TY 2014 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) JUDITH ANDRUCKI ESQ........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(2) MARK ANTHOINE........................................................................ VICE CHAIR	2.00 .......................	X	X		0	0	0
(3) JOHN CHAPMAN........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(4) JUSTIN CLARK MD THRU 92014........................................................................ DIRECTOR, TERM 9/2014	40.00 .......................	X			289,300	0	16,796
(5) MARTIN EISENSTEIN........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(6) DONALD FOURNIER........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(7) JOYCE GIBSON........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(8) CRAIG GUNDERSON........................................................................ CHAIR	2.00 .......................	X	X		0	0	0
(9) JOHN ISAACSON........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(10) CAROLYN KASABIAN........................................................................ TREASURER/SECRETARY	34.00 .......................6.00	X	X		265,359	0	25,817
(11) MICHAEL KELLEY MD........................................................................ DIRECTOR	1.00 .......................39.00	X			0	435,435	20,903
(12) CAROLYN LEPAGE........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(13) LEO MYLES........................................................................ PRESIDENT/CEO	34.00 .......................6.00	X	X		357,531	0	27,900
(14) JAMES PLACEMD........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(15) ANNE SCHUETTINGER........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(16) RICK VAIL........................................................................ DIRECTOR	2.00 .......................	X			0	0	0
(17) SUSAN KEILER........................................................................ COO	35.00 .......................5.00			X	268,747	0	25,467

(A) Name and business address	(B) Description of services	(C) Compensation
D'YOUVILLE PAVILION 100 CAMPUS AVE LEWISTON,ME04243	LAUNDRY/MEAL SERVICES	4,301,779
COVENANT HEALTH INC 100 AMES POND ROAD TEWKSBURY,MA01876	MANAGEMENT SERVICES	2,939,537
SOUND PHYSICIANS OF MAINE PO BOX 742936 LOS ANGELES,CA90074	STAFFING AGENCY	1,463,247
ST MARY'S ANESTHESIA PO BOX 1823 LEWISTON,ME04240	HEALTH CARE PROFESSIONAL	1,050,750
MAINEHEALTH 110 FREE STREET PORTLAND,ME04101	TECHNOLOGY SERVICES	698,036
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 21

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.	(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses
1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ....
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............
4	Benefits paid to or for members ....
5	Compensation of current officers, directors, trustees, and key employees ....	5,677,856	4,786,219	891,637
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages ....	66,995,324	54,693,102	12,302,222
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	375,867	307,628	68,239
9	Other employee benefits .......	12,626,793	10,334,391	2,292,402
10	Payroll taxes ...........
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	404,184	330,804	73,380
c	Accounting ...........	99,547	81,474	18,073
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....
12	Advertising and promotion ....
13	Office expenses .......
14	Information technology ......
15	Royalties ..
16	Occupancy ...........	3,955,531	2,023,475	1,932,056
17	Travel ............	270,251	263,983	6,268
18	Payments of travel or entertainment expenses for any federal, state, or local public officials ......
19	Conferences, conventions, and meetings ....	128,288	42,997	85,291
20	Interest ...........	1,975,733		1,975,733
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization .....	4,851,458	100,018	4,751,440
23	Insurance ..............	3,244,014	3,198,958	45,056
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	UBI TAX	-10,352		-10,352
b	SUPPLIES	18,067,750	17,579,514	488,236
c	PURCHASED SERVICES	9,889,164	8,911,608	743,172	234,384
d	MISCELLANEOUS	6,368,078	2,040,248	4,327,830
e	All other expenses	14,654,683	6,705,266	7,949,417
25	Total functional expenses. Add lines 1 through 24e	149,574,169	111,399,685	37,940,100	234,384
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
	1	Cash–non-interest-bearing .............		1
2	Savings and temporary cash investments .........	3,469,982	2	422,693
3	Pledges and grants receivable, net ...........		3
4	Accounts receivable, net .............	13,807,340	4	13,857,955
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
			5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
			6
7	Notes and loans receivable, net .............		7
8	Inventories for sale or use ..............	1,243,364	8	1,287,305
9	Prepaid expenses and deferred charges ..........	1,379,941	9	1,373,191
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	113,026,663
b	Less: accumulated depreciation .....	10b	58,528,955	55,828,647	10c	54,497,708
11	Investments—publicly traded securities ..........		11
12	Investments—other securities. See Part IV, line 11 .....		12
13	Investments—program-related. See Part IV, line 11 .....		13
14	Intangible assets ...............		14
15	Other assets. See Part IV, line 11 ...........	70,590,470	15	70,349,245
16	Total assets. Add lines 1 through 15 (must equal line 34)......	146,319,744	16	141,788,097
	17	Accounts payable and accrued expenses .........	12,109,883	17	14,409,111
18	Grants payable .................		18
19	Deferred revenue ................	561,886	19	536,458
20	Tax-exempt bond liabilities .............	20,186,298	20	18,387,404
21	Escrow or custodial account liability. Complete Part IV of Schedule D..		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........		22
23	Secured mortgages and notes payable to unrelated third parties ..	25,227,580	23	24,777,990
24	Unsecured notes and loans payable to unrelated third parties ....		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................	1,521,311	25	0
26	Total liabilities. Add lines 17 through 25.........	59,606,958	26	58,110,963
		Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............	85,023,629	27	81,670,907
28	Temporarily restricted net assets ...........	992,128	28	1,309,198
29	Permanently restricted net assets ...........	697,029	29	697,029
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........		30
31	Paid-in or capital surplus, or land, building or equipment fund .....		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	86,712,786	33	83,677,134
34	Total liabilities and net assets/fund balances ........	146,319,744	34	141,788,097

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E.)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in

section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross

receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of

its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses

acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations .............................

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2014

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2013 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2014. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2013. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2013. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513..
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2010	(b) 2011	(c) 2012	(d) 2013	(e) 2014	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2014 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2013 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2014 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2013 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests—2014. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2013. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2014

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Schedule A (Form 990 or 990-EZ) 2014

Page 5

Part IV

Supporting Organizations (continued)

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2014

Page 6

Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1. Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6
7	Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2014

Page 7

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2014 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2014	(iii) Distributable Amount for 2014
1 Distributable amount for 2014 from Section C, line 6
2 Underdistributions, if any, for years prior to 2014 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2014 distributable amount
i Carryover from 2009 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2014 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2014 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2014, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2014. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2015. Add lines 3j and 4c.
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......
e From 2014.......

Schedule A (Form 990 or 990-EZ) (2014)

Schedule A (Form 990 or 990-EZ) 2014

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Name of the organization

ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or
property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 2

Name of organization ST MARY'S REGIONAL MEDICAL CENTER

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 3

Name of organization ST MARY'S REGIONAL MEDICAL CENTER

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Page 4

Name of organization
ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Part III

Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet

$
Use duplicate copies of Part III if additional space is needed.

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a) No.
from
Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures .................................... SchCMd Bullet

Volunteer hours ........................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ......... SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ...... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............

Yes No

Was a correction made? .........................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ................................... SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b.. SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ..........................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2014

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......
b	Total lobbying expenditures to influence a legislative body (direct lobbying) .......
c	Total lobbying expenditures (add lines 1a and 1b) ...................
d	Other exempt purpose expenditures ........................
e	Total exempt purpose expenditures (add lines 1c and 1d) ...............
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ......................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2014

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? .........................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....

Media advertisements? ....................................

Mailings to members, legislators, or the public? .........................

Publications, or published or broadcast statements? .......................

Grants to other organizations for lobbying purposes? .......................

Direct contact with legislators, their staffs, government officials, or a legislative body? ........

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......

Other activities? ..........................

Yes

31,507

Total. Add lines 1c through 1i ...............................

31,507

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 .................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ................

Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members .....................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).

Current year .........................................

Carryover from last year ....................................

Total ............................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................

Taxable amount of lobbying and political expenditures (see instructions) ..............

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	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 $11,307 WAS USED FOR LOBBYING. ST.MARY'S ALSO PAID FMJ GOVERNMENTAL AFFAIRS $20,200 FOR LOBBYING ACTIVITY.

Schedule C (Form 990 or 990EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements .......................	2a
b	Total acreage restricted by conservation easements ..................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ....................	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included in Form 990, Part VIII, line 1 ........................ SchDMd Bullet

(ii)

Assets included in Form 990, Part X .............................. SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included in Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2014

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No

If "Yes," explain the arrangement in Part XIII and complete the following table:


c	Beginning balance .................................	1c
d	Additions during the year ..............................	1d
e	Distributions during the year .............................	1e
f	Ending balance ...................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......

Part V

Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	b (c)Two years back	(d)Three years back	(e)Four years back
1a	Beginning of year balance ....	1,689,157	2,239,193	2,391,960	1,969,636	1,877,705
b	Contributions ........	1,130,245	411,741	695,209	570,518	469,782
c	Net investment earnings, gains, and losses	192			14,238	24,648
d	Grants or scholarships .....
e	Other expenditures for facilities and programs ........	813,368	961,777	847,976	162,432	402,501
f	Administrative expenses ....
g	End of year balance ......	2,006,226	1,689,157	2,239,193	2,391,960	1,969,634

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

0 %

Permanent endowment SchDMd Bullet

35.000 %

Temporarily restricted endowment SchDMd Bullet

65.000 %

The percentages in lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations ........................

