEGIES TO ADDRESS THEM AND FOSTER SUSTAINABLE COLLABORATIONS WITH KEY PARTNERS. AS THE POPULATION HEALTH PARADIGM GAINS TRACTION, HOSPITALS INCREASINGLY ARE FOSTERING LEADERSHIP COMMITMENT AND ALIGNING THEIR MISSIONS TO ADVANCE THE ULTIMATE GOAL OF A HOSPITAL OR HEALTH CARE SYSTEM: A CULTURE OF HEALTH IN THEIR COMMUNITY." (P. 5) THE PROCESS USED IN THE STATE OF MAINE AND ANDROSCOGGIN COUNTY IS REFLECTIVE OF THIS TYPE OF COLLABORATION.
PART VI, LINE 5:	IN 2016 ST. MARY'S AND THE COMMUNITY OF LEWISTON WERE SELECTED TO PARTICIPATE IN A LEARNING COLLABORATIVE THROUGH THE ROBERT WOOD JOHNSON FOUNDATION AND THE AMERICAN HOSPITAL ASSOCIATION FOR "BUILDING A CULTURE OF HEALTH." THIS INCLUDED A SITE VISIT FROM THE AMERICAN HOSPITAL ASSOCIATION TO LEARN ABOUT OUR COMMUNITY'S EFFORT TO IMPROVE PUBLIC HEALTH, AS WELL AS NATIONAL MEETINGS WITH THE OTHER 9 COMMUNITIES SELECTED TO PARTICIPATE IN THE COLLABORATIVE. IN MARCH 2017, ST. MARY'S PARTICIPATED IN A SITE VISIT TO DENVER, CO FOR THE SECOND SITE MEETING. THE FOCUS WAS ON SOCIAL DETERMINANTS OF HEALTH. IN AUGUST 2017, ST. MARY'S PRESENTED IN A NATIONAL WEBINAR ABOUT THE WORK AND LEARNINGS OF THE COLLABORATIVE. IN 2012, ST. MARY'S AND THE OTHER LOCAL HOSPITAL ESTABLISHED A GROUP OF COMMUNITY HEALTH-CARE RELATED AGENCIES TO REVIEW THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE GROUP HAS CONTINUED MONTHLY MEETINGS TO ANALYZE COMMUNITY HEALTH NEEDS ASSESSMENT DATA, COLLABORATE ON APPROPRIATE INITIATIVES AND NETWORK ABOUT EXISTING COMMUNITY RESOURCES. IN 2017 THE COALITION FOCUSED ON THE THREE PRIORITY AREAS IDENTIFIED IN THE 2018 COMMUNITY HEALTH NEEDS ASSESSMENT: SUBSTANCE USE, MENTAL HEALTH AND PHYSICAL ACTIVITY/OBESITY/NUTRITION. ST. MARY'S IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH STAFF LEADERSHIP, STRATEGIC PARTNERSHIPS, COMMUNITY AND HEALTH CARE PROFESSIONAL'S EDUCATION AND COMMUNITY BUILDING. THESE EFFORTS ARE ONE WAY WE USE OUR "EXPERT MINDS AND CARING HANDS" TO TURN HURT INTO HOPE.
PART VI, LINE 6:	ST. MARY'S HEALTH SYSTEM, A MEMBER OF COVENANT HEALTH, INCLUDES ST. MARY'S REGIONAL MEDICAL CENTER, A 233-LICENSED BED ACUTE CARE FACILITY; COMMUNITY CLINICAL SERVICES, WITH PRIMARY CARE AND BEHAVIORAL PHYSICIANS, AND NURSE PRACTITIONERS; ST. MARY'S D'YOUVILLE PAVILION, ONE OF THE LARGEST NURSING HOMES NORTH OF BOSTON, WITH 210 BEDS DEDICATED TO LONG-TERM CARE, A SECURE ALZHEIMER'S UNIT, A NEWLY OPENED REHAB SPECIALTY CARE SUITE, AND A STATE OF THE ART REHAB CENTER; ST. MARY'S RESIDENCES, AN INDEPENDENT LIVING CENTER.OUR MISSION IS TO CONTINUE THE HEALING MINISTRY OF THE CATHOLIC CHURCH IN THE SPIRIT OF ST. MARGUERITE D'YOUVILLE BY PROVIDING PREVENTIVE, CURATIVE, RESTORATIVE, AND SUPPORTIVE SERVICES WITH COMPASSION AND RESPECT FOR EVERYONE. WE TAKE SERIOUSLY THE "PREVENTIVE" ASPECT OF THE MISSION STATEMENT BY OFFERING PREVENTION AND WELLNESS PROGRAMS FOR THE COMMUNITY, OFFER HEALTH SCREENINGS AND WORKING TO PROVIDE ACCESS TO HEALTHY FOOD THROUGH THE NUTRITION CENTER. THE NURSING HOME OFFERS EDUCATION TO THE COMMUNITY ABOUT FALL PREVENTION, GRIEF SUPPORT AND CAREGIVER SUPPORT. HEALTH SYSTEM LEADERSHIP PARTICIPATE IN VARIOUS COMMUNITY GROUPS TO CONDUCT HEALTH CARE NEEDS ASSESSMENTS AND TO DEVELOP COMMUNITY INTERVENTIONS TO IMPROVE HEALTH.
