2025-11-14T14:05:47-06:00 2024-12-31 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2024-01-01 010211551 St Mary's Regional Medical Center STMA 2077778100 93 Campus Avenue PO Box 7291 Lewiston ME 042430291 Joseph Wood CFO 2077778100 2025-11-10 1 0 Connor Smart P02285543 6036262200 2025-11-10 2024 2025-03-06 01:10:19Z Winfield Brown 93 Campus Avenue PO Box 7291 Lewiston ME 042430291 236200400 0 X www.stmarysmaine.com X 1967 ME We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. 10 9 1048 55 0 0 3450346 946732 232688435 234503465 -27042 587857 1843954 161811 237955693 236199865 2000 0 0 0 113908957 110349761 0 0 0 153837886 130904248 267748843 241254009 -29793150 -5054144 138282868 135675092 164585280 167867720 -26302412 -32192628 X St. Mary's Regional Medical Center is comprised of a 233-bed acute care facility, a primary care provider network, urgent care and emergency department, behavioral and mental health services, and outpatient specialty practices that combine talented and compassionate caregivers with state of the art medical technology to meet the healthcare needs in the Androscoggin County area and beyond. 0 1 127759092 0 167363473 The Medical Center provides a vast array of medical care and community health services, which includes, but is not limited to, the following programs and facilities: physician services; orthopedics; chemical dependency services; ICU (closed in 2024); PACU; infusion therapy; urgent care; family practice services; endoscopy; neurology; lab services; diagnostic radiology; MRI; mammography; ultrasound; nuclear medicine; CT scans; physical therapy; occupational therapy; speech therapy; respiratory therapy; pulmonary rehabilitation; diagnostic cardiology; cath labs; pharmacy; ambulance services; physiatrist services; urology; sleep lab; wound and hyperbaric center services; gastroenterology; and skilled nursing facilities and nursing home services. 35664106 0 41690866 Surgical Care: The Medical Center provides all surgical services and related care (except open heart procedures) to patients who need surgical intervention. Patients range from infaTnts to geriatrics.Total patient days - 2,145 11428086 0 13359281 Emergency Care: St. Mary's Regional Medical Center offers a 24-hour per day Level II Emergency Care facility. Services provided include both medical and behavioral care services. Total patient days = 622Total patient visits = 27,074 10342155 0 12089845 Behavioral Health: St. Mary's Regional Medical Center offers the most advanced behavioral healthcare diagnostic and treatment services available to children, adolescents and adults in both inpatient and outpatient programs. Inpatient and outpatient treatments include comprehensive psychiatric assessments and evaluations, education, individual and group therapy, individualized bio-psychosocial treatment plans, and discharge and aftercare planning.Total patient days = 10,090 10342155 0 12089845 185193439 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 141 0 1 1048 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 0 0 0 ME X X Joseph Wood CFO 2077778100 93 Campus Avenue PO Box 7291 Lewiston ME 042430291 Jeffery Davila MD Director 41.00 2.00 X 662384 0 11598 David Geiger Esq Director 1.00 2.00 X 0 0 0 Ralph Harder MD Director 1.00 2.00 X 0 0 0 Lena Jo Hartley Director 1.00 2.00 X 0 0 0 John Isaacson Director 1.00 2.00 X 0 0 0 Deacon Denis Mailhot Director 1.00 2.00 X 0 0 0 Kathy McManus Director 1.00 2.00 X 0 0 0 Steve Ouellette Director 1.00 2.00 X 0 0 0 Jonathan Torres MD Director (start 5/2024) 1.00 2.00 X 0 0 0 Mark Anthoine Chair 1.00 2.00 X X 0 0 0 Stephen Grubbs Covenant Health, President & CEO 0.10 45.00 X 0 1235937 40164 Joseph Marino CFO & Treasurer 41.00 2.00 X 306112 0 4942 Cynthia Scott Secretary 41.00 2.00 X 76099 0 16528 Winfield Brown President & CEO (start 10/2024) 41.00 2.00 X 0 156573 5727 Cindy Segar-Miller President & CEO (end 10/2024) 41.00 2.00 X 0 525524 0 Boris Kovalenko MD Physician 40.00 0.00 X 691945 0 18694 Alycia Reppel MD Physician 40.00 0.00 X 550615 0 54378 Daniel Landry MD Physician 40.00 0.00 X 535151 0 36553 Mark Branda MD Physician 40.00 0.00 X 522734 0 43537 Jeffrey Michaud MD Physician 40.00 0.00 X 554610 0 49166 3899650 1918034 281287 163 0 1 0 Covenant Health Inc 40 Shattuck Road 317 Andover MA 01810 Management services 39558109 Metz Culinary Management Two Woodland Drive Dallas PA 18612 Dining management services 5947995 McKesson Plasma & Biologics LLC 12558 Collections Ctr Dr Chicago IL 60693 Healthcare solutions 4758097 Medefis Inc PO Box 5068 New York NY 10087 Vendor and talent management 4654794 McKesson Drug PO Box 848442 Dallas TX 75284 Healthcare solutions 3272761 97 946732 2047 946732 Patient and healthcare services 621110 233150146 233150146 Tuition and education services 611600 911937 911937 Dining and cafeterias 722514 397039 397039 Pharmaceutical sales 456110 44343 44343 234503465 296846 296846 161811 0 161811 161811 161811 289246 2300 535 0 288711 2300 291011 291011 236199865 234503465 0 749668 1077663 1031497 46166 88467471 84629210 3838261 1383372 1348020 35352 13555188 13208784 346404 5866067 5611561 254506 39558109 39558109 638203 638203 149000 149000 22914397 17233219 5681178 55185 51236 3949 1598560 1484173 114387 655937 609001 46936 7091831 6584367 507464 78484 72868 5616 270490 251135 19355 1255729 941797 313932 4587168 3440376 1146792 5169973 3825780 1344193 Drugs/medical supplies 22619663 22619663 Provision for bad debts 11112359 11112359 Food/dietary costs 6722035 4974306 1747729 ME provider tax 5415442 5415442 1011683 748645 263038 241254009 185193439 56060570 0 2663268 14489646 60706 92048 600775 19316 28374448 23977570 3044662 2681111 2447911 993690 141119351 82010827 58957326 59108524 10068656 11134586 2102843 1090208 29962273 22088393 138282868 135675092 38065057 22115324 2099535 1064919 153898 0 124266790 144687477 164585280 167867720 X -32672607 -38050121 6370195 5857493 -26302412 -32192628 138282868 135675092 X -5054144 454901 -1290973 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 19944 0 0 0 19944 0 Part II-B, Line 1: St. Mary's Regional Medical Center (SMRMC) partners with various like-minded professional associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. To maintain these partnerships, SMRMC pays membership fees to these various associations. A portion of the dues paid to these associations have been designated as available for lobbying expenditure. Any lobbying expenditures paid by the associations are incurred to help track and discuss legislation affecting health care policy. To take advantage of group rates and terms, Covenant Health Inc., the parent-organization of SMRMC, arranges for membership and dues with the American Hospital Association on behalf of SMRMC. While SMRMC is ultimately the member of the Association, SMRMC pays its AHA dues by reimbursing Covenant Health for the cost of membership as part of its shared service fee reimbursements. In addition, the Hospital is a member of the Maine Healhcare Association, for which the Hospital pays its membreship fees directly. Dues paid to these associations in this tax year, and the portion estimated to be available for lobbying purpsoes, are as follows: Maine Healthcare Association: - Total paid: $19,734 - Portion estimated available for lobbying: $6,063 American Hospital Association (via Covenant Health, Inc.) - Total paid: $35,592 - Portion estimated available for lobbying: $13,881 6370195 946372 159125 1618199 5857493 5844197 1403021 -13247 863776 6370195 5845962 1083310 38 1022113 63000 5844197 9411940 1094141 52011 4712130 5845962 9069879 1409962 5605 1073506 9411940 0.00000 0.58320 0.41680 0 0 826146 826146 88362015 45384449 42977566 818703 707620 111083 46335882 35918758 10417124 4776605 4776605 59108524 Investment in Covenant Health Investment Trust 9021207 F Investment in United Ambulance 2054693 F Investment in NE Life 58686 F 11134586 Due from affiliates 16798865 Third party payor receivables 5289528 22088393 Deferred fixed asset expenditures (FIN 47) 25123 Due to affiliates 141310295 Lease obligations 1129169 Professional Liability Insurance 2222890 144687477 X Part V, Line 4: St. Mary's Regional Medical Center's endowmenet funds, in conjunction with any revenues generated from the the funds, are used to further the Medical Center's exempt mission and operations, which includes the following uses: to offer patients the best medical technology available; preventive services; and a "whole person approach" to meeting the needs of the Androscoggin county area. Part X, Line 2: Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2024. 