COVENANT HEALTH INC: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT HEALTH INC (EIN 22-2484505)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-11
- IRS object ID
- 202143159349303484
- Schema version
- 2020v4.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-11T10:55:55-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 ELM STREET SUITE 302 | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222484505 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Covenant Health Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COVE | BusinessNameControlTxt |
| Phone | 9786546363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Ames Pond Drive No 102 | AddressLine1Txt |
| City | Tewksbury | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Stephen W Forney | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 9786546363 | PhoneNum |
| Signature | 2021-11-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Stephen | PersonFirstNm |
| Person Last | Forney | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2021-11-01 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Stephen Grubbs | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Ames Pond Drive No 102 | AddressLine1Txt |
| City | Tewksbury | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $66,693,555 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | covenanthealth.net | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 307 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $39,408 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $33,285 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,922 | PYContributionsGrantsAmt |
| CY Contributions Grants | $38,830 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $70,423,256 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $65,145,894 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,050,986 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,508,831 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $73,480,164 | PYTotalRevenueAmt |
| CY Total Revenue | $66,693,555 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,750 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,980,563 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,055,216 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $37,935,195 | PYOtherExpensesAmt |
| CY Other Expenses | $35,731,234 | CYOtherExpensesAmt |
| PY Total Expenses | $71,923,258 | PYTotalExpensesAmt |
| CY Total Expenses | $68,789,200 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,556,906 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$2,095,645 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $196,795,806 | TotalAssetsBOYAmt |
| Total Assets EOY | $176,504,110 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $87,904,530 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $81,054,354 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $108,891,276 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $95,449,756 | NetAssetsOrFundBalancesEOYAmt |
| Mission | Covenant Health is an innovative Catholic health organization committed to advancing the healing ministry of Jesus. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $66,432,604 | ExpenseAmt |
| Grant | $2,750 | GrantAmt |
| Revenue | $65,145,894 | RevenueAmt |
| Desc | 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. | Desc |
| Total Program Service Expenses | $66,432,604 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | Yes (1) | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 40 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 307 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stephen Grubbs Chief Executive Officer | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9786546363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 Ames Pond Drive | AddressLine1Txt |
| City | Tewksbury | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Stephen Grubbs | |||||||||
| President & CEO | 40.00 | 5.50 | Yes (X) | Yes (X) | $883,059 | $0 | $33,117 | ||
| Douglas Waite | |||||||||
| SVP and Chief Medical Officer | 40.00 | 0.00 | $619,987 | $0 | $37,069 | Yes (X) | |||
| Stephen Forney | |||||||||
| SVP and Chief Financial Officer | 40.00 | 1.60 | Yes (X) | $592,083 | $0 | $33,816 | |||
| John Jurczyk | |||||||||
| SVP & President, SJH Nashua | 40.00 | 1.00 | $477,005 | $0 | $32,700 | Yes (X) | |||
| Steven Jorgensen | |||||||||
| SVP & President, SMHS Lewiston | 40.00 | 0.00 | $471,002 | $0 | $35,764 | Yes (X) | |||
| Mary Prybylo | |||||||||
| SVP & President, SJH Bangor | 40.00 | 0.50 | $456,077 | $0 | $41,626 | Yes (X) | |||
| John Newman | |||||||||
| SVP General Counsel | 40.00 | 1.00 | $446,075 | $0 | $40,842 | Yes (X) | |||
| John Emerson | |||||||||
| SVP Integrated Medical Group | 40.00 | 0.00 | $414,656 | $0 | $38,564 | Yes (X) | |||
| Gerard Foley | |||||||||
| SVP & President of Post Acute Care | 40.00 | 0.00 | $407,650 | $0 | $30,408 | Yes (X) | |||
| Katherine Bechtold | |||||||||
| SVP & Chief Nursing Officer | 40.00 | 0.00 | $403,177 | $0 | $17,466 | Yes (X) | |||