3a(i)

(ii) related organizations ........................

3a(ii)

If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value
1a	Land .................	922,346		922,346
b	Buildings ................	70,869,740	27,750,572	43,119,168
c	Leasehold improvements ............	538,184	262,110	276,074
d	Equipment ................	38,946,969	30,173,250	9,764,345
e	Other .................	1,749,424	343,023	415,775
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......				54,497,708

Schedule D (Form 990) 2014

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)		(b)Book value	(c) Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment		(b) Book value	(c) Method of valuation: Cost or end-of-year market value









Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1) LTD USE ASSETS				46,190,594
(2) DUE FROM AFFILIATES				22,716,762
(3) OTHER ACCOUNTS RECEIVABLE				1,072,595
(4) SETTLEMENTS W/ THIRD PARTIES				369,294





Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				70,349,245

Part X

Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability		(b) Book value
Federal income taxes









Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2014

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.......................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities ..........	2a
b	Prior year adjustments ..............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d......................		2e
3	Subtract line 2e from line 1.....................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.......................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

CONTINUING EDUCATION CAPITAL PURCHASES FOR SPECIFIC SPECIALITIES

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, 2014. UNDER INTERNAL REVENUE SERVICE REGULATIONS, THE SYSTEM'S TAX YEARS FROM 2011 THROUGH 2014 ARE OPEN AND SUBJECT TO EXAMINATION.

Schedule D (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization
ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers. Does the organization maintain records to substantiate the amount of its grants

and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria

used to award the grants or assistance? ...........................

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	NORTH AMERICA - CANADA AND MEXICO, BUT NOT THE UNITED STATES	0	1	IT PROGRAMMER	85,235
















3a	Sub-total .....	0	1		85,235
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	1		85,235

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014

Schedule F (Form 990) 2014

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .... MediumBullet

Enter total number of other organizations or entities ....................... MediumBullet

Schedule F (Form 990) 2014

Schedule F (Form 990) 2014Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2014

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2014

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H (Form 990)

Department of the TreasuryInternal Revenue Service

Hospitals

Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...

Yes

If "Yes," was it a written policy? .......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: .........

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............

Did the organization prepare a community benefit report during the tax year? ..........

Yes

If "Yes," did the organization make it available to the public? ..............

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) ..	7,068,063		7,068,063	4.720 %
b	Medicaid (from Worksheet 3, column a) ....	26,316,127	22,295,227	4,020,900	2.680 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) .
d	Total Financial Assistance and Means-Tested Government Programs .	33,384,190	22,295,227	11,088,963	7.400 %
Other Benefits		371,335	71,009	300,326	0.200 %
e	Community health improvement services and community benefit operations (from Worksheet 4) ..	371,335	71,009	300,326	0.200 %
f	Health professions education (from Worksheet 5) ..	1,091,917		1,091,917	0.730 %
g	Subsidized health services (from Worksheet 6) ..
h	Research (from Worksheet 7)
i	Cash and in-kind contributions for community benefit (from Worksheet 8)	339,103	20,000	319,103	0.210 %
j	Total. Other Benefits ..	1,802,355	91,009	1,711,346	1.140 %
k	Total. Add lines 7d and 7j .	35,186,545	22,386,236	12,800,309	8.540 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014

Schedule H (Form 990) 2014

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing	5,056	75,752	49,239	26,513	0.010 %
2	Economic development
3	Community support	1,647	88,058	56,445	31,613	0.020 %
4	Environmental improvements
5	Leadership development and training for community members	24	22,057	3,250	18,807	0.010 %
6	Coalition building	350	25,012		25,012	0.010 %
7	Community health improvement advocacy	19	7,536		7,536	0 %
8	Workforce development	600	2,426		2,426	0 %
9	Other
10	Total	7,696	220,841	108,934	111,907	0.050 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

12,016,379

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

240,328

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

56,311,537

Enter Medicare allowable costs of care relating to payments on line 5.....

62,335,199

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-6,023,662

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 UNITED AMBULANCE	AMBULANCE SERVICE	50.000 %	0 %	0 %
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2014

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	ST MARY'S REGIONAL MEDICAL CENTER 93 CAMPUS AVE LEWISTON,ME042430291 38244	X

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	ST MARY'S REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?.......................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C..........

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12....................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public? ..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.STMARYSMAINE.COM

Other website (list url): WWW.COVENANTHEALTH.NET

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website? ........

Yes

If "Yes" (list url): WWW.STMARYSMAINE.COM

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ...........................

12a

If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ......

12b

If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	ST MARY'S REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Financial Assistance Policy (FAP)

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application.

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application.

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process.

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications.

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?.......

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

The FAP application form was widely available on a website (list url):

A plain language summary of the FAP was widely available on a website (list url):

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

	ST MARY'S REGIONAL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?.........