1 1 1 X 1 X 0 1 0 1 1 1495714 1495714 0.00650 1495714 1495714 0.00650 112952994 47841978 65111016 0.28290 112952994 47841978 65111016 0.28290 114448708 47841978 66606730 0.28940 1 3683834 0 7912070 12398300 -4486230 X 1 1 1 1 St Mary's Regional Medical Center 93 Campus Avenue Lewiston ME 042430291 38244 X X X St Mary's Regional Medical Center 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X 1 22 1 See Schedule H, Part V, Section C 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X X 1 X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X See Schedule H, Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 St. Mary's Regional Medical Center Part V, Section B, Line 5: Understanding the health needs of a community allows public health and health care organizations to design and implement cost-effective strategies that improve the health status of the populations they serve. A comprehensive data driven assessment process can identify, with a high degree of accuracy, priority health needs and issues related to prevention, diagnosis and treatment. Assessment tools also may assist in pinpointing access to care barriers, utilization of evidence-based guidelines, and utilization of health services. In Maine, healthcare leaders and public health leaders collaborated to conduct the assessment and analyze the data for this latest CHNA in a collaboration designated as The Maine Shared Health Needs Assessment (Maine Shared CHNA.)The Maine Shared CHNA (MSCHNA) began as the OneMaine Health Collaborative in 2007 as a partnership between MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH - then known as Eastern Maine Healthcare System, or EMHS). After conversations with the Statewide Coordinating Council for Public Health, the Maine Center for Disease Control and Prevention (Maine CDC) joined the collaborative in 2012. The effort was then named the Maine Shared Health Needs Assessment and Planning Process (SHNAPP). Central Maine Healthcare (CMHC) joined the group in 2013. In 2014, CMHC, Maine CDC, MGH, MH and NLH signed a formal Memorandum of Understanding and drafted the Maine Shared CHNA Charter (PDF) to guide the collaborative. In 2017, the name was changed to the Maine Shared Community Health Needs Assessment or Maine Shared CHNA. The Memorandum of Understanding was updated in 2019.- Maine Shared Community Health Needs Assessment Charter:Vision: The Maine Shared Community Health Needs Assessment helps to turn data into action so that Maine will become the healthiest state in the US. Mission: The Maine Shared Community Health Needs Assessment is a dynamic public private partnership that creates Shared Community Health Needs Assessment reports, engages and activates communities, and supports data-driven health improvements for Maine people.Steering Committee Statement of Purpose: The Steering Committee provides leadership for the creation of an efficient, integrated, and sustainable process to conduct triennial CHNA's and subsequent public health improvement plans/hospital implementation strategies. In addition, this group provides stewardship of the resources made available through Central Maine Healthcare (CMHC), Eastern Maine Healthcare Systems (EMHS), MaineGeneral Health (MGH), MaineHealth (MH), and Maine CDC to: [a] strengthen Maine's state and community health improvement efforts; [b] meet Treasury Department/Internal Revenue Service (IRS) community benefit reporting requirements for hospitals; and [c] meet public health agencies' Public Health Accreditation Board (PHAB) requirements. St. Mary's Regional Medical Center is an affiliate of MaineHealth.- Data Analysis:The Maine Shared CHNA is a collaboration governed by a Steering Committee, which is made up of representatives of each member organization (CMHC, MGH, MH, NLH, and Maine CDC). The Metrics Committee is charged with creating and reviewing a common set of population/community health indicators and measures every three years. Before the 2018-2019 Maine Shared CHNA, the Metrics Committee conducted an extensive review of the data using the following criteria as a guide: 1.] describes an emerging health issue; 2.] describes one or more social determinants of health; 3.] measures an actionable issue; 4.] the issue is known to have high health and social costs; 5.] rounds out our description of population health; 6.] aligns with national health assessments (i.e.: County Health Rankings, American Health Rankings, Healthy People); 7.] data is less than 2 years old; 8.] data was included in the previous data set, or 9.] the Maine CDC analyzes the indicator in a current program. This review process was carried into the 2021-2022 Maine Shared CHNA, where the Metrics Committee also reviewed the previous data set to check for changes in data sources, potential new sources of data to round out certain topics, and to deepen Social Determinants of Health data which many of our partners have included in their work. A new aspect for this cycle of the assessment was establishing the Health Equity/Community Engagement Committee which is charged with updating outreach methodology to ensure a collection of broad, diverse, and representative qualitative data from those who experience systematic disadvantages. To ensure these methods reflect the needs and cultural expectations this committee included representatives from a variety of Maine's ethnic-based and community-based organizations, along with representatives from public health and health care, and a variety of additional partners. The 2021-2022 Maine Shared CHNA process involved three phases. The first phase of the project involved the analysis of more than 220 health indicators for the state, counties, public health districts, selected cities, and by specific demographics when available. Data analysis was conducted by the Maine CDC and its epidemiology contractor, the University of Southern Maine, with additional support from the contracted vendor, Market Decisions Research. The second phase was the Community Engagement Committee work which included the following efforts: - 17 County Forums (Maine) - 9 Community Sponsored Events - 1,000 Oral Surveys Local planning teams led by local health care and public health district liaisons organized and promoted these events. Participants were shown a PowerPoint presentation with relevant county data and were led through guided discussions to identify indicators of concern. Participants then voted to identify their top four health priorities. They were then asked to share their knowledge on gaps and assets available in their communities to address each of the top priorities identified. For the most recent community