2019-10-02T13:37:39-05:00 2018-12-31 990 2018-01-01 042857794 MI Management Inc MIMA 9786856321 172 Lawrence Street Lawrence MA 01841 Jeanne Leydon PRESIDENT/CEO 9786856321 2019-10-02 155.212.6.161 2019-10-02 14:37:32 US P AEC35488C4CD91AC8DD9FF49E81978A397244AF0 A744FCA080835C7073C58A40247746B207170AF7 2018 2020-01-14 16:20:31Z JEANNE LEYDON 172 Lawrence Street Lawrence MA 01841 3358249 0 X MIHCS.COM X 1984 MA MARY IMMACULATE MANAGEMENT EXISTS TO DEVELOP AND IMPLEMENT INNOVATIVE, COMPASSIONATE,COMPETENT, AND RESPONSIVE SERVICES AND PROGRAMS TO ADDRESS UNMET NEEDS OF COMMUNITY ELDERS. 13 12 0 0 0 0 43352 33393 3126585 3129133 73113 129400 42315 38828 3285365 3330754 0 0 0 0 1897455 1928138 0 0 0 986571 956552 2884026 2884690 401339 446064 6386165 6450442 322321 303843 6063844 6146599 MARY IMMACULATE MANAGEMENT EXISTS TO DEVELOP AND IMPLEMENT INNOVATIVE, COMPASSIONATE,COMPETENT AND RESPONSIVE SERVICES AND PROGRAMS TO ADDRESS UNMET NEEDS OF COMMUNITY ELDERS. 0 0 2544093 3129763 MARGUERITE D'YOUVILLE, MOTHER OF UNIVERSAL CHARITY, BEGAN A RICH TRADITION OF CARING FOR THE MOST VULNERABLE. THE GREY NUNS HAVE CONTINUED THIS TRADITION BY FOCUSING ON PROGRAMS SERVING THE POOR AND THE UNDERSERVED. IN THE SPIRIT OF MARGUERITE D'YOUVILLE AND THE GREY NUNS,THE COMMUNITY OF MARY IMMACULATE CONTINUES TO SERVE THOSE MOST VULNERABLE THROUGH ITS SPONSORSHIP OF A WIDE VARIETY OF GOOD NEIGHBOR ACTIVITIES. THESE ACTIVITIES ARE ORGANIZED AND FACILITATED BY OUR MISSION DEPARTMENT. MARY IMMACULATE HEALTHCARE SERVICES (MIHCS) FOLLOWS THE METHODOLOGY THAT IS RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION FOR CALCULATING THE COST OF SUPPORT FOR THE BROADER COMMUNITY. IN THE METHODOLOGY, THE COST OF PROVIDING SERVICES IS REDUCED BY PAYMENTS RECEIVED FOR SERVICES RESULTING IN NET COST. IT IS THE NET COST THAT MIHCS REPORTS AS ITS COMMUNITY BENEFIT INCLUDES THE NET COST OF PROGRAMS DIRECTED TO THE POOR AND UNPAID COSTS OF THE MEDICAID PROGRAM. 2544093 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 13 12 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X JEANNE LEYDON 9786856321 172 LAWRENCE STREET LAWRENCE MA 01841 MARGARET V SHAHEEN CHAIRPERSON 1.00 X X 0 0 0 DEBORAH L TURIANO MD VICE CHAIR 1.00 X X 0 0 0 KAREN J MILLER TREASURER 1.00 X X 0 0 0 REV PETER GORI OSA JCD CLERK 1.00 X X 0 0 0 FRED P SHAHEEN DIRECTOR EX COMM 1.00 X X 0 0 0 JEANNE LEYDON PRESIDENT/CEO 1.00 39.00 X X 0 185920 7423 RAISA T CARRASCO-VELEZ DIRECTOR 1.00 X 0 0 0 ROSEMARIE A CONNOLLY DIRECTOR 1.00 X 0 0 0 REVEREND JOHN DELANEY DIRECTOR 1.00 X 0 0 0 ARLINE EL-ASHKAR MSN RN DIRECTOR 1.00 X 0 0 0 KAREN GALLAGHER GIANGRANDE DIRECTOR 1.00 X 0 0 0 MICHAEL P MILLER DIRECTOR 1.00 X 0 0 0 SR MARCIA WILEY DIRECTOR 1.00 X 0 0 0 0 185920 7423 0 0 1 0 US FOODS PO BOX 3155 BOSTON MA 02441 FOOD DISTRIBUTION 270102 1 33393 33393 Patient Service Revenu 623000 2763950 2763950 Management Fees 623000 365183 365183 3129133 129400 129400 65693 27495 38198 38198 Miscellaneous 623000 630 630 630 3330754 3129763 0 167598 1665568 1465700 199868 18948 16674 2274 112922 99371 13551 130700 115016 15684 92300 92300 2592 2592 14328 14328 20777 20777 47930 47930 1731 1731 26236 26236 19758 19758 SUPPLIES 613750 613750 Purchased Services 79013 79013 Functions 29173 29173 EDUCATION & TRAINING 8964 8964 2884690 2544093 340597 0 354698 635687 206679 207302 78417 54780 631294 135264 450254 496030 5291983 5052451 4134 4192 6386165 6450442 95401 111053 226920 192790 322321 303843 X 6063844 6141599 5000 6063844 6146599 6386165 6450442 X 446064 -368309 5000 X 0 1 X 0 0 X X 1 COVENANT HEALTH INC 222484505 10 1 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART IV, SECTION B, LINE 2 THE SUPPORTING ORGANIZATION OPERATES EXCLUSIVELY FOR THE BENEFIT, AND TO CARRY OUT SOME OR ALL OF THE PURPOSES, OF THE CORPORATE MEMBER (COVENANT HEALTH) AND BOARD OF DIRCTORS TO SUPPORT OTHER NON-PROFIT RELIGIOUS, EDUCATIONAL AND CHARITABLE ORGANIZATIONS THAT RELATE TO THE SOLE CORPORATE MEMBER. 