FURP.ORG / PUBLIC DATA EXPLORER

ST MARYS VILLA NURSING HOME INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
ST MARYS VILLA NURSING HOME INC (EIN 23-2057177)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202023179349300717
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)
Return2020-11-12T06:41:50-06:00ReturnTs
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 & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN232057177EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Mary's Villa Nursing HomeBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTMABusinessNameControlTxt
Phone5708427621PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1516 St Marys Villa RoadAddressLine1Txt
CityElmhurst TownshipCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18444ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonNancy NewcombPersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone5708427621PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonNicholas E PortoPreparerPersonNm
PTINP01310283PTIN
Phone2078792100PhoneNum
Preparation2020-11-11PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address208.105.168.164IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-11IPDt
IP Tm11:39:13IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id38659DA796957EF4727498C6F5EA77981E0D27E4AtSubmissionCreationDeviceId
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 OfficerNancy NewcombPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1516 St Marys Villa RoadAddressLine1Txt
CityElmhurst TownshipCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18444ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$15,668,288GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addressstmarysvilla.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionWe are a Catholic Health Ministry, providing healing and care for the whole person, in service to all in our communities.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee323TotalEmployeeCnt
Total Volunteers25TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,836PYContributionsGrantsAmt
CY Contributions Grants$184,752CYContributionsGrantsAmt
PY Program Service Revenue$14,074,879PYProgramServiceRevenueAmt
CY Program Service Revenue$14,409,108CYProgramServiceRevenueAmt
PY Investment Income$304,900PYInvestmentIncomeAmt
CY Investment Income$1,054,283CYInvestmentIncomeAmt
PY Other Revenue$47,760PYOtherRevenueAmt
CY Other Revenue-$12,001CYOtherRevenueAmt
PY Total Revenue$14,434,375PYTotalRevenueAmt
CY Total Revenue$15,636,142CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$8,515,736PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$8,833,091CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,700,180PYOtherExpensesAmt
CY Other Expenses$4,818,703CYOtherExpensesAmt
PY Total Expenses$13,215,916PYTotalExpensesAmt
CY Total Expenses$13,651,794CYTotalExpensesAmt
PY Revenues Less Expenses$1,218,459PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,984,348CYRevenuesLessExpensesAmt
Total Assets BOY$25,661,571TotalAssetsBOYAmt
Total Assets EOY$28,510,408TotalAssetsEOYAmt
Total Liabilities BOY$6,794,372TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,707,276TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$18,867,199NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$21,803,132NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur Judeo-Christian tradition compels us to promote Gospel values in all of our endeavors. (continued on Schedule O)We commit to honor these core values: (1) Compassion - we show respect, caring, and sensitivity toward all, and therefore honor the dignity of each person, especialy the poor, vulnerable, and suffering.(2) Integrity - we promote justice and ethical behavior, and we responsibily steward our human, financial and environment resources.(3) Collaboration - we work in partnership, diaglogue and shared purpose to create healthy communities.(4) Excellence - we deliver all services with the higest level of quality, while seeking creative innovation.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$10,040,613ExpenseAmt
Grant$0GrantAmt
Revenue$10,936,520RevenueAmt
DescSt. Mary's Villa provides care to the elderly with the operation of a 112 bed skilled nursing facility. 36,916 resident days of service were provided in 2019. St. Mary's admits a number of residents who lack the resources to pay the full cost of services as well as residents whose care is funded under the state Medicaid program. In 2019, both benevolent care and contractual allowances were provided to residents in the skilled nursing facility.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,115,842ExpenseAmt
Grant$0GrantAmt
Revenue$3,472,588RevenueAmt
DescSt. Mary's Villa also provides care to the elderly through the operation of a 64 bed personal care facility. 21,771 resident days of service were provided in 2019. This operation provides a cost based alternative to skilled nursing services.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$57,505ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescIn the spirit of the Covenant Health and the Poor Sisters of Jesus Crucified and keeping with our mission, St. Mary's Villa continues to respond to the needs of the poor and underserved in our community. Under the guidance of the mission committee, St. Mary's Villa Campus donated a total of $57,505 in dollars, goods, and services and 2,189 service hours to the community.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$12,213,960TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
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 Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
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 EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document21IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee323EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri Discl0QuidProQuoContriDisclInd
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 Members14GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
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 Chapters0LocalChaptersInd
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 CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldPAStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Brian Beppler Regional ControllerBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5708427621PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1516 St Marys Villa RoadAddressLine1Txt
CityElmhurst TownshipCityNm
State AbbreviationPAStateAbbreviationCd
ZIP18444ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Nancy Newcomb
President & CEO50.000.00Yes (X)Yes (X)$137,671$0$28,308
Catherine Scanlon
Director of Nursing40.000.00$101,804$0$31,460Yes (X)
Brian Beppler
CFO & Regional Controller40.000.00Yes (X)$81,556$0$1,038
James Koniszewski
CFO (end 2/2019)40.000.00Yes (X)$20,210$0$2,370
James Blumer
Director1.000.00Yes (X)$0$0$0
Ellen Burkley
Director1.000.00Yes (X)$0$0$0
Dominick Gianuzzi
Director1.000.00Yes (X)$0$0$0
James F Loftus IV
Director1.000.00Yes (X)$0$0$0
Renee Loftus
Director1.000.00Yes (X)$0$0$0
Catherine Lovecchio PhD RN
Director1.000.00Yes (X)$0$0$0
John P Sanderson III Esq
Director1.000.00Yes (X)$0$0$0
Sr Mary Valliere CJC
Director5.000.00Yes (X)$0$0$0
Sr Mary Ruth Dauginikas CJC
Director1.000.00Yes (X)$0$0$0
Jerome Musheno RPh Esq
Chair1.000.00Yes (X)Yes (X)$0$0$0
Frank P Castellano
Vice Chair1.000.00Yes (X)Yes (X)$0$0$0
Peter Kanton
Treasurer1.000.00Yes (X)Yes (X)$0$0$0
Antoinette Cisowski
Secretary1.000.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$341,241TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$63,176TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Rehab Care Group
7733 Forsyth BoulevardSt LouisMO63105Therapy for residents$665,024
Covenant Health Inc
100 Ames Pond Drive Suite 102TewksburyMA01876Management services$335,145
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Fundraising$20,675FundraisingAmt
All Other Contributions$164,077AllOtherContributionsAmt
Total Contributions$184,752TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services623000$14,287,369$14,287,369
Residential and assisted living623000$106,791$106,791
Dining and nutrition722514$14,948$14,948
FieldValueIRS element (for citing)
Total Program Service Revenue$14,409,108TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,054,283TotalRevenueColumnAmt
Exclusion$1,054,283ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$17,100FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$20,675ContriRptFundraisingEventAmt
Fundraising Direct Expenses$30,221FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$13,121TotalRevenueColumnAmt
Exclusion-$13,121ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$3,045GamingGrossIncomeAmt
Gaming Direct Expenses$1,925GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,120TotalRevenueColumnAmt
Exclusion$1,120ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$15,636,142TotalRevenueColumnAmt
Related Or Exempt Func Income$14,409,108RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,042,282ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$270,554TotalAmt
Program Services$248,910ProgramServicesAmt
Management And General$21,644ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,851,852TotalAmt
Program Services$6,303,704ProgramServicesAmt
Management And General$548,148ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$58,917TotalAmt
Program Services$54,204ProgramServicesAmt
Management And General$4,713ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,141,166TotalAmt
Program Services$1,049,873ProgramServicesAmt
Management And General$91,293ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$510,602TotalAmt
Program Services$469,754ProgramServicesAmt
Management And General$40,848ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$335,145TotalAmt
Management And General$335,145ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$34,733TotalAmt
Management And General$34,733ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$71,567TotalAmt
Management And General$71,567ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$973,277TotalAmt
Program Services$973,277ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$97,028TotalAmt
Program Services$97,028ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$273,057TotalAmt
Program Services$105,592ProgramServicesAmt
Management And General$167,465ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$294,402TotalAmt
Program Services$294,402ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$361,391TotalAmt
Program Services$361,391ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$25,652TotalAmt
Management And General$25,652ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$10,196TotalAmt
Management And General$10,196ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$200,307TotalAmt
Program Services$183,682ProgramServicesAmt
Management And General$16,625ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$872,561TotalAmt
Program Services$802,756ProgramServicesAmt
Management And General$69,805ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$111,082TotalAmt
Program Services$111,082ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Food and dining$448,164$448,164
Drugs/medical supplies$406,466$406,466
PA Provider Tax$257,015$257,015
Provision for bad debts$46,660$46,660

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$13,651,794TotalAmt
Program Services$12,213,960ProgramServicesAmt
Management And General$1,437,834ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,660,929BOYAmt
EOY$2,414,386EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,436,982BOYAmt
EOY$2,039,741EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$183,241BOYAmt
EOY$132,330EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,955,922LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$11,414,683LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,036,948BOYAmt
EOY$9,541,239EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$11,942,077BOYAmt
EOY$53,152EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$14,264,271EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$401,394BOYAmt
EOY$65,289EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,661,571BOYAmt
EOY$28,510,408EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$830,361BOYAmt
