St. Joseph Hospital Bangor

Department	Name	Title	Areas of Expertise
Administration	Mary Prybylo	President	Leadership, Patient Care, Strategic Development, Advocacy
Finance	Michael Hendrix	Chief Financial Officer	Financial Management, Healthcare Operations
Medical Staff	Jims D. Jean-Jacques	President of Medical Staff	Internal Medicine, Cardiovascular Medicine, Advanced Heart Failure
Medical Affairs	Dr. David Koffman	Vice President of Medical Affairs	Patient Safety, Health Technology, Population Health, Accountable Care
Operations	Sandy Nesin	Vice President of Operations	Healthcare and Insurance Operations, Legal Expertise

Department	Average Cost (Simple Procedures)	Average Cost (Complex Procedures)	Consultation Fees	Financial Assistance/Insurance Options
Cardiology	$150-$400 (e.g., basic diagnostic tests)	$10,000+ (e.g., advanced surgeries like bypass)	Approximately $200	Financial assistance available for incomes =200% FPL; accepts insurance and payment plans.
Oncology	$1,000-$5,000 (e.g., chemotherapy rounds)	$30,000+ (e.g., combined chemo and radiation)	Approximately $250	Discounts for uninsured/underinsured; insurance coverage often applies to most treatments.
Neurology	$200-$800 (e.g., EEGs, MRIs)	$15,000+ (e.g., brain surgeries)	Approximately $300	Free Care program available for qualifying individuals; Medicaid and insurance accepted.
Orthopedics	$500-$2,000 (e.g., joint injections)	$20,000+ (e.g., joint replacements)	Approximately $250	Financial aid and payment plans provided; extensive insurance coverage options.
Outpatient Services	$100-$300 (e.g., lab tests)	$5,000+ (e.g., outpatient surgeries)	Varies based on service	Assistance programs and flexible payment options available for qualifying patients.

| Department/Program | Description | Services Offered | Contact Information | |-------------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------|-------------------------------| | Financial Assistance Program | Provides free or discounted care to Maine residents meeting income guidelines (below 200% of federal poverty level). Application required. | Covers medically necessary services for eligible patients through Free Care and financial assistance discounts. | Call Customer Support at 877-727-9190. | | Homecare Services | Offers in-home care by nurses, therapists, social workers, and health aides, enhancing independence and recovery from surgery, illness, or injury. | Includes tailored care plans, chronic illness management, and tools for health improvement. | Visit St. Joseph Homecare or call (207) 907-1000. | | Palliative Care | Multidisciplinary care for serious illnesses, focusing on quality of life and relief of suffering. | Services include physical, emotional, psychological, and spiritual support; led by an interdisciplinary team, including physicians, nurses, and social workers. | Call (973) 754-2842. | | Day Care and Social Support | Care coordination and support services tailored to individual needs, ensuring smooth transitions during and after hospital stays. | Mental health counseling, home health care and equipment, caregiver support, and discharge planning. | Contact Care Coordination team at (207) 907-1000. | | Volunteer Services | Opportunities to assist in enhancing patient care with nearly 25,000 hours of service donated yearly, providing social support and community engagement. | Adult and junior volunteers contribute in patient care and hospital operations. | Send applications to Volunteer Services, PO Box 403, Bangor, ME 04402-0403. | | Free Nourishment and Amenities | Ensures proper nutrition for patients during hospital stays and provides free internet and communication tools to remain connected. | Meals, Wi-Fi, interpreter services, and access to mental well-being resources. | Contact Nutritional Services or Patient Relations at (207) 907-1000. |

| Payment Plan Option | Description | Additional Information | |----------------------------------------|-----------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------| | Installment Plans | Patients can spread costs over regular intervals until the bill is fully paid. | The plan is managed by the hospital, giving patients more flexibility. | | Interest-Free Payment Plans | Plans with no interest for self-pay patients or patients qualifying for charity care. | Interest-free for a predetermined period. Available for self-pay or qualifying patients under financial assistance programs. | | Flexible Monthly Payments | Customized plans designed to suit patient financial situations. | Payment amounts may not exceed 5% of a patient’s income. | | Recurring Payment Plans | Fixed, regular payments with no specific end date, particularly for ongoing care or long-term treatments. | Offers predictability in payments for patients requiring extended care. | | Third-Party Financing | Involves external financing firms for covering high-cost procedures. | May include options for low-interest or zero-interest depending on income level or plan terms. | | Prepayment Without Penalties | Patients can pay off their balances early without incurring any fees. | Suitable for those able to pay sooner than scheduled. | | Financial Assistance Program | Discounted or free care for eligible patients based on income guidelines. | Requires application and adherence to U.S. federal poverty guidelines for eligibility. | | Lump-Sum Discounts | Discounts offered for patients who can pay the entire balance at once. | Encourages upfront payments, supporting reduced overall cost for patients. | | Online Payment Options | Secure platforms for managing bills conveniently via a website or portal. | Includes automated reminders and card-on-file services to facilitate timely payments. | | Financial Counseling | Assistance with payment plans, insurance benefits, and financial aid applications. | Available via financial representatives during weekday hours. Contact for tailored guidance. |

Department	Details
Financial Counseling Services	Financial counselors are available Monday through Friday from 8:00 a.m. to 4:00 p.m. for walk-in questions. Assistance includes explaining billing, discussing co-pays, deductibles, and resolving financial concerns. Relief in the form of financial assistance is offered to those who qualify, focusing on household income and resources.
Pre-Treatment Cost Guidance	St. Joseph Hospital provides cost estimates for treatments through its Price Estimator Tool and offers personalized guidance either through direct staff assistance or through insurance checks that determine expected out-of-pocket expenses.
Financial Assistance Programs	The hospital offers Free Care and discounted assistance for patients meeting income criteria (below 200% of the Federal Poverty Level). Eligibility includes residents of Maine without sufficient insurance coverage. Application requires proof of income, ID, and related documentation.
Payment Plans	Flexible payment arrangements are available for patients unable to pay their bills in full. Patient Accounts can assist in establishing manageable payment structures on outstanding balances.
Contact Information	For more details, contact Patient Financial Services at 207-907-1060 or Customer Support at 877-727-9190.

Category	Details
Physical Accessibility	Accessible entrances, elevators, and designated parking spaces. Wheelchair-accessible restrooms and exam rooms are available throughout the hospital.
Assistive Devices	Wheelchairs, walkers, and other mobility aids are available for patients and visitors as needed.
Communication Aids	Interpreter services in over 240 languages, including American Sign Language (ASL), via video remote, onsite interpreters, or phone. Stationary video phones and iPads equipped with communication apps are also available.
Priority Services	Dedicated care coordination and discharge planning team that includes RN case managers and social workers to assist patients with special needs.
Staff Training for Inclusive Care	Staff training is provided to ensure sensitivity and effective communication with patients with disabilities or special requirements.

Department	Digital Health Service	Features	Patient Care Benefits
Telemedicine	Telemedicine System	Real-time video consultations, HD video technology, access to multiple specialties (e.g., cardiology, rheumatology, neurology, pediatrics)	Increases access to specialists, especially for rural patients; offers immediate virtual consultations; reduces travel and wait times
Patient Portal	MyChart / MyStJosephsRecord	Secure access to medical records, appointment scheduling, lab results, prescription refill requests, messaging providers, proxy access	Empowers patients to manage their healthcare, enhances communication with providers, ensures continuity of care
Virtual Visits	Saint Joseph Virtual Visit	Video consultations for non-emergency issues, wellness visits, behavioral health, dermatology, sports medicine, and more	Provides convenient and secure care from home, facilitates follow-up care, promotes safety and social distancing
Remote Monitoring	Twistle Remote Monitoring Tool	Integration with devices like thermometers and pulse oximeters, home monitoring for chronic conditions, symptom tracking	Enables continuous monitoring, prevents unnecessary hospitalizations, supports early detection of health changes
Analytics Integration	HealthInfoNet Analytics	Real-time data sharing across the health information exchange, identifies high-risk patients and reduces readmissions	Improves care coordination and management, reduces hospital readmissions, proactively addresses patient needs

markdown | Department | Icon | Programs | |---------------------------|--------------------------------------|-----------------------------------------------------------------------------------------------------| | Cardiology | | Cardiology fellowship program endowed by the Flinn Foundation | | Nursing | | Simulation Center training, immersive skills training, and mentorship through the Patty White Nursing Education Fund | | Obstetrics and Gynecology | | Residency program supported by MICA Medical Foundation | | Surgery | | Hands-on training using advanced robotic surgical equipment | | Emergency Medicine | | Interactive simulation labs and patient-care scenarios | | Internal Medicine | | Comprehensive clinical rotations and interdisciplinary collaboration | | Pediatrics | | Pediatric care-focused training and patient-round simulations | | Geriatrics | | Training in community and inpatient geriatric care methods | | Psychiatry | | Training in patient-centered psychiatric care with supervised mentorship |

Department	Research Projects	Clinical Trials	Impact on Healthcare Professionals
Neurosurgery	Research on early diagnosis of conditions like pancreatic cancer using biomarker detection and sensor systems for gait and fall-risk assessment.	State-of-the-art trials using new technologies in neurosurgery for disease monitoring and detection.	Increased use of artificial intelligence and sensor-based technology has improved diagnostic accuracy and caregivers´ technical knowledge.
Cardiology	Sensor development to monitor cardiovascular health and detect risks associated with aging populations.	Clinical studies on cardiovascular treatments using innovative sensors and advanced AI technologies.	Enables cardiologists to use advanced AI tools, enhancing precision in patient care and decision-making skills.
Oncology	Development of cancer biomarker detection methods for early diagnosis of pancreatic and other types of cancer.	NCI-sponsored trials exploring the effectiveness of cutting-edge cancer treatments and prevention strategies.	Provides hands-on experience with cutting-edge oncology therapies, enhancing knowledge of evolving cancer care technologies.
Nursing	Evidence-based practice research aligned with Watson’s Theory of Human Caring and Iowa Model of Evidence-Based Practice.	Trials integrating patient care models into clinical nursing to improve holistic treatment approaches.	Promotes advanced nursing practices and research methodology, enhancing nurses´ ability to deliver compassionate care.
Specialty Services	Research into wound healing, skin care treatments, and hyperbaric medicine for complex health conditions.	Trials on infusion therapies and hyperbaric treatment efficacy for skin and wound care.	Enhances training in specialized treatments, improving expertise in managing complex cases locally.

Department	Affiliation	Professional Development Programs
Cardiology	Member of Covenant Health	Leadership training and continuing education through Covenant Health
Emergency Medicine	DNV GL – Healthcare Accredited	Patient safety and quality improvement training
Family Medicine	National Committee for Quality Assurance (NCQA)	Patient-Centered Medical Home (PCMH) curriculum
Nursing	Member of the Maine Hospital Association	PREP Clinical Ladder Program Nurse Residency Program Summer Nurse Externship
Orthopedics	Accreditation in Hip and Knee Arthroplasty	Specialized orthopedic training in diagnostics and therapy

Department	Certification Program	Accreditation Body
Orthopedics	Advanced Hip & Knee Replacement Certification	DNV
Emergency Medicine	Level III Geriatric Emergency Department Certification	American College of Emergency Physicians
Primary Care	Patient-Centered Medical Home Recognition	National Committee for Quality Assurance (NCQA)
Laboratory Services	CLIA Certification, CAP Accreditation	Clinical Laboratory Improvement Amendments (CLIA), College of American Pathologists (CAP)

| Department | Opportunity | Contact | |----------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------|----------------------------------------------------------------------| | Clinical Education | Summer Nurse Externship Program (11-week paid program) | Erica Caron, ecaron2@covh.org | | Clinical Education | Nurse Residency Program (12-month program for new graduate nurses) | Erica Caron, ecaron2@covh.org | | Clinical Observation Experience | Job shadowing for students interested in exploring healthcare careers | Nancy McKaig, nmckaig@covh.org | | Family Medicine | Clinical rotations for 3rd and 4th-year medical students (inpatient and outpatient experiences) | Sam Biggs, Samantha.R.Biggs@sjrmc.com, 574-335-6526 | | Pharmacy | Internships for pharmacy students enrolled in accredited programs | Contact hospital´s pharmacy department for details | | Nursing Education | Volunteer work, team-building, and classroom sessions as part of internship programs for nursing students | Contact St. Joseph Healthcare directly | | Community Health | Volunteer opportunities at St. Joseph Hospital and Bangor healthcare facilities to build healthcare experience | Visit hospital´s career or community involvement page for application| | Allied Health | Simulation labs, skills-focused observation experiences, and clinical rotations | Contact hospital´s education team for more information |

Department	Award	Year
Endoscopy Department	Super Squad Award (Recognized for commitment to excellence, quality, and safety by American Society for Gastrointestinal Endoscopy)	2023
SAFE Program	Sexual Assault Forensic Examiner (SAFE) Award (For exceptional contributions and care for survivors)	2022
Certified Nursing Assistants (CNAs)	Sunshine Award (For uplifting patients, families, and coworkers)	Ongoing (Launched in 2023)
Nurses	DAISY Award (For outstanding nursing care and compassion)	Ongoing (Launched in 2023)
Multiple Specialties	Outstanding Patient Experience Award	2019, 2021
Overall Institution	Special Commendation Award (Presented by the Deaf Community of Maine)	Unspecified

Department	Residency/Specialty Training
Family Medicine	NYMC at Saint Joseph´s Family Medicine Residency Program
Psychiatry	NYMC at Saint Joseph´s Psychiatry Residency Program
Internal Medicine	Internal Medicine Residency Program
Podiatry	Podiatric Medicine and Surgery Residency
Wound Care	Wound Care and Hyperbaric Medicine Fellowship
Nursing	Nurse Residency Program for new graduates

Department	Training Program
General Nursing	Nurse Residency Program (12-month paid education program for new graduate nurses)
Nursing Students	Summer Nurse Externship Program (11-week paid program for senior-level nursing students)

Department/Service	Description
Financial Assistance Program	Free care provided to Maine residents with income below 200% of the Federal Poverty Guidelines. Applications require state ID, proof of income for 3 months, and denial letters from government programs if applicable. Approved patients may receive free or discounted care for 6-12 months.
Payment Plans	Flexible payment plans tailored to the patient´s financial situation, ensuring manageable options for outstanding balances.
Emergency Care Guarantee	Emergency services provided in compliance with the Emergency Medical Treatment and Active Labor Act (EMTALA), ensuring no patient is denied emergency care regardless of ability to pay.
Discounted Services	Discounted care available for medically necessary services if financial assistance is approved or if income qualifies up to 200% of Federal Poverty Guidelines.
Alternative Health Insurance Guidance	Assistance provided to uninsured patients to explore options through health insurance exchanges, Medicaid, and CHIP. Guidance includes support with online applications and understanding eligibility for lower-cost private plans.
Emergency Department	24-hour emergency services with short wait times, geriatric care accreditation, and specialized support such as Sexual Assault Forensic Examiners (SAFE).

Department	Affiliated Institutions	Description of Collaborations
Biomedical Engineering	University of Maine (UMaine)	Collaborating on sensor system development for fall risk assessment and biomarker detection for diseases such as pancreatic cancer.
Cardiology	Dartmouth College	Joint research to develop technology for early disease detection using advanced sensor systems.
Nursing	University of Maine (UMaine)	Clinical rotations for nursing students and collaboration in community healthcare outreach programs addressing opioid addiction and post-COVID-19 recovery.
General Medicine	University of Maine at Farmington (UMF)	Research and educational partnerships focusing on healthcare improvements for rural populations in Maine.
Oncology	University of Maine at Machias (UMM)	Collaborative projects for the detection of cancer biomarkers using sensor applications.
Public Health	UMaine Institute of Medicine	Joint programs addressing statewide healthcare issues, including prevention strategies for chronic diseases.

markdown | Department | Mentorship and Advisory Programs | |--------------------------------|----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Clinical Training | Structured mentoring programs for clinically oriented professionals involve committee-based mentorship, helping mentees choose mentors based on interests and goals. These programs focus on reducing burnout, enhancing career satisfaction, and providing tailored guidance for clinical skills and advancement. | | Nursing | Mentorship programs for new nurses include extended engagement (6-12 months or longer) to boost confidence, reduce stress, and improve retention. Programs include training for mentors, structured meeting schedules, and ongoing leadership support. Mentors assist with skill development and stress management. | | Graduate Medical Education | Cross-disciplinary mentorship includes voluntary mentor participation, mentee-driven pairing, and structured meetings. Programs emphasize sustainability, accountability, and measurable outcomes, such as long-term mentor-mentee relationships, career development, and skill-building. | | Pediatrics | The Maine AAP Mentor Program provides networking and skill-building opportunities. Participants self-structure their mentorship based on their career stage, fostering professional growth and career clarity. Mentors and mentees are encouraged to meet virtually or at semi-structured events. | | General Healthcare | Mentorship programs pair trainees or young professionals with seasoned practitioners. They emphasize regular mentor-mentee meetings, career guidance, job search advice, and structured feedback processes over an agreed mentorship period, typically ranging from one to three years. | | Nursing Residencies | Programs like “Nurses Nurturing Nurses” provide mentorship integrated into nurse residency programs. New hires are matched with mentors for extended engagement to ease transitions and improve retention rates, with a focus on professional satisfaction and skill confidence. | | Hospital-Specific Support | Structured educational programs and mentorship opportunities include clinical rotations and unit-based mentoring for trainees. Staff members act as preceptors, offering guidance to students and new graduates through in-depth clinical scenarios. Mentorship emphasizes time management and organizational skills. |