2023-11-13T07:16:43-06:00 2022-12-31 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2022-01-01 222484505 Covenant Health Inc COVE 9786546363 100 Ames Pond Drive 102 Tewksbury MA 01876 Stephen W Forney Chief Financial Officer 9786546363 2023-11-06 1 Stephen Forney 999009999 0 Connor Smart P02285543 6036262200 2023-11-06 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z Stephen Grubbs 100 Ames Pond Drive 102 Tewksbury MA 01876 134184992 0 X covenanthealth.net X 1983 MA Covenant Health is a Catholic health care system sponsoring hospitals, nursing homes, assisted living residences, and other health and elder services throughout New England. The Organization is committed to the health of the individuals and communities it serves, and the Organization strives to offer a continuum of high quality care. Please see the Organization's website for the 2020 Covenant Health Corporate Report. 15 14 308 14 10863 7968 230583 138942 70089882 79370149 9191863 1403534 -5929000 0 73583328 80912625 5051 85695 0 0 35014239 33234585 0 0 0 37354620 46176594 72373910 79496874 1209418 1415751 339773281 348125512 236797832 242959132 102975449 105166380 Covenant Health is an innovative Catholic health organization committed to advancing the healing ministry of Jesus. 0 0 66585739 85695 79370149 Sponsoring and operating a Catholic health care system consisting of hospitals, nursing homes, assisted living residences, and other health and elder services, as well as furthering the delivery of health and human services consistent with the teachings and law of the Roman Catholic Church. 66585739 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 61 0 1 308 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 15 14 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MA X X Stephen Grubbs Chief Executive Officer 9786546363 100 Ames Pond Drive Tewksbury MA 01876 Stephen Grubbs President & CEO 40.00 5.50 X X 853102 0 37161 Lesley Adkinson E PhD RN Director 2.00 3.00 X 0 0 0 Mark W Anthoine Sr Director 2.00 2.00 X 0 0 0 Bruce Bonnell MD MPH Director 2.00 1.00 X 0 0 0 Aisha Barlatier-Bonny Director 2.00 1.00 X 0 0 0 Kathy Connerton JD MBA Director 2.00 1.00 X 0 0 0 Catherine P Lovecchio PhD RN Director 2.00 1.00 X 0 0 0 William P Lucy Director 2.00 1.50 X 0 0 0 Thomas Mortimer Director 2.00 3.00 X 0 0 0 Cherie Noe MD Director 2.00 1.00 X 0 0 0 Sr Catherine O'Connor Director 2.00 1.00 X 0 0 0 Gino J Pazzaglini Director 2.00 1.00 X 0 0 0 Louise Trottier Director 2.00 2.00 X 0 0 0 John Oliverio Chair 2.00 2.00 X X 0 0 0 Kenneth E Arnold Vice Chair 2.00 1.00 X X 0 0 0 Stephen Forney SVP and Chief Financial Officer 40.00 1.60 X 512632 0 43368 Douglas Waite SVP and Chief Medical Officer 40.00 0.00 X 574000 0 39465 John Newman SVP General Counsel 40.00 1.00 X 458680 0 43463 John Emerson SVP Integrated Medical Group 40.00 0.00 X 430199 0 25400 Gerard Foley SVP & President Post Acute Care 40.00 0.00 X 228685 0 22183 Karen Bowling SVP & Chief Information Officer 40.00 0.00 X 353622 0 20687 James Coffey CH SVP; President, CH Foundation 1.00 40.00 X 291264 0 45026 John Jurczyk SVP & President, SJH Nashu 40.00 1.00 X 489171 0 36742 Steven Jorgensen SVP & President, SMHS Lewiston 40.00 0.00 X 491652 0 34261 Mary Prybylo SVP & President, SJH Bangor 40.00 0.50 X 436469 0 45732 Brian Sweeney System Physician Advisor 40.00 0.00 X 356940 0 44701 Ivan Ip SVP & Chief Medical Info. Officer 40.00 0.00 X 361013 0 41260 5837429 0 479449 105 0 1 0 Ensemble RCM LLC PO Box 639076 Cincinnati OH 45263 Management and consulting services 27568012 Good Help Connections LLC 1701 Mercy Health Place Cincinnati OH 45237 Telecommunications and IT solutions 8548623 Premier Healthcare Solutions 5882 Collections Cntr Dr Chicago IL 60693 Healthcare analytics and consulting 3293548 Microsoft PO Box 842103 Dallas TX 75284 IT service and support 3241665 3M Health Information Systems PO Box 120881 Dept 0881 Dallas TX 753120881 IT service and support 1440609 57 138942 138942 Membership and other fees 900099 79370149 79370149 79370149 382456 10863 371593 54293445 53272367 1021078 1021078 1021078 80912625 79370149 