EOY$962,937EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$297,738EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,952,275BOYAmt
EOY$2,587,299EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,011,736BOYAmt
EOY$2,859,302EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,794,372BOYAmt
EOY$6,707,276EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$18,519,515BOYAmt
EOY$21,327,821EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$347,684BOYAmt
EOY$475,311EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,867,199BOYAmt
EOY$21,803,132EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,661,571BOYAmt
EOY$28,510,408EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$1,984,348ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$951,585NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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$22,259CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$48,133CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$36,650CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,836CurrentTaxYearMinus1YearAmt
Current Tax Year$184,752CurrentTaxYearAmt
Total$298,630TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,885,766CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,588,251CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,830,165CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,103,339CurrentTaxYearMinus1YearAmt
Current Tax Year$14,409,108CurrentTaxYearAmt
Total$69,816,629TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$13,908,025CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,636,384CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$13,866,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,110,175CurrentTaxYearMinus1YearAmt
Current Tax Year$14,593,860CurrentTaxYearAmt
Total$70,115,259TotalAmt

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$70,115,259PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,481CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,312CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$169,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$304,900CurrentTaxYearMinus1YearAmt
Current Tax Year$1,054,283CurrentTaxYearAmt
Total$1,762,350TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$87,481CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$146,312CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$169,374CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$304,900CurrentTaxYearMinus1YearAmt
Current Tax Year$1,054,283CurrentTaxYearAmt
Total$1,762,350TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$23,738CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$19,296CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$17,011CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$19,300CurrentTaxYearMinus1YearAmt
Current Tax Year$1,120CurrentTaxYearAmt
Total$80,465TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$14,019,244CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$13,801,992CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$14,053,200CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$14,434,375CurrentTaxYearMinus1YearAmt
Current Tax Year$15,649,263CurrentTaxYearAmt
Total$71,958,074TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.97440PublicSupportCY509Pct
Public Support PY5090.99440PublicSupportPY509Pct
Investment Income CY0.02450InvestmentIncomeCYPct
Investment Income PY0.00440InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$347,684BeginningYearBalanceAmt
Contributions$163,577ContributionsAmt
Investment Earnings Or Losses$14,483InvestmentEarningsOrLossesAmt
Other Expenditures$50,433OtherExpendituresAmt
End Year Balance$475,311EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$329,912BeginningYearBalanceAmt
Contributions$50,778ContributionsAmt
Investment Earnings Or Losses$3,370InvestmentEarningsOrLossesAmt
Other Expenditures$36,376OtherExpendituresAmt
End Year Balance$347,684EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$323,097BeginningYearBalanceAmt
Contributions$69,214ContributionsAmt
Investment Earnings Or Losses$6,574InvestmentEarningsOrLossesAmt
Other Expenditures$68,973OtherExpendituresAmt
End Year Balance$329,912EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$350,917BeginningYearBalanceAmt
Contributions$24,750ContributionsAmt
Investment Earnings Or Losses$7,325InvestmentEarningsOrLossesAmt
Other Expenditures$59,895OtherExpendituresAmt
End Year Balance$323,097EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$340,649BeginningYearBalanceAmt
Contributions$25,828ContributionsAmt
Investment Earnings Or Losses$1,314InvestmentEarningsOrLossesAmt
Other Expenditures$16,874OtherExpendituresAmt
End Year Balance$350,917EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$170,398OtherCostOrOtherBasisAmt
Book Value$170,398BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,872,547OtherCostOrOtherBasisAmt
Depreciation$3,968,476DepreciationAmt
Book Value$4,904,071BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,524,084OtherCostOrOtherBasisAmt
Depreciation$3,862,265DepreciationAmt
Book Value$3,661,819BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,213,423OtherCostOrOtherBasisAmt
Depreciation$3,583,942DepreciationAmt
Book Value$629,481BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$175,470OtherCostOrOtherBasisAmt
Book Value$175,470BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,541,239TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestment in Providentia Prima TrustDesc
Book Value$14,264,271BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$14,264,271TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Resident trust funds$11,195
Due to affiliates$2,494,225
Refundable fees and deposits$6,124
Deferred expense liabilities (FIN 47)$313,300
Professional liability reserve$34,458
FieldValueIRS element (for citing)
Total Liability$2,859,302TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The Nursing Home's Endowment Funds are maintained and used to produce a revenue source until they are released from donor-imposed restrictions. Revenues generated from the Endowment Funds, as well as any funds released from restrictions, are used to advance the Villa's exempt mission of providing elder-care and housing solutions.
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. 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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Annual Golf TournamentEvent1Nm
Gross Receipts Event1$37,775GrossReceiptsEvent1Amt
Charitable Contri Event1$20,675CharitableContriEvent1Amt
Gross Revenue Event1$17,100GrossRevenueEvent1Amt
Cash Prizes Event1$100CashPrizesEvent1Amt
Non Cash Prizes Event1$300NonCashPrizesEvent1Amt
Rent Facility Costs Event1$6,600RentFacilityCostsEvent1Amt
Food And Beverage Event1$9,032FoodAndBeverageEvent1Amt
Entertainment Event1$0EntertainmentEvent1Amt
Other Direct Expenses Event1$14,189OtherDirectExpensesEvent1Amt
Gross Receipts Total$37,775GrossReceiptsTotalAmt
Charitable Contributions Tot$20,675CharitableContributionsTotAmt
Gross Revenue Total Events$17,100GrossRevenueTotalEventsAmt
Cash Prizes Total Events$100CashPrizesTotalEventsAmt
Non Cash Prizes Total Events$300NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$6,600RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$9,032FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events$14,189OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$30,221DirectExpenseSummaryEventsAmt
Net Income Summary-$13,121NetIncomeSummaryAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp

FieldValueIRS element (for citing)
PersonNancy NewcombPersonNm
TitlePresident & CEOTitleTxt
Base Compensation Filing Org$136,671BaseCompensationFilingOrgAmt
Compensation Based On Rltd Orgs$0CompensationBasedOnRltdOrgsAmt
Bonus Filing Organization$1,000BonusFilingOrganizationAmount
Bonus Related Organizations$0BonusRelatedOrganizationsAmt
Other Compensation Filing Org$0OtherCompensationFilingOrgAmt
Other Compensation Rltd Orgs$0OtherCompensationRltdOrgsAmt
Deferred Compensation Flng Org$2,500DeferredCompensationFlngOrgAmt
Deferred Comp Rltd Orgs$0DeferredCompRltdOrgsAmt
Nontaxable Benefits Filing Org$25,808NontaxableBenefitsFilingOrgAmt
Nontaxable Benefits Rltd Orgs$0NontaxableBenefitsRltdOrgsAmt
Total Compensation Filing Org$165,979TotalCompensationFilingOrgAmt
Total Compensation Rltd Orgs$0TotalCompensationRltdOrgsAmt
Comp Report Prior990 Filing Org$0CompReportPrior990FilingOrgAmt
Comp Report Prior990 Rltd Orgs$0CompReportPrior990RltdOrgsAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. 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 7Every year, the Villa provides all of its employees an annual holiday bonus, which is awarded based on the recipient-employee's annual performance, job description, and total years of experience.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonDominick GianuzziPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionDirectorRelationshipDescriptionTxt
TransactionDominick Gianuzzi served on the Nursing Home's Board of Directors during the year ended December 31, 2019. Gianuzzi is also an officer with Peoples Security Bank and Trust Company. The Nursing Home maintains multiple cash accounts with the Bank, as well as one loan under standard market terms. Transactions between the Nursing Home and the Bank in 2019 were in excess of $10,000. An exact figure cannot be stated due to daily account activity and balance changes. The accounts were active prior to Gianuzzi's joining the Board, and all transactions with the Bank are at fair market value. Gianuzzi has therefore been classified as an independent Director.TransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 2James F. Loftus and Renee Loftus, who both served on the Villa's Board of Directors during the year ended December 31, 2019, share a family relationship.
Form 990, Part VI, Section A, line 6St. Mary's Villa Nursing Home ("the Corporation") has two classes of Members: the Class A Members and the Class B Member. The Class A Members are persons who, from time to time, serve as General Superior and Council of the Poor Sisters of Jesus Crucified and the Sorrowful Mother ("the Congregation"), and the Class B Member shall be Covenant Health Systems, Inc., a Massachusetts non-profit corporation. The Class A Members shall hold office for so long as she serves as the General Superior or member of the Council of the Congregation. The Class B Member shall serve without limitation unless it shall be removed as such through the amendment of the Corporation's Bylaws.
Form 990, Part VI, Section A, line 7aCovenant Health Inc., the Class B Member of the Nursing Home ("the Corporation"), retains the right to elect the Directors of the Corporation and to remove them with or without cause, to increase or decrease the number of Directors, and to fill any vacancy in the Board of Directors.
Form 990, Part VI, Section A, line 7bSt. Mary's Villa Nursing Home ("the Corporation") has two distinct classes of members: Class A Members and the Class B Member. Both classes of membership retain different rights and powers over the Corporation's governance decisions. Rights and powers retained by the Class A Members over the Corporation's governance decisions are as follows: 1. To approve any change in the written statements of philosophy and mission of the Corporation; 2. To amend and to repeal the Articles of Incorporation and the Bylaws of the Corporation; 3. To approve all plans of merger, consolidation, reorganization or dissolution of the Corporation; 4. To approve the Board approved acquisition, sale or encumbrance by the Corporation of any real estate valued in excess of the amount set by the Class A Member; 5. To approve all debt of the Corporation, not part of the approved budget, in excess of limits set by the Class A Members; and, 6. To ratify the appointment and the removal of the Chief Executive Officer. Rights and powers retained by the Class B Member over the Corporation's governance decisions are as follows: 1. To elect the Board of Directors of the Organization and to remove them with or without cause; 2. To appoint and to remove the Chief Executive Officer; 3. To ratify the Board of Directors' election of the chairperson; 4. To approve all Board-approved long-range strategic plans of the Corporation before their implementation; 5. To approve all Board-approved capital budgets of the Corporation and non-budgeted expenses which are in excess of the amount set by the Class B Member, and to approve all Board-approved operating budgets; and 6. To appoint the Corporation's auditors. Additionally, both classes of membership shall have the right to vote with respect to all matters which by law, by the Corporation's Articles of Incorporation, or by the Corporation's Bylaws require action by the Members, and the Corporation shall not effect any such matters without the approval of both classes of Members.
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 15Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. 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 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 on the website of its parent organization, Covenant Health, at the following web address: https://www.covenanthealth.net/financial-information/financial-information
Form 990, Part XII, Line 2c:The audit process has not changed from the previous year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Youville Lifecare Inc
1575 Cambridge StreetCambridgeMA02138042103582Hospital and health care facilityMA501(c)(3)Line 10Covenant Health Inc0
St Joseph Manor Health Care
215 Thatcher StreetBrocktonMA02302042565937Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
St Mary's Health System
PO Box 7291LewistonME04243222504349Hospital and health care facilityME501(c)(3)Line 12a, ICovenant Health Inc0
St Joseph's Hospital of Nashua NH Inc
172 Kinsley StreetNashuaNH03061020222215Hospital and health care facilityNH501(c)(3)Line 3Covenant Health Inc0
Youville Place
10 Pelham RoadLexingtonMA02421043297834Assisted living servicesMA501(c)(3)Line 10Covenant Health Inc0
CHS of Waltham Inc dba Maristhill Nursing & Rehab Center
66 Newton StreetWalthamMA02453043333609Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
CHS of Worcester Inc dba St Mary Care Center
39 Queen StreetWorchesterMA01610043419625Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
Fanny Allen Holdings Inc
790 College ParkwayColchesterVT05446030181052Real estate holding companyVT501(c)(3)Line 12a, ICovenant Health Inc0
St Andre Health Care
407 Pool StreetBiddefordME04005010342399Nursing home and restorative facilityME501(c)(3)Line 10Covenant Health Inc0
MI Nursing Restorative Center Inc
172 Lawrence StreetLawrenceMA01841042104851Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
Helping Hands of St Marguerite Inc
799 Concord AvenueCambridgeMA02138800199674Private home-care health servicesMA501(c)(3)Line 10Covenant Health Inc0
Providentia Prima Trust
420 Bedford StreetLexingtonMA02420046835128Investment trustMA501(c)(3)Line 12a, ICovenant Health Inc0
Fanny Allen Corporation Inc
790 College ParkwayColchesterVT05446222495808Charitable foundationVT501(c)(3)Line 12a, ICovenant Health Inc0
Youville House Inc
1573 Cambridge StreetCambridgeMA02138043239593Assisted living servicesMA501(c)(3)Line 10Youville Lifecare Inc0
Youville Hospital and Rehabilitation Center Inc
1575 Cambridge StreetCambridgeMA02138043239563Hospital and health care facilityMA501(c)(3)Line 10Youville Lifecare Inc0
St Mary's Regional Medical Center
PO Box 7291LewistonME04243010211551Hospital and health care facilityME501(c)(3)Line 3St Mary's Health System0
Community Clinical Services
PO Box 7291LewistonME04243010409788Physician practiceME501(c)(3)Line 10St Mary's Health System0
St Mary's D'Youville Pavilion
PO Box 7291LewistonME04243010211558Nursing home and restorative facilityME501(c)(3)Line 10St Mary's Health System0
St Mary's Residences
PO Box 7291LewistonME04243222504356Low income housingME501(c)(3)Line 10St Mary's Health System0
Neighborhood Housing Initiative
PO Box 7291LewistonME04243010539730Affordable housing servicesME501(c)(3)Line 10St Mary's Health System0
Souhegan Nursing Association
24 North River RoadMilfordNH03055020222795Home health and hospiceNH501(c)(3)Line 10St Joseph Hospital of Nashua NH Inc0
The Surgicenter at St Joseph Hospital Inc
172 Kinsley StreetNashuaNH03061020222215Healthcare and surgery centerNH501(c)(3)Line 10St Joseph Hospital of Nashua NH Inc0
MI Management Inc
172 Lawrence StreetLawrenceMA01841042857794Assisted living servicesMA501(c)(3)Line 12a, ICovenant Health Inc0
MI Adult Day Health Care Center Inc
189 Maple StreetLawrenceMA01841042921888Adult day care servicesMA501(c)(3)Line 10Covenant Health Inc0
MI Residential Community Inc
189 Maple StreetLawrenceMA01841042647207HUD low income housingMA501(c)(3)Line 10Covenant Health Inc0
MI Residential Community II Inc
189 Maple StreetLawrenceMA01841042679954HUD low income housingMA501(c)(3)Line 10Covenant Health Inc0
MI Residential Community III Inc
189 Maple StreetLawrenceMA01841042186043HUD low income housingMA501(c)(3)Line 10Covenant Health Inc0
MI Transportation Inc
189 Maple StreetLawrenceMA01841042921889Elderly transportation servicesMA501(c)(3)Line 10Covenant Health Inc0
Mary Immaculate Guild Inc
172 Lawrence StreetLawrenceMA01841463073987Supporting grants and donationsMA501(c)(3)Line 12a, ICovenant Health Inc0
St Joseph Healthcare Foundation
360 BroadwayBangorME04402222480149Healthcare foundationME501(c)(3)Line 10Covenant Health Inc0
St Joseph Hospital
360 BroadwayBangorME04402010212435Hospital and health care facilityME501(c)(3)Line 3St Joseph Healthcare Foundation0
M & J Company
360 BroadwayBangorME04402222480150Lease holding companyME501(c)(2)St Joseph Healthcare Foundation0
St Joseph Ambulatory Care Inc
360 BroadwayBangorME04402222480373Physician practiceME501(c)(3)Line 10St Joseph Healthcare Foundation0
Alternative Health Services
360 BroadwayBangorME04402010422885Home health and hospiceME501(c)(3)Line 10St Joseph Healthcare Foundation0
Mount St Rita Health Centre
15 Sumner Brown RoadCumberlandRI02864050342330Nursing homeRI501(c)(3)Line 10Covenant Health Inc0
Penacook Place Inc
150 Water StreetHaverhillMA01830237090088Nursing homeMA501(c)(3)Line 10Covenant Health Inc0
Covenant Health Inc
100 Ames Pond DriveTewksburyMA01876222484505Health care management and resource organizationMA501(c)(3)Line 100N/A
Covenant Health Foundation Inc
100 Ames Pond DriveTewksburyMA01876800199674Charitable foundationMA501(c)(3)Line 12a, ICovenant Health Inc0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLegal Domicile StateLegalDomicileStateCd
Covenant Health Insurance LTD
PO Box 69Grand CaymanCJKY1-1102043360127Self-insurance companyCJN/AC0
Campus Holding
010406049Holding companyN/AC0PO Box 7291LewistonME04240ME
St Joseph Corporate Services Inc
020405197Holding companyN/AC0172 Kinsley StreetNashuaNH03060NH
Strauss Incorporated
010391369Repairs and transcriptionsN/AC0360 BroadwayBangorME04402ME
GNM Corporation
020400550Real estate holding companyN/AC0172 Kinsley StreetNashuaNH03060NH
SJ Physicians Services
020522234Physician practiceN/AC0172 Kinsley StreetNashuaNH03060NH
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 Org0LoansOrGuaranteesToOtherOrgInd
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 Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd