ST ANDRE HEALTH CARE FACILITY: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ST ANDRE HEALTH CARE FACILITY (EIN 01-0342399)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-11-10
IRS object ID: 202043159349302674
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
Form 990
Schedule A
Schedule B
Schedule D
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-11-10T12:17:51-06:00	ReturnTs
Tax Period End	2019-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010494526	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Baker Newman & Noyes	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO Box 507	AddressLine1Txt
City	Portland	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04112	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	010342399	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	St Andre Health Care Facility	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	STAN	BusinessNameControlTxt
Phone	2072825171	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	407 Pool Street	AddressLine1Txt
City	Biddeford	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04005	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Stephen Alaimo CEO	PersonNm
Person Title	President & CEO	PersonTitleTxt
Phone	2072825171	PhoneNum
Signature	2020-10-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	2078792100	PhoneNum
Preparation	2020-10-08	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.105.168.164	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-10-08	IPDt
IP Tm	11:24:39	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	38659DA796957EF4727498C6F5EA77981E0D27E4	AtSubmissionCreationDeviceId
At Submission Filing Device Id	DA1D1F22D002DE74304CAE64996AD19EA354FE22	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Stephen Alaimo	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	407 Pool Street	AddressLine1Txt
City	Biddeford	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04005	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$9,445,865	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	standre.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1946	FormationYr
Legal Domicile State	ME	LegalDomicileStateCd
Activity Or Mission	Providing healing and care for the whole person, in service to all in our communities.	ActivityOrMissionDesc
Voting Members Governing Body	10	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	180	TotalEmployeeCnt
Total Volunteers	20	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$41,161	PYContributionsGrantsAmt
CY Contributions Grants	$61,251	CYContributionsGrantsAmt
PY Program Service Revenue	$8,601,733	PYProgramServiceRevenueAmt
CY Program Service Revenue	$9,335,102	CYProgramServiceRevenueAmt
PY Investment Income	$13,787	PYInvestmentIncomeAmt
CY Investment Income	$49,512	CYInvestmentIncomeAmt
PY Other Revenue	$13,711	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$8,670,392	PYTotalRevenueAmt
CY Total Revenue	$9,445,865	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$5,200,994	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$5,293,681	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,345,298	PYOtherExpensesAmt
CY Other Expenses	$3,628,125	CYOtherExpensesAmt
PY Total Expenses	$8,546,292	PYTotalExpensesAmt
CY Total Expenses	$8,921,806	CYTotalExpensesAmt
PY Revenues Less Expenses	$124,100	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$524,059	CYRevenuesLessExpensesAmt
Total Assets BOY	$4,239,184	TotalAssetsBOYAmt
Total Assets EOY	$4,793,686	TotalAssetsEOYAmt
Total Liabilities BOY	$1,092,076	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,076,176	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$3,147,108	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$3,717,510	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	St. Andre Health Care Facility is a Catholic Health Ministry, providing healing and care for the whole person, in service to all in our communities. St. Andre's core values are compassion, integrity, collaboration and excellence. St. Andre is grounded in the spirit of St. Marguerite d'Youville, Foundress of the Sisters of Charity of Montreal, the "Grey Nuns".	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$7,686,498	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$9,335,102	RevenueAmt
Desc	St. Andre Health Care Facility is a Catholic Health Ministry, providing healing and care for the whole person, in service to all in our communities. St. Andre's core values are compassion, integrity, collaboration and excellence. St. Andre is grounded in the spirit of St. Marguerite d'Youville, Foundress of the Sisters of Charity of Montreal, the "Grey Nuns".	Desc
Total Program Service Expenses	$7,686,498	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	0	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	9	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	180	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	10	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	ME	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Stephen Alaimo President & CEO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2072825171	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	407 Pool Street	AddressLine1Txt
City	Biddeford	CityNm
State Abbreviation	ME	StateAbbreviationCd
ZIP	04005	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Stephen Alaimo
President, Ex-Officio	40.00	0.00	Yes (X)	Yes (X)	$126,235	$0	$1,457
Patricia Conway
RN, Director of Nursing	40.00	0.00			$108,257	$0	$9,549	Yes (X)
Deborah A Cote
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Sr Joanne Roy
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Dr Al Shinkel
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Victoria Thieme
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Andree Benoit Tostevin