10863 1392671 X 85695 85695 3978937 3533423 445514 24430647 21696655 2733992 601085 533301 67784 2263042 2007840 255202 1960874 1741436 219438 560764 560764 714391 714391 67167 67167 20814114 15928076 4886038 733417 561250 172167 743109 568667 174442 8680045 6642436 2037609 732815 560789 172026 594983 455313 139670 3230359 3230359 8125921 8125921 194653 148959 45694 Recruitment/relations 933932 714695 219237 Dietary supplies 49999 49999 Provider Tax 925 925 79496874 66585739 12911135 0 20958514 14155534 1151182 1130804 1941441 2763046 3441829 4540340 92198410 30992873 67249389 61205537 83616993 38845845 606360 248673 160807573 225235733 339773281 348125512 12932086 19552946 4167 4167 222987523 223055739 874056 346280 236797832 242959132 X 102717313 6979401 258136 98186979 102975449 105166380 339773281 348125512 X 1415751 -5677782 6452962 X X 0 1 X 1 1 1 X 10330 5922 38830 230583 138942 424607 72129091 70423256 65145894 70089882 79370149 357158272 72139421 70429178 65184724 70320465 79509091 357582879 15000 10000 25000 0 15000 10000 25000 357557879 1109845 150262 1469423 439444 371593 3540567 24690 34245 39408 11519 10863 120725 1134535 184507 1508831 450963 382456 3661292 73273956 70613685 66693555 70771428 79891547 361244171 0.98980 0.98680 0.01010 0.01310 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 130297 0 0 0 130297 0 Part II-B, Line 1: Covenant Health Inc. was a member of the Catholic Health Association of the United States. Based on Covenant Health's historic relationship with the Association, it is possible that a portion of the dues paid to the Association in 2022 was used for lobbying on behalf of Covenant Health and the other member-organizations in furtherance of their exempt purposes. At the time of this return's filing, the Organization is unable to determine which portion of the dues paid in 2022 was actually used for lobbying purposes. Accordingly, the Organization is disclossing the total sum of fees paid to the Association in 2022 for transparency purposes. 258136 6820030 -98765 6979401 292574 200327 10613 245378 258136 326059 1650 14457 49592 292574 349585 21874 45400 326059 345883 3702 349585 0.00000 0.97720 0.02280 1 1 1 42022 40197 1825 92059038 30952676 61106362 97350 97350 61205537 Investment in Covenant Health Investment Trust 403043 F Investment in Covenant Health Insurance LTD 38437802 F Investment in Yankee Alliance 5000 F 38845845 Due from affiliates 218382707 Security deposits 32996 Beneficial interest in trust endowments 6820030 225235733 Due to affiliates 97607 Operating lease liabilities 248673 346280 X Part V, Line 4: The Organization's endowment funds are to be used to assist the needy through education and/or projects for the poor, as determined by the Vice President of Missions and approved by the President of Covenant Health. In its 2022 tax year, the Organization received the endowment funds and beneficial interests in trust-assets previously held by Youville Life Care (a/k/a Youville Hospital); Covenant Health has been determined to be the current rightful legacy beneficiary of these endowments. Accordingly, these funds have been included within Covenant Health's restricted net assets and have also been reported on this Schedule D as permanent endowments, as well as current year endowment contributions ($6,820,030). These funds are to be used in furtherance of the provision of health services, including acute care, nursing homes, and home health services. 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. St. Joseph Hospital Corporate Services, Inc., a wholly-owned subsidiary of Nashua, is a for-profit organization, which is subject to federal and state income taxes. St. Joseph Hospital Corporate Services, Inc. has net operating loss (NOL) carryforwards for tax purposes. The NOLs are not anticipated to be utilized so the amounts have been fully offset with a reserve. CHIL, a wholly-owned subsidiary, is domiciled in the Cayman Islands. No income taxes are levied in the Cayman Islands and CHIL has been granted an exemption for any taxes that might be introduced. Accordingly, no provision for income taxes has been made in the accompanying financial statements. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2022. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Service payments into Cayman Islands-based insurance company. 11973266 0 0 0 0 0 0 11973266 0 11973266 1 0 1 0 0 0 Part III Accounting Method: 1 St Joseph's Hospital of Nashua NH Inc 172 Kinsley Street Nashua NH 03061 020222215 501(c)(3) 26667 0 Funding for medical supplies. St Joseph Hospital Foundation 360 Broadway Bangor ME 04402 222480149 501(c)(3) 16667 0 Funding for medical supplies. St Mary's Regional Medical Center PO Box 7291 Lewiston ME 04243 010211551 501(c)(3) 16667 0 Funding for medical supplies. Bangor Nursing & Rehabilitation Center 103 Texas Avenue Bangor ME 04401 010538534 501(c)(3) 10000 0 Funding for medical supplies. St Mary's Villa Nursing Home 516 St Marys Villa Road Elmhurst Township PA 18444 232057177 501(c)(3) 10000 0 Funding for medical supplies. 5 0 Part I, Line 2: During the year covered by this Form 990, Covenant Health, Inc. awarded grants in excess of $5,000 to its affiliated organizations. As Covenant Health, Inc. is the sole member and effective parent of the recipient Organizations, Covenant Health is able to exercise control, substantiation, and record-keeping over any use of the funds granted. X X X X 0 0 0 0 0 0 0 1 0 Stephen Grubbs President & CEO 775120 0 50000 0 27982 0 9150 0 28011 0 890263 0 0 0 Douglas Waite SVP and Chief Medical Officer 484726 0 80000 0 9274 0 4220 0 35245 0 613465 0 0 0 Stephen Forney SVP and Chief Financial Officer 486569 0 20000 0 6063 0 9150 0 34218 0 556000 0 0 0 John Jurczyk SVP & President, SJH Nashu 451619 0 28824 0 8728 0 9150 0 27592 0 525913 0 0 0 Steven Jorgensen SVP & President, SMHS Lewiston 433600 0 28824 0 29228 0 9150 0 25111 0 525913 0 0 0 John Newman SVP General Counsel 438680 0 20000 0 0 0 9150 0 34313 0 502143 0 0 0 Mary Prybylo SVP & President, SJH Bangor 397526 0 27282 0 11661 0 9150 0 36582 0 482201 0 0 0 John Emerson SVP Integrated Medical Group 380621 0 15000 0 34578 0 6236 0 19164 0 455599 0 0 0 Ivan Ip SVP & Chief Medical Info. Officer 360408 0 0 0 605 0 7757 0 33503 0 402273 0 0 0 Brian Sweeney System Physician Advisor 336451 0 0 0 20489 0 8191 0 36510 0 401641 0 0 0 Karen Bowling SVP & Chief Information Officer 333490 0 15000 0 5132 0 8393 0 12294 0 374309 0 0 0 James Coffey CH SVP; President, CH Foundation 272843 0 15000 0 3421 0 7481 0 37545 0 336290 0 0 0 Gerard Foley SVP & President Post Acute Care 209260 0 15000 0 4425 0 5408 0 16775 0 250868 0 0 0 Part I, Line 3 Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. Part I, Line 7 A Compensation Committee recommends the variable pay award that may be issued to qualifying employees and officers. The payment of the award is discretionary and is subject to meeting the pre-determined goals of the Organization. Form 990, Part VI, Section A, line 7a The directors of the Organization are elected by the members of Covenant Health, a public juridic person of pontifical right under the laws of the Roman Catholic Church (the "CHS Public Juridic Person"). Form 990, Part VI, Section A, line 7b Any change in the written statements of philosophy or mission of the organization must be approved by the Covenant Health Public Juridic Person before such change becomes effective. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the governing body for their review and approval prior to filing. Form 990, Part VI, Section B, line 12c This process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected. Form 990, Part VI, Section B, line 15 Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. Form 990, Part VI, Section B, line 16b: Although written policies were not in place as of the end of the year covered by this tax return requiring the Organization to evaluate its participation in joint venture arrangements under applicable federal law to ensure that the Organization's exempt status is protected, the Organization performed due diligence with respect to its joint venture arrangements to safeguard the Organization's exempt status. Form 