| Richard Plamondon | |||||||||
| VP Finance | 40.00 | 1.00 | $353,710 | $0 | $30,707 | Yes (X) | |||
| Karen Bowling | |||||||||
| SVP & Chief Information Officer | 40.00 | 0.00 | $351,217 | $0 | $18,957 | Yes (X) | |||
| James Coffey | |||||||||
| CH SVP; President, CH Foundation | 1.00 | 40.00 | $265,485 | $0 | $41,405 | Yes (X) | |||
| Michael Hendrix | |||||||||
| VP Finance | 20.10 | 20.50 | $134,376 | $134,376 | $31,395 | Yes (X) | |||
| Lesley Adkinson E PhD RN | |||||||||
| Director | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Bruce Bonnell MD MPH | |||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Aisha Bonny | |||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| John Isaacson | |||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Kelly | |||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| James F Loftus IV | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| William P Lucy | |||||||||
| Director | 2.00 | 1.50 | Yes (X) | $0 | $0 | $0 | |||
| Thomas Mortimer | |||||||||
| Director | 2.00 | 3.00 | Yes (X) | $0 | $0 | $0 | |||
| Sr Catherine O'Connor | |||||||||
| Director | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Louise Trottier | |||||||||
| Director | 2.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| John Oliverio | |||||||||
| Chair | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Kenneth E Arnold | |||||||||
| Vice Chair | 2.00 | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mark W Anthoine Sr | |||||||||
| Finance Committee Chair | 2.00 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,275,559 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $134,376 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $463,836 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 85 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Ensemble RCM LLC | |||||
| PO Box 639076 | Cincinnati | OH | 45263 | Management and consulting services | $20,067,606 |
| Good Help Connections LLC | |||||
| 8990 Old Annapolis Rd Ste M | Columbia | MD | 21045 | Telecommunications and IT Solutions | $8,968,654 |
| Microsoft Licensing GP | |||||
| c/o BOA 1950 N Stemmons Fairway | Dallas | TX | 75207 | IT service and support | $2,404,678 |
| CyberNorth | |||||
| 15 Cottage Road Unit 2433 | South Portland | ME | 04116 | IT service and support | $1,737,829 |
| Workgroup Technology Partners | |||||
| PO Box 110 | Westbrook | ME | 040980100 | Managed IT services | $903,332 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 44 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $38,830 | AllOtherContributionsAmt |
| Total Contributions | $38,830 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Membership and other fees | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $65,145,894 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,145,894 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $65,145,894 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,508,831 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $39,408 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,469,423 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $66,693,555 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $65,145,894 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $39,408 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,469,423 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,750 | TotalAmt |
| Program Services | $2,750 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,675,033 | TotalAmt |
| Program Services | $4,394,531 | ProgramServicesAmt |
| Management And General | $280,502 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,905,451 | TotalAmt |
| Program Services | $22,471,124 | ProgramServicesAmt |
| Management And General | $1,434,327 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $308,142 | TotalAmt |
| Program Services | $289,653 | ProgramServicesAmt |
| Management And General | $18,489 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,476,916 | TotalAmt |
| Program Services | $2,328,301 | ProgramServicesAmt |
| Management And General | $148,615 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,689,674 | TotalAmt |
| Program Services | $1,588,294 | ProgramServicesAmt |
| Management And General | $101,380 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $344,283 | TotalAmt |
| Management And General | $344,283 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,000 | TotalAmt |
| Management And General | $29,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,487,751 | TotalAmt |
| Program Services | $13,487,751 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,130,636 | TotalAmt |
| Program Services | $1,130,636 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,000,452 | TotalAmt |
| Program Services | $1,000,452 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,085,864 | TotalAmt |
| Program Services | $8,085,864 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,013,393 | TotalAmt |
| Program Services | $1,013,393 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $208,280 | TotalAmt |
| Program Services | $208,280 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,603,054 | TotalAmt |
| Program Services | $2,603,054 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,997,881 | TotalAmt |
| Program Services | $6,997,881 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $157,298 | TotalAmt |
| Program Services | $157,298 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Recruitment/relations | $629,155 | $629,155 |
| Dietary supplies | $42,937 | $42,937 |
| MA Provider Tax | $1,250 | $1,250 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $68,789,200 | TotalAmt |
| Program Services | $66,432,604 | ProgramServicesAmt |
| Management And General | $2,356,596 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,849,022 | BOYAmt |
| EOY | $13,393,664 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,125,000 | BOYAmt |
| EOY | $1,270,438 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,846,599 | BOYAmt |
| EOY | $7,160,893 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,861,475 | BOYAmt |
| EOY | $2,957,937 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $91,009,135 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $17,918,200 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,918,580 | BOYAmt |
| EOY | $73,090,935 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,897,000 | BOYAmt |
| EOY | $73,682,691 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,298,130 | BOYAmt |
| EOY | $4,947,552 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,795,806 | BOYAmt |
| EOY | $176,504,110 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,508,965 | BOYAmt |
| EOY | $14,571,416 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,124,493 | BOYAmt |
| EOY | $3,983,803 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,431,771 | BOYAmt |
| EOY | $49,360,478 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,839,301 | BOYAmt |
| EOY | $13,138,657 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,904,530 | BOYAmt |
| EOY | $81,054,354 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,565,217 | BOYAmt |
| EOY | $95,157,182 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $326,059 | BOYAmt |
| EOY | $292,574 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,891,276 | BOYAmt |
| EOY | $95,449,756 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $196,795,806 | BOYAmt |
| EOY | $176,504,110 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$2,095,645 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,538,435 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$14,884,310 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,109 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,050 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,330 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,922 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $38,830 | CurrentTaxYearAmt |
| Total | $83,241 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,703,050 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,213,900 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,129,091 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,423,256 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,145,894 | CurrentTaxYearAmt |
| Total | $240,615,191 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $17,722,159 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,222,950 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $72,139,421 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,429,178 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $65,184,724 | CurrentTaxYearAmt |
| Total | $240,698,432 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $15,000 | CurrentTaxYearAmt |
| Total | $15,000 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $15,000 | CurrentTaxYearAmt |
| Total | $15,000 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $240,683,432 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,397,500 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $605,729 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,109,845 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $150,262 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,469,423 | CurrentTaxYearAmt |
| Total | $4,732,759 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,621 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $18,060 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $24,690 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $34,245 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $39,408 | CurrentTaxYearAmt |
| Total | $125,024 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,406,121 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $623,789 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,134,535 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $184,507 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,508,831 | CurrentTaxYearAmt |
| Total | $4,857,783 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $19,128,280 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,846,739 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $73,273,956 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $70,613,685 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $66,693,555 | CurrentTaxYearAmt |
| Total | $245,556,215 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98020 | PublicSupportCY509Pct |
| Public Support PY509 | 0.97730 | PublicSupportPY509Pct |
| Investment Income CY | 0.01980 | InvestmentIncomeCYPct |
| Investment Income PY | 0.02270 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $92,850 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $92,850 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | 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 2020 was used for lobbying on behalf of Covenant Health and the other member-organizations in furtherance of their exempt purposes. However, at the time of this tax filing, the Association has not indicated what portion of the dues paid, if any, was available for lobbying in 2020. For transparency purposes, the entire amount of dues paid in 2020 ($92,850) has been reported on this tax return. In previous years, the percentage of dues that was available for lobbying was under 5%; therefore, the actual amount of the dues that was available for lobbying in 2020 may have been less than the amount reported on the 2020 Schedule C. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $326,059 | BeginningYearBalanceAmt |
| Contributions | $1,650 | ContributionsAmt |
| Investment Earnings Or Losses | $14,457 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $49,592 | OtherExpendituresAmt |
| End Year Balance | $292,574 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $349,585 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $21,874 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $45,400 | OtherExpendituresAmt |
| End Year Balance | $326,059 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $345,883 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $3,702 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $349,585 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $382,841 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,157 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $45,115 | GrantsOrScholarshipsAmt |
| End Year Balance | $345,883 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $398,879 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,462 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $27,500 | GrantsOrScholarshipsAmt |
| End Year Balance | $382,841 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,042 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,693 | DepreciationAmt |
| Book Value | $9,349 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $87,037,892 | OtherCostOrOtherBasisAmt |
| Depreciation | $17,405,595 | DepreciationAmt |
| Book Value | $69,632,297 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,910,201 | OtherCostOrOtherBasisAmt |
| Depreciation | $460,912 | DepreciationAmt |
| Book Value | $3,449,289 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $73,090,935 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Covenant Health Investment Trust | $39,270,653 | F |
| Investment in Covenant Health Insurance LTD | $34,407,038 | F |
| Investment in Yankee Alliance | $5,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $73,682,691 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| Due to affiliates | $12,194,129 |
| Operating lease liabilities | $944,528 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,138,657 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
| 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. CHIL, a wholly-owned subsidiary of Covenant Health Inc., 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. 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, 2020. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Capital contributions into Cayman Islands-based insurance company. | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $5,701,126 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $5,701,126 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $5,701,126 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (1) | TransferToForeignCorpInd |
| Interest In Foreign Trust | 0 | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (1) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | 0 | PassiveForeignInvestmestCoInd |
| Foreign Partnership | 0 | ForeignPartnershipInd |
| Boycott Countries | 0 | BoycottCountriesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part III Accounting Method: | FormAndLineReferenceDesc |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen Grubbs | ||||||||||||||
| President & CEO | $756,762 | $0 | $100,000 | $0 | $26,297 | $0 | $5,700 | $0 | $27,417 | $0 | $916,176 | $0 | $0 | $0 |
| Douglas Waite | ||||||||||||||
| SVP and Chief Medical Officer | $476,716 | $0 | $138,000 | $0 | $5,271 | $0 | $2,648 | $0 | $34,421 | $0 | $657,056 | $0 | $0 | $0 |
| Stephen Forney | ||||||||||||||
| SVP and Chief Financial Officer | $539,234 | $0 | $50,000 | $0 | $2,849 | $0 | $391 | $0 | $33,425 | $0 | $625,899 | $0 | $0 | $0 |
| John Jurczyk | ||||||||||||||
| SVP & President, SJH Nashua | $453,981 | $0 | $18,000 | $0 | $5,024 | $0 | $5,700 | $0 | $27,000 | $0 | $509,705 | $0 | $0 | $0 |
| Steven Jorgensen | ||||||||||||||
| SVP & President, SMHS Lewiston | $428,697 | $0 | $18,000 | $0 | $24,305 | $0 | $5,700 | $0 | $30,064 | $0 | $506,766 | $0 | $0 | $0 |
| Mary Prybylo | ||||||||||||||
| SVP & President, SJH Bangor | $431,269 | $0 | $18,000 | $0 | $6,808 | $0 | $5,700 | $0 | $35,926 | $0 | $497,703 | $0 | $0 | $0 |
| John Newman | ||||||||||||||
| SVP General Counsel | $421,073 | $0 | $18,000 | $0 | $7,002 | $0 | $5,700 | $0 | $35,142 | $0 | $486,917 | $0 | $0 | $0 |
| John Emerson | ||||||||||||||
| SVP Integrated Medical Group | $370,584 | $0 | $18,000 | $0 | $26,072 | $0 | $5,255 | $0 | $33,309 | $0 | $453,220 | $0 | $0 | $0 |
| Gerard Foley | ||||||||||||||
| SVP & President of Post Acute Care | $382,022 | $0 | $18,000 | $0 | $7,628 | $0 | $3,462 | $0 | $26,946 | $0 | $438,058 | $0 | $0 | $0 |
| Katherine Bechtold | ||||||||||||||
| SVP & Chief Nursing Officer | $359,921 | $0 | $18,000 | $0 | $25,256 | $0 | $5,181 | $0 | $12,285 | $0 | $420,643 | $0 | $0 | $0 |
| Richard Plamondon | ||||||||||||||
| VP Finance | $342,675 | $0 | $7,500 | $0 | $3,535 | $0 | $5,192 | $0 | $25,515 | $0 | $384,417 | $0 | $0 | $0 |
| Karen Bowling | ||||||||||||||
| SVP & Chief Information Officer | $327,845 | $0 | $18,000 | $0 | $5,372 | $0 | $5,700 | $0 | $13,257 | $0 | $370,174 | $0 | $0 | $0 |
| James Coffey | ||||||||||||||
| CH SVP; President, CH Foundation | $246,080 | $0 | $18,000 | $0 | $1,405 | $0 | $4,686 | $0 | $36,719 | $0 | $306,890 | $0 | $0 | $0 |
| Michael Hendrix | ||||||||||||||
| VP Finance | $121,259 | $121,259 | $3,750 | $3,750 | $9,367 | $9,367 | $2,325 | $2,326 | $13,372 | $13,372 | $150,073 | $150,074 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MA Health & Education Authority | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 042456011 | BondIssuerEIN |
| CUSIP | 57586dbf9 | CUSIPNum |
| Bond Issued | 2007-10-30 | BondIssuedDt |
| Issue Price | $24,646,225 | IssuePriceAmt |
| Purpose | Youville Place acquisition & refunding prior issues | PurposeDesc |
| Defeased | Yes (1) | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Bond Defeased | $11,605,000 | BondDefeasedAmt |
| Total Proceeds | $1,198,863 | TotalProceedsAmt |
| Refunding Escrow | $11,226,315 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $383,111 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $11,505,784 | CapitalExpendituresAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part IV, Line 2c: | The rebate report computation date is 10/30/17 reflecting activity to 10/30/17. |
| Schedule K, Part III, Line 9; Part IV, Line 7, & Part V: | While formal, written policies have not been adopted by the Organization, Covenant Health carefully and consistently monitors its tax-exempt bond for potential violations. Additionally, the Organization routinely confers with bond counsel to ensure all relevant compliance requirements have been met. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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://www.covenanthealth.net/financial-information/financial-information |
| Form 990, Part IX, line 11g | Admin and office support: Program service expenses 10,142,506. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,142,506. Management and profesional consulting: Program service expenses 3,345,245. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,345,245. |
| Form 990, Part XI, line 9: | Transfers from affiliates 356,869. Health insurance budget contingency 3,561,216. GAAP acquisition adjustments -18,802,395. |
| 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 2020, 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 $5,701,126. No private letter ruling was received in connection with the Section 351 exchange. Additionally, Covenant Health has prepared a filed a 2020 Form 926 to report the transaction in greater detail. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Alternative Health Services | ||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010422885 | Home health and hospice | ME | 501(c)(3) | Line 10 | St Joseph Healthcare Foundation | Yes (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 | Yes (1) |
| CHS of Worcester Inc dba St Mary Care Center | ||||||||||
| 39 Queen Street | Worchester | MA | 01610 | 043419625 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | Yes (1) |
| Community Clinical Services | ||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010409788 | Physician practice | ME | 501(c)(3) | Line 10 | St Mary's Health System | Yes (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 | Yes (1) |
| Fanny Allen Corporation Inc | ||||||||||
| 790 College Parkway | Colchester | VT | 05446 | 222495808 | Charitable foundation | VT | 501(c)(3) | Line 12a, I | Covenant Health Inc | Yes (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 | Yes (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 | Yes (1) |
| M & J Company | ||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480150 | Lease holding company | ME | 501(c)(2) | St Joseph Healthcare Foundation | Yes (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 | Yes (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 | Yes (1) |
| MI Management Inc | ||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 042857794 | Assisted living services | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | Yes (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 | Yes (1) |
| MI Residential Community II Inc | ||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042679954 | HUD low income housing | MA | 501(c)(3) | Line 10 | Covenant Health Inc | Yes (1) |
| MI Residential Community III Inc | ||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042186043 | HUD low income housing | MA | 501(c)(3) | Line 10 | Covenant Health Inc | Yes (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 | Yes (1) |
| MI Transportation Inc | ||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042921889 | Elderly transportation services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | Yes (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 | Yes (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 | Yes (1) |
| Penacook Place Inc | ||||||||||
| 150 Water Street | Haverhill | MA | 01830 | 237090088 | Nursing home | MA | 501(c)(3) | Line 10 | Covenant Health Inc | Yes (1) |
| Covenant Health Investment Trust | ||||||||||
| 420 Bedford Street | Lexington | MA | 02420 | 046835128 | Investment trust | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | Yes (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 | Yes (1) |
| St Joseph Ambulatory Care Inc | ||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480373 | Physician practice | ME | 501(c)(3) | Line 3 | St Joseph Healthcare Foundation | Yes (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 | Yes (1) |
| St Joseph Healthcare Foundation | ||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480149 | Healthcare foundation | ME | 501(c)(3) | Line 7 | Covenant Health Inc | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (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 | Yes (1) |
| Youville House Inc | ||||||||||
| 1573 Cambridge Street | Cambridge | MA | 02138 | 043239593 | Assisted living services | MA | 501(c)(3) | Line 10 | Youville Lifecare Inc | Yes (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 | Yes (1) |
| Youville Place | ||||||||||
| 10 Pelham Road | Lexington | MA | 02421 | 043297834 | Assisted living services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | Yes (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 | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Covenant Health Insurance LTD | ||||||||||||||||||
| PO Box 69 | Grand Cayman | CJ | KY1-1102 | 043360127 | Self-insurance company | CJ | Covenant Health Inc | C | $3,706,759 | $65,829,767 | 1.00000 | Yes (1) | ||||||
| Campus Holding | ||||||||||||||||||
| 010406049 | Holding company | C | Yes (1) | PO box 7291 | Lewiston | ME | 04240 | ME | N/A | |||||||||
| St Joseph Corporate Services Inc | ||||||||||||||||||
| 020405197 | Holding company | C | Yes (1) | 172 Kinsley Street | Nashua | NH | 03060 | NH | N/A | |||||||||
| Strauss Incorporated | ||||||||||||||||||
| 010391369 | Repairs and transcriptions | C | Yes (1) | 360 Broadway | Bangor | ME | 04402 | ME | N/A | |||||||||
| GNM Corporation | ||||||||||||||||||
| 020400550 | Real estate holding company | C | 0 | 172 Kinsley Street | Nashua | NH | 03060 | NH | N/A | |||||||||
| SJ Physicians Services | ||||||||||||||||||
| 020522234 | Physician practice | C | 0 | 172 Kinsley Street | Nashua | NH | 03060 | NH | N/A | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (15 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| St Joseph Hospital of Nashua | ||
| S | $356,869 | Actual per book |
| CHS of Worcester | ||
| L | $285,289 | Actual per book |
| St Joseph Manor Health Care Inc | ||
| L | $304,045 | Actual per book |
| St Joseph Hospital of Nashua | ||
| L | $427,053 | Actual per book |
| Youville Place Inc | ||
| L | $139,854 | Actual per book |
| Youville House Inc | ||
| L | $154,519 | Actual per book |
| St Andre Health Care Facility | ||
| L | $319,607 | Actual per book |
| St Mary's Regional Medical Center | ||
| L | $22,176,700 | Actual per book |
| St Joseph Hospital | ||
| L | $21,562,544 | Actual per book |
| St Mary's Villa Nursing Home | ||
| L | $382,489 | Actual per book |
| MI Nursing Restorative Center Inc | ||
| L | $600,088 | Actual per book |
| MI Adult Day Health Care Center Inc | ||
| L | $51,853 | Actual per book |
| MI Management Inc | ||
| L | $76,934 | Actual per book |
| MI Transportation Inc | ||
| L | $46,161 | Actual per book |
| Penacook Place | ||
| L | $292,210 | Actual per book |
Comments