St. Mary´s Regional Medical Center

| Name | Title | Department | Role in St. Mary´s | |------------------------|------------------------------------------------|-----------------------------------|-----------------------------------------------------------------------------| | Cindy Segar-Miller | President and Senior Vice President | Executive Leadership | Oversees strategic development initiatives and ensures alignment with mission. | | Jill Rollins | Chief Nursing Officer and Vice President | Patient Care Services | Leads nursing staff and manages all clinical care programs. | | Rebecca Lewis, DO | Chief Medical Officer | Medical Department | Directs medical staff and oversees clinical quality standards. | | Stephanie Franken | Chief Financial Officer | Finance | Manages financial operations and budget planning. | | Malinda Isbell, RN | Director of Patient Safety/Risk | Patient Safety | Oversees patient safety and risk management strategies. | | Martha Syms, RN | Director of Patient Safety | Quality and Safety | Implements evidence-based care and quality improvement strategies. | | Krista Roberts | Interim CEO Secretary | Administration | Supports executive operations and organizational initiatives. | | James Green | Vice President and Chief Development Officer | Philanthropy | Leads strategic initiatives in fundraising and community engagement. |

Department	Service	Average Cost	Factors Affecting Cost
Cardiology	Cardiac Rehabilitation	$3,000-$10,000	Depends on the number of sessions and specialist involvement
Cardiology	Interventional Cardiology (e.g., stent placement)	$25,000-$50,000	Procedure complexity and required follow-up
Oncology	Chemotherapy (per session)	$1,000-$4,000	Drug type, dosage, and duration of treatment
Oncology	Radiation Therapy (complete course)	$10,000-$45,000	Equipment use and total sessions required
Neurology	Consultation & Diagnostics (e.g., MRI)	$2,000-$6,000	Type and number of diagnostic tests
Neurology	Surgical Interventions (e.g., brain surgery)	$75,000-$200,000	Complexity of surgery and inpatient care
Orthopedics	Joint Replacement (e.g., hip/knee)	$30,000-$60,000	Implant type and hospital stay duration
Orthopedics	Fracture Repair	$10,000-$25,000	Severity of fracture and need for post-op care
Outpatient Services	Blood Screening (Comprehensive Metabolic Panel)	$21	Lab tests and additional screenings
Outpatient Services	Emergency Room Visits	$200-$2,000	Urgency and additional diagnostics

markdown | Department/Program | Services Provided | Additional Information | |--------------------------------------|----------------------------------------------------------------------------------------------------------------|-------------------------------------------------------------------------------------------------------------------| | Financial Assistance Program | Free or partial medical care for underinsured or uninsured patients based on income. | Requires application; family income eligibility aligns with Federal Poverty Level thresholds. Counselors assist with applications. | | Home Health Services | In-home care by nurses, therapists, and aides; includes medication management, wound care, and rehabilitation. | Services aim to promote independent living and are available for patients with various insurance coverages. | | Day Care Centers (Pediatrics) | Pediatric palliative care including symptom management, emotional wellbeing, and complementary therapies. | Specialized care for children with serious illnesses; includes bereavement support and family counseling. | | Palliative Care | Symptom relief, stress management, and emotional support for serious illnesses. | Focus on quality of life through a multidisciplinary team providing personalized care plans. | | Social Services | Discharge planning, short-term counseling, and referrals to external resources. | Includes support for end-of-life planning, advance directives, and assistance for patients with various challenges.|

Payment Plan Feature	Description
Installment Payment Options	Patients can pay their bill in partial amounts through monthly installments. Specific terms and amounts are determined by the hospital´s business office. A down payment may be required for non-emergency services.
Interest-Free Payment Plans	Qualifying patients can enroll in interest-free payment plans, allowing them to pay their balances without accruing additional fees. These plans are not promotional and last for the lifetime of the charges.
Flexible Monthly Payments	Patients may customize their monthly payment amounts based on financial capability. Payments are made either online or through recurring bank or credit card payments, with no penalties for early payoff.
Zero Percent APR	Approved payment plans include a zero percent annual percentage rate (APR) with no interest or late fees, provided payments are made on time and in good standing.
Financial Assistance Integration	Patients who qualify for financial assistance can pay their reduced bill through monthly installments. Eligibility requires completing an application and providing income verification documents.
Short- and Long-Term Plans	Payment plan lengths can range from less than 12 months to up to 60 months, depending on the amount owed and the agreement with the hospital.
Customizable Payment Schedules	Patients may select their preferred payment due date within a designated range of days in the month.
Pre-Approval for Payment Plans	Payment plans can be approved before a procedure for eligible patients, allowing them to manage costs proactively.