engagement forum in Androscoggin County, the Androscoggin Community Health Stakeholder Coalition organized the event. Members included: Jamie Paul, Western Maine District Coordinating Council of the Maine Center for Disease Control and Prevention, Elizabeth Keene, VP of Mission Integration, St. Mary's Health System, Corrie Brown and Holly Lasagna, Healthy Androscoggin, Jamie Owens, Tri-County Mental Health Services, Michelle Couillard, Androscoggin Home Healthcare + Hospice, Coleen Elias, Executive Director, Community Clinical Services, Jennifer Edwards, City of Auburn Public Health, Stephanie Gelinas, Sandcastles, Anne Berry, Sweetser, Cassandra Wallace, Community Concepts, Katherine Lary, Western Maine Community Action, Karen White, Maine Resilience Building Network and Melanie Gagnon, YWCA. This group began meeting monthly in the spring of 2012 and continues to meet to assess and address community health needs.The community engagement session for Androscoggin County was held in November 2021. The session was facilitated by JSI, the vendor hired by the Maine Shared CHNA to oversee the data collection, analysis and community sessions. We collected the following data: - Community identified health priorities- Gaps/barriers which must be overcome to address each priority- Resources/assets potentially available to address each priorityThe purpose of the forum was to allow the community the opportunity to provide input on health priorities to shape future health improvement planning efforts. We reviewed data that describe health outcomes, health behaviors, healthcare access and quality, and the social, community, and physical environments that affect health. Thirty-seven people participated and they represented these community organizations: local home care/hospice agency, local group home for people with developmental and intellectual disabilities, administration from both local hospitals, the city of Auburn public health officer, Community Concepts, Healthy Androscoggin, Lewiston public schools, Maine CDC, the Maine Immigrant Rights Coalition, Sandcastles, Sweetser, Tri-County Mental Health Services, Western Maine Community Action, the YMCA/YWCA, as well as interested community residents.(This narrative continues in the Supplemental Disclosures on this Schedule H, Part VI) St. Mary's Regional Medical Center Part V, Section B, Line 6a: Central Maine Medical Center St. Mary's Regional Medical Center Part V, Section B, Line 6b: The Maine Shared CHNA began as the OneMaine Health Collaborative in 2007 as a partnership between MaineGeneral Health (MGH), MaineHealth (MH), and Northern Light Health (NLH, formerly known as Eastern Maine Healthcare System or EMHS). After conversations with the Statewide Coordinating Council for Public Health, the Maine Center for Disease Control (Maine CDC) joined the collaborative in 2012. The effort was then named the Maine Shared Health Needs Assessment and Planning Process (SHNAPP). Central Maine Healthcare (CMHC) joined the group in 2013. In 2014, CMHC, Maine CDC, MGH, MH and NLH signed a formal Memorandum of Understanding and drafted the Maine Shared CHNA Charter (PDF) to guide the collaborative. In 2017, the name was changed to the Maine Shared Community Health Needs Assessment or Maine Shared CHNA. Funding for the Maine Shared CHNA is provided by the partnering healthcare systems with generous in-kind support from the Maine CDC. Governance is provided by the Steering Committee. Countless community partners and stakeholders provide additional support by participating in either the Metrics Committee, Community Engagement Committee, Local Planning Committees, or the Data Analysis Workgroup. Funding for the Maine Shared CHNA is provided by Central Maine Healthcare, MaineGeneral Health, MaineHealth, and Northern Light Health, with generous in-kind support from the Maine Center for Disease Control and Prevention, an office of the Department of Health and Human Services and countless community partners and stakeholder groups. These stakeholder groups include the Metrics Committee, Data Analysis Workgroup, Community Engagement Committee, Local Planning Committees, and the Steering Committee. Special thanks to the Maine Health Data Organization for working with us to access their data. For a listing of committee members please visit www.mainechna.org and click on "About Maine CHNA." Significant analysis was conducted by epidemiologists at the Maine CDC and the University of Southern Maine's Muskie School of Public Service. John Snow, Inc. provided analysis, methodology, and design support. In addition, the Steering Committee gratefully acknowledges the countless community volunteers who gave their time and passionately committed to hosting, facilitating, attending, and engaging in this effort. From Aroostook to York, Oxford to Washington County, over 2,000 Mainers gave their time and talent to this effort. St. Mary's Regional Medical Center Part V, Section B, Line 11: These are the prioritized community health needs identified by the data, community engagement and key informant interviews: Mental Health; Social Determinants of Health; Substance & Alcohol Use; Access to Care.The impact of the COVID-19 pandemic must be acknowledged in this report. Its effects on health, schools, the economy and the social fabric of communities have been alarming. Androscoggin County has, at times, had low transmission rates and then surging to among the highest transmission rates in the country. As of July 2022, Androscoggin County has reported 24,800 cases and 295 deaths. The COVID-19 Community Vulnerability Index (CCVI) assesses how well any community in the United States could respond to the health, economic and social consequences of COVID-19 without appropriate response and additional support. It overlays indicators of social vulnerability, such as socioeconomic status or language barriers, with indicators of vulnerability unique to the COVID-19 pandemic, such as access to healthcare and comorbidities among the population. The CCVI builds on the Centers for Disease Control and Prevention's (CDC) Social Vulnerability Index (SVI), a validated metric intended to help policy makers and public health officials respond to emergencies. Androscoggin county's CCVI score is .44, mostly due to lack of transportation and population density.In addition, there have been disparities in health for young people, people of color and those with lower incomes related to COVID-19. As noted in the 2022 Androscoggin County Community Health Needs Assessment Report, "Thus, the findings in the 2022 Maine Shared CHNA Reports which show the most often identified priorities such as mental health, substance and alcohol use, access to care and social determinants of health take on new meaning and an increased sense of urgency."- Mental HealthMental health was the top identified community health need in Androscoggin County (and in all other counties in the state.) The areas of concern included extremely long waitlists for services, as well as the need for more case management and wrap-around services. The availability of mental health providers was the most frequently mentioned indicator. In addition, the rate of those seeking mental health care in the emergency department was 278.8 per 10,000 in 2016-2018 which is significantly higher than the rate of Maine overall (181.5 per 10,000.) Mental health issues among youth were particularly concerning. There was a significant increase in the number of children experiencing feel sad and hopeless for two or more weeks in a row (26.7% in 2017 and 34.1% in 2019.)- Social Determinants of HealthSocial determinants of health were also selected as a top priority in Androscoggin County. These are the conditions in which people live, learn, work, play, worship and age. Examples include access to healthy food, housing, economic opportunity and relationships. Challenges related to high housing costs, unreliable transportation, adverse childhood experiences, and high rates of poverty were cited as concerns. While the poverty rate has decreased from prior years, it is still higher than the state average and the median household income is significantly lower than the state. - Substance and Alcohol UseOverdose deaths were the most frequently mentioned health indicator for substance and alcohol use. In 2020, the rate of overdose deaths per 100,000 was 47.9, an increase from 30.5 in 2019. Alcohol-induced deaths rose significantly from earlier data periods (14.9 per 100,000 in 2019 vs 8.8 in 2011.) The rate for drug-affected infants was 113.5 per 1000 births which is significantly higher than the state (73.7/1000 births.)- Access to Health Care and Primary CareAccess to care consists of availability of insurance, availability of services, timely access and the health care workforce. The most frequently cited indicator was cost barriers, followed by lack of easy access to primary care providers. While there was an increase in the percentage of adults who were seen by a primary care provider (from 72.9% to 75.7%), this still means that 24% of residents are at risk of not having access to routine preventive care from a primary care provider. (All prioritized health needs were addressed.)- Potentially available health care facilities and resources available to meet the health needs identifiedThe assessment identified a number of strong community assets, including the two local hospitals (including behavioral services at SMRMC) and their community benefit programs, Urgent Care Center by SMRMC and CMMC, primary care physicians at accredited patient-centered medical homes, dentists, school-based health centers, federally qualified health centers through Community Clinical Services, a free clinic, community health agencies for mental health services and substance abuse, a local home care and hospice agency, social service agencies for outreach to the rural poor, the elderly, victims of domestic violence and children, St. Mary's Nutrition Center (emergency food pantry, community gardens, farmers' markets, cooking classes and outreach for Somali Nutrition programs), ethnic community based organizations, public school systems and Catholic school systems with active home and school associations, numerous religious communities and community coalitions to support downtown Lewiston. An implementation strategy was developed to address the four prioritized health needs from this report. St. Mary's Regional Medical Center Part V, Section B, Line 13h: Household size St. Mary's Regional Medical Center Part V, Section B, Line 15e: St. Mary's website provides access to the free care application as well as contact information for assistance in answering any questions or in completing the application. Schedule H, Part V, Section B, Line 10a: The Center's most recently adopted implementation strategy is available at the following web address, through St. Mary's Medical Center's own website:https://stmarysmaine.com/wp-content/uploads/2022/10/IS-2022-2024.pdf Schedule H, Part V, Section B, Line 7: The Center's current and prior CHNA report was made available at the Center's own website at the following web address:https://stmarysmaine.com/wp-content/uploads/2022/10/22-24-CHNA-Final.pdfThe 2019 CHNA is available online at the following website:https://stmarysmaine.com/wp-content/uploads/2022/03/SML_CHNA_2018-19.pdfIn addition, the Center participated in the Maine Shared Androscoggin CHNA. Past and present Maine Shared CHNA Reports are available at the following web address:https://www.maine.gov/dhhs/mecdc/data-reports/population-health/community-health-needs-assessment/chna-reports-and-community-engagementOther community support information can be obtained on the Hospital's website at the following address:https://stmarysmaine.com/our-mission/community-resources/ Schedule H, Part V, Section B, Line 16a-c: The Medical Center's Financial Assistance Policy, Application for Financial Assistance and Free Care, and Plain Language Summary can be found online through the following webpage:https://stmarysmaine.com/patients-visitors/billing-insurance/financial-assistance/The Center's Free Care Guidelines are available online at:https://stmarysmaine.com/wp-content/uploads/2022/02/2022-Free-Care-Guidelines-Notice-SML-landscape.pdfThe Center's complete Financial Assistance Policy is available online at:https://stmarysmaine.com/wp-content/uploads/2023/10/Convenant-Financial-Assistance-Policy.pdfThe Center's Financial Assistance Program Application is available online at:https://stmarysmaine.com/wp-content/uploads/2021/12/Covenant-FreeCare-Jan-2021.pdfA list of provider groups covered by the Financial Assistance Policy and a list of provider groups not covered by the Financial Assistance Policy is available through the following website:https://stmarysmaine.com/patients-visitors/billing-insurance/financial-assistance/ 1 1 - St Mary's D'Youville Pavilion 102 Campus Avenue Lewiston ME 04240 Nursing home and restorative facility Part I, Line 6a: The community benefit report is based on the Catholic Health Association guidelines and utilizes the Association's CBISA software to record the benefits. Part I, Line 7: St. Mary's has several hospital clinical services and hospital-owned physician practices. In accordance with the IRS Instructions for Form 990, Schedule H, Worksheet 6, organizations may include any applicable physician practice that the Hospital subsidizes (i.e., operates at a loss) in the preparation and completion of Schedule H. Therefore, the Hospital has included the following hospital clinical services and hospital-owned physician practices that operate at a loss (i.e., are subsidized by the Hospital) and the associated costs of these practices: a. Hospital Based Skilled Nursing Facility b. Inpatient Psych Unit c. Outpatient Psych Services d. Pre Admission Testing e. Infusion Therapy f. Wound and Hyperbaric Clinic g. Emergency Room h. Urgent Care i. Ambulatory Surgery j. Renaissance School k. Gastroenterology l. Oncology m. Auburn Medical Associates n. L-A Internal Medicine o. St. Mary's Surgical Associates p. St. Mary's Medical Associates q. Family Medicine - Mollison Way r. Kappelmann Practice s. Poland Family Practice t. Orthopedic Practice u. Physiatry v. Urology w. Neurology x. Infectious Disease y. Rheumatology (closed in 2024) z. Integrative Medicine aa. Pulmonology bb. Sleep Medicine dd. Weight Management (closed in 2024) ee. Breath Health (closed in 2024) ff. 15 Mollison WayThe above-listed hospital clinical services and hospital-owned physician practices have a community benefit (i.e. aggregate loss or subsidy from the Hospital) of approximately $65.1 million. In addition, this community benefit does not take into account bad debts, charity care, or contractual adjustments. Thus, this community benefit of approximately $65.1 million is a conservative figure that reconciles to the community benefit information reported on this IRS Form 990, Schedule H, Part I, Line 7g, Column e.Form 990, Schedule H instructions and guidance contain a template (Worksheet 2) that may be used to determine the overall cost-to-charge ratio that could be applied throughout Schedule H in order to convert care-charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part 1, Line 7, were