990, Part VI, Section C, line 19 The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available at the following web address: https://covenanthealth.net/financials/ Form 990, Part IX, line 11g Admin and office support: Program service expenses 10,379,218. Management and general expenses 3,176,398. Fundraising expenses 0. Total expenses 13,555,616. Management and profesional consulting: Program service expenses 5,548,858. Management and general expenses 1,709,640. Fundraising expenses 0. Total expenses 7,258,498. Form 990, Part XI, line 9: Transfers to affiliates -367,068. Receipt of beneficial interest in trust 6,820,030. Form 990, Part XII, Line 2c: The audit process has not changed from the previous year. Form 990-Statement Pursuant to Regulation Section 1.351-3(a): This statement is pursuant to regulation section 1.351-3(a) by Covenant Health, Inc. (EIN 22-2484505), a significant transferor. On various dates during 2021, Covenant Health, Inc. (EIN 22-2484505) transferred the following property to Covenant Health Insurance LTD (EIN 04-3360127), a Cayman Islands-based foreign corporation: Cash-fair market value and adjusted tax basis equal to $11,973,266. No private letter ruling was received in connection with the Section 351 exchange. Additionally, Covenant Health has prepared a filed a 2022 Form 926 to report the transaction in greater detail. Alternative Health Services 360 Broadway Bangor ME 04402 010422885 Home health and hospice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation 1 Bangor Nursing & Rehabilitation Center 103 Texas Avenue Bangor ME 04401 010538534 Nursing home and restorative facility ME 501(c)(3) Line 10 Covenant Health Inc 1 CHS of Waltham Inc dba Maristhill Nursing & Rehab Center 66 Newton Street Waltham MA 02453 043333609 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 1 CHS of Worcester Inc dba St Mary Care Center 39 Queen Street Worcester MA 01610 043419625 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 1 Community Clinical Services PO Box 7291 Lewiston ME 04243 010409788 Physician practice ME 501(c)(3) Line 10 St Mary's Health System 1 Covenant Health Foundation Inc 100 Ames Pond Drive Tewksbury MA 01876 800199674 Charitable foundation MA 501(c)(3) Line 12a, I Covenant Health Inc 1 Covenant Health Investment Trust 420 Bedford Street Lexington MA 02420 046835128 Investment trust MA 501(c)(3) Line 12a, I Covenant Health Inc 1 Fanny Allen Corporation Inc 790 College Parkway Colchester VT 05446 222495808 Charitable foundation VT 501(c)(3) Line 12a, I Covenant Health Inc 1 Fanny Allen Holdings Inc 790 College Parkway Colchester VT 05446 030181052 Real estate holding company VT 501(c)(3) Line 12a, I Covenant Health Inc 1 Helping Hands of St Marguerite Inc 799 Concord Avenue Cambridge MA 02138 800199674 Private home-care health services MA 501(c)(3) Line 10 Covenant Health Inc 1 M & J Company 360 Broadway Bangor ME 04402 222480150 Lease holding company ME 501(c)(2) St Joseph Healthcare Foundation 1 Mary Immaculate Guild Inc 172 Lawrence Street Lawrence MA 01841 463073987 Supporting grants and donations MA 501(c)(3) Line 12a, I Covenant Health Inc 1 MI Adult Day Health Care Center Inc 189 Maple Street Lawrence MA 01841 042921888 Adult day care services MA 501(c)(3) Line 10 Covenant Health Inc 1 MI Management Inc 172 Lawrence Street Lawrence MA 01841 042857794 Assisted living services MA 501(c)(3) Line 12a, I Covenant Health Inc 1 MI Nursing Restorative Center Inc 172 Lawrence Street Lawrence MA 01841 042104851 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 1 MI Residential Community Inc 189 Maple Street Lawrence MA 01841 042647207 HUD low income housing MA 501(c)(3) Line 10 Covenant Health Inc 1 MI Transportation Inc 189 Maple Street Lawrence MA 01841 042921889 Elderly transportation services MA 501(c)(3) Line 10 Covenant Health Inc 1 Mount St Rita Health Centre 15 Sumner Brown Road Cumberland RI 02864 050342330 Nursing home RI 501(c)(3) Line 10 Covenant Health Inc 1 Neighborhood Housing Initiative PO Box 7291 Lewiston ME 04243 010539730 Affordable housing services ME 501(c)(3) Line 10 St Mary's Health System 1 Penacook Place Inc 150 Water Street Haverhill MA 01830 237090088 Nursing home MA 501(c)(3) Line 10 Covenant Health Inc 1 Souhegan Nursing Association 24 North River Road Milford NH 03055 020222795 Home health and hospice NH 501(c)(3) Line 10 St Joseph Hospital of Nashua NH Inc 1 St Joseph Ambulatory Care Inc 360 Broadway Bangor ME 04402 222480373 Physician practice ME 501(c)(3) Line 3 St Joseph Healthcare Foundation 1 St Andre Health Care 407 Pool Street Biddeford ME 04005 010342399 Nursing home and restorative facility ME 501(c)(3) Line 10 Covenant Health Inc 1 St Joseph Healthcare Foundation 360 Broadway Bangor ME 04402 222480149 Healthcare foundation ME 501(c)(3) Line 7 Covenant Health Inc 1 St Joseph Hospital 360 Broadway Bangor ME 04402 010212435 Hospital and health care facility ME 501(c)(3) Line 3 St Joseph Healthcare Foundation 1 St Joseph Manor Health Care 215 Thatcher Street Brockton MA 02302 042565937 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 1 St Joseph's Hospital of Nashua NH Inc 172 Kinsley Street Nashua NH 03061 020222215 Hospital and health care facility NH 501(c)(3) Line 3 Covenant Health Inc 1 St Mary's D'Youville Pavilion PO Box 7291 Lewiston ME 04243 010211558 Nursing home and restorative facility ME 501(c)(3) Line 10 St Mary's Health System 1 St Mary's Health system PO Box 7291 Lewiston ME 04243 222504349 Hospital and health care facility ME 501(c)(3) Line 12a, I Covenant Health Inc 1 St Mary's Regional Medical Center PO Box 7291 Lewiston ME 04243 010211551 Hospital and health care facility ME 501(c)(3) Line 3 St Mary's Health System 1 St Mary's Residences PO Box 7291 Lewiston ME 04243 222504356 Low income housing ME 501(c)(3) Line 10 St Mary's Health System 1 St Mary's Villa Nursing Home Inc 675 St Marys Villa Road Moscow PA 18444 232057177 Nursing home and restorative facility PA 501(c)(3) Line 10 Covenant Health Inc 1 The Surgicenter at St Joseph Hospital Inc 172 Kinsley Street Nashua NH 03061 020222215 Healthcare and surgery center NH 501(c)(3) Line 10 St Joseph Hospital of Nashua NH Inc 1 Youville Hospital and Rehabilitation Center Inc 1575 Cambridge Street Cambridge MA 02138 043239563 Hospital and health care facility MA 501(c)(3) Line 10 Youville Lifecare Inc 1 Youville House Inc 1573 Cambridge Street Cambridge MA 02138 043239593 Assisted living services MA 501(c)(3) Line 10 Youville Lifecare Inc 1 Youville Lifecare Inc 1575 Cambridge Street Cambridge MA 02138 042103582 Hospital and health care facility MA 501(c)(3) Line 10 Covenant Health Inc 1 Youville Place 10 Pelham Road Lexington MA 02421 043297834 Assisted living services MA 501(c)(3) Line 10 Covenant Health Inc 1 Campus Holding PO box 7291 Lewiston ME 04240 010406049 Holding company ME N/A C 1 Covenant Health Insurance LTD PO Box 69 Grand Cayman CJ KY1-1102 043360127 Self-insurance company CJ Covenant Health Inc C 987494 68163650 1.00000 1 GNM Corporation 172 Kinsley Street Nashua NH 03060 020400550 Real estate holding company NH N/A C 0 SJ Physicians Services 172 Kinsley Street Nashua NH 03060 020522234 Physician practice NH N/A C 0 St Joseph Corporate Services Inc 172 Kinsley Street Nashua NH 03060 020405197 Holding company NH N/A C 1 Strauss Incorporated 360 Broadway Bangor ME 04402 010391369 Repairs and transcriptions ME N/A C 1 0 0 0 1 1 0 0 0 0 0 0 1 0 0 0 0 0 1 0 St Joseph Hospital of Nashua L 27636622 Actual per book St Mary's Regional Medical Center L 26822631 Actual per book St Joseph Hospital of Bangor L 20843163 Actual per book MI Nursing Restorative Center Inc L 1025240 Actual per book CHS of Waltham Inc L 401231 Actual per book St Joseph Manor Health Care L 422868 Actual per book CHS of Worcester Inc L 437054 Actual per book Mount St Rita Health Centre L 357462 Actual per book Penacook Place L 574830 Actual per book Covenant Health Insurance LTD L 99000 Actual per book Fanny Allen Corporation Inc L 296401 Actual per book St Andre Health Care Center L 428476 Actual per book Youville Place L 297949 Actual per book Youville House Inc L 250470 Actual per book St Mary's Villa Nursing Home Inc L 580408 Actual per book