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Joseph J Valenza
Trustee	1.00	0.00	Yes (X)		$0	$0	$0
Michael Morel
Chair	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Karen Waycott
Treasurer	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0
Joanna Salamone
Secretary	1.00	0.00	Yes (X)	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$234,492	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$11,006	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	2	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	0	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
RehabCare Group Inc
PO Box 503534	St Louis	MO	63150	Patient rehabilitation	$431,270
Covenant Health Systems
100 Ames Pond Drive	Tewksbury	MA	01876	Management services	$203,376

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$61,251	AllOtherContributionsAmt
Total Contributions	$61,251	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services	623000	$9,332,779	$9,332,779
Cafeteria and vending	722514	$2,323	$2,323

Field	Value	IRS element (for citing)
Total Program Service Revenue	$9,335,102	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$49,512	TotalRevenueColumnAmt
Exclusion	$49,512	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,445,865	TotalRevenueColumnAmt
Related Or Exempt Func Income	$9,335,102	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$49,512	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$127,692	TotalAmt
Program Services	$115,376	ProgramServicesAmt
Management And General	$12,316	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$4,310,717	TotalAmt
Program Services	$3,897,755	ProgramServicesAmt
Management And General	$412,962	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$9,375	TotalAmt
Program Services	$7,940	ProgramServicesAmt
Management And General	$1,435	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$508,274	TotalAmt
Program Services	$430,488	ProgramServicesAmt
Management And General	$77,786	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$337,623	TotalAmt
Program Services	$285,953	ProgramServicesAmt
Management And General	$51,670	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$256,903	TotalAmt
Management And General	$256,903	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$51,640	TotalAmt
Management And General	$51,640	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$8,950	TotalAmt
Management And General	$8,950	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$1,154,377	TotalAmt
Program Services	$961,036	ProgramServicesAmt
Management And General	$193,341	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$10,066	TotalAmt
Program Services	$10,066	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$266,164	TotalAmt
Program Services	$197,536	ProgramServicesAmt
Management And General	$68,628	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$130,624	TotalAmt
Program Services	$96,944	ProgramServicesAmt
Management And General	$33,680	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$228,322	TotalAmt
Program Services	$169,452	ProgramServicesAmt
Management And General	$58,870	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$13,912	TotalAmt
Program Services	$13,912	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,045	TotalAmt
Program Services	$3,045	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$179,469	TotalAmt
Program Services	$179,469	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$99,610	TotalAmt
Program Services	$99,610	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
Medicaid user fees	$553,688	$553,688
Drugs/medical supplies	$367,109	$367,109
Nutrition and dining	$219,599	$219,599
Provision for bad debts	$57,000	$57,000

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$27,647	TotalAmt
Program Services	$20,520	ProgramServicesAmt
Management And General	$7,127	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,921,806	TotalAmt
Program Services	$7,686,498	ProgramServicesAmt
Management And General	$1,235,308	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$644,372	BOYAmt
EOY	$709,647	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$201,463	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$1,002,255	BOYAmt
EOY	$1,089,589	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$25,097	BOYAmt
EOY	$31,489	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$8,585,281	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$6,544,413	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,010,486	BOYAmt
EOY	$2,040,868	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$546,624	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
EOY	$690,594	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$10,350	BOYAmt
EOY	$30,036	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,239,184	BOYAmt
EOY	$4,793,686	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$997,106	BOYAmt
EOY	$755,201	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$57,642	BOYAmt
EOY	$55,873	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$37,328	BOYAmt
EOY	$265,102	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,092,076	BOYAmt
EOY	$1,076,176	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,137,988	BOYAmt
EOY	$3,705,209	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$9,120	BOYAmt
EOY	$12,301	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$3,147,108	BOYAmt
EOY	$3,717,510	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$4,239,184	BOYAmt
EOY	$4,793,686	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$524,059	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$46,343	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$11,994	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$4,306	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$2,000	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$41,161	CurrentTaxYearMinus1YearAmt
Current Tax Year	$61,251	CurrentTaxYearAmt
Total	$120,712	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,887,228	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,035,888	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,593,452	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,615,444	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,335,102	CurrentTaxYearAmt
Total	$42,467,114	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,899,222	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,040,194	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,595,452	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,656,605	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,396,353	CurrentTaxYearAmt
Total	$42,587,826	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$42,587,826	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,025	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,053	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,400	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,787	CurrentTaxYearMinus1YearAmt
Current Tax Year	$49,512	CurrentTaxYearAmt
Total	$100,777	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$13,025	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$12,053	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$12,400	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$13,787	CurrentTaxYearMinus1YearAmt
Current Tax Year	$49,512	CurrentTaxYearAmt
Total	$100,777	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$7,912,247	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$8,052,247	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$8,607,852	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$8,670,392	CurrentTaxYearMinus1YearAmt
Current Tax Year	$9,445,865	CurrentTaxYearAmt
Total	$42,688,603	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.99760	PublicSupportCY509Pct
Public Support PY509	0.99800	PublicSupportPY509Pct
Investment Income CY	0.00240	InvestmentIncomeCYPct
Investment Income PY	0.00200	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,120	BeginningYearBalanceAmt
Contributions	$5,373	ContributionsAmt
Other Expenditures	$2,192	OtherExpendituresAmt
End Year Balance	$12,301	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,000	BeginningYearBalanceAmt
Contributions	$10,000	ContributionsAmt
Other Expenditures	$2,880	OtherExpendituresAmt
End Year Balance	$9,120	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$0	BeginningYearBalanceAmt
Contributions	$4,000	ContributionsAmt
Other Expenditures	$2,000	OtherExpendituresAmt
End Year Balance	$2,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,268	OtherCostOrOtherBasisAmt
Book Value	$1,268	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,083,309	OtherCostOrOtherBasisAmt
Depreciation	$3,595,564	DepreciationAmt
Book Value	$1,487,745	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,078,154	OtherCostOrOtherBasisAmt
Depreciation	$2,948,849	DepreciationAmt
Book Value	$129,305	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$422,550	OtherCostOrOtherBasisAmt
Book Value	$422,550	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,040,868	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	Investment in Providentia Prima Trust	Desc
Book Value	$690,594	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$690,594	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Resident funds and deposits	$11,612
Professional liability loss reserves	$41,553
Medicaid user fee obligations	$150,000
Deferred expenses	$61,937

Field	Value	IRS element (for citing)
Total Liability	$265,102	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part X, Line 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	Covenant Health, Inc. is the sole member of St. Andre Health Care Facility.
Form 990, Part VI, Section A, line 7a	As the sole corporate member of the Organization, Covenant Health, Inc. retains the ability to elect and remove the Organization's board of directors with or without cause.
Form 990, Part VI, Section A, line 7b	Refer to the explanation on Schedule O for Form 990, Part VI, Section A, Line 7a.
Form 990, Part VI, Section B, line 11b	As the sole corporate member of the Organization, Covenant Health, Inc. has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To elect the Board of Directors or remove them with or without cause; 4. To appoint and remove the president; 5. To ratify the Board of Director's election of the Chair of the Board; 6. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 7. To approve all long-range strategic plans before implementation; 8. To approve the acquisition, sale, or encumberance of any real estate valued in excess of an amount set by the Member in writing; 9. To approve all capital budgets and non-budgeted expeness in excess of an amount set by the Member in writing; 10. To approve all debt in excess of limits set by the Member in writing; 11. To appoint the auditors; 12. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 13. To approve any reclassification or other change of any capital stock or other equity security; and, 14. To approve the issuance of, or the creation of any obligation to issue, any equity security.
Form 990, Part VI, Section B, line 12c	This process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected.
Form 990, Part VI, Section B, line 15	Any 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 19	The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available 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 IX, line 11g	Lab and medical professionals: Program service expenses 961,036. Management and general expenses 0. Fundraising expenses 0. Total expenses 961,036. Consulting services: Program service expenses 0. Management and general expenses 193,341. Fundraising expenses 0. Total expenses 193,341.