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2014

Page

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
ST. MARY'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 5: THE DATA USED FOR DETERMINING THE COMMUNITY HEALTH NEEDS OF ANDROSCOGGIN COUNTY WAS PRIMARILY OBTAINED FROM THE ONE- MAINE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). EASTERN MAINE HEALTH SYSTEM, MAINEGENERAL HEALTH AND MAINEHEALTH SYSTEMS COLLABORATED TO CONDUCT THE ASSESSMENT WHICH WAS PUBLISHED IN 2011. THESE HEALTH SYSTEMS CONTRACTED WITH THE UNIVERSITY OF NEW ENGLAND CENTER FOR HEALTH PLANNING, POLICY AND RESEARCH (CHPPR) AND THE UNIVERSITY OF SOUTHERN MAINE'S MUSKIE SCHOOL FOR PUBLIC HEALTH FOR PUBLIC HEALTH EXPERTISE.ON A STATEWIDE BASIS, THE RESEARCH CONSULTANTS DEVELOPED AN ADVISORY COMMITTEE THAT MET TWO TIMES DURING THE ASSESSMENT RESEARCH AND DRAFTING OF THE PUBLICATION. THESE INDIVIDUALS REPRESENTED A BROAD SPECTRUM OF BACKGROUNDS, AND THEY ARE NAMED: CAROL BELL, HEALTHY MAINE PARTNERSHIP DIRECTOR; KELLY BENTLEY, HEALTHY MAINE PARTNERSHIP DIRECTOR; GAIL DANA-SACCO, WABANAKI CENTER (SERVING TRIBAL POPULATIONS); PATRICIA HART, MAINE DEVELOPMENT FOUNDATION; BARBARA LEONARD, MPH, MAINE HEALTH ACCESS FOUNDATION (PHILANTHROPIC FOUNDATION FOCUSED ON ACCESS TO CARE IN MAINE); BECCA MATUSOVICH, MAINE CENTER FOR DISEASE CONTROL; LISA MILLER, BINGHAM FOUNDATION (PHILANTHROPIC FOUNDATION); DORA ANN MILLS, MD, MAINE CENTER FOR DISEASE CONTROL; ELIZABETH MITCHELL, MAINE HEALTH MANAGEMENT COALITION (REPRESENTING THE STATE'S MAJOR EMPLOYERS, INSURERS AND PROVIDERS); TRISH RILEY, GOVERNOR'S OFFICE OF HEALTH POLICY AND FINANCE (GOHPF); BRIAN RINES, ADVISORY COMMITTEE FOR HEALTH SYSTEM DEVELOPMENT (OVERSEEN BY GOHPF); RACHEL TALBOT-ROSS, MAINE CHAPTER, NAACP; TED TRAINER, PUBLIC HEALTH COORDINATING COUNCIL SHAWN YARDLEY, CITY OF BANGOR, DEPARTMENT OF HEALTH AND WELFARE. IN THE LOCAL AREA SERVED BY THE ASSESSMENT, MULTIPLE PARTIES WERE ENGAGED IN DISSEMINATION OF THE ASSESSMENT FINDINGS AND ESTABLISHMENT OF PRIORITIES.AT THE LOCAL LEVEL, A GROUP OF COMMUNITY STAKEHOLDERS WORKED TOGETHER TO ANALYZE RESULTS FOR OUR COUNTY. THEY INCLUDED: BRENDA JOLY, MPH, PHD ASSISTANT RESEARCH PROFESSOR IN HEALTH POLICY AND MANAGEMENT PROGRAM. MUSKIE SCHOOL OF PUBLIC SERVICE, UNIVERSITY OF SOUTHERN MAINE, 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, STEVE JOHNDRO, EXECUTIVE DIRECTOR, HEALTHY ANDROSCOGGIN, CATHERINE RYDER, EXECUTIVE DIRECTOR, TRI-COUNTY MENTAL HEALTH SERVICES, GINNY ANDREWS, NUTRITION SERVICES PROGRAM MANAGER, WESTERN MAINE COMMUNITY ACTION, BECKY GRANT, WESTERN MAINE COMMUNITY ACTION, BRENDA CZADO, DIRECTOR HOME CARE, ANDROSCOGGIN HOME CARE AND HOSPICE, CARA OUELLETTE, DIRECTOR OF OUTREACH SERVICES, SAFE VOICES, DARBY RAY, EXECUTIVE DIRECTOR, HARWOOD CENTER AT BATES COLLEGE, JOAN CHURCHILL, DIRECTOR OF RESOURCE DEVELOPMENT COMMUNITY CONCEPTS, KAREN WHITE, COMMUNITY TRANSFORMATION GRANT COORDINATOR, COMMUNITY CONCEPTS, ALEXANDER VEGUILLA- APONTE, WELLNESS AND RECOVER SERVICES COORDINATOR, TRI-COUNTY MENTAL HEALTH SERVICES. THIS GROUP BEGAN MEETING MONTHLY IN THE SPRING OF 2012 AND CONTINUES TO MEET TO REVIEW AND ANALYZE THE DATA, AS WELL AS PREPARE FOR THE NEXT CHNA.ANDROSCOGGIN COUNTY COMMUNITY FORUMS WERE HELD IN MARCH 2013 IN LEWISTON AND POLAND, MAINE. THIRTY EIGHT COMMUNITY MEMBERS ATTENDED, INCLUDING REPRESENTATIVES FROM VULNERABLE POPULATIONS SUCH AS TRI COUNTY MENTAL HEALTH SERVICES, ADVOCATES FOR CHILDREN, PUBLIC HEALTH NURSING, AND A MEMBER OF THE SOMALI COMMUNITY.(* MEMBERS OF LEWISTON/AUBURN PUBLIC HEALTH STEERING COMMITTEE).
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 11: ACCESS TO CARE: ST. MARY'S HAS MADE A COMMITMENT TO PATIENT CENTERED MEDICAL HOMES (PCMH) WHICH AIM AT PROVIDING BETTER ACCESS TO CARE. ALL OF OUR PHYSICIAN PRACTICES ARE LEVEL IV PCMHS. WE ARE PROMOTING A CULTURE OF ACCESS TO REDUCE BARRIERS FOR PATIENTS AND TO DEVELOP CENTRALIZED STANDARDIZED WORK FLOWS. WE HAVE EXPANDED HOURS OF ACCESS INTO THE EVENINGS AND ON WEEKENDS. ST. MARY'S IS ALSO PARTICIPATING IN TWO ACCOUNTABLE CARE ORGANIZATIONS (ACOS) WHICH ALSO FOCUS ON IMPROVING ACCESS FOR PATIENTS.BECAUSE OUR GEOGRAPHIC AREA QUALIFIES AS A MEDICALLY UNDERSERVED AREA, WE FOCUS ON TRAINING ADDITIONAL HEALTH CARE PROFESSIONALS TO SERVE IN THE AREA. IN 2014 WE EXPANDED OUR PARTICIPATION IN A UNIQUE OPPORTUNITY FOR SECOND YEAR MEDICAL STUDENTS THROUGH TUFTS MEDICAL SCHOOL. IT IS A LONGITUDINAL CURRICULUM AIMED AT ENCOURAGING PHYSICIANS TO CONSIDER RURAL MEDICINE WHERE MEDICAL STUDENTS ACTUALLY LIVE ON ST. MARY'S CAMPUS FOR 9 MONTHS AND FOLLOW PATIENTS FOR THE LENGTH OF THEIR STUDIES SO THEY EXPERIENCE A VERY COMPREHENSIVE VIEW OF HEALTH CARE. ST. MARY'S MENTORED, AS WELL AS HOUSED AND FED, THREE STUDENTS IN THIS PROGRAM. THE STUDENTS EXPRESS GRATITUDE FOR SUCH A VALUABLE EXPERIENCE AND FOR THE INCREDIBLE SUPPORT AND LEARNING ENVIRONMENT OFFERED BY ST. MARY'S. ST. MARY'S ALSO OFFERS SOME UNIQUE EXPERIENCES FOR STUDENTS WITH OUR VARIED SETTINGS. THESE INCLUDE PSYCHIATRIC UNITS, THE NUTRITION CENTER AND EVEN MARKETING. CARDIOVASCULAR DISEASE: ST. MARY'S IDENTIFIED SEVERAL REASONS FOR THE RATES OF CARDIOVASCULAR DISEASE IN THE AREA AND FOCUSED ON NUTRITION, TOBACCO CESSATION AND REDUCING CARDIAC RISKS (SUCH AS CHOLESTEROL AND HIGH BLOOD PRESSURE.) ALL STAFF IN THE PHYSICIAN NETWORK HAVE BEEN TRAINED ON TOBACCO CESSATIONS AND RESOURCES FOR PATIENTS. WE ARE EXPANDING OUTPATIENT SERVICES FOR CARDIOVASCULAR DISEASE AND ARE INITIATING A SPECIAL PROGRAM FOR HEART FAILURE, AS WELL AS A DYSPNEA CLINIC. WE DID APPLY FOR A GRANT WITH THE OTHER LOCAL HOSPITAL TO ADDRESS FAMILIAL HYPERCHOLESTEROLIMIA. AT THE COMMUNITY LEVEL, OUR PREVENTION AND WELLNESS PROGRAM OFFERS EXERCISE CLASSES AND WE OFFER COMMUNITY HEALTH SCREENINGS AS WELL. CANCER: ST. MARY'S CENTER FOR ONCOLOGY AND BLOOD DISORDERS DEVELOPS AND IMPLEMENTS AN ANNUAL COMMUNITY HEALTH PLAN WHICH OFFERS CANCER SCREENINGS AND EDUCATION IN THE COMMUNITY. IN 2014 WE SPONSORED CANCER PREVENTION EDUCATION SEMINARS ON LUNG CANCER, COLON CANCER, PROSTATE CANCER AND BREAST CANCER (AMONG THE TOP 5 CANCERS IN MAINE.) WE ALSO SPONSORED SEVERAL PRESENTATIONS ON SPECIALIZED TOPICS IN CANCER SUCH AS NUTRITION, GENETICS, UNDERSTANDING LAB VALUES, CARE FOR THE CAREGIVER AND EXERCISE. ST. MARY'S ALSO HOSTED "CONSIDER THE CONVERSATION", AN EVENT TO PROMOTE ADVANCE CARE PLANNING WHICH UTILIZES THE POWERFUL DOCUMENTARY, "CONSIDER THE CONVERSATION." WE PARTNERED WITH THE LOCAL HOSPICE PROGRAM TO SHOW THE FILM AND PRESENT A PANEL DISCUSSION. ABOUT 60 PEOPLE ATTENDED THIS EVENT IN THE FALL OF 2014. IN ADDITION, ST. MARY'S IMPLEMENTED A MIND-BODY MEDICINE GROUP FOR CANCER PATIENTS AND CANCER SURVIVORS WHICH WAS VERY WELL-RECEIVED.DIABETES: ST. MARY'S FOCUSED ON IMPROVING ACCESS AND THE HEALTH OF OUR PATIENT POPULATION BY IMPLEMENTING POPULATION HEALTH SPECIALISTS IN OUR PRIMARY CARE NETWORK TO IDENTIFY PATIENTS WITH CHRONIC DISEASE OR GAPS IN CARE AND THEN PROVIDE FOCUSED ATTENTION ON ADDRESSING THOSE GAPS IN CARE OR MANAGING THE DISEASE-IN 2014 WE CHOSE TO FOCUS ON DIABETES MEASURES AS THIS IS A KEY IDENTIFIED COMMUNITY HEALTH ISSUE. AS A RESULT, OUR QUALITY INDICATORS SHOWED THAT WE WERE ABLE TO REDUCE THE GAP OF THOSE WITH A BLOOD SUGAR LEVEL OF GREATER THAN 9 FROM 24% TO 16% BY DECEMBER 31, 2014 (THE GOAL WAS 19%.) ST. MARY'S IS DEVELOPING A REGIONAL APPROACH TO DIABETES PREVENTION WITH SOME LOCAL EMPLOYERS AND THE LOCAL YMCA. WE ARE ALSO DEVELOPING A DIABETES PREVENTION PROGRAM USING THE CENTERS OF DISEASE CONTROL CURRICULUM WHICH WILL BE IMPLEMENTED IN 2015. SOME OF THE PROGRAMMING THROUGH OUR PREVENTION AND WELLNESS DEPARTMENT IS APPLICABLE HERE AS WELL BECAUSE OF THE GOAL TO INCREASE PHYSICAL EXERCISE.MENTAL HEALTH/SUBSTANCE ABUSE: ST. MARY'S SPECIALIZES IN BEHAVIORAL HEALTH SERVICES. WE HAVE NOW INTEGRATED A LICENSED CLINICAL SOCIAL WORKER AT ALL PRIMARY CARE PRACTICES AND THEY ARE ACTIVELY SCREENING FOR MENTAL HEALTH/SUBSTANCE ABUSE ISSUES. WE IMPLEMENTED AN INTENSIVE OUTPATIENT DAY PROGRAM DURING THE EARLY EVENING HOURS SO MORE WORKING PEOPLE COULD PARTICIPATE IN THE PROGRAM.WE PARTICIPATE IN A PRESCRIPTION MONITORING PROGRAM TO MONITOR OPIOID USE. RECREATIONAL THERAPISTS FROM BEHAVIORAL SERVICES ARE OFFERING COMMUNITY EDUCATION SESSIONS ON STRESS TO LOCAL EMPLOYERS.OBESITY: LET'S GO 5-2-1-0 107 HEALTHCARE PRACTICES ACROSS MAINE, NEW HAMPSHIRE, AND MASSACHUSETTS WERE AWARDED FOR THEIR COMMITMENT TO EXCELLENCE IN CHILDHOOD OBESITY PREVENTION. THE PHYSICIANS AND OFFICE STAFF AT THESE PRACTICES ARE PRIORITIZING CHILDREN'S HEALTH IN COLLABORATION WITH LET'S GO! 5-2-1-0 AND THE HARVARD PILGRIM HEALTH CARE FOUNDATION. LET'S GO! FOCUSES ON EDUCATING PRIMARY CARE PHYSICIANS ON CHILDHOOD OBESITY BY PROVIDING EDUCATIONAL OUTREACH, SUPPORTING MATERIALS AND TRAINING TO PHYSICIANS WORKING WITH PATIENTS AND THEIR FAMILIES ON PROMOTING HEALTHY EATING AND PHYSICAL ACTIVITY TO PREVENT CHILDHOOD OBESITY. PROVIDERS AND OFFICE STAFF AT ST. MARY'S WERE RECOGNIZED FOR DEMONSTRATING THEIR COMMITMENT TO LET'S GO! AND THEIR COMMUNITY BY FOLLOWING THE THREE STEPS LISTED BELOW: 1. CONNECTING TO THE COMMUNITY AND LET'S GO! BY HANGING A LET'S GO! POSTER IN THE WAITING ROOM AND ALL EXAM ROOMS WHERE PEDIATRIC PATIENTS ARE SEEN. 2. ALL PROVIDERS ARE ACCURATELY WEIGHING AND MEASURING PATIENTS BY DETERMINING BODY MASS INDEX (BMI), BMI PERCENTILE, AND WEIGHT CLASSIFICATION FOR ALL PATIENTS AGES TWO YEARS AND OLDER AT WELL-CHILD VISITS. 3. ALL PROVIDERS ARE REGULARLY ENGAGING IN RESPECTFUL CONVERSATIONS WITH PATIENTS ABOUT WEIGHT BY USING THE 5-2-1-0 HEALTHY HABITS QUESTIONNAIRE AT WELL-CHILD VISITS. 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 NUTRITION CENTER IS FEATURED IN THE AMERICAN HOSPITAL ASSOCIATION 2014 PUBLICATION "COMMUNITY CONNECTIONS: IDEAS & INNOVATIONS FOR HOSPITAL LEADERS" AS AN EXAMPLE OF A PROGRAM ADDRESSING THE SOCIAL, BASIC AND PERSONAL NEEDS TO IMPROVE THE LONG-TERM HEALTH OF THE COMMUNITY. ST. MARY'S WEIGHT MANAGEMENT PROGRAM IS ALSO PROVING TO BE A VALUABLE RESOURCE FOR PATIENTS. EVALUATION SHOWS THAT THERE ARE SIGNIFICANT IMPROVEMENTS IN BMI, A1C SCORES (RELATED TO DIABETES) AND BLOOD PRESSURE.RESPIRATORY HEALTHST. MARY'S IS DEVELOPING A PATIENT-CENTERED SPECIALTY PRACTICE IN PULMONARY DISEASE TO HELP ADDRESS THIS. THERE IS AN ALGORITHM FOR DIAGNOSING AND TREATING COPD. WE ARE ALSO PILOTING THE USE OF SPIROMETRY IN THE PRIMARY CARE SETTING TO BETTER SERVE PATIENTS. TOBACCO CESSATION EFFORTS ARE ALSO EXAMPLES OF INITIATIVES TO IMPROVE RESPIRATORY HEALTH.NEEDS NOT BEING ADDRESSES AND WHY:IN INITIAL DISCUSSION AND SUBSEQUENT PRIORITIZATION, ST. MARY'S CONSIDERED THE LEVELS TO WHICH SOME NEEDS WERE ALREADY BEING ADDRESSED IN THE SERVICE AREA. ADDITIONALLY, SOME COMMUNITY HEALTH NEEDS ARE BEYOND THE SCOPE OF EXPERTISE AND RESOURCES OF ST. MARY'S HOSPITAL. THE FOLLOWING CHART OUTLINES HOW THESE NEEDS ARE BEING ADDRESSED IN THE COMMUNITY AND ARE THEREFORE NOT PART OF ST. MARY'S PRIORITIZED STRATEGY:IDENTIFIED COMMUNITY NEED HOW NEED IS ADDRESSED IN ANDROSCOGGIN COUNTYREPRODUCTIVE HEALTH -THE MAINE CENTERS FOR DISEASE CONTROL (CDC) HAS SPECIFIC PROGRAMMING TO ADDRESS REPRODUCTIVE HEALTH NEEDS-EDUCATIONAL PRESENTATIONS WERE OFFERED AT THE COMMUNITY STAKEHOLDER GROUP TO SHARE DATA, RESOURCES AND EVIDENCE-BASED TREATMENT GUIDELINES WHICH BOTH ST. MARY'S AND CENTRAL MAINE MEDICAL CENTER SHARED WITH THEIR RESPECTIVE PROVIDERSORAL HEALTH -COMMUNITY CLINICAL SERVICES OFFERS AN EXISTING PEDIATRIC DENTAL CLINIC AND EXPANDED ITS PROGRAM IN 2014 (IN PARTNERSHIP WITH ST. MARY'S HEALTH SYSTEM)-THE LOCAL COMMUNITY COLLEGE IS PARTNERING WITH THE UNIVERSITY OF NEW ENGLAND TO OFFER 2 YEAR PREPARATORY COURSES IN DENTISTRY TO ATTRACT MORE LOCAL RESIDENTS INTO DENTAL PROGRAMS (AND HOPEFULLY STAYING IN THE STATE OF MAINE TO PRACTICE DENTISTRY)-LOCAL DENTISTS DO OFFER FREE DENTAL CLINICS ANNUALLY
ST. MARY'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 13H: UNINSURED DISCOUNT AND 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 CONTRACT INFORMATION FOR ASSISTANCE IN ANSWERING ANY QUESTIONS OR IN COMPLETING THE APPLICATION
ST. MARY'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 16I: 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.
ST. MARY'S REGIONAL MEDICAL CENTER	PART V, SECTION B, LINE 22D: ST. MARY'S REGIONAL MEDICAL CENTER OFFERS FREE CARE FOR INDIVIDUALS UP TO 200% OF FPG AND A 50% DISCOUNT ON THE BILLED CHARGES TO ALL UNINSURED PATIENTS WHO DO NOT QUALIFY OR APPLY FOR FREE CARE.