PART VI, LINE 7, REPORTS FILED WITH STATES	ME

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 (11 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
MICHAEL KELLEY
DIRECTOR	$416,855	$0	$115,671	$0	$0	$0	$2,666	$0	$14,701	$0	$549,893	$0	$0	$0
CHRISTOPHER CHEKOURAS-RESIGNED 917
9/2017 PRESIDENT (EX-OFFICIO)	$361,339	$0	$0	$0	$0	$0	$2,623	$0	$13,034	$0	$376,996	$0	$0	$0
MICHAEL HENDRIX
TREASURER & CFO	$0	$245,894	$0	$0	$0	$10,000	$0	$2,268	$0	$19,747	$0	$277,909	$0	$0
PHILIP HICKEY
CEO POST ACUTE	$197,050	$0	$0	$0	$0	$0	$0	$0	$6,619	$0	$203,669	$0	$0	$0
CHRISTOPHER T BOWE
CHIEF MEDICAL OFFICER	$378,691	$0	$0	$0	$18,360	$0	$1,764	$0	$15,066	$0	$413,881	$0	$0	$0
KAREN J CLARK
VP PATIENT CARE SERVICES	$208,974	$0	$0	$0	$0	$0	$2,111	$0	$15,360	$0	$226,445	$0	$0	$0
MICHAEL T NEWMAN
PHYSICIAN	$850,570	$0	$77,351	$0	$0	$0	$2,677	$0	$15,633	$0	$946,231	$0	$0	$0
JOSEPH E STRAUSS
PHYSICIAN	$800,347	$0	$87,622	$0	$0	$0	$2,662	$0	$15,210	$0	$905,841	$0	$0	$0
JEFFREY N DAVILA
PHYSICIAN	$717,354	$0	$0	$0	$0	$0	$0	$0	$1,816	$0	$719,170	$0	$0	$0
MOHAMED A AL SAIED
PHYSICIAN	$518,975	$0	$0	$0	$0	$0	$0	$0	$15,204	$0	$534,179	$0	$0	$0
LARS M QVICK
PHYSICIAN	$493,485	$0	$0	$0	$0	$0	$0	$0	$15,182	$0	$508,667	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 7	FormAndLineReferenceDesc
Explanation	A FEW OF THE EMPLOYEES LISTED UNDER SECTION J RECEIVED PHYSICIAN CALL IN PAY BONUSES AND/OR RELATIVE VALUE UNIT (RVU) COMPENSATION PER EMPLOYMENT CONTRACT. PHYSICIANS ARE PAID A BASE SALARY WHICH IS CALCULATED AT THE BEGINNING OF THE YEAR BASED ON THE EXPECTATION THAT THE PHYSICIAN WILL PRODUCE A SET AMOUNT OF RVUS PER CALENDAR YEAR. IF THE PHYSICIAN PRODUCES RVUS ABOVE THE AGREED UPON BASE, THE PHYSICIAN IS COMPENSATED FOR THE ADDITIONAL RVUS PRODUCED BASED ON A UNIVERSAL RVU MODEL USED BY MOST HOSPITALS. THIS BREAKOUT OF COLUMN J FOR THE BONUSES IS: PHYSICIAN CALL IN BONUS FOR MICHAEL KELLEY IS $15,988, RVU BONUSES ARE $99,683 FOR MICHAEL KELLEY, $77,351 FOR MICHAEL NEWMAN AND $87,622 FOR JOSEPH STRAUSS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
MHHEFA REVENUE BOND SERIES 2007A
A	010314384	560425V80	2007-11-01	$6,685,000	CONSTRUCTION	0	0	0
MHHEFA REVENUE BOND SERIES 2010B
B	010314384	560427JA5	2010-06-24	$7,825,000	REFINANCING OF 1999 & 2001 TAX-EXEMPT BONDS	0	0	0
MHHEFA REVENUE BOND SERIES 2014A
C	010314384	560427W77	2014-07-24	$8,490,000	REFINANCING OF 2004A BONDS	0	0	0
MHHEFA REVENUE BOND SERIES 2014
D	010314384	560427U61	2014-07-24	$2,450,000	REFINANCING OF 2004 BONDS	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$6,853,065	$444,500	$89,925	$6,318,640	2007	0	0	Yes (1)	Yes (1)
B	$9,077,696	$603,175	$96,465		2010	Yes (1)	0	Yes (1)	Yes (1)
C	$9,406,745	$1,615,380	$52,292		2014	0	Yes (1)	Yes (1)	Yes (1)	$1,560,850
