COVENANT HEALTH INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
COVENANT HEALTH INC (EIN 22-2484505)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-09
IRS object ID
202023149349301407
Schema version
2019v5.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-11-09T09:31:00-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYES LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1650 ELM STREET SUITE 302AddressLine1Txt
CityMANCHESTERCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN222484505EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Covenant Health IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlCOVEBusinessNameControlTxt
Phone9786546363PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Ames Pond Drive No 102AddressLine1Txt
CityTewksburyCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01876ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonStephen W ForneyPersonNm
Person TitleChief Financial OfficerPersonTitleTxt
Phone9786546363PhoneNum
Signature2020-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone8002447444PhoneNum
Preparation2020-11-02PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.105.168.164IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-02IPDt
IP Tm15:24:07IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdC20447127DC59709279852AA978DA2EB3E2E3F4DAtSubmissionCreationDeviceId
At Submission Filing Device IdDA1D1F22D002DE74304CAE64996AD19EA354FE22AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerStephen W ForneyPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Ames Pond Drive No 102AddressLine1Txt
CityTewksburyCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01876ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$73,790,210GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresscovenanthealth.netWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1983FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionCovenant 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 2019 Covenant Health Corporate Report.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee347TotalEmployeeCnt
Total Volunteers13TotalVolunteersCnt
Total Gross UBI$34,245TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$28,304NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,330PYContributionsGrantsAmt
CY Contributions Grants$5,922CYContributionsGrantsAmt
PY Program Service Revenue$72,153,781PYProgramServiceRevenueAmt
CY Program Service Revenue$70,423,256CYProgramServiceRevenueAmt
PY Investment Income$1,109,845PYInvestmentIncomeAmt
CY Investment Income$3,050,986CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$73,273,956PYTotalRevenueAmt
CY Total Revenue$73,480,164CYTotalRevenueAmt
PY Grants And Similar Paid$5,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$38,030,197PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$33,980,563CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$34,812,715PYOtherExpensesAmt
CY Other Expenses$37,935,195CYOtherExpensesAmt
PY Total Expenses$72,847,912PYTotalExpensesAmt
CY Total Expenses$71,923,258CYTotalExpensesAmt
PY Revenues Less Expenses$426,044PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,556,906CYRevenuesLessExpensesAmt
Total Assets BOY$195,385,071TotalAssetsBOYAmt
Total Assets EOY$196,795,806TotalAssetsEOYAmt
Total Liabilities BOY$91,721,201TotalLiabilitiesBOYAmt
Total Liabilities EOY$87,904,530TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$103,663,870NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$108,891,276NetAssetsOrFundBalancesEOYAmt
MissionCovenant Health is an innovative Catholic health organization committed to advancing the healing ministry of Jesus.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$69,508,337ExpenseAmt
Grant$7,500GrantAmt
Revenue$70,389,011RevenueAmt
DescSponsoring 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$69,508,337TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document51IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee347EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Steve Grubbs Chief Executive OfficerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9786546363PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Ames Pond DriveAddressLine1Txt
CityTewksburyCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01876ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndKey EmployeeKeyEmployeeInd
Stephen Grubbs
President & CEO40.004.00Yes (X)Yes (X)$712,592$0$31,007
Carolyn Kasabian
VP Revenue Cycle40.000.00$479,775$0$14,121Yes (X)
Douglas Waite
SVP & Chief Medical Officer40.000.00$450,230$0$32,865Yes (X)
Steven Jorgensen
SVP & President, SMHS Lewiston40.000.40$434,308$0$33,342Yes (X)
John Jurczyk
SVP & President, SJH Nashua40.001.00$428,719$0$27,563Yes (X)
David R Lincoln
President & CEO (end 4/19)40.001.00Yes (X)Yes (X)$433,588$0$11,811
Mary Prybylo
SVP & President, SJH Bangor40.000.50$395,291$0$35,902Yes (X)
Gerard Foley
President Post Acute Care40.000.00$389,304$0$27,401Yes (X)
John Newman
SVP & General Counsel40.000.00$380,055$0$35,013Yes (X)
John Emerson
SVP & Integrated Medical Group40.000.00$374,140$0$30,492Yes (X)
Jason Van Diver
VP Strategy & Marketing40.000.00$334,740$0$24,746Yes (X)
Katherine Bechtold
SVP & Chief Nursing Officer40.000.00$344,009$0$13,683Yes (X)
Richard Plamondon
VP Finance40.00$316,112$0$26,141Yes (X)
Karen Bowling
CIO40.000.00$311,207$0$14,481Yes (X)
James B Coffey
Foundation President1.0039.00$234,906$0$36,126Yes (X)
Stephen W Forney
Treasurer, SVP/CFO40.005.00Yes (X)$155,201$0$7,108
Lesley Adkinson E PhD RN
Director2.003.00Yes (X)$0$0$0
Kenneth E Arnold
Director2.001.00Yes (X)$0$0$0
Bruce Bonnell MD MPH
Director2.001.00Yes (X)$0$0$0
Aisha Bonny
Director2.001.00Yes (X)$0$0$0
Thomas Kelly
Director2.001.00Yes (X)$0$0$0
James F Loftus IV
Director2.002.00Yes (X)$0$0$0
William P Lucy
Director2.001.50Yes (X)$0$0$0
Daniel Mingle MD MS
Director2.001.00Yes (X)$0$0$0
Thomas Mortimer
Director2.003.00Yes (X)$0$0$0
John M Pallone
Director (end 12/19)2.001.00Yes (X)$0$0$0
Louise Trottier
Chair2.002.00Yes (X)Yes (X)$0$0$0
John Oliverio
Vice Chair2.001.00Yes (X)Yes (X)$0$0$0
John Isaacson
Finance Committee Chair2.001.30Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,174,177TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$401,802TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K85IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Good Help Connections LLC
8990 Old Annapolis Rd Ste MColumbiaMD21045Telecommunications and IT Solutions$10,643,763
Ensemble RCM LLC
PO Box 639076CincinnatiOH45263Management and consulting services$4,031,010
Microsoft Licensing GP
c/o BOA 1950 N Stemmons FairwayDallasTX75207IT service and support$2,189,808
Leidos Health
PO Box 223866PittsburghPA152512866IT Consultants$1,043,098
Galen Healthcare Solutions Inc
PO Box 36715Grosse Pointe ParkMI48236Healthcare support and IT solutions$717,992
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K45CntrctRcvdGreaterThan100KCnt
All Other Contributions$5,922AllOtherContributionsAmt
Total Contributions$5,922TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMembership and other feesDesc
Business900099BusinessCd
Total Revenue Column$70,423,256TotalRevenueColumnAmt
Related Or Exempt Func Income$70,423,256RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$70,423,256TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$184,507TotalRevenueColumnAmt
Unrelated Business Revenue$34,245UnrelatedBusinessRevenueAmt
Exclusion$150,262ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,176,525SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$310,046SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,866,479SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,866,479TotalRevenueColumnAmt
Exclusion$2,866,479ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$73,480,164TotalRevenueColumnAmt
Related Or Exempt Func Income$70,423,256RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$34,245UnrelatedBusinessRevenueAmt
Exclusion$3,016,741ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,500TotalAmt
Program Services$7,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,351,307TotalAmt
Program Services$1,270,229ProgramServicesAmt
Management And General$81,078ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,644,271TotalAmt
Program Services$26,925,615ProgramServicesAmt
Management And General$1,718,656ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$222,473TotalAmt
Program Services$209,125ProgramServicesAmt
Management And General$13,348ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,873,309TotalAmt
Program Services$1,760,910ProgramServicesAmt
Management And General$112,399ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,889,203TotalAmt
Program Services$1,775,851ProgramServicesAmt
Management And General$113,352ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$369,855TotalAmt
Management And General$369,855ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$6,233TotalAmt
Management And General$6,233ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,052,393TotalAmt
Program Services$13,052,393ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,932,530TotalAmt
Program Services$1,932,530ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$688,249TotalAmt
Program Services$688,249ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$8,652,834TotalAmt
Program Services$8,652,834ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,676,535TotalAmt
Program Services$1,676,535ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$499,301TotalAmt
Program Services$499,301ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,925,130TotalAmt
Program Services$2,925,130ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$6,848,635TotalAmt
Program Services$6,848,635ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$18,613TotalAmt
Program Services$18,613ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Recruitment/relations$859,640$859,640
Repairs and equipment$313,629$313,629
Dietary supplies$90,083$90,083
MA Provider Tax$1,535$1,535

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$71,923,258TotalAmt
Program Services$69,508,337ProgramServicesAmt
Management And General$2,414,921ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,764,700BOYAmt
EOY$7,849,022EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,125,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$17,824,698BOYAmt
EOY$13,846,599EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,999,594BOYAmt
EOY$2,861,475EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$88,838,899LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$10,920,319LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$81,492,218BOYAmt
EOY$77,918,580EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$59,033,842BOYAmt
EOY$68,897,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$32,270,019BOYAmt
EOY$24,298,130EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$195,385,071BOYAmt
EOY$196,795,806EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,001,092BOYAmt
EOY$17,508,965EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,264,294BOYAmt
EOY$4,124,493EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$54,643,065BOYAmt
EOY$52,431,771EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,812,750BOYAmt
EOY$13,839,301EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$91,721,201BOYAmt
EOY$87,904,530EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$103,314,285BOYAmt
EOY$108,565,217EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$349,585BOYAmt
EOY$326,059EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$103,663,870BOYAmt
EOY$108,891,276EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$195,385,071BOYAmt
EOY$196,795,806EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,556,906ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,979,404NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$6,308,904OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$0CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,109CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,050CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$10,330CurrentTaxYearMinus1YearAmt
Current Tax Year$5,922CurrentTaxYearAmt
Total$44,411TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,116,073CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,703,050CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,213,900CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,129,091CurrentTaxYearMinus1YearAmt
Current Tax Year$70,423,256CurrentTaxYearAmt
Total$187,585,370TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,116,073CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$17,722,159CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,222,950CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$72,139,421CurrentTaxYearMinus1YearAmt
Current Tax Year$70,429,178CurrentTaxYearAmt
Total$187,629,781TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$187,629,781PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,000,692CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,397,500CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$605,729CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,109,845CurrentTaxYearMinus1YearAmt
Current Tax Year$150,262CurrentTaxYearAmt
Total$4,264,028TotalAmt

Post1975 UBTI Post1975UBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,976CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$8,621CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$18,060CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$24,690CurrentTaxYearMinus1YearAmt
Current Tax Year$34,245CurrentTaxYearAmt
Total$94,592TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,009,668CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,406,121CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$623,789CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,134,535CurrentTaxYearMinus1YearAmt
Current Tax Year$184,507CurrentTaxYearAmt
Total$4,358,620TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,125,741CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,128,280CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$15,846,739CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$73,273,956CurrentTaxYearMinus1YearAmt
Current Tax Year$70,613,685CurrentTaxYearAmt
Total$191,988,401TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97730PublicSupportCY509Pct
Public Support PY5090.95360PublicSupportPY509Pct
Investment Income CY0.02270InvestmentIncomeCYPct
Investment Income PY0.04280InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$3,615GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$3,615TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationCovenant Health Inc. was a member of the Catholic Health Association of the United States. A portion of the dues paid to this organization in the year ending December 31, 2019, was available for lobbying expenditures on behalf of Covenant Health and the other member-organizations in furtherance of their exempt purposes. In 2019, Covenant Health paid total dues in the amount of $101,832 to the Association, of which 3.55%, or $3,615, was deemed available for lobbying purposes.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$349,585BeginningYearBalanceAmt
Investment Earnings Or Losses$21,874InvestmentEarningsOrLossesAmt
Other Expenditures$45,400OtherExpendituresAmt
End Year Balance$326,059EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$345,883BeginningYearBalanceAmt
Investment Earnings Or Losses$3,702InvestmentEarningsOrLossesAmt
End Year Balance$349,585EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$382,841BeginningYearBalanceAmt
Investment Earnings Or Losses$8,157InvestmentEarningsOrLossesAmt
Grants Or Scholarships$45,115GrantsOrScholarshipsAmt
End Year Balance$345,883EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$398,879BeginningYearBalanceAmt
Investment Earnings Or Losses$11,462InvestmentEarningsOrLossesAmt
Grants Or Scholarships$27,500GrantsOrScholarshipsAmt
End Year Balance$382,841EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$453,426BeginningYearBalanceAmt
Investment Earnings Or Losses$5,133InvestmentEarningsOrLossesAmt
Grants Or Scholarships$59,680GrantsOrScholarshipsAmt
End Year Balance$398,879EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (1)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (1)RelatedOrgListSchRInd

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$61,042OtherCostOrOtherBasisAmt
Depreciation$46,925DepreciationAmt
Book Value$14,117BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$86,198,403OtherCostOrOtherBasisAmt
Depreciation$10,666,372DepreciationAmt
Book Value$75,532,031BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,579,454OtherCostOrOtherBasisAmt
Depreciation$207,022DepreciationAmt
Book Value$2,372,432BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$77,918,580TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Investment in Providentia Prima Trust$38,191,721F
Investment in Covenant Health Insurance LTD$30,700,279F
Investment in Yankee Alliance$5,000F
FieldValueIRS element (for citing)
Total Book Value Securities$68,897,000TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDescBook ValueBookValueAmt
GAAP acquisition adjustments$18,802,395
Due from affiliates$3,738,751
Bond and debt-service reserve funds$1,673,988
Security deposits$82,996
FieldValueIRS element (for citing)
Total Book Value Other Assets$24,298,130TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Due to affiliates$12,640,882
Operating lease liabilities$1,198,419
FieldValueIRS element (for citing)
Total Liability$13,839,301TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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. 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. 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, 2019.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedCapital contributions into Cayman Islands-based insurance company.TypeOfActivitiesConductedTxt
Region Total Expenditures$10,590,829RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$10,590,829SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$10,590,829TotalSpentAmt
Transfer To Foreign CorpYes (1)TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III Accounting Method:FormAndLineReferenceDesc

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Catholic Relief ServicesBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1228 W Lexington StreetAddressLine1Txt
CityBaltimoreCityNm
State AbbreviationMDStateAbbreviationCd
ZIP21201ZIPCd
FieldValueIRS element (for citing)
Recipient EIN135563422RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$5,000CashGrantAmt
Purpose Of GrantHumanitarian aidPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationGrants are made based on the requesting organization's mission, its financial need, and its ability to use the funds in accordance with the grant request. All grants are approved by the Board of Directors.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephen Grubbs
President & CEO$691,522$0$0$0$21,070$0$2,800$0$28,207$0$743,599$0$0$0
Carolyn Kasabian
VP Revenue Cycle$477,189$0$0$0$2,586$0$2,511$0$11,610$0$493,896$0$0$0
Douglas Waite
SVP & Chief Medical Officer$446,956$0$0$0$3,274$0$1,385$0$31,480$0$483,095$0$0$0
Steven Jorgensen
SVP & President, SMHS Lewiston$412,358$0$0$0$21,950$0$2,800$0$30,542$0$467,650$0$0$0
John Jurczyk
SVP & President, SJH Nashua$425,625$0$0$0$3,094$0$2,800$0$24,763$0$456,282$0$0$0
David R Lincoln
President & CEO (end 4/19)$429,631$0$0$0$3,957$0$2,800$0$9,011$0$445,399$0$0$0
Mary Prybylo
SVP & President, SJH Bangor$391,084$0$0$0$4,207$0$2,800$0$33,102$0$431,193$0$0$0
Gerard Foley
President Post Acute Care$384,451$0$0$0$4,853$0$2,800$0$24,601$0$416,705$0$0$0
John Newman
SVP & General Counsel$375,944$0$0$0$4,111$0$2,800$0$32,213$0$415,068$0$0$0
John Emerson
SVP & Integrated Medical Group$370,077$0$0$0$4,063$0$0$0$30,492$0$404,632$0$0$0
Jason Van Diver
VP Strategy & Marketing$334,214$0$0$0$526$0$2,140$0$22,606$0$359,486$0$0$0
Katherine Bechtold
SVP & Chief Nursing Officer$322,701$0$0$0$21,308$0$2,484$0$11,199$0$357,692$0$0$0
Richard Plamondon
VP Finance$312,738$0$0$0$3,374$0$2,559$0$23,582$0$342,253$0$0$0
Karen Bowling
CIO$307,905$0$0$0$3,302$0$2,800$0$11,681$0$325,688$0$0$0
James B Coffey
Foundation President$234,056$0$0$0$850$0$2,342$0$33,784$0$271,032$0$0$0
Stephen W Forney
Treasurer, SVP/CFO$154,719$0$0$0$482$0$0$0$7,108$0$162,309$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationEvery 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.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MA Health & Education AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN042456011BondIssuerEIN
CUSIP57586dbf9CUSIPNum
Bond Issued2007-10-30BondIssuedDt
Issue Price$24,646,225IssuePriceAmt
PurposeYouville Place acquisition & refunding prior issuesPurposeDesc
DefeasedYes (1)DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Bond Defeased$11,605,000BondDefeasedAmt
Total Proceeds$1,198,863TotalProceedsAmt
Refunding Escrow$11,226,315RefundingEscrowAmt
Issuance Costs From Proceeds$383,111IssuanceCostsFromProceedsAmt
Capital Expenditures$11,505,784CapitalExpendituresAmt
Substantial Completion2008SubstantialCompletionYr
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable BondsYes (1)RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate DueYes (1)NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 VWhile 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 7aThe 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 7bAny 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 11bThe Form 990 is provided to the governing body for their review and approval prior to filing.
Form 990, Part VI, Section B, line 12cThis 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 15Every 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 19The 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 11gAdmin and office support: Program service expenses 11,133,441. Management and general expenses 0. Fundraising expenses 0. Total expenses 11,133,441. Management and profesional consulting: Program service expenses 1,737,937. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,737,937. Physician fees and medical professionals: Program service expenses 149,530. Management and general expenses 0. Fundraising expenses 0. Total expenses 149,530. Maintenance and janitorial contracts: Program service expenses 31,485. Management and general expenses 0. Fundraising expenses 0. Total expenses 31,485.
Form 990, Part XI, line 9:Transfers to affiliates -9,100,000. Distributions from equity interests 2,791,096.
Form 990, Part XI, Line 2cThe 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 2019, 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 $10,598,829. No private letter ruling was received in connection with the Section 351 exchange. Additionally, Covenant Health has prepared a filed a 2019 Form 926 to report the transaction in greater detail.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (39 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Alternative Health Services
360 BroadwayBangorME04402010422885Home health and hospiceME501(c)(3)Line 10St Joseph Healthcare FoundationYes (1)
CHS of Waltham Inc dba Maristhill Nursing & Rehab Center
66 Newton StreetWalthamMA02453043333609Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health IncYes (1)
CHS of Worcester Inc dba St Mary Care Center
39 Queen StreetWorchesterMA01610043419625Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health IncYes (1)
Community Clinical Services
PO Box 7291LewistonME04243010409788Physician practiceME501(c)(3)Line 10St Mary's Health SystemYes (1)
Covenant Health Foundation Inc
100 Ames Pond DriveTewksburyMA01876800199674Charitable foundationMA501(c)(3)Line 12a, ICovenant Health IncYes (1)
Fanny Allen Corporation Inc
790 College ParkwayColchesterVT05446222495808Charitable foundationVT501(c)(3)Line 12a, ICovenant Health IncYes (1)
Fanny Allen Holdings Inc
790 College ParkwayColchesterVT05446030181052Real estate holding companyVT501(c)(3)Line 12a, ICovenant Health IncYes (1)
Helping Hands of St Marguerite Inc
799 Concord AvenueCambridgeMA02138800199674Private home-care health servicesMA501(c)(3)Line 10Covenant Health IncYes (1)
M & J Company
360 BroadwayBangorME04402222480150Lease holding companyME501(c)(2)St Joseph Healthcare FoundationYes (1)
Mary Immaculate Guild Inc
172 Lawrence StreetLawrenceMA01841463073987Supporting grants and donationsMA501(c)(3)Line 12a, ICovenant Health IncYes (1)
MI Adult Day Health Care Center Inc
189 Maple StreetLawrenceMA01841042921888Adult day care servicesMA501(c)(3)Line 10Covenant Health IncYes (1)
MI Management Inc
172 Lawrence StreetLawrenceMA01841042857794Assisted living servicesMA501(c)(3)Line 12a, ICovenant Health IncYes (1)
MI Nursing Restorative Center Inc
172 Lawrence StreetLawrenceMA01841042104851Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health IncYes (1)
MI Residential Community II Inc
189 Maple StreetLawrenceMA01841042679954HUD low income housingMA501(c)(3)Line 10Covenant Health IncYes (1)
MI Residential Community III Inc
189 Maple StreetLawrenceMA01841042186043HUD low income housingMA501(c)(3)Line 10Covenant Health IncYes (1)
MI Residential Community Inc
189 Maple StreetLawrenceMA01841042647207HUD low income housingMA501(c)(3)Line 10Covenant Health IncYes (1)
MI Transportation Inc
189 Maple StreetLawrenceMA01841042921889Elderly transportation servicesMA501(c)(3)Line 10Covenant Health IncYes (1)
Mount St Rita Health Centre
15 Sumner Brown RoadCumberlandRI02864050342330Nursing homeRI501(c)(3)Line 10Covenant Health IncYes (1)
Neighborhood Housing Initiative
PO Box 7291LewistonME04243010539730Affordable housing servicesME501(c)(3)Line 10St Mary's Health SystemYes (1)
Penacook Place Inc
150 Water StreetHaverhillMA01830237090088Nursing homeMA501(c)(3)Line 10Covenant Health IncYes (1)
Providentia Prima Trust
420 Bedford StreetLexingtonMA02420046835128Investment trustMA501(c)(3)Line 12a, ICovenant Health IncYes (1)
Souhegan Nursing Association
24 North River RoadMilfordNH03055020222795Home health and hospiceNH501(c)(3)Line 10St Joseph Hospital of Nashua NH IncYes (1)
St Joseph Ambulatory Care Inc
360 BroadwayBangorME04402222480373Physician practiceME501(c)(3)Line 3St Joseph Healthcare FoundationYes (1)
St Andre Health Care
407 Pool StreetBiddefordME04005010342399Nursing home and restorative facilityME501(c)(3)Line 10Covenant Health IncYes (1)
St Joseph Healthcare Foundation
360 BroadwayBangorME04402222480149Healthcare foundationME501(c)(3)Line 7Covenant Health IncYes (1)
St Joseph Hospital
360 BroadwayBangorME04402010212435Hospital and health care facilityME501(c)(3)Line 3St Joseph Healthcare FoundationYes (1)
St Joseph Manor Health Care
215 Thatcher StreetBrocktonMA02302042565937Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health IncYes (1)
St Joseph's Hospital of Nashua NH Inc
172 Kinsley StreetNashuaNH03061020222215Hospital and health care facilityNH501(c)(3)Line 3Covenant Health IncYes (1)
St Mary's D'Youville Pavilion
PO Box 7291LewistonME04243010211558Nursing home and restorative facilityME501(c)(3)Line 10St Mary's Health SystemYes (1)
St Mary's Health system
PO Box 7291LewistonME04243222504349Hospital and health care facilityME501(c)(3)Line 12a, ICovenant Health IncYes (1)
St Mary's Regional Medical Center
PO Box 7291LewistonME04243010211551Hospital and health care facilityME501(c)(3)Line 3St Mary's Health SystemYes (1)
St Mary's Residences
PO Box 7291LewistonME04243222504356Low income housingME501(c)(3)Line 10St Mary's Health SystemYes (1)
St Mary's Villa Nursing Home Inc
675 St Marys Villa RoadMoscowPA18444232057177Nursing home and restorative facilityPA501(c)(3)Line 10Covenant Health IncYes (1)
The Surgicenter at St Joseph Hospital Inc
172 Kinsley StreetNashuaNH03061020222215Healthcare and surgery centerNH501(c)(3)Line 10St Joseph Hospital of Nashua NH IncYes (1)
Youville Hospital and Rehabilitation Center Inc
1575 Cambridge StreetCambridgeMA02138043239563Hospital and health care facilityMA501(c)(3)Line 10Youville Lifecare IncYes (1)
Youville House Inc
1573 Cambridge StreetCambridgeMA02138043239593Assisted living servicesMA501(c)(3)Line 10Youville Lifecare IncYes (1)
Youville Lifecare Inc
1575 Cambridge StreetCambridgeMA02138042103582Hospital and health care facilityMA501(c)(3)Line 10Covenant Health IncYes (1)
Youville Place
10 Pelham RoadLexingtonMA02421043297834Assisted living servicesMA501(c)(3)Line 10Covenant Health IncYes (1)
Covenant Health Foundation Inc
100 Ames Pond DriveTewksburyMA01876800199674Charitable foundationMA501(c)(3)Line 12a, ICovenant Health IncYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACd
Covenant Health Insurance LTD
PO Box 69Grand CaymanCJKY1-1102043360127Self-insurance companyCJCovenant Health IncC$8,244,267$60,570,9321.00000Yes (1)
Campus Holding
010406049Holding companyCYes (1)PO box 7291LewistonME04240MEN/A
St Joseph Corporate Services Inc
020405197Holding companyCYes (1)172 Kinsley StreetNashuaNH03060NHN/A
Strauss Incorporated
010391369Repairs and transcriptionsCYes (1)360 BroadwayBangorME04402MEN/A
GNM Corporation
020400550Real estate holding companyC0172 Kinsley StreetNashuaNH03060NHN/A
SJ Physicians Services
020522234Physician practiceC0172 Kinsley StreetNashuaNH03060NHN/A
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (32 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
St Joseph Hospital
D$4,422,332Actual per books
Penacook Place Inc
D$237,596Actual per books
CHS of Waltham
D$153,496Actual per books
CHS of Worcester
D$44,374Actual per books
Mount St Rita Health Centre
D$21,915Actual per books
St Joseph Manor Health Care
D$17,479Actual per books
St Mary Health System
D$9,210,441Actual per books
St Andre Health Care
D$47,443Actual per books
Community Clinical Services
D$44,166Actual per books
St Mary's Regional Medical Center
D$8,100,000Actual per books
St Joseph Hospital of Nashua
E$13,131,333Actual per books
MI Nursing Restorative Center Inc
E$5,111Actual per books
Youville House
E$3,373Actual per books
Youville Place
E$2,715Actual per books
St Mary's Villa Nursing Home Inc
E$846Actual per books
CHS of Waltham
L$283,304Actual per books
MI Nursing Restorative Center Inc
L$736,811Actual per books
St Joseph Hospital
L$43,815,530Actual per books
CHS of Worcester
L$259,820Actual per books
Youville House
L$136,655Actual per books
Youville Place
L$147,195Actual per books
Mount St Rita Health Centre
L$248,403Actual per books
St Joseph Manor Health Care
L$278,140Actual per books
Penacook Place Inc
L$271,994Actual per books
Covenant Hospital Insurance LTD
L$97,703Actual per books
Fanny Allen Corporation Inc
L$277,318Actual per books
St Andre Health Care
L$247,728Actual per books
St Mary Health System
L$24,790,464Actual per books
St Mary's Villa Nursing Home Inc
L$332,191Actual per books
Penacook Place Inc
R$1,000,000Actual per books
Covenant Health Insurance LTD
S$1,500,000Actual per books
St Joseph Corporate Services Inc
S$1,291,096Actual per books

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