Schedule H (Form 990) 2014

Page

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?
Name and address		Type of Facility (describe)
1
2
3
4
5
6
7
8
9
10

Schedule H (Form 990) 2014

Page

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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:	MANY OF ST. MARY'S COMMUNITY BUILDING ACTIVITIES CENTER AROUND EFFORTS AT OUR NUTRITION CENTER FOR YOUTH PROGRAMMING AND GARDENING PROGRAMS. FOR TEENS AGES 14 TO 20, THE LARGEST PROGRAM IS THE YOUTH GARDENER PROGRAM. IN THE SUMMER, 24 YOUTH PARTICIPATE IN ONE OF TWO 4-WEEK SESSIONS FOR FIVE DAYS A WEEK. YOUTH LEARN HOW TO GROW FOOD FOR THEMSELVES, THEIR FAMILY, AND THEIR COMMUNITY, AS WELL AS PARTICIPATE IN LIFE-SKILLS WORKSHOPS THAT FOCUS ON LEADERSHIP DEVELOPMENT, HUNGER, COMMUNITY CHANGE, AND DIVERSITY. IN THE SPRING AND FALL, 6-10 YOUTH WORK AFTER SCHOOL IN THE COMMUNITY GARDENS, SUPPORTING ADULTS AND LEADING CHILDREN. YOUTH PROGRAMS AT THE NUTRITION CENTER CREATE HEALTHY ENVIRONMENTS FOR YOUNG PEOPLE TO DEVELOP THEIR VOICES WITHIN THEIR COMMUNITY AS THEY EXPLORE AND LEARN IN URBAN AND SCHOOL GARDENS AND KITCHENS. YOUTH LEARN TO MAKE HEALTHY CHOICES, GROW AND PREPARE FOOD, AND REGULARLY EAT VEGETABLES; HAVE INCREASED WILLINGNESS TO TRY NEW FOODS; UNDERSTAND IMPORTANCE OF TEAMWORK, COMMUNICATION, AND POSITIVE CONTRIBUTION; AND FEEL EMPOWERED TO CREATE POSITIVE CHANGE. TEENS LEARN JOB SKILLS IN THE FIELD WHILE THEY PROVIDE A CRUCIAL SERVICE TO THE COMMUNITY-MAKING HEALTHY FOOD MORE ACCESSIBLE. THE WINTER LEADERSHIP INTENSIVE PROGRAM RUNS FOR 4 WEEKENDS IN FEBRUARY-MARCH. YOUTH JOIN PEERS FOR COMMUNICATION/STORY-TELLING TRAINING, IN-DEPTH LEADERSHIP DEVELOPMENT AND SKILL-BUILDING. YOUTH POWERED COOKING IS THE NUTRITION CENTER'S NEWEST YOUTH PROGRAM. YOUTH RECEIVE HANDS-ON TRAINING IN COOKING AND SERVING NUTRITIOUS FOODS WHILE DEEPENING THEIR CONNECTION TO THEIR LOCAL FOOD SYSTEM. YOUTH PARTICIPATE IN A SERIES OF SKILL-BASED WORKSHOPS THAT COVER TOPICS SUCH AS SAFE KNIFE HANDLING TECHNIQUES AND FOLLOWING AND SCALING RECIPES. PARTICIPANTS THEN HAVE THE CHANCE TO PUT THESE NEW SKILLS INTO PRACTICE AS THEY PREPARE FOOD TO BE SOLD AT THE LEWISTON WINTER FARMERS' MARKET ON THE FIRST AND THIRD SUNDAYS OF THE MONTH. MENUS INCLUDE INGREDIENTS SOURCED FROM MARKET VENDORS AND OTHER LOCAL PRODUCERS WHEN AVAILABLE. FINALLY, THE YOUTH CAMPAIGN CREW WORKS TO IDENTIFY INJUSTICE IN THE FOOD SYSTEM AND CREATE MEDIA PRODUCTS THAT SHARE THEIR VISION FOR REAL CHANGE. THROUGH BUILDING NEW RELATIONSHIPS WITH ADULT LEADERS IN THE SCHOOL SYSTEM, THE YOUTH EXPAND THEIR INFLUENCE TOWARDS INCREASED ACCESS TO GOOD FOOD IN THEIR SCHOOLS. A KEY COMPONENT OF YOUTH PROGRAMMING IS PROVIDING OPPORTUNITIES FOR GROWTH AND LEADERSHIP. THE YOUTH INTERNSHIP PROGRAM IS AN EIGHT-MONTH AFTER-SCHOOL AND SUMMER PROGRAM, WHICH EMPLOYS UP TO FOUR ALUMNI FROM THE YOUTH GARDENER PROGRAMS. THE INTERNSHIP PROGRAM IS FOCUSED ON LEADERSHIP DEVELOPMENT AND SERVICE EXPERIENCE. INTERNS ACT AS ROLE MODELS AND LEADERS FOR THEIR PEERS BY LEADING THE YOUTH WORKSHOPS AND GARDEN WORKDAYS. BY LEADING THEIR PEERS AND BEING ADVOCATES FOR THEIR OWN NEEDS, YOUTH DEVELOP THEIR ORGANIZING SKILLS. SOME YOUTH GROW EVEN FURTHER WITH THE ORGANIZATION AND WORK AS NUTRITION CENTER FELLOWS AFTER GRADUATING FROM HIGH SCHOOL. ALL YOUTH PARTICIPANTS RECEIVE MODEST STIPENDS FOR PARTICIPATION IN PROGRAMS AND MEETING PROGRAM EXPECTATIONS, WHICH HELPS THEM LEARN ABOUT ACCOUNTABILITY FOR THEIR WORK AND INFUSES A "REAL WORLD" EMPLOYER/EMPLOYEE RELATIONSHIP COMPONENT INTO THE TRAINING PROGRAM. THE ST. MARY'S NUTRITION CENTER HAS TAKEN STEPS IN RECENT YEARS TO ESTABLISH RELATIONSHIPS WITH LOCAL SCHOOLS IN ORDER TO OFFER A VARIETY OF GARDEN, COOKING, AND NUTRITION-BASED EDUCATION PROGRAMS. CHILDREN HAVE THE OPPORTUNITY TO PLANT PEAS, PREPARE KALE PESTO, AND LEARN TO "EAT YOUR COLORS," FOR EXAMPLE, THROUGH A VARIETY OF AFTER SCHOOL COOKING CLUBS, GARDEN LESSONS, CAFETERIA TASTE TESTS AND MORE. OVER THE COURSE OF THE YEAR, THE NUTRITION CENTER STAFF AND ITS FOODCORPS MEMBER OFFERED MORE THAN 250 SESSIONS, REACHING OVER 800 STUDENTS THROUGH SCHOOL-BASED PROGRAMS. SCHOOL SITES INCLUDED: LONGLEY ELEMENTARY, MONTELLO ELEMENTARY, MCMAHON ELEMENTARY, PARK AVENUE ELEMENTARY, LEWISTON MIDDLE SCHOOL, EDWARD LITTLE HIGH SCHOOL, AND AFTERSCHOOL PROGRAMS AT HILLVIEW APARTMENTS, THE LEWISTON PUBLIC LIBRARY, AND TREE STREET YOUTH. FOR EXAMPLE, AS PART OF THE STATE-WIDE HARVEST LUNCH WEEK IN SEPTEMBER, THE NUTRITION CENTER OFFERED A TASTE TEST AT THE LONGLEY ELEMENTARY CAFETERIA USING EGGPLANTS FROM THE SCHOOL GARDEN - OVER 300 STUDENTS TASTED AND RATED THE BABA GANOUSH DIP! THE NUTRITION CENTER ALSO SUPPORTS THE ANDROSCOGGIN FARM TO SCHOOL (AF2S) NETWORK, WHICH CURRENTLY SERVES AS AN INFORMATION AND RESOURCE SHARING VENUE FOR THOSE INVOLVED OR INTERESTED IN FARM TO SCHOOL EFFORTS IN ANDROSCOGGIN COUNTY. FARM TO SCHOOL ACTIVITIES FOCUS ON SCHOOL GARDENS, NUTRITION EDUCATION, AND LOCAL FOOD PROCUREMENT BY SCHOOL CAFETERIAS. THIS PASSIONATE GROUP OF TEACHERS, PRINCIPALS, NUTRITION EDUCATORS, COMMUNITY NONPROFITS, SCHOOL NUTRITION SERVICE DIRECTORS, PARENTS, FARMERS, AND VOLUNTEERS WORKS TO BUILD A STRONGER RELATIONSHIP BETWEEN STUDENTS AND THE FOOD THEY EAT BY DEMONSTRATING TO THEM WHAT REAL FOOD IS AND HOW IT GROWS. GREEN AND HEALTHY HOMES INITIATIVE (GHHI) IN THE PAST TEN YEARS, 678 CHILDREN HAVE BEEN POISONED BY LEAD IN THE LEWISTON-AUBURN AREA, AND THERE ARE HUNDREDS OF VISITS TO THE EMERGENCY DEPARTMENT EACH YEAR TO DUE ASTHMA. IN ADDITION, NATIONALLY 40% OF ASTHMA EPISODES ARE CAUSED BY TRIGGERS IN THE HOME SUCH AS MOLD, TOBACCO SMOKE AND PESTS. AS PART OF A POPULATION HEALTH EFFORT THAT INCLUDES A COMMUNITY COLLABORATIVE, ST. MARY'S IS A CHARTER MEMBER OF THE GREEN AND HEALTHY HOMES INITIATIVE IN MAINE. THIS MODEL IS DESIGNED TO INTEGRATE HEALTH, SAFETY, LEAD HAZARD REDUCTION, ENERGY EFFICIENCY AND WEATHERIZATION HOUSEHOLD INTERVENTIONS TO IMPROVE OUR HOUSING STOCK. 77% OF THE BUILDINGS IN LEWISTON-AUBURN WERE BUILT BEFORE 1980 WHICH MEANS THERE IS STRUCTURAL DECAY, OUTDATED HEATING SYSTEMS, LACK OF INSULATION AND ACCESSIBILITY ISSUES SO THIS IS A SERIOUS ISSUE IN OUR COMMUNITY. IN 2014 ST. MARY'S HELPED TO CREATE AND DISTRIBUTE THE GHHI COMPACT WHICH HAS NOW BEEN SIGNED BY CITY OFFICIALS, HEALTH OFFICIALS, COMMUNITY OFFICIALS AND OTHER STAKEHOLDERS TO CREATE COOPERATION ACROSS MULTIPLE SECTORS. THE NEXT STEP IS TO CREATE THE PROCESS FOR REFERRALS TO THE PROGRAM AND IDENTIFY ELIGIBILITY CRITERIA FOR PARTICIPATION-THE GOAL IS TO PILOT THIS FOR 10 HOMES IN 2015.
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 16 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 4:	FOOTNOTE 3, PAGE 16 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 WORK 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:	DURING 2012-2013, A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED BY ST. MARY'S REGIONAL MEDICAL CENTER, CENTRAL MAINE MEDICAL CENTER, HEALTHY ANDROSCOGGIN AND OTHER COMMUNITY HEALTH AGENCIES.ST. MARY'S REGIONAL MEDICAL CENTER (SMRMC) DRAWS MOST OF ITS INPATIENT AND OUTPATIENT POPULATION FROM ANDROSCOGGIN COUNTY, THEREFORE WE FOCUS ON THE NEEDS OF THIS COMMUNITY. 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 36,592 IN THE 2010 CENSUS) AND AUBURN (POPULATION 23,055 IN THE 2010 CENSUS) RESPECTIVELY. LOCATED ACROSS FROM EACH OTHER ON THE ANDROSCOGGIN RIVER, THE TWIN CITIES OF LEWISTON AND AUBURN ARE THE CENTRAL HUB OF THE REGION. THE COUNTY IS WORKING TO TRANSFORM THE DOWNTOWN AREA FROM VACANT TEXTILE MILLS AND ABANDONED SHOE FACTORIES TO A REGION KNOWN FOR PROGRESSIVE HEALTH CARE, TOURISM, HIGH-PRECISION MANUFACTURING, TELEMARKETING AND FINANCIAL SERVICES. LEWISTON AND AUBURN ARE ALSO HOME TO A LARGE FRANCO-AMERICAN POPULATION AS WELL AS AN INCREASING NUMBER OF SOMALI AND SUDANESE IMMIGRANTS. THE REST OF THE COUNTY IS COMPRISED OF SMALL RURAL TOWNS WITH AN AVERAGE POPULATION OF 222 PERSONS PER SQUARE MILE.FROM THE 2010 CENSUS DATA, THE POPULATION OF ANDROSCOGGIN COUNTY IS 107,702, WITH A POVERTY RATE OF 14.3% AND MEDIAN INCOME OF $44,470 ANNUALLY. LEWISTON'S POVERTY RATE IS EVEN HIGHER-25% AND THE RATE OF CHILDHOOD POVERTY IN LEWISTON IS 42% (ACCORDING TO THE 2011 AMERICAN COMMUNITY SURVEY). THE COUNTY IS PRIMARILY WHITE (91.9%) WITH BLACK (3.6%) AND TWO OR MORE RACES AT 1.8%. WITH THE CONCENTRATION OF SOMALI AND SUDANESE IMMIGRANTS IN LEWISTON, THE CITY HAS A MORE SIGNIFICANT BLACK POPULATION (8%). ANDROSCOGGIN COUNTY HAS 51.05% MALES AND 48.95% FEMALES WITH THE HIGHEST NUMBER OF PEOPLE IN THE 18-64 YEAR AGE RANGE (63.33%). HOWEVER ACCORDING TO THE 2010 CENSUS, MAINE IS THE OLDEST STATE IN THE COUNTRY AND ANDROSCOGGIN COUNTY HAS THE "OLDEST" POPULATION IN THE STATE OF MAINE. THE 2012 UNEMPLOYMENT RATE IS 7.1%. WITH 13% OF THE PRIMARY LANGUAGE SPOKEN IN THE HOME BEING OTHER THAN ENGLISH, 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, MAINE: 2010 CENSUS RACE BY AGERACE COUNT PERCENT AMERICAN INDIAN AND ALASKA NATIVE ALONE 156 0.43%ASIAN ALONE 384 1.05% BLACK OR AFRICAN AMERICAN ALONE 3174 8.67% NATIVE HAWAIIAN/OTHER PACIFIC NATIVE ALONE 14 0.04% SOME OTHER RACE ALONE 219 0.60%TWO OR MORE RACES 951 2.60%WHITE ALONE 31,694 86.61% 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 POPULATIONSADDITIONALLY 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 SCORE FOR ANDROSCOGGIN COUNTY IS 2.9; THE SCORE FOR THE CITY OF LEWISTON IS 4 (BASED ON SCALE OF 1-5 WITH 5 BEING THE HIGHEST NEED). DESPITE SOME SIGNIFICANT COMMUNITY HEALTH NEEDS, ANDROSCOGGIN COUNTY HAS A STRONG COMMUNITY SPIRIT, A PRIME LOCATION WITHIN THE STATE, GROWING CULTURAL DIVERSITY AND A BEAUTIFUL NATURAL ENVIRONMENT. WE HAVE AN EXISTING NETWORK OF RESPECTED HOSPITALS, LOCAL SERVICES AGENCIES, GOVERNMENT BODIES, SCHOOL-BASED HEALTH PROGRAMS, FAITH-BASED ORGANIZATIONS, BUSINESSES AND CITIZENS WHO ARE COMMITTED TO COMMUNITY HEALTH. IN THE PAST FEW YEARS MAINE HAS SEEN THE THIRD LARGEST DECREASE IN CARDIOVASCULAR MORTALITY RATES IN THE COUNTRY AND AS A WHOLE, MAINE IS THE 9TH HEALTHIEST STATE IN THE NATION (AMERICA'S HEALTH RANKINGS, 2012.) IN 2012 MAINE ALSO HAD THE HIGHEST HEALTH RANKING AMONG STATES WITH A MEDIAN INCOME OF BELOW $50,000 (AMERICA'S HEALTH RANKINGS, 2012.)
PART VI, LINE 5:	ST. MARY'S REGIONAL MEDICAL CENTER AND CENTRAL MAINE MEDICAL CENTER JOINTLY OWN UNITED AMBULANCE SERVICE IN CENTRAL MAINE. INSTEAD OF SIMPLY WAITING FOR PEOPLE TO BE SICK OR INJURED AND NEED AN AMBULANCE TO TRANSPORT THEM TO THE HOSPITAL, UNITED AMBULANCE NOW OFFERS A WONDERFUL PREVENTION AND WELLNESS SERVICE TO RESIDENTS OF THE SERVICE AREA: A HOME VISIT PROGRAM BY A COMMUNITY PARAMEDIC AIMED AT EDUCATING PEOPLE ON CHRONIC DISEASE MANAGEMENT AND PREVENTING POTENTIAL INJURIES IN THE HOME. A PERSON DOES NOT HAVE TO BE HOMEBOUND TO QUALIFY FOR THE PROGRAM. SOME OF THE SERVICES OFFERED ARE: HOME INSPECTION AND SAFETY CHECKS, REVIEW OF MEDICATIONS, CONNECTION TO LOCAL RESOURCES, SCHEDULED WELL-BEING CHECKS AND SCREENINGS FOR MENTAL STATUS, HEART RATE, BLOOD PRESSURE AND BLOOD SUGAR ANALYSIS (FOR DIAGNOSED DIABETICS.) THE GOAL IS TO HELP PEOPLE STAY AT HOME IN THE SAFEST WAY POSSIBLE. BY GOING INTO THE HOME ENVIRONMENT THE COMMUNITY PARAMEDIC CAN PARTNER WITH THE RESIDENT TO CREATE AN INDIVIDUALIZED PLAN FOR HEALTH AND WELLNESS. ONE PERSON WITH ASTHMA AND DIABETES HAD MULTIPLE ER VISITS IN A TWO MONTH PERIOD. WHEN THE COMMUNITY PARAMEDIC HOME VISIT BEGAN, THEY WERE ABLE TO REVIEW HER MEDICATION AND EDUCATE HER ABOUT WAYS TO REDUCE TRIGGERS FOR ASTHMA IN HER HOME. SINCE THEN, THE NUMBER OF ER VISITS HAS BEEN REDUCED BY 50%. THE PATIENT IS GRATEFUL, NOT ONLY FOR THE SUPPORT AND EDUCATION, BUT ALSO BECAUSE THE SERVICE IS FREE! THE MISSION LEADER AT ST. MARY'S PARTICIPATED ON THE PLANNING COMMITTEE FOR THE THIRD NOT HERE! CONFERENCE AGAINST HUMAN TRAFFICKING HELD IN APRIL 2014. THE CONFERENCE SOLD OUT WITH OVER 300 PARTICIPANTS AND THERE WERE NATIONAL AND INTERNATIONAL SPEAKERS AS PART OF THE PROGRAM. THE THREE CONFERENCES HAVE HELPED TO RAISE AWARENESS ABOUT THE ISSUE AND ALSO HELPED TO CHANGE STATE LAWS FOR DEALING WITH SEX TRAFFICKING IN ORDER TO PROVIDE SUPPORT TO THE VICTIMS AND TO PROSECUTE THE TRAFFICKERS UNDER STRICTER LAWS. RELIGIOUS SISTERS FROM ANOTHER AREA OF THE STATE HAVE DECIDED TO OPEN A SAFE HOUSE FOR VICTIMS AFTER BEING INSPIRED AT THE FIRST CONFERENCE. MEMBERS OF ST. MARY'S LEADERSHIP SERVE ON MANY COMMUNITY HEALTH-RELATED BOARDS SUCH AS THE UNITED WAY, THE RED CROSS, THE LOCAL HOSPICE AND LEWISTON-AUBURN PUBLIC HEALTH. IN 2014, THE ST. MARY'S FOOD PANTRY DISTRIBUTED 8,493 BOXES OF FOOD, PROVIDING ENOUGH FOOD FOR TWO-DAY EMERGENCY RELIEF FOR 19,673 PEOPLE. THIS IS ROUGHLY THE SAME VOLUME AS 2013, INDICATING THAT THERE IS CONSISTENT COMMUNITY NEED. DURING THIS YEAR, THE FOOD PANTRY BEGAN A NEW INITIATIVE TO PROVIDE HEALTHIER FOOD TO CLIENTS. THE HEALTHY FOOD FUND WAS ESTABLISHED AND RESOURCES RAISED FOR THAT FUND ARE USED TO PURCHASE ONLY HEALTHY FOOD, INCLUDING PRODUCE, LEAN MEATS, EGGS, AND DAIRY. THE FOOD PANTRY ALSO PARTICIPATED IN THE MAINERS FEEDING MAINERS (MFM), A PROGRAM OF GOOD SHEPHERD FOOD BANK WHERE THE FOOD BANK PAYS THE FARMERS DIRECTLY TO GROW FOOD THAT IS THEN DELIVERED TO LOCAL PANTRIES. WE WERE ABLE TO TAKE ADVANTAGE OF THIS PROGRAM DURING THE GROWING SEASON, AND DEVELOPED RELATIONSHIPS AND WORKED OUT DELIVERY LOGISTICS WITH THE FARMERS DELIVERING TO OUR PANTRY. AS NEW AND LESS FAMILIAR PRODUCE CAME INTO THE PANTRY, WE FOUND THAT MANY CLIENTS WERE UNFAMILIAR WITH THE ITEMS AND HOW TO STORE AND PREPARE IT. WE CREATED OR ADAPTED VEGGIE TIP SHEETS, AND PAIRED THEM WITH RECIPES DEVELOPED BY OUR COOKING AND NUTRITION PROGRAMMING STAFF. THESE WERE HANDED OUT IN DISTRIBUTION BOXES TAILORED TO WHAT PRODUCE WAS AVAILABLE AT THAT TIME. IN ADDITION, WE LAUNCHED A COOKING CLASS SERIES TARGETED TO FOOD PANTRY CLIENTS-MAKING THEM EASILY ACCESSIBLE AND OFFERED AT DIFFERENT TIMES OF THE DAY AND WEEK. THROUGH THESE VARIOUS INITIATIVES, WE WERE ABLE TO DOUBLE DISTRIBUTION OF PRODUCE DURING 2014-NEARLY 30,000 POUNDS DISTRIBUTED! FINALLY, NEW DONATION AND PROCUREMENT RELATIONSHIPS WERE ESTABLISHED IN 2014 THAT ARE HELPING THE FOOD PANTRY ACCESS MORE FREE, HEALTHY FOOD, AND GET GOOD VALUE FOR PURCHASED PRODUCT, WHICH HELPS TO ADDRESS THE INCREASING GAP BETWEEN A STATIC BUDGET AND THE INCREASED COST OF FOOD.
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 H (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....