D	$2,661,384	$616,000	$19,344		2014	Yes (1)	0	Yes (1)	Yes (1)	$2,993,216

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0	0	0
B	0	0	0	0	0	0	0
C	0	0	0	0	0	0	0
D	0	0	0	0	0	0	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
FSA
A	Yes (1)	0	0	Yes (1)	30.000000000000	Yes (1)	0	0
FSA
B	Yes (1)	0	0	Yes (1)	20.000000000000	Yes (1)	0	0
FSA
C	Yes (1)	0	0	Yes (1)	9.000000000000	Yes (1)	0	0
FSA
D	0	0	0	Yes (1)	9.000000000000	Yes (1)	0	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K. PART IV, LINE 7 AND PART V:	FormAndLineReferenceDesc
Explanation	ALL BONDS ARE CAREFULLY AND CONSISTENTLY MONITORED FOR POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS, BUT THE PROCEDURES WERE NOT WRITTEN AS OF THE END OF THE YEAR COVERED BY THIS TAX RETURN. HOWEVER, THE ORGANIZATION IS IN THE PROCESS OF ADOPTING FORMAL POLICIES THAT SET FORTH THE ORGANIZATION'S METHODOLOGY FOR ENSURING POST-ISSUANCE COMPLIANCE WITH IRS REQUIREMENTS PERTAINING TO TAX-EXEMPT DEBT AND CONTAIN SPECIFIC LANGUAGE REGARDING ORGANIZATIONAL RESPONSIBILITY, RECORD RETENTION, PRIVATE BUSINESS USE, ARBITRAGE REBATE, AND REMEDIAL ACTION. ALTHOUGH FORMAL POLICIES ARE NOT IN PLACE IN REGARDS TO THE REMEDIATION OF OUR BONDS, THE MONITORING REQUIREMENTS OF SECTION 148, AND PROCEDURES TO ENSURE THAT VIOLATIONS ARE TIMELY IDENTIFIED AND CORRECTED, THE ORGANIZATION HAS COMPLIANCE CHECKS IN PLACE THAT SUBSTANTIATE THESE REQUIREMENTS.	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MHHEFA REVENUE BOND SERIES 2017B	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	010314384	BondIssuerEIN
CUSIP	00056042R	CUSIPNum
Bond Issued	2017-03-21	BondIssuedDt
Issue Price	$6,000,000	IssuePriceAmt
Purpose	CONSTRUCTION	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$6,000,000	TotalProceedsAmt
Capitalized Interest	$414,069	CapitalizedInterestAmt
Issuance Costs From Proceeds	$120,000	IssuanceCostsFromProceedsAmt
Capital Expenditures	$5,465,931	CapitalExpendituresAmt
Substantial Completion	2017	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	Yes (1)	Form8038TFiledInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	Yes (1)	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	FSA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Term Of GIC	30.000000000000	TermOfGICPct
Regulatory Safe Harbor Stsfd	0	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Food Inventory FoodInventoryGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	8	ContributionCnt
Noncash Contributions Rpt F990	$19,270	NoncashContributionsRptF990Amt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	0	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	PETER HOLDEN WAS THE INTERIM PRESIDENT BEGINNING SEPTEMBER 2017. LEADERS FOR TODAY WAS PAID $271,839 FOR HIS SERVICES IN 2017.
FORM 990, PART VI, SECTION A, LINE 6	THE ORGANIZATION HAS A SOLE CORPORATE MEMBER, COVENANT HEALTH, INC.
FORM 990, PART VI, SECTION A, LINE 7A	THE SOLE CORPORATE MEMBER MAY APPOINT OR REMOVE ONE OR MORE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	CERTAIN DECISIONS OF THE BOARD OF DIRECTORS ARE SUBJECT TO APPROVAL BY THE MEMBERS.
FORM 990, PART VI, SECTION B, LINE 11B	FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND WAS REVIEWED AT THE NOVEMBER 2018 MEETING.
FORM 990, PART VI, SECTION B, LINE 12C	THIS PROCESS IS THE RESPONSIBILITY OF ORGANIZATIONAL INTEGRITY OFFICER. A FORM IS USUALLY SUBMITTED TO ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, AND CERTAIN EMPLOYEES IN KEY POSITIONS ANNUALLY TO BE COMPLETED. REMINDERS ARE USUALLY SENT TO MAKE CERTAIN ALL CONFLICT OF INTEREST FORMS ARE RETURNED.
FORM 990, PART VI, SECTION B, LINE 15	EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003, THE COMPENSATION COMMITTEE HAS ENGAGED A HUMAN RESOURCES CONSULTING FIRM TO CONDUCT THIS ANALYSIS. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE.
FORM 990, PART VI, SECTION C, LINE 18	FORM 990 IS AVAILABLE ON THE WEBSITE OF COVENANT HEALTH INC., A RELATED ORGANIZATION (WWW.COVENANTHEALTH.NET).
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON EACH INDIVIDUAL REQUEST.
FORM 990, PART IX, LINE 11G	PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 2,853,692. MANAGEMENT AND GENERAL EXPENSES 971,632. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,825,324. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 21,052,775. MANAGEMENT AND GENERAL EXPENSES 5,673,681. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,726,456. MEDICAL TESTING: PROGRAM SERVICE EXPENSES 720,803. MANAGEMENT AND GENERAL EXPENSES 245,421. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 966,224.
FORM 990, PART XI, LINE 9:	TRANSFER FROM AFFILIATES -1,264,811. TRANSFER FOR PPE 1,236,676. OTHER CHANGE RESTRICTED ASSETS -2,092,684.
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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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
ST MARY'S HEALTH SYSTEM
PO BOX 7291 CAMPUS AVENUE	LEWISTON	ME	04240	222504349	PARENT COMPANY	ME	501(C)(3)	12A	COVENANT HEALTH	0
COMMUNITY CLINICAL SERVICES
PO BOX 7291 CAMPUS AVENUE	LEWISTON	ME	04240	010409788	PHYSICIAN PRACTICE	ME	501(C)(3)	10	ST MARY'S HEALTH SYSTEM	0
ST MARY'S RESIDENCES
PO BOX 7291 CAMPUS AVENUE	LEWISTON	ME	04240	222504356	LOW INCOME HOUSING	ME	501(C)(3)	10	ST MARY'S HEALTH SYSTEM	0
COVENANT HEALTH
100 AMES POND DRIVE	TEWKSBURY	MA	01876	222484505	HEALTHCARE MANAGEMENT AND RESOURCE ADMINISTRATION	MA	501(C)(3)	10	ST MARY'S HEALTH SYSTEM	0
ST JOSPEH HOSPITAL
360 BROADWAY	BANGOR	ME	04401	010212435	AFFILIATED HOSPITAL	ME	501(C)(3)	10	STJOSEPH HEALTHCARE FOUNDATION	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CAMPUS HOLDING	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 7291 CAMPUS AVENUE	AddressLine1Txt
City	LEWISTON	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04240	ZIPCd

Field	Value	IRS element (for citing)
EIN	010406049	EIN
Primary Activities	HOLDING COMPANY	PrimaryActivitiesTxt
Legal Domicile State	ME	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Entity Type	C	EntityTypeTxt
Controlled Organization	0	ControlledOrganizationInd

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	0	TransferFromOtherOrgInd