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/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
Youville Lifecare Inc
1575 Cambridge Street	Cambridge	MA	02138	042103582	Hospital and health care facility	MA	501(c)(3)	Line 10	Covenant Health Inc	0
St Joseph Manor Health Care
215 Thatcher Street	Brockton	MA	02302	042565937	Nursing home and restorative facility	MA	501(c)(3)	Line 10	Covenant Health Inc	0
St Mary's Health System
PO Box 7291	Lewiston	ME	04243	222504349	Hospital and health care facility	ME	501(c)(3)	Line 12a, I	Covenant Health Inc	0
St Joseph's Hospital of Nashua NH Inc
172 Kinsley Street	Nashua	NH	03061	020222215	Hospital and health care facility	NH	501(c)(3)	Line 3	Covenant Health Inc	0
Youville Place
10 Pelham Road	Lexington	MA	02421	043297834	Assisted living services	MA	501(c)(3)	Line 10	Covenant Health Inc	0
St Mary's Villa Nursing Home Inc
675 St Marys Villa Road	Moscow	PA	18444	232057177	Nursing home and restorative facility	PA	501(c)(3)	Line 10	Covenant Health Inc	0
CHS of Waltham Inc dba Maristhill Nursing & Rehab Center
66 Newton Street	Waltham	MA	02453	043333609	Nursing home and restorative facility	MA	501(c)(3)	Line 10	Covenant Health Inc	0
CHS of Worcester Inc dba St Mary Care Center
39 Queen Street	Worchester	MA	01610	043419625	Nursing home and restorative facility	MA	501(c)(3)	Line 10	Covenant Health Inc	0
Fanny Allen Holdings Inc
790 College Parkway	Colchester	VT	05446	030181052	Real estate holding company	VT	501(c)(3)	Line 12a, I	Covenant Health Inc	0
MI Nursing Restorative Center Inc
172 Lawrence Street	Lawrence	MA	01841	042104851	Nursing home and restorative facility	MA	501(c)(3)	Line 10	Covenant Health Inc	0
Helping Hands of St Marguerite Inc
799 Concord Avenue	Cambridge	MA	02138	800199674	Private home-care health services	MA	501(c)(3)	Line 10	Covenant Health Inc	0
Providentia Prima Trust
420 Bedford Street	Lexington	MA	02420	046835128	Investment trust	MA	501(c)(3)	Line 12a, I	Covenant Health Inc	0
Fanny Allen Corporation Inc
790 College Parkway	Colchester	VT	05446	222495808	Charitable foundation	VT	501(c)(3)	Line 12a, I	Covenant Health Inc	0
Youville House Inc
1573 Cambridge Street	Cambridge	MA	02138	043239593	Assisted living services	MA	501(c)(3)	Line 10	Youville Lifecare Inc	0
Youville Hospital and Rehabilitation Center Inc
1575 Cambridge Street	Cambridge	MA	02138	043239563	Hospital and health care facility	MA	501(c)(3)	Line 10	Youville Lifecare Inc	0
St Mary's Regional Medical Center
PO Box 7291	Lewiston	ME	04243	010211551	Hospital and health care facility	ME	501(c)(3)	Line 3	St Mary's Health System	0
Community Clinical Services
PO Box 7291	Lewiston	ME	04243	010409788	Physician practice	ME	501(c)(3)	Line 10	St Mary's Health System	0
St Mary's D'Youville Pavilion
PO Box 7291	Lewiston	ME	04243	010211558	Nursing home and restorative facility	ME	501(c)(3)	Line 10	St Mary's Health System	0
St Mary's Residences
PO Box 7291	Lewiston	ME	04243	222504356	Low income housing	ME	501(c)(3)	Line 10	St Mary's Health System	0
Neighborhood Housing Initiative
PO Box 7291	Lewiston	ME	04243	010539730	Affordable housing services	ME	501(c)(3)	Line 10	St Mary's Health System	0
Souhegan Nursing Association
24 North River Road	Milford	NH	03055	020222795	Home health and hospice	NH	501(c)(3)	Line 10	St Joseph Hospital of Nashua NH Inc	0