Yes

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Yes

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 5a or 5b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ...........................

Any related organization? .........................

If "Yes," to line 6a or 6b, describe in Part III.

For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2014

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred in prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JUSTIN CLARK MD THRU 92014DIRECTOR, TERM 9/2014	(i) (ii)	289,300 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 0	16,796 ............................... 0	306,096 ............................... 0	0 ............................... 0
2CAROLYN KASABIANTREASURER/SECRETARY	(i) (ii)	242,359 ............................... 0	0 ............................... 0	23,000 ............................... 0	2,411 ............................... 0	23,406 ............................... 0	291,176 ............................... 0	0 ............................... 0
3MICHAEL KELLEY MDDIRECTOR	(i) (ii)	0 ............................... 335,094	0 ............................... 91,424	0 ............................... 8,917	0 ............................... 2,734	0 ............................... 18,169	0 ............................... 456,338	0 ............................... 0
4LEO MYLESPRESIDENT/CEO	(i) (ii)	334,531 ............................... 0	0 ............................... 0	23,000 ............................... 0	2,740 ............................... 0	25,160 ............................... 0	385,431 ............................... 0	0 ............................... 0
5SUSAN KEILERCOO	(i) (ii)	252,126 ............................... 0	0 ............................... 0	16,621 ............................... 0	2,590 ............................... 0	22,877 ............................... 0	294,214 ............................... 0	0 ............................... 0
6IRA SHAPIROPHYSICIAN	(i) (ii)	260,298 ............................... 0	0 ............................... 0	23,000 ............................... 0	2,469 ............................... 0	20,344 ............................... 0	306,111 ............................... 0	0 ............................... 0
7KAREN CLARKVP PATIENT CARE SERVICES	(i) (ii)	181,510 ............................... 0	0 ............................... 0	17,500 ............................... 0	1,030 ............................... 0	21,636 ............................... 0	221,676 ............................... 0	0 ............................... 0
8MARC CHRISTENSENPHYSICIAN	(i) (ii)	1,191,045 ............................... 0	14,580 ............................... 0	23,000 ............................... 0	939 ............................... 0	19,343 ............................... 0	1,248,907 ............................... 0	0 ............................... 0
9WAYNE MOODYPHYSICIAN	(i) (ii)	818,018 ............................... 0	0 ............................... 0	23,000 ............................... 0	2,611 ............................... 0	21,733 ............................... 0	865,362 ............................... 0	0 ............................... 0
10MICHAEL PARKERPHYSICIAN	(i) (ii)	831,532 ............................... 0	0 ............................... 0	40,500 ............................... 0	2,600 ............................... 0	4,940 ............................... 0	879,572 ............................... 0	0 ............................... 0
11MARIA IKOSSIPHYSICIAN	(i) (ii)	582,064 ............................... 0	0 ............................... 0	23,000 ............................... 0	2,600 ............................... 0	9,102 ............................... 0	616,766 ............................... 0	0 ............................... 0
12BRUCE HAMILTON-DICKPHYSICIAN	(i) (ii)	757,172 ............................... 0	0 ............................... 0	0 ............................... 0	0 ............................... 0	19,343 ............................... 0	776,515 ............................... 0	0 ............................... 0

Schedule J (Form 990) 2014

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 1A

THE PRESIDENT/CEO OR THE CFO MAY AUTHORIZE PAYMENT OF SPOUSAL TRAVEL EXPENSES. THE PAYMENT OF SUCH AMOUNTS ARE TREATED AS TAXABLE COMPENSATION AND REPORTED ON FORM W-2 OR 1099 AS REQUIRED.

PART I, LINE 7

IN CONJUNCTION WITH ITS SOLE MEMBER, COVENANT HEALTH, THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY COVENANT HEALTH'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR.

Schedule J (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization
ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number
01-0211551

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	MHHEFA REVENUE BOND SERIES 2004A	01-0314384	560425TL4	06-03-2004	17,835,000	ADVANCED REFUNDING		X		X		X
B	MHHEFA REVENUE BOND SERIES 2007A	01-0314384	560425V80	11-01-2007	6,685,000	CONSTRUCTION		X		X		X
C	MHHEFA REVENUE BOND SERIES 2010B	01-0314384	560427JA5	06-24-2010	7,825,000	REFINANCING OF 1999 & 2001 TAX-EXEMPT BONDS		X		X		X
D	MHHEFA REVENUE BOND SERIES 2014A	01-0314384	560427W77	07-24-2014	8,490,000	REFINANCING OF 2004A BONDS		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired . . . . . . . . . . . . . .	7,674,620
2 Amount of bonds legally defeased . . . . . . . . . . .
3 Total proceeds of issue . . . . . . . . . . . . . .	20,770,203		6,853,065		9,077,696		9,406,745
4 Gross proceeds in reserve funds . . . . . . . . . . . .	1,615,380		444,500		603,175		1,615,380
5 Capitalized interest from proceeds . . . . . . . . . . .
6 Proceeds in refunding escrows . . . . . . . . . . . .	1,560,850						1,560,850
7 Issuance costs from proceeds . . . . . . . . . . . .	237,062		89,925		96,465		52,292
8 Credit enhancement from proceeds . . . . . . . . . . .
9 Working capital expenditures from proceeds . . . . . . . . .
10 Capital expenditures from proceeds . . . . . . . . . . .	6,318,640		6,318,640
11 Other spent proceeds . . . . . . . . . . . . . .
12 Other unspent proceeds . . . . . . . . . . . . . .
13 Year of substantial completion . . . . . . . . . . . .	2004		2009		2010		2014
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? . . . . .	X			X	X			X
15 Were the bonds issued as part of an advance refunding issue? . . . . .		X		X		X	X
16 Has the final allocation of proceeds been made? . . . . . . . .	X		X		X		X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . .	X		X		X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .		X		X		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . .		X		X		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2014

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .		X		X		X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . .
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . .
6 Total of lines 4 and 5 . . . . . . . . . . . . .
7 Does the bond issue meet the private security or payment test? . . . . .		X		X		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . .		X		X		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of.
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . .
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? . . . . . . .		X		X		X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .	X			X	X		X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .		X		X
b Exception to rebate? . . . . . . . .		X		X
c No rebate due? . . . . . . . .		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . .		X		X		X		X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X		X		X
b Name of provider . . . . . . . . .
c Term of hedge . . . . . . . . . .
d Was the hedge superintegrated? . . . .
e Was the hedge terminated? . . . . . .

Schedule K (Form 990) 2014

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .	X		X		X		X
b Name of provider . . . . . . . . .	FSA		FSA		FSA		FSA
c Term of GIC . . . . . . . . . .	30.000000000000		30.000000000000		20.000000000000		9.000000000000
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . .	X		X		X		X
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .		X		X		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? . . .		X		X		X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?		X		X		X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference

Explanation

SCHEDULE K. PART IV, LINE 7 AND PART V:

BOTH 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 CONSIDERING 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.

Schedule K (Form 990) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public
Inspection

Name of the organization

ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Return Reference	Explanation
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 11	FORM 990 IS PROVIDED TO THE BOARD MEMBERS AND REVIEWED AT THE JUNE 2015 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 MERCER HUMAN RESOURCES CONSULTING 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 OUR WEBSITE.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION PROVIDES FORM 990, FORM 990-T AND FORM 1023 TO THE PUBLIC UPON REQUEST. THE ORGANIZATION DOES NOT CURRENTLY PROVIDE ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS.
FORM 990, PART IX, LINE 24E	OUTSIDE LABOR: PROGRAM SERVICE EXPENSES 3,104,164. MANAGEMENT AND GENERAL EXPENSES 639,996. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,744,160. DUES: PROGRAM SERVICE EXPENSES 405,531. MANAGEMENT AND GENERAL EXPENSES 2,903,049. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,308,580. EQUIPMENT RENTAL: PROGRAM SERVICE EXPENSES 1,027,546. MANAGEMENT AND GENERAL EXPENSES 1,491,367. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,518,913. COMPUTERS SERVICES: PROGRAM SERVICE EXPENSES 286,819. MANAGEMENT AND GENERAL EXPENSES 1,873,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,160,239. MINOR EQUIPMENT: PROGRAM SERVICE EXPENSES 432,376. MANAGEMENT AND GENERAL EXPENSES 409,278. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 841,654. LAUNDRY/LINEN: PROGRAM SERVICE EXPENSES 634,726. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 634,726. MEALS: PROGRAM SERVICE EXPENSES 318,955. MANAGEMENT AND GENERAL EXPENSES 70,797. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,752. CONSULTANTS: PROGRAM SERVICE EXPENSES 88,435. MANAGEMENT AND GENERAL EXPENSES 281,978. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 370,413. TELEPHONE: PROGRAM SERVICE EXPENSES 317,183. MANAGEMENT AND GENERAL EXPENSES 1,875. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 319,058. POSTAGE: PROGRAM SERVICE EXPENSES 10,407. MANAGEMENT AND GENERAL EXPENSES 195,905. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 206,312. PRINTING AND PUBLICATIONS: PROGRAM SERVICE EXPENSES 79,124. MANAGEMENT AND GENERAL EXPENSES 81,752. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 160,876.
FORM 990, PART XI, LINE 9:	NET TRANSFERS -2,751,875.
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.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2014

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2014

Open to Public Inspection

Name of the organization

ST MARY'S REGIONAL MEDICAL CENTER

Employer identification number

01-0211551

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1) ST MARY'S HEALTH SYSTEM PO BOX 7291 CAMPUS AVENUE LEWISTON,ME04240 22-2504349	PARENT COMPANY	ME	501(C)(3)	11	COVENANT HEALTH		No
(2) COMMUNITY CLINICAL SERVICES PO BOX 7291 CAMPUS AVENUE LEWISTON,ME04240 01-0409788	PHYSICIAN PRACTICE	ME	501(C)(3)	9	ST MARY'S HEALTH SYSTEM		No
(3) ST MARY D'YOUVILLE PAVILION 102 CAMPUS AVE LEWISTON,ME04240 01-0211558	NURSING HOME	ME	501(C)(3)	9	ST MARY'S HEALTH SYSTEM		No
(4) ST MARY'S RESIDENCES PO BOX 7291 CAMPUS AVENUE LEWISTON,ME04240 22-2504356	LOW INCOME HOUSING	ME	501(C)(3)	9	ST MARY'S HEALTH SYSTEM		No
(5) COVENANT HEALTH 100 AMES POND DRIVE TEWKSBURY,MA01876 22-2484505	HEALTHCARE MANAGEMENT AND RESOURCE ADMINISTRATION	MA	501(C)(3)	9			No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2014

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) CAMPUS HOLDING PO BOX 7291 CAMPUS AVENUE LEWISTON,ME04240 01-0406049	HOLDING COMPANY	ME	ST MARY'S HEALTH SYSTEM	C				No

Schedule R (Form 990) 2014

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .

b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .

o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2014

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2014

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2014

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: 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.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	12
5	Total number of individuals employed in calendar year 2014 (Part V, line 2a) ......	5	1,552
6	Total number of volunteers (estimate if necessary) .............	6	238
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	48,968
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	9,228

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	592,632	1,059,470
9	Program service revenue (Part VIII, line 2g) .........	158,408,361	147,042,319
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	535,238	637,365
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	45,259	25,862
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)...................	159,581,490	148,765,016
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	0	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	85,709,088	85,675,840
16a	Professional fundraising fees (Part IX, column (A), line 11e).....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 234,384
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	72,757,388	63,898,329
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	158,466,476	149,574,169
19	Revenue less expenses. Subtract line 18 from line 12.......	1,115,014	-809,153
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	146,319,744	141,788,097
21	Total liabilities (Part X, line 26).............	59,606,958	58,110,963
22	Net assets or fund balances. Subtract line 21 from line 20.....	86,712,786	83,677,134

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 9,239,122 including grants of $ ) (Revenue $ 24,045,617 )
	SURGICAL CARE: PROVIDES ALL SERVICES (EXCEPT OPEN HEART) TO PATIENTS RANGING FROM INFANT TO GERIATRICS WHO NEED SURGICAL INTERVENTION. TOTAL HOURS = 5,215

4b	(Code: ) (Expenses $ 6,606,408 including grants of $ ) (Revenue $ 9,646,998 )
	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 = 16,124

4c	(Code: ) (Expenses $ 9,160,752 including grants of $ ) (Revenue $ 8,998,202 )
	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 = 32,038

	(Code: ) (Expenses $ 86,393,403 including grants of $ ) (Revenue $ 104,351,502 )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 86,393,403 including grants of $ ) (Revenue $ 104,351,502 )
4e	Total program service expenses111,399,685

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)			(D) Reportable compensation from the organization (W- 2/1099-MISC)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and Title
(18) IRA SHAPIRO........................................................................ PHYSICIAN	40.00 .......................	X		283,298	0	22,813
(19) KAREN CLARK........................................................................ VP PATIENT CARE SERVICES	40.00 .......................	X		199,010	0	22,666
(20) MARC CHRISTENSEN........................................................................ PHYSICIAN	40.00 .......................		X	1,228,625	0	20,282
(21) WAYNE MOODY........................................................................ PHYSICIAN	40.00 .......................		X	841,018	0	24,344
(22) MICHAEL PARKER........................................................................ PHYSICIAN	40.00 .......................		X	872,032	0	7,540
(23) MARIA IKOSSI........................................................................ PHYSICIAN	40.00 .......................		X	605,064	0	11,702
(24) BRUCE HAMILTON-DICK........................................................................ PHYSICIAN	40.00 .......................		X	757,172	0	19,343

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)............	5,967,156	435,435	245,573

				(A) Total revenue	(B) Related or exempt function revenue	(C) Unrelated business revenue	(D) Revenue excluded from tax under sections 512-514
1a	Federated campaigns..1a
b	Membership dues....1b
c	Fundraising events....1c
d	Related organizations...1d		20,000
e	Government grants (contributions)1e		27,651

f	All other contributions, gifts, grants, and similar amounts not included above1f		1,011,819

g	Noncash contributions included in lines 1a-1f:$
h	Total. Add lines 1a-1f.......			1,059,470
			Business Code
2a	NET PATIENT SERVICE REVENUE		621300	138,801,966	138,801,966
b	OTHER OPERATING INCOME		621300	8,240,353	8,240,353
c
d
e
f	All other program service revenue .
g	Total. Add lines 2a–2f........			147,042,319
3	Investment income (including dividends, interest, and other similar amounts).......			638,086			638,086
4	Income from investment of tax-exempt bond proceeds..
5	Royalties...........
		(i) Real	(ii) Personal
6a	Gross rents
b	Less: rental expenses	23,106
c	Rental income or (loss)	-23,106
d	Net rental income or (loss).......			-23,106			-23,106
		(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory
b	Less: cost or other basis and sales expenses		721
c	Gain or (loss)		-721
d	Net gain or (loss)..........			-721			-721
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ..
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities...
10a	Gross sales of inventory, less returns and allowances .
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Miscellaneous Revenue			Business Code
11a	LAB REVENUE		621500	48,968		48,968
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			48,968
12	Total revenue. See Instructions......			148,765,016	147,042,319	48,968	614,259


				(A) Beginning of year		(B) End of year
1	Cash–non-interest-bearing .............				1
2	Savings and temporary cash investments .........			3,469,982	2	422,693
3	Pledges and grants receivable, net ...........				3
4	Accounts receivable, net .............			13,807,340	4	13,857,955
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L ..................
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net .............				7
8	Inventories for sale or use ..............			1,243,364	8	1,287,305
9	Prepaid expenses and deferred charges ..........			1,379,941	9	1,373,191
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	113,026,663
b	Less: accumulated depreciation .....	10b	58,528,955	55,828,647	10c	54,497,708
11	Investments—publicly traded securities ..........				11
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 .....				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			70,590,470	15	70,349,245
16	Total assets. Add lines 1 through 15 (must equal line 34)......			146,319,744	16	141,788,097
17	Accounts payable and accrued expenses .........			12,109,883	17	14,409,111
18	Grants payable .................				18
19	Deferred revenue ................			561,886	19	536,458
20	Tax-exempt bond liabilities .............			20,186,298	20	18,387,404
21	Escrow or custodial account liability. Complete Part IV of Schedule D..				21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..........				22
23	Secured mortgages and notes payable to unrelated third parties ..			25,227,580	23	24,777,990
24	Unsecured notes and loans payable to unrelated third parties ....				24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D....................			1,521,311	25	0
26	Total liabilities. Add lines 17 through 25.........			59,606,958	26	58,110,963
	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets ..............			85,023,629	27	81,670,907
28	Temporarily restricted net assets ...........			992,128	28	1,309,198
29	Permanently restricted net assets ...........			697,029	29	697,029
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds ........				30
31	Paid-in or capital surplus, or land, building or equipment fund .....				31
32	Retained earnings, endowment, accumulated income, or other funds				32
33	Total net assets or fund balances ...........			86,712,786	33	83,677,134
34	Total liabilities and net assets/fund balances ........			146,319,744	34	141,788,097

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................	Yes	No