| Department | Financial Counseling Services Offered | Guidance on Treatment Costs & Financial Support Options | |---------------------------|------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------|---------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Financial Assistance | St. Mary’s provides financial aid for uninsured or underinsured patients who meet specific criteria. Financial counselors assist patients with financial responsibilities, helping them explore solutions. Eligibility is determined via a financial assistance application. Contact: 207-777-8100. | Assistance includes applying for financial aid, exploring payment plans, and gaining clarity on treatment-related costs before starting care. St. Mary’s offers a cost estimate tool to provide an approximation of charges based on specific services. | | Price Transparency | Patients can use an interactive price estimator tool to calculate expected out-of-pocket costs for selected treatments, procedures, or services. The hospital also provides a machine-readable file (MRF) of standard charges for full price transparency. | Patients can email or call a dedicated number to receive a detailed estimate of patient costs and explore insurance coverage or self-pay scenarios. No surprise billing protections ensure transparency regarding out-of-network costs. | | Billing Department | Financial counselors are available upon request to explain financial aid programs, payment options, and assist in submitting required documentation. Uninsured patients may qualify for Basic or Enhanced Assistance Programs based on income. Contact: 304-526-1014 or billing@st-marys.org. | Patients are provided with upfront cost guidance based on the anticipated services. They are informed on payment structures for emergency and non-emergency services and given significant clarity on medical costs and available financial resources. |

| Accommodation Category | Details | |----------------------------------|-------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Physical Accessibility | Wheelchair-accessible parking, automatic doors at main and emergency entrances, accessible restrooms throughout the facility, wheelchair access in dining areas, and assistance available upon request. | | Assistive Devices | Availability of wheelchairs in the lobby and emergency departments. Adaptive equipment and training for mobility provided through rehabilitation services. | | Communication Aids | Video Remote Interpreting for sign language, personal amplifiers for hearing impairments, TDD (Telecommunication Device for the Deaf), closed-caption television decoders, and language interpretation services. | | Priority Services | Triage prioritization by need in the emergency department, stroke alert system to organize immediate stroke care, and specialized trauma care in trauma bays for critically injured patients. | | Staff Training for Inclusive Care| Nurses and staff trained to assist patients with disabilities, including the use of adaptive devices, interpreting services, and addressing individual needs in treatment and communication. |

Department	Digital Health Service	Features	Benefits
Primary Care	Virtual Primary Care	Secure video appointments, preventive care, chronic condition management, unexpected illness consultations	Improves accessibility, provides flexibility for routine care, maintains personalized treatment
Remote Monitoring	Remote Patient Monitoring	Real-time communication with telehealth team, early condition detection, alerts for intervention	Reduces hospital admissions, enhances patient self-monitoring, supports timely interventions
Cardiology	Pacemaker Remote Monitoring	Remote device checkups, secure data transmission, follow-up notifications, multi-patient setup	Reduces travel time, ensures device functionality, improves monitoring for high-needs patients
General Care	Patient Portal	Access to health records, provider messaging, appointment scheduling, medication renewals	Enhances communication, centralizes health data, streamlines appointment and billing processes

Department	Educational Programs
Cardiology	Core rotation and advanced longitudinal learning experiences, including hands-on training and exposure to patient care in cardiology.
Pharmacy	Core and elective rotations such as Infectious Diseases, Antimicrobial Stewardship, Critical Care, and Oncology; longitudinal learning experiences in pharmacy management, consulting, and clinical services.
Family Medicine	Residency and educational training with opportunities for integrative medicine, geriatrics, sports medicine, and public health; continuity clinics and rotations emphasizing rural and urban care.
Internal Medicine	Residency with primary care and categorical tracks, incorporating rotations in multiple specialties, practice management training, and exposure to diverse patient populations.
General Education	Programs for pre-med, nursing, and therapy students; graduate training for advanced practice students, pharmacy students, and observers.
Longitudinal Integrated Clerkship (LIC)	Comprehensive patient care training for third-year medical students with rotations across multiple disciplines, patient continuity, and mentorship.

Department	Research Projects	Impact on Healthcare Professionals
Neuroscience	Development of minimally invasive mechanical thrombectomy for stroke care. Comprehensive stroke and thrombectomy capabilities.	Enhanced stroke treatment expertise through the introduction of advanced surgical procedures, leading to 24/7 operational capabilities and improved outcomes.
Cardiology	Clinical trials on pulmonary hypertension and general cardiology interventions. Research collaborations with specialists for high-level cardiovascular care.	Improved skills in handling complex cardiovascular conditions and expanding knowledge of pulmonary hypertension management.
Oncology	Clinical trials on chemotherapy combinations, radiation therapy techniques, and patient quality of life. Focus on conditions such as lung, brain, prostate, and breast cancers.	Advanced training in cutting-edge cancer therapies, technologies like CyberKnife, and quality-of-life evaluations.
Laboratory	Research on diagnostic accuracy and process optimization via evidence-based design.	Enhanced efficiency in laboratory workflows and reduction of infection rates and errors through improved design standards.
Nutrition Center	Programs like nutrition-based community events and food security initiatives.	Broadened understanding of population health strategies and preventive health measures.
Surgery	Renovation and expansion to improve surgical suite capabilities. Evidence-based protocols for joint replacements.	Advanced surgical techniques and integration of evidence-based care models for better patient outcomes.

Department	Affiliations	Professional Development Programs
Emergency Medicine	Accredited by Covenant Health	Clinical training opportunities for emergency care
Cardiology	Partnered with MaineHealth	Specialized cardiology education and certification programs
Clinical Pastoral Education	Accredited by Association for Clinical Pastoral Education (ACPE)	Level I and Level II Clinical Pastoral Education (CPE) training
Nursing	Vizient/AACN Nurse Residency Program affiliation	Nurse Residency Program for newly licensed nurses
Behavioral and Mental Health	Member of Covenant Health	Behavioral health specialties education and advanced practice opportunities
Rehabilitation	Integrated with St. Mary’s Health System	Therapist training programs for physical and occupational therapy
Medical Imaging	Partnered with Marshall University	School of Medical Imaging offering BSc in Radiography and Sonography
Pulmonary Medicine	Member of MaineHealth	Respiratory care education for licensed practice

Department	Certification	Accreditation Body
Breast Center	Breast Imaging Center of Excellence	American College of Radiology
Breast Center	National Accreditation Program for Breast Centers	American College of Surgeons
Stroke Services	Advanced Primary Stroke Center	The Joint Commission
Breast Health Center	Educational, screening, diagnostic, and therapeutic services	National Quality Accreditation Bodies
Cardiology	Nuclear Cardiology Laboratory Accreditation	Intersocietal Accreditation Commission
Cardiac Care	Cardiac Rehabilitation Program Accreditation	American Association of Cardiovascular and Pulmonary Rehabilitation
Spine Surgery	Specialty Certification for Surgical Services	The Joint Commission
Medical Imaging	Radiography Program Accreditation	Joint Review Committee on Education in Radiologic Technology
Cardiology	Echocardiography Accreditation	Intersocietal Accreditation Commission
Cardiology	Heart Failure Gold Plus Achievement	American Heart Association
Stroke Services	Stroke Gold Plus Quality Achievement	American Stroke Association
Emergency Department	Geriatric Emergency Department Accreditation	American College of Emergency Physicians
Wound Care	Hyperbaric Medicine Accreditation	Undersea and Hyperbaric Medical Society
Sonography	Sonography Program Accreditation	Commission on Accreditation of Allied Health Education Programs

Department	Opportunities Available
Behavioral Health	Internships in mental health and psychiatry for students pursuing advanced degrees
Junior Volunteer Program	Opportunities for students aged 14-17 during summers to assist and gain exposure to healthcare
Nursing	Student Nurse Internships; opportunities for hands-on care under supervision
Surgical Department	OR/Surgical tech roles for students, including sterilization and equipment handling
Respiratory Care	Internships for respiratory care students, focusing on non-critical modalities
Administrative	Internships in physician practice management for administrative tasks

Award	Department
A Grade in the Fall 2024 Leapfrog Hospital Safety Grade	Hospital Safety
Newsweek´s America´s Best-In-State Hospitals (2025)	General Hospital
Newsweek´s World´s Best Hospitals List (2022-2023)	General Hospital
Healthgrades Outstanding Patient Experience Award (2021-2024)	Patient Experience
Hospitalists Apogee Center of Excellence Award (2022)	General Excellence
Top Workplaces Award by The Oklahoman (2017-2023)	Workplace Recognition
Best Hospital by Enid News & Eagle Readers´ Choice Awards (2010-2023)	General Hospital
UHS Quality Award (2010, 2011, 2014, 2016, 2018, 2022)	Quality Standards
Award of Excellence and Oklahoma Certified Healthy Business (2017, 2018, 2021, 2023)	Business Health
American Heart Association’s Stroke Silver Get With The Guidelines®-Stroke Quality Achievement Award (2024)	Stroke Care
Women´s Choice Award® for Stroke Care (2023)	Stroke Care
Women´s Choice Award® 100 Best Hospitals for Patient Experience (2023)	Patient Experience
Women´s Choice Award® for Minimally Invasive Surgery (2023)	Surgery
Women´s Choice Award® for Emergency Care (2020, 2021, 2023)	Emergency Care
Women´s Choice Award® for America’s Best Hospitals for Obstetrics (2021)	Obstetrics
Joint Commission Gold Seal of Approval® and AHA Heart-Check Mark for Advanced Primary Stroke Centers (2022)	Stroke Care
Cigna Healthcare Designation for Stroke and Pulmonary Medicine (2023)	Stroke and Pulmonary
Patient Safety Excellence Award (2025)	Patient Safety