the following:a. Schedule H Worksheet 6, Subsidized Health Services (the supporting worksheet for Part I, Line 7g): the Hospital did not utilize Worksheet 2 when calculating the percentage used to determine the profit or loss of each hospital clinical service and hospital-owned physician practice. Instead, when compiling the subsidized hospital clinical services and hospital-owned physician practices listed in Line 1c, the Hospital utilized the actual estimated costs on the modified Medicare cost report instead of applying the Worksheet 2 cost-to-charge percentage. b. Schedule H, Worksheet 3, Unreimbursed Medicaid and Other Means Tested Government Programs (the supporting schedule for Part I, Lines 7b and 7c); and Worksheet 6, Medicaid Allowable Costs for Subsidized Health Services, listed in Line 1c above (which is part of the line 7g costs): the Hospital did not utilize the Worksheet 2 percentage when calculating the Medicaid allowable cost. Instead, the Hospital utilized the actual Medicaid filed cost report for the allowable costs. Part I, Line 7, Column (f): The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 11,112,359. Part II, Community Building Activities: At St. Mary's Health System our Mission is to provide healing care for the whole person in service to all in our communities, which is why offering a healing presence and guidance to support the well-being of patients, their families and health care staff is very important to us. The entire Mission team wholeheartedly believes an integral part of care is meeting the spiritual and religious needs of our patients, residents, families, and work colleagues regardless of their beliefs, traditions or spirituality. We offer all people appropriate prayer, comfort and support to help facilitate healing, recovery and peace. In furtherance of this goal to connect faith and health, the Hospital helps to maintain the Marcotte Chapel, located at St. Mary's Residences is located on the third floor. Catholic liturgies are celebrated in this Chapel, and it is available throughout the day for prayer and reflection, and the Mass can be broadcast in patient and resident rooms. A small meditation room is also located in the hallway between the Emergency Room and the Operating Room at St. Mary's Regional Medical Center. This meditation room offers a quiet refuge for patients and families. The Medical Center also provides a musalla or prayer room for our employees who are Muslim. The Medical Center also offers many opportunities for members of the community to come together and build meaningful and lasting relationships. For example, St. Mary's welcomes adult and college/university volunteers year-round to be part of our dedicated team, supporting patients, staff, and visitors with compassion and care.Whether someone is exploring a career in healthcare, returning to the workforce, or simply passionate about helping others, our volunteer program offers a rewarding opportunity to make a real impact. Volunteers serve in a variety of roles across the hospital and our adjoining nursing home, d'Youville Pavilion - from greeting visitors and assisting with administrative tasks, to helping transport patients or supporting recreational and therapeutic activities. This is an excellent opportunity for teens to build confidence, develop interpersonal skills, and discover the joy of helping others in a professional healthcare environment and gain valuable service hours that can be used for school or college applications. The Hospital also provides resources and programs that assist senior citizens and other community members to connect in social, relaxed settings.In order to enhance community building St. Mary's also launched to following in recent years: - St. Mary's launched 100% virtual care in primary care and specialty care in 2024 to increase access to care in a new way. Approved and began execution of a primary care access strategy to hire and orient 5 new PCPs in 2024. - Integrate behavioral heath NP in primary care practices to improve access to care and increase coordination between the care team - complete for all PCP sites 2024. - Increase access to care for pediatric patients - SML acquired CCS peds practice in May 2025; integrating behavioral health services by end of 2025. - Piloting a transportation model with Uber Health - calendar year 2025; previous programs saw a decrease in no show rates by up to 6%. - Improving use of language interpreter services in our orthopedic practice through a pilot that allows us to increase the amount of IPADs from 2 to 10 - calendar year 2025. - Mental Health: St. Mary's recently opened (April 2025) a new Recovery Center, which provides a more seamless path for patients seeking treatment for various Substance Use Disorders. This service is available 7 days/week, allowing qualified patients direct admission to St. Mary's services. St. Mary's Recovery Unit has increased staffing to boost census from 12-14 patients up to 18. - St. Mary's has opened a new Partial Hospital Program (PHP) with offers day treatment for patients affected with mental and behavioral health issues. In it's early phase, the PHP is open 5 days/week, serving a capacity of 20 patients. This new Program collaborates with Catholic Charities to provide excellent care. - St. Mary's opened a new adult psychiatric unit in December 2021. It is a state-of-the-art unit focused on healing and patient safety. The new Carlton and Lucille Sedgeley Adult Behavioral Unit exponentially improves the ability of St. Mary's behavioral health providers and staff to deliver excellent care to their inpatients. Patients had input into the design of the unit and are very pleased to have private rooms that provide safety in a healing environment. The maximum capacity is 18 patients. - In October, St. Mary's joined the local Chamber of Commerce. In 2025, St. Mary's Mission Department also oversaw the following Community Building activities to benefit local community groups: - In March, St. Mary's leaders purchased, assembled, and donated 15 Adirondack chairs to Tree Street Youth. - In June, purchased, assembled, and donated 5,000 diapers, 150 trail mix cups, and 15 new employee backpacks to Trinity Jubilee. - In August, purchased, assembled, and donated 170 school backpacks filled with school supplies to local schools. - In September, team members volunteered at An Angel's Wing during the United Way Day of Caring. Part III, Line 2: The Hospital utilized Worksheet 2 from the IRS Schedule H Instructions and guidance to determine the ratio of patient care cost-to-charge (33.15% for fiscal year 2024). The Hospital then multiplied this ratio by the Hospital's total bad debt expense of $11,112,359 to determine the Part II, Line 2, Bad Debt Expense of $3,683,834. Part III, Line 3: The Hospital does not estimate any amount of bad debt expense that is attributable to patients eligible under the Hospital's financial assistance policy. Accordingly, no amount has been included on Schedule H, Part III, Line 3. Part III, Line 4: Accounts are written off when all reasonable internal and external collection efforts have been performed. The estimates for implicit price concessions are based upon management's assessment of historical write-offs and expected net collections, business and economic conditions, trends in federal, state and private employer health care coverage and other collection indicators. Management relies on the results of detailed reviews of historical write-offs and collections at facilities that represent a majority of the systems revenues and accounts receivable as a primary source of information in estimating the collectability of accounts receivable. Part III, Line 8: IRS Instructions and guidance for Form 990, Schedule H contain a template (Worksheet 2) that may be used to determine the overall cost-to-charge ratio. This ratio may then be applied throughout Schedule H to convert care charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part III, Line 8, was in determining Schedule H, Worksheet B, Lines 2 and 6, Medicare Allowable Costs and Payments Related to Subsidized Health Services: The Hospital utilized the Medicare cost report estimated cost and payment for these services. The Hospital believes that its hospital clinical services, hospital-owned physician practices, emergency room, and home health agency (as listed on this Schedule H) should be considered a community benefit, as community members benefit by having easy access to these services, facilities, and programs which are both offered and subsidized. These facilities and programs are offered and thus subsidized through the Hospital. Part III, Line 9b: St. Mary's Regional Medical Center will make a reasonable effort to determine whether an individual qualifies for financial assistance prior to initiating any collection activity. Part VI, Line 2: In addition to the official community health needs assessment reported in Part V, Section B, St. Mary's assesses the needs of our community in an on-going basis through several key methods. Leaders are active on community health boards; these monthly meetings allow for continued assessment and sharing of information. Patient or resident advisory panels also help us assess needs of patients and the community. We also work closely with Community Clinical Services (an FQHC look-alike) to share information about some of the health disparities experienced by community members. St. Mary's works with the local ethnic community-based organizations for information as well. Part VI, Line 3: St. Mary's Regional Medical Center provides financial education at the point of registration by having brochures available. These brochures provide information about the hospital bill and various options on financial assistance. On the backside of the monthly patient statements also provides education of the financial assistance availability and options to those who need it.Additionally, the Center operates in conformity with the Financial Assistance Policy as defined and mandated within the Covenant Health System. Consistent with its mission to provide high quality health and wellness services for the community, it is the Center's policy that an individual meeting qualified income guidelines may receive financial assistance in paying medically necessary self-pay bills, without discrimination due to race, gender, age, sexual orientation, religious affiliation, social or immigrant status, or health insurance status. In accordance with the Affordable Care Act (ACA), any patient eligible for financial assistance will not be charged more for emergency or medically necessary care than the amount generally billed (AGB) to insured patients. Covenant Health follows all EMTALA regulations, and no patient will be denied emergency services.The Medical Center operates in accordance with 22 M.R.S.A. Section 1716 and the State of Maine Department of Human Services and Bureau of Medical Services Chapter 150, Agency 10-144. Accordingly, this hospital is required to provide Free Care to residents of Maine, whose income fall below the following income guidelines. Before providing Free Care, the Center will ask a patient for information about their income and also ask the patient to show that insurance and a government medical assistance program will not pay for their care. Services that are not medically necessary are not provided as free care. If a patient does not qualify for Free Care, they are allowed to ask for a fair hearing. Part VI, Line 4: St. Mary's Regional Medical Center (SMRMC) is a 233-bed acute care hospital, a primary care provider network, urgent care and emergency department, behavioral and mental health services, and outpatient specialty practices that combine talented and compassionate caregivers with state-of-the-art medical technology to meet the healthcare needs in the Androscoggin County area and beyond. St. Mary's draws most of its inpatient and outpatient population from Androscoggin County, therefore the needs of this geographic area are the focus of the assessment. Androscoggin County is located in south central Maine and is one of three counties comprising the Western Public Health District. It contains roughly 8% (113,765) of Maine's 1.4 million residents according to 2023 ME Population data. Androscoggin County contains Maine's second and fifth largest cities: Lewiston (population 38,404 in the 2023 census data) and Auburn (population 24,793 in the 2023 census) respectively. Located across from each other on the Androscoggin River, the twin cities of Lewiston and Auburn are the central hub of the region. The county is working to transform the downtown area from vacant textile mills and abandoned shoe factories to a region known for progressive health care, tourism, high-precision manufacturing, telemarketing and financial services. Over the past 20 years, Lewiston has become home to a large African immigrant population (approximately 11% of the population of Lewiston). The "New Mainers" come from Somalia, Djbouti, Angola, Sudan, Ethiopia, and the Democratic Republic of the Congo, among others. Androscoggin County is one of the few counties in Maine experiencing a growth in population ( .33% annually for the last 3 years.) This population growth has enhanced cultural and economic aspects of Lewiston and Auburn while also presenting unique healthcare opportunities and challenges. The rest of the county is comprised of small rural towns with an average population of 222 persons per square mile.The county is primarily white (90%) with black (5.9%) and two or more races at 2.5%. The unemployment rate was 3.4% as of December 2023. Slightly over 10.6% of the primary languages spoken in the home are categorized as "other than English" so interpretation services are available to assist new Mainers in navigating the health systems. Lewiston/Auburn qualifies as a Medically Underserved Area, defined as having too few primary care providers, with high infant mortality, high poverty rates and/or high elderly populations. The poverty rate in Maine is 10.4% and the median income is $68,251 annually. Lewiston's poverty rate is even higher at 17.8% (2023 US Census) and the rate of childhood poverty in Lewiston is 15.9% (Maine Children's Alliance). The median income in Lewiston is only $54,317. Additionally, the Community Needs Index (CNI)* identifies the severity of community health needs for a specific geography by analyzing the degree to which the following health care access barriers exist in the community: a. income barriers; b. education/literacy barriers, c. culture/language barriers, d. insurance barriers, and e. housing barriers. The score is a weighted average; the current (July 2021) score for Androscoggin County is 3; the score for the city of Lewiston is 4 (based on scale of 1-5 with 5 being the highest need). Both Androscoggin County and the city of Lewiston improved since the 2019 index (the county moved from 3.1 to 3 and the city of Lewiston moved from 4.2 to 4. Lewiston is now in the category of 2nd highest need.)Androscoggin County currently ranks 12 (out of 16 counties in Maine) for health. This score includes including health behaviors, clinical care, physical environment, and social and environmental factors. These