0 5000 5000 11000 11000 5005 50650 44655 11000 28035 23030 5005 455 27580 28035 1.00000 0 0 251414 44475 206939 202300 90789 111511 177580 177580 496030 OTHER INVESTMENTS 5052451 F 5052451 DUE TO AFFILIATES 188898 Resident Funds 3892 192790 X 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, 2018. Under Internal Revenue Service regulations, the System's tax years from 2015 through 2018 are open and subject to examination. X X X X X X 1 Creative Leap International 110 Haverhill Road Amesbury MA 01913 Fundraiser Coordination 0 65693 8733 38198 65693 8733 38198 MA Pilgrimage of Love 65693 65693 11324 16171 65693 65693 11324 16171 27495 38198 0 0 0 0 0 0 0 0 0 JEANNE LEYDON PRESIDENT/CEO 0 166099 0 812 0 19009 0 4210 0 3213 0 193343 0 0 Part I, Line 3 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SOURCES, WHICH IS 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 ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT 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. FRED SHAHEEN DIRECTOR 59209 FOOD SUPPLIES ARE PURCHASED FROM SHAHEEN BROTHERS, INC. FRED SHAHEEN IS AN OWNER OF THE COMPANY. SHAHEEN BROTHERS, INC. IS ONE OF SEVERAL VENDORS USED BY THE ORGANIZATIONS AND ALL TRANSACTIONS ARE CONDUCTED AT FAIR MARKET VALUE. 0 MARGARET SHAHEEN DIRECTOR 0 MARGARET IS THE WIFE OF AN OWNER OF SHAHEEN BROTHERS, INC. SHAHEEN BROTHERS, INC. TRANSACTIONS ARE LISTED ABOVE. 0 Form 990, Part VI, Section A, line 2 FRED SHAHEEN AND MARGARET SHAHEEN ARE INLAWS Form 990, Part VI, Section A, line 6 COVENANT HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. ACCORDINGLY IT RETAINS CERTAIN RESERVED RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. Form 990, Part VI, Section A, line 7a COVENANT HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. ACCORDINGLY IT RETaINS CERTAIN RESERVEd RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. Form 990, Part VI, Section A, line 7b COVENANT HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. ACCORDINGLY IT RETAINS CERTAIN RESERVEd RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. Form 990, Part VI, Section B, line 11b THE ORGANIZATION PROVIDES THE FORM 990 TO THE BOARD MEMBERS AND IT IS REVIEWED. Form 990, Part VI, Section B, line 12c THIS PROCESS IS THE RESPONSIBILITY OF THE COMPLIANCE OFFICER. A 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 MAKE CERTAIN THAT ALL CONFLICT OF INTEREST FORMS ARE RETURNED. Form 990, Part VI, Section B, line 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS 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 ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT 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 PROVIDES FORM 990 AND ACCESS TO GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE PUBLIC UPON REQUEST. Form 990, Part XI, line 9: CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 5000. MI ADULT DAY HEALTH CENTER INC 172 LAWRENCE ST LAWRENCE MA 01841 042921888 ADULT DaY CARE FOR ELDERLY, SICK AND HANDICAPPED MA 501(c)(3) Line 11 COVENANT HEALTH 0 MI NURSING RESTORATIVE CENTER 172 LAWRENCE ST LAWRENCE MA 01841 042104851 SKILLED AND INTERMEDIATE NURSING CARE MA 501(c)(3) Line 11 COVENANT HEALTH 0 MI RESIDENTIAL COMMUNITY INC 189 MAPLE ST LAWRENCE MA 01841 042647207 PROVIDER OF LOW INCOME HOUSING (HUD) TO ELDERLY AND DISABLED RESIDENTS MA 501(c)(3) Line 11 COVENANT HEALTH 0 MI RESIDENTIAL COMMUNITY II INC 191 MAPLE ST LAWRENCE MA 01841 042679954 PROVIDER OF LOW INCOME HOUSING (HUD) TO ELDERLY AND DISABLED RESIDENTS MA 501(c)(3) Line 11 COVENANT HEALTH 0 MI RESIDENTIAL COMMUNITY III INC 193 MAPLE ST LAWRENCE MA 01841 042686043 PROVIDER OF LOW INCOME HOUSING (HUD) TO ELDERLY AND DISABLED RESIDENTS MA 501(c)(3) Line 11 COVENANT HEALTH 0 MI TRANSPORTATION INC 189 MAPLE ST LAWRENCE MA 01841 042921889 PROVIDER OF TRANSPORTATION SERVICES TO ELDERLY, SICK AND disABLED RESiDENTS MA 501(c)(3) Line 11 COVENANT HEALTH 0 COVENANT HEALTH 100 AMES POND SUITE 102 TEWKSBURY MA 01876 222484505 HEALTHCARE MANAGEMENT AND RESOURCE MANAGEMENT MA 501(c)(3) Line 11 0 Mary immaculate guild inc 172 LAWRENCE sT lawRENCE MA 01841 463073987 provider of services to MI and affiliated organizations MA 501(c)(3) Line 12b, II MI nursing restorative center inc 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0