Department	Residency/Specialty Training Programs
General Surgery	Five-year ACGME-accredited program with hands-on surgical training and increasing autonomy
Pharmacy	12-month ASHP-accredited PGY1 Pharmacy Residency focusing on patient care and quality improvement
Radiography	Hospital-based radiography training in partnership with academic institutions, eligible for ARRT certification
Sonography	Hospital-based sonography program accredited by CAAHEP, eligible for ARDMS/CCI certification
Internal Medicine	Comprehensive clinical training covering urban and suburban medicine with mentorship and didactic learning

Department	Program Type
Family Medicine	Residency
General Surgery	Residency
Internal Medicine	Residency
Pharmacy	Residency
Medical Imaging	Certificate & Degree Program

markdown | Service/Support Option | Description | |------------------------------------------|-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------| | Financial Assistance Programs | Offers Basic and Enhanced Financial Assistance Programs. Basic Program applies if annual income is below $125,000; Enhanced Program covers those earning up to 200% of the Federal Poverty Level and denied Medicaid coverage. | | Emergency Care | Emergency services are guaranteed and provided free of charge to eligible uninsured patients under the Enhanced Financial Assistance Program. | | Payment Plans | Short-term and long-term payment plans are available to patients experiencing temporary financial hardship. | | Discounted Services | For uninsured patients, charges for medically necessary services will not exceed Amounts Generally Billed (average rate paid by private insurers and Medicare). | | Guidance for Health Insurance Options | Benefit advocates and financial counselors assist with applying for Medical Assistance, CHIP, Medicaid, and other financial aid programs. | | Free Care Program | Offers free care to Maine residents with incomes below specified guidelines based on family size (e.g., $27,180 for a family of 1, $55,500 for a family of 4). | | Financial Counseling | Financial counselors are available to help patients complete assistance applications and explore options. | | Plain Language Policy Summaries | Financial Assistance Policy documents are available in multiple languages, including English, Spanish, Chinese, and others. | | No Prepayment for Emergency Services | Eligible uninsured patients will never be required to make prepayments for emergency care. | | Fair Hearing for Denials | Patients denied free care can request a fair hearing to contest the decision. |

Department	Partner Institution	Description of Collaboration	Affiliated Universities or Research Centers
Cardiology	MaineHealth	Expansion of clinical services with specialists provided on-site at St. Mary’s Regional Medical Center.	None mentioned
Cancer Research	University of Kentucky Markey Cancer Center	Participation in the Markey Research Network for clinical cancer studies, offering access to innovative treatments and National Cancer Institute trials.	University of Kentucky
Oncology	McPeak-Sirois Group	Clinical trials focused on breast cancer research and patient-centered interventions.	Montréal West Island Integrated University Health and Social Services Centre
Primary Care	Montréal West Island Health and Social Services Centre	Research initiatives and quality improvements in primary care and underserved populations.	McPeak-Sirois Group, Canadian Institutes of Health Research
Vascular Surgery	MaineHealth	Collaboration to provide enhanced vascular surgery services locally within Lewiston-Auburn.	None mentioned
Trauma Care	Joan C. Edwards School of Medicine	Teaching hospital associated with Marshall University for advanced trauma and specialty care training.	Marshall University

markdown | Department | Program Type | Details | |------------------------|-----------------------------------|-----------------------------------------------------------------------------------------------------| | Nursing | Structured Long-Term Mentorship | Programs typically last 6–12 months; focus on retention, stress reduction, and job satisfaction. | | Leadership Development | Career Mentoring | Focuses on building self-confidence, leadership competencies, and professional visibility. | | Interdisciplinary | Formal Group Mentoring | Senior staff paired with junior professionals, allowing for cross-department knowledge transfer. | | Psychiatry | Flash Mentoring | On-demand connections for quick problem-solving and career guidance within short time frames. | | Trainee Programs | Cascade Mentoring | Senior mentors guide intermediate professionals, who then mentor junior staff or trainees. | | Research and Academia | Structured Summer Program | 10-week research-based mentoring that includes career planning and long-term mentor relationships. | | General Medicine | Distance or E-Mentoring | Online sessions allowing mentorship across geographical barriers to accommodate healthcare schedules. | | Diversity Programs | Cross-Cultural Mentoring | Mentorship focused on inclusivity and cultural exchange among diverse teams. | | Career Advancement | Informal & Formal Pairing | Includes career advice, resume workshops, and long-term or short-term structured mentorship access. | | Retention Programs | Cohort-Based Mentorship | Group programs with defined start and end dates, offering recognition events and certifications. |