physical, social and environmental factors can contribute to, or detract from, overall healthUnderstanding the health needs of a community allows public health and health care organizations to design and implement cost-effective strategies that improve the health status of the populations they serve. A comprehensive data driven assessment process can identify, with a high degree of accuracy, priority health needs and issues related to prevention, diagnosis and treatment. Assessment tools also may assist in pinpointing access to care barriers, utilization of evidence-based guidelines, and utilization of health services. Part VI, Line 5: At St. Mary's Health System, we're committed to improving the health of all residents in greater Androscoggin County. We follow through on this commitment by providing members of the community with the resources, education and support they need to live happier and healthier lives.The Hospital considers some of the following initiatives and goals to be core programs towards improving and promoting health within the community: - Promotion of health, fitness, and obesity resources, including increased access to exercise and nutritional and dietary education. For example, the Medical Center regularly publishes exercise suggestions and recipes for healthy, tasty, seasonal meals. - Increasing affordability and availability of healthcare. For example, the Medical Center strongly encourages consistently practicing self-care as a means to maintain physical and mental health, as well as encourages patients and community members to regularly connect with and build relationships between their healthcare providers. St. Mary's also offers financial assistance programs for those who may otherwise find it challenging to afford adequate healthcare. - Improving public health awareness and communication. The Medical Center publishes guidance and informational materials regarding public and private health best practices and healthy living tips. - Increasing access and affordability of mental health and substance use resources, education, and awareness. Our dedicated team is committed to delivering compassionate, patient-centered care to children, adolescents, and adults. We offer a wide range of comprehensive programs tailored to meet the unique needs of each individual. Whether it's in the comforting environment of our hospital, or through our outpatient services, we strive to provide the highest quality of care and support to promote lasting recovery and overall wellness. - The Hospital has made improving and maintaining its geriatric emergency department a priority for its operations. St. Mary's Emergency Department is open 24/7 and provides a full range of emergency care services close to home. This means the Medical Center can provide safer, more personalized care for older adults in the community. - As a Medical Center in a rural area, the Hospital is a key resource for health care in its general region. The Organization offers a wide variety of care services that promote the general well-being of its community, including: behavioral health; cardiology; recovery; emergency response; endoscopy; gynecology; imaging; infusion; radiology; laboratory testing; mammography; neurology; orthopedics; pediatrics; physical and occupational therapy; primary care; senior care; rehabilitation; sleep; surgical care; urology; and other key care areas. Part VI, Line 6: St. Mary's Regional Medical Center is a member and related organization to the Covenant Health System.Covenant Health is an innovative, Catholic regional health delivery network and a leader in values-based, not-for-profit health and elder care. Covenant consists of hospitals, skilled nursing and rehabilitation centers, assisted living residences, and community-based health and elder care organizations throughout New England. Through its partnership and membership with Covenant Health, the Medical Center is able to better navigate the increasingly complex and competitive healthcare marketplace while improving its ability to offer high-quality patient service. Access to Covenant Health resources allows the Center to compete on cost and quality of care; to maintain financial strength while fulfilling its care-oriented missions; to enhance the skills of its staff and leadership; and to strengthen the Center's ability to serve its community. Through the Covenant Health System, the Center can access and utilize funds and resources that allow it to better serve its priority communities and their specific health care needs. Part VI, Line 7, Reports Filed With States ME X X X X 0 0 0 0 0 0 0 1 0 Stephen Grubbs Covenant Health, President & CEO 0 805455 0 400000 0 30482 0 10350 0 29814 0 1276101 0 0 Boris Kovalenko MD Physician 667938 0 0 0 24007 0 7202 0 11492 0 710639 0 0 0 Jeffery Davila MD Director 655043 0 0 0 7341 0 10147 0 1451 0 673982 0 0 0 Alycia Reppel MD Physician 549691 0 0 0 924 0 10286 0 44092 0 604993 0 0 0 Jeffrey Michaud MD Physician 545877 0 2000 0 6733 0 9172 0 39994 0 603776 0 0 0 Daniel Landry MD Physician 529453 0 0 0 5698 0 10235 0 26318 0 571704 0 0 0 Mark Branda MD Physician 520675 0 0 0 2059 0 6563 0 36974 0 566271 0 0 0 Cindy Segar-Miller President & CEO (end 10/2024) 0 525524 0 0 0 0 0 0 0 0 0 525524 0 0 Joseph Marino CFO & Treasurer 304012 0 0 0 2100 0 3741 0 1201 0 311054 0 0 0 Winfield Brown President & CEO (start 10/2024) 0 155804 0 0 0 769 0 2688 0 3039 0 162300 0 0 Part I, Line 3 Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. Part I, Line 7 The Organization may from time-to-time award incentive pay and performance-based compensation and bonuses, based upon agreed upon terms and conditions, review standards, and defined goals. Form 990, Part III, line 3 In December 2024, St. Mary's Health System unveiled a strategic plan to enhance care offerings, focusing on the most critical needs across the Lewiston-Auburn community. Included within this plan was a realignment of inpatient services. St. Mary's primary service lines are centered on routine care, outpatient services, and behavioral health. As St. Mary's is not a traditional trauma center, the Hospital decided to better align its offerings with the demand for short stay admissions and outpatient care. Given low patient volumes, the Hospital therefore suspended ICU level care services by the end of this tax year. The Hospital will also be adjusting its inpatient capacity to better reflect current demand for lower acuity services. Form 990, Part VI, Section A, line 6 St. Mary's Health System is the sole corporate member of the organization. Form 990, Part VI, Section A, line 7a As the sole corporate member of the Organization, St. Mary's Health System retains the ability to elect and remove the Organization's board of directors with or without cause. Form 990, Part VI, Section A, line 7b As the sole corporate member of the Organization, St. Mary's Heath System has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 4. To approve all long-range strategic plans before implementation; 5. To approve the acquisition, sale, or encumbrance of any real estate valued in excess of an amount set by the Member in writing; 6. To approve all capital budgets and non-budgeted expenses in excess of an amount set by the Member in writing; 7. To approve all debt in excess of limits set by the Member in writing; 8. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 9. To approve any reclassification or other change of any capital stock or other equity security; 10. To approve the issuance of, or the creation of any obligation to issue, an equity security; and, 11. To evaluate the performance of the Medical Center in preserving, furthering, and promoting the purposes of the Medical Center. Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent public accounting firm in coordination with the Organization's top finance personnel and officers. A draft of the Form 990 is provided to these finance personnel and officers for their review and approval prior to filing. While some Board members may have an opportunity to review the Form 990 prior to its filing, it is likely that not all of the Board will have such an opportunity to consider the tax return before its submission. Accordingly, while the Form 990 is only filed with the IRS upon the review and approval of the Organization's top finance personnel, as the full Board may not ultimately review a complete copy prior to submission, this Form 990, Part VI, Line 11 has been answered "no." Form 990, Part VI, Section B, line 12c This process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected. Form 990, Part VI, Section B, line 15 Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. Form 990, Part VI, Section C, line 19 The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available on the website of its parent organization, Covenant Health, Inc., at the following web address: https://covenanthealth.net/financials/ Form 990, Part XI, line 9: Transfers to affiliates -911,072. Return of prior year grants received -379,901. Form 990, Part XI, Line 2c: The Audit Committee of Covenant Health assumes responsibility for oversight of the audit and selection of the independent auditor. This audit process has not changed from the previous year. Alternative Health Services 360 Broadway Bangor ME 04402 010422885 Home health and hospice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation 0 Bangor Nursing & Rehabilitation Center 103 Texas Avenue Bangor ME 04401 010538534 Nursing home and restorative facility ME 501(c)(3) Line 10 Covenant Health Inc 0 CHS of Waltham Inc dba Maristhill Nursing & Rehab Center 66 Newton Street Waltham MA 02453 043333609 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 CHS of Worcester Inc dba St Mary Care Center 39 Queen Street Worchester MA 01610 043419625 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 Community Clinical Services PO Box 7291 Lewiston ME 04243 010409788 Physician pratice ME 501(c)(3) Line 10 St Mary's Health System 0 Covenant Health Foundation Inc 40 Shattuck Road 317 Andover MA 01810 800199674 Charitable foundation MA 501(c)(3) Line 12a, I Covenant Health Inc 0 Covenant Health Investment Trust 40 Shattuck Road 317 Andover MA 01810 046835128 Investment trust MA 501(c)(3) Line 12a, I Covenant Health Inc 0 Covenant Health Inc 40 Shattuck Road 317 Andover MA 01810 222484505 Health care management and resource organization MA 501(c)(3) Line 10 N/A 0 Fanny Allen Corporation Inc 40 Shattuck Road 317 Andover MA 01810 222495808 Charitable foundation VT 501(c)(3) Line 12a, I Covenant Health Inc 0 Fanny Allen Holdings Inc 40 Shattuck Road 317 Andover MA 01810 030181052 Real estate holding company VT 501(c)(3) Line 12a, I Covenant Health Inc 0 Helping Hands of St Marguerite Inc 799 Concord Avenue Cambridge MA 02138 800199674 Private home-care health services MA 501(c)(3) Line 10 Covenant Health Inc 0 M & J Company 360 Broadway Bangor ME 04402 222480150 Lease holding company ME 501(c)(2) St Joseph Healthcare Foundation 0 Mary Immaculate Guild 172 Lawrence Street Lawrence MA 01841 463073987 Nonprofit funding and support ME 501(c)(3) Line 12a, I Covenant Health Inc 0 MI Adult Day Health Care Center Inc 189 Maple Street Lawrence MA 01841 042921888 Adult day care services MA 501(c)(3) Line 10 Covenant Health Inc 0 MI Management Inc 172 Lawrence Street Lawrence MA 01841 042857794 Assisted living services MA 501(c)(3) Line 12a, I Covenant Health Inc 0 MI Nursing Restorative Center Inc 172 Lawrence Street Lawrence MA 01841 042104851 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 MI Residential Community Inc 189 Maple Street Lawrence MA 01841 042647207 HUD low income housing MA 501(c)(3) Line 10 Covenant Health Inc 0 MI Transportation Inc 189 Maple Street Lawrence MA 01841 042921889 Elderly transportation services MA 501(c)(3) Line 10 Covenant Health Inc 0 Mount St Rita Health Centre 15 Sumner Brown Road Cumberland RI 02864 050342330 Nursing home RI 501(c)(3) Line 10 Covenant Health Inc 0 Neighborhood Housing Initiative PO Box 7291 Lewiston ME 04243 010539730 Affordable housing services ME 501(c)(3) Line 10 St Mary's Health System 0 Penacook Place Inc 150 Water Street Haverhill MA 01830 237090088 Nursing home MA 501(c)(3) Line 10 Covenant Health Inc 0 Souhegan Nursing Association 24 North River Road Nashua NH 03055 020222795 Home health and hospice NH 501(c)(3) Line 10 St Joseph Hospital of Nashua NH Inc 0 St Andre Health Care 407 Pool Street Biddeford ME 04005 010342399 Nursing home and restorative facility ME 501(c)(3) Line 10 Covenant Health Inc 0 St Joseph Ambulatory Care Inc 360 Broadway Bangor ME 04402 222480373 Physician pratice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation 0 St Joseph Healthcare Foundation 360 Broadway Bangor ME 04402 222480149 Healthcare foundation ME 501(c)(3) Line 10 Covenant Health Inc 0 St Joseph Hospital 360 Broadway Bangor ME 04402 010212435 Hospital and health care facility ME 501(c)(3) Line 3 St Joseph Healthcare Foundation 0 St Joseph Manor Health Care 215 Thatcher Street Brockton MA 02302 042565937 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 St Joseph's Hospital of NashuaNH Inc 172 Kinsley Street Nashua NH 03061 020222215 Hospital and health care facility NH 501(c)(3) Line 3 Covenant Health Inc 0 St Mary's D'Youville Pavilion PO Box 7291 Lewiston ME 04243 010211558 Nursing home and restorative facility ME 501(c)(3) Line 10 St Mary's Health System 0 St Mary's Health System PO Box 7291 Lewiston ME 04243 222504349 Hospital and health care facility ME 501(c)(3) Line 12a, I Covenant Health Inc 0 St Mary's Residences PO Box 7291 Lewiston ME 04243 222504356 Low income housing ME 501(c)(3) Line 10 St Mary's Health System 0 St Mary's Villa Nursing Home Inc 675 St Marys Villa Road Moscow PA 18444 232057177 Nursing home and restorative facility PA 501(c)(3) Line 10 Covenant Health Inc 0 The Surgicenter at St Joseph Hospital Inc 172 Kinsley Street Nashua NH 03061 020222215 Healthcare and surgery center NH 501(c)(3) Line 10 St Joseph Hospital of Nashua NH Inc 0 Youville Hospital and Rehabilitation Center Inc 1575 Cambridge Street Cambridge MA 02138 043239563 Hospital and health care facility MA 501(c)(3) Line 10 Youville Lifecare Inc 0 Youville House Inc 1573 Cambridge Street Cambridge MA 02138 043239593 Assisted living services MA 501(c)(3) Line 10 Youville Lifecare Inc 0 Youville Lifecare Inc 1575 Cambridge Street Cambridge MA 02138 042103582 Hospital and health care facility MA 501(c)(3) Line 10 Covenant Health Inc 0 Youville Place 10 Pelham Road Lexington MA 02421 043297834 Assisted living services MA 501(c)(3) Line 10 Covenant Health Inc 0 Campus Holding PO Box 7291 Lewiston ME 04240 010406049 Holding company ME N/A C 0 Covenant Health Insurance LTD PO Box 69 Grand Cayman CJ KY1-1102 043360127 Self-insurance company CJ N/A C 0 GNM Corporation 172 Kinsley Street Nashua NH 03060 020400550 Real estate holding company NH N/A C 0 SJ Physicians Services 172 Kinsley Street Nashua NH 03060 020522234 Physician practice NH N/A C 0 St Joseph Corporate Services Inc 172 Kinsley Street Nashua NH 03060 020405197 Holding company NH N/A C 0 Strauss Incorporated 360 Broadway Bangor ME 04402 010391369 Repairs and transcriptions ME N/A C 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 1 1 1 1 1