The Surgicenter at St Joseph Hospital Inc
172 Kinsley Street	Nashua	NH	03061	020222215	Healthcare and surgery center	NH	501(c)(3)	Line 10	St Joseph Hospital of Nashua NH Inc	0
MI Management Inc
172 Lawrence Street	Lawrence	MA	01841	042857794	Assisted living services	MA	501(c)(3)	Line 12a, I	Covenant Health Inc	0
MI Adult Day Health Care Center Inc
189 Maple Street	Lawrence	MA	01841	042921888	Adult day care services	MA	501(c)(3)	Line 10	Covenant Health Inc	0
MI Residential Community Inc
189 Maple Street	Lawrence	MA	01841	042647207	HUD low income housing	MA	501(c)(3)	Line 10	Covenant Health Inc	0
MI Residential Community II Inc
189 Maple Street	Lawrence	MA	01841	042679954	HUD low income housing	MA	501(c)(3)	Line 10	Covenant Health Inc	0
MI Residential Community III Inc
189 Maple Street	Lawrence	MA	01841	042186043	HUD low income housing	MA	501(c)(3)	Line 10	Covenant Health Inc	0
MI Transportation Inc
189 Maple Street	Lawrence	MA	01841	042921889	Elderly transportation services	MA	501(c)(3)	Line 10	Covenant Health Inc	0
Mary Immaculate Guild Inc
172 Lawrence Street	Lawrence	MA	01841	463073987	Supporting grants and donations	MA	501(c)(3)	Line 12a, I	Covenant Health Inc	0
St Joseph Healthcare Foundation
360 Broadway	Bangor	ME	04402	222480149	Healthcare foundation	ME	501(c)(3)	Line 10	Covenant Health Inc	0
St Joseph Hospital
360 Broadway	Bangor	ME	04402	010212435	Hospital and health care facility	ME	501(c)(3)	Line 3	St Joseph Healthcare Foundation	0
M & J Company
360 Broadway	Bangor	ME	04402	222480150	Lease holding company	ME	501(c)(2)		St Joseph Healthcare Foundation	0
St Joseph Ambulatory Care Inc
360 Broadway	Bangor	ME	04402	222480373	Physician practice	ME	501(c)(3)	Line 10	St Joseph Healthcare Foundation	0
Alternative Health Services
360 Broadway	Bangor	ME	04402	010422885	Home health and hospice	ME	501(c)(3)	Line 10	St Joseph Healthcare Foundation	0
Mount St Rita Health Centre
15 Sumner Brown Road	Cumberland	RI	02864	050342330	Nursing home	RI	501(c)(3)	Line 10	Covenant Health Inc	0
Penacook Place Inc
150 Water Street	Haverhill	MA	01830	237090088	Nursing home	MA	501(c)(3)	Line 10	Covenant Health Inc	0
Covenant Health Inc
100 Ames Pond Drive	Tewksbury	MA	01876	222484505	Health care management and resource organization	MA	501(c)(3)	Line 11		0	N/A
Covenant Health Foundation Inc
100 Ames Pond Drive	Tewksbury	MA	01876	800199674	Charitable foundation	MA	501(c)(3)	Line 12a, I	Covenant Health Inc	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Legal Domicile StateLegalDomicileStateCd
Covenant Health Insurance LTD
PO Box 69	Grand Cayman	CJ	KY1-1102	043360127	Self-insurance company	CJ	N/A	C	0
Campus Holding
				010406049	Holding company		N/A	C	0	PO Box 7291	Lewiston	ME	04240	ME
St Joseph Corporate Services Inc
				020405197	Holding company		N/A	C	0	172 Kinsley Street	Nashua	NH	03060	NH
Strauss Incorporated
				010391369	Repairs and transcriptions		N/A	C	0	360 Broadway	Bangor	ME	04402	ME
GNM Corporation
				020400550	Real estate holding company		N/A	C	0	172 Kinsley Street	Nashua	NH	03060	NH
SJ Physicians Services
				020522234	Physician practice		N/A	C	0	172 Kinsley Street	Nashua	NH	03060	NH

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd