ST JOSEPH HOSPITAL: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HOSPITAL (EIN 01-0212435)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-07
- IRS object ID
- 201923119349302487
- Schema version
- 2018v3.1
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-07T14:15:27-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | 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 | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010212435 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 2079071233 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mary Prybylo | PersonNm |
| Person Title | President | PersonTitleTxt |
| Phone | 2079071233 | PhoneNum |
| Signature | 2019-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | E Drew Cheney | PreparerPersonNm |
| PTIN | P00182972 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2019-10-30 | 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 | 2019-10-30 | IPDt |
| IP Tm | 10:49:14 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AEC35488C4CD91AC8DD9FF49E81978A397244AF0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | E7C342458DF4D4AB2E77FA21342842838D49B854 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mary Prybylo | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $150,347,748 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stjoeshealing.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Community Hospital committed to wellness promotion, holistic healing & healthcare services | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1292 | TotalEmployeeCnt |
| Total Volunteers | 72 | TotalVolunteersCnt |
| Total Gross UBI | $15,597 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $81,317 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $18,573 | PYContributionsGrantsAmt |
| CY Contributions Grants | $15,497 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $148,559,145 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $149,544,400 | CYProgramServiceRevenueAmt |
| PY Investment Income | $693,608 | PYInvestmentIncomeAmt |
| CY Investment Income | $787,851 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $149,271,326 | PYTotalRevenueAmt |
| CY Total Revenue | $150,347,748 | 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 | $71,299,751 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $68,375,002 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $76,341,693 | PYOtherExpensesAmt |
| CY Other Expenses | $94,406,476 | CYOtherExpensesAmt |
| PY Total Expenses | $147,641,444 | PYTotalExpensesAmt |
| CY Total Expenses | $162,781,478 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,629,882 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$12,433,730 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $77,081,141 | TotalAssetsBOYAmt |
| Total Assets EOY | $64,712,405 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $38,255,417 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $39,705,953 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $38,825,724 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,006,452 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | St. Joseph Healthcare-committed to wellness, promotion and holistic healing-provides healthcare services which embody compassion, competence and community. These are not just words, but a way of life - a noble statement of what we are, meticulously crafted after thoughtful consideration, study and examination of all the things we do, big and small, day and night, caring for our patients. These are the words we live by, each and every one of us who comprise the caring community of St. Joseph Healthcare. St. Joseph Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, sexual orientation or ability to pay. Although reimbursement for services rendered is critical to operation and stability, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $119,285,738 | ExpenseAmt |
| Revenue | $149,528,803 | RevenueAmt |
| Desc | St. Joseph Hospital provides quality medical healthcare for all people through direct patient care at various hospital and clinical locations. Although reimbursement for services rendered is critical to the operation and stability of St. Joseph Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services and healthcare education. St. Joseph Hospital provides care to persons covered by governmental programs at below cost. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. (continued on Schedule O) Charity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services which St. Joseph Hospital believes will serve a bona fide community health need. For more information regarding the services and programs provided at St. Joseph Hospital and Hospital's commitment to serve all members of the community please visit our website at www.stjoeshealing.org or contact the Public Affairs office at (207) 907-1720. | Desc |
| Total Program Service Expenses | $119,285,738 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 64 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1292 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 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 | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | 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 | Michael Hendrix | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2079071600 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04402 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Robert Clark | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Joseph Cyr | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Thomas Daffron joined 092018 | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| L William Demaso | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Ned Jennings | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Bernard LaBree | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Sister Nancy Marie CSSF | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| John PattenDO | ||||||||
| Trustee | 40.00 | 0.40 | Yes (X) | $170,192 | $0 | $26,054 | ||
| Sheila Pechinski | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Patricia Quirk | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Adrien Roy | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Bradley Ryder | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Cynthia SelfMDtermed 122018 | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Rebecca Whitmorejoined 92018 | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| William Lucy | ||||||||
| Chairman | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Gen Nelson Durgin | ||||||||
| Vice Chairman | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Mary Prybylo Ex Officio | ||||||||
| President | 40.00 | 0.40 | Yes (X) | $0 | $713,239 | $34,248 | Yes (X) | |
| Michael Hendrix | ||||||||
| Treasurer/VP Finance | 40.00 | 0.40 | Yes (X) | $0 | $265,755 | $33,859 | Yes (X) | |
| Dianne Davis | ||||||||
| Secretary | 40.00 | 0.40 | Yes (X) | $76,532 | $0 | $13,936 | Yes (X) | |
| Ganesha Santhyadka MD | ||||||||
| Physician | 40.00 | $681,699 | $0 | $33,759 | Yes (X) | |||
| Michael Starks MD | ||||||||
| Physician | 40.00 | $543,370 | $0 | $39,349 | Yes (X) | |||
| Scott Deron MD | ||||||||
| Physician | 40.00 | $526,325 | $0 | $33,254 | Yes (X) | |||
| Jims Jean Jacques MD | ||||||||
| Physician | 40.00 | $511,326 | $0 | $33,593 | Yes (X) | |||
| Justin Pearlman MD | ||||||||
| Physician | 40.00 | $450,281 | $0 | $24,051 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,959,725 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $978,994 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $272,103 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 79 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Comphealth Associates | |||||
| PO Box 972625 | Dallas | TX | 75397 | Physician Services | $3,509,941 |
| Sound Physicians | |||||
| PO Box 742936 | Los Angeles | CA | 90074 | Physician Services | $3,155,432 |
| Staff Care Inc | |||||
| PO Box 281923 | Atlanta | GA | 30384 | Locum Nursing Services | $2,414,148 |
| Consigli Construction Co | |||||
| 15 Franklin Street | Portland | ME | 04101 | Construction services | $2,189,453 |
| Spectrum Healthcare Partners | |||||
| 324 Gannet Drive Suite 200 | South Portland | ME | 04106 | Anesthesia Services | $1,629,937 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 30 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $15,497 | AllOtherContributionsAmt |
| Total Contributions | $15,497 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Services | 621110 | $146,125,611 | $146,125,611 | |
| Medical/Laboratory | 621500 | $3,012,377 | $2,996,780 | $15,597 |
| Services to Affiliates | 541200 | $406,412 | $406,412 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $149,544,400 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $787,851 | TotalRevenueColumnAmt |
| Exclusion | $787,851 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $150,347,748 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $149,528,803 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $15,597 | UnrelatedBusinessRevenueAmt |
| Exclusion | $787,851 | 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 | $286,715 | TotalAmt |
| Program Services | $196,247 | ProgramServicesAmt |
| Management And General | $90,468 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,576,476 | TotalAmt |
| Program Services | $46,045,665 | ProgramServicesAmt |
| Management And General | $10,530,811 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,316 | TotalAmt |
| Program Services | $228,392 | ProgramServicesAmt |
| Management And General | $62,924 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,416,857 | TotalAmt |
| Program Services | $5,814,816 | ProgramServicesAmt |
| Management And General | $1,602,041 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,803,638 | TotalAmt |
| Program Services | $2,982,052 | ProgramServicesAmt |
| Management And General | $821,586 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,386,738 | TotalAmt |
| Management And General | $18,386,738 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,715 | TotalAmt |
| Management And General | $5,715 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,886 | TotalAmt |
| Management And General | $79,886 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,811 | TotalAmt |
| Management And General | $15,811 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $23,314,802 | TotalAmt |
| Program Services | $15,445,485 | ProgramServicesAmt |
| Management And General | $7,869,317 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $867 | TotalAmt |
| Program Services | $680 | ProgramServicesAmt |
| Management And General | $187 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,811,763 | TotalAmt |
| Program Services | $1,420,422 | ProgramServicesAmt |
| Management And General | $391,341 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,123,475 | TotalAmt |
| Program Services | $880,804 | ProgramServicesAmt |
| Management And General | $242,671 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,619,263 | TotalAmt |
| Program Services | $2,053,502 | ProgramServicesAmt |
| Management And General | $565,761 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,531 | TotalAmt |
| Program Services | $179,168 | ProgramServicesAmt |
| Management And General | $49,363 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,132 | TotalAmt |
| Program Services | $189,047 | ProgramServicesAmt |
| Management And General | $52,085 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $948,043 | TotalAmt |
| Program Services | $743,266 | ProgramServicesAmt |
| Management And General | $204,777 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,472,382 | TotalAmt |
| Program Services | $2,722,347 | ProgramServicesAmt |
| Management And General | $750,035 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,535,462 | TotalAmt |
| Program Services | $1,987,802 | ProgramServicesAmt |
| Management And General | $547,660 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| UBI Lab Expenses | $3,465 | $3,465 |
| Medical/Pharmacy Suppli | $23,815,785 | $23,815,785 |
| Provision for Bad Debt | $9,786,538 | $9,786,538 |
| Tax & Match | $2,674,640 | $2,674,640 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,342,178 | TotalAmt |
| Program Services | $2,115,615 | ProgramServicesAmt |
| Management And General | $1,226,563 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,781,478 | TotalAmt |
| Program Services | $119,285,738 | ProgramServicesAmt |
| Management And General | $43,495,740 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $726,001 | BOYAmt |
| EOY | $4,790,209 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,171,433 | BOYAmt |
| EOY | $82,206 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,581,201 | BOYAmt |
| EOY | $16,475,177 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,145,924 | BOYAmt |
| EOY | $1,299,622 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $667,342 | BOYAmt |
| EOY | $616,835 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $90,278,335 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $61,842,634 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,511,451 | BOYAmt |
| EOY | $28,435,701 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,825,556 | BOYAmt |
| EOY | $9,323,326 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $300,954 | BOYAmt |
| EOY | $300,954 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $159,983 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,991,296 | BOYAmt |
| EOY | $3,388,375 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,081,141 | BOYAmt |
| EOY | $64,712,405 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,833,597 | BOYAmt |
| EOY | $14,752,409 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $80,741 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,039,360 | BOYAmt |
| EOY | $20,413,862 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,518 | BOYAmt |
| EOY | $21,518 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,360,942 | BOYAmt |
| EOY | $4,437,423 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,255,417 | BOYAmt |
| EOY | $39,705,953 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,380,096 | BOYAmt |
| EOY | $22,893,772 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,445,628 | BOYAmt |
| EOY | $2,112,680 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,825,724 | BOYAmt |
| EOY | $25,006,452 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,081,141 | BOYAmt |
| EOY | $64,712,405 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$12,433,730 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,289,332 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$96,210 | 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) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $15,811 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $15,811 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | American Hospital Association dues paid was $28,303, of which 21.78% ($6,164) was available for lobbying activities. Maine Hospital Association dues paid was $53,594, of which 18.00% ($9,647) was available for lobbying activities. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,445,628 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$194,139 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $108,226 | OtherExpendituresAmt |
| Administrative Expenses | $30,583 | AdministrativeExpensesAmt |
| End Year Balance | $2,112,680 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,247,305 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $404,737 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $176,252 | OtherExpendituresAmt |
| Administrative Expenses | $30,162 | AdministrativeExpensesAmt |
| End Year Balance | $2,445,628 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,235,083 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $145,431 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $104,358 | OtherExpendituresAmt |
| Administrative Expenses | $28,851 | AdministrativeExpensesAmt |
| End Year Balance | $2,247,305 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,383,002 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$30,581 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $87,169 | OtherExpendituresAmt |
| Administrative Expenses | $30,169 | AdministrativeExpensesAmt |
| End Year Balance | $2,235,083 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,428,239 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $72,210 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $86,501 | OtherExpendituresAmt |
| Administrative Expenses | $30,946 | AdministrativeExpensesAmt |
| End Year Balance | $2,383,002 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| 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 | $175,048 | OtherCostOrOtherBasisAmt |
| Book Value | $175,048 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,808,644 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,160,370 | DepreciationAmt |
| Book Value | $15,648,274 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,290,852 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,246,689 | DepreciationAmt |
| Book Value | $44,163 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $39,079,142 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,395,879 | DepreciationAmt |
| Book Value | $6,683,263 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,924,649 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,039,696 | DepreciationAmt |
| Book Value | $5,884,953 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $28,435,701 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Beneficial Interest in Perpetual Trust | $2,112,680 |
| Insurance Recoveries | $575,627 |
| Restricted Assets - Bond Debt Service | $699,903 |
| Funds held by Trustees - Bond Debt Service Reserves | $165 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,388,375 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Obligations | $2,198,678 |
| Estimated 3rd Party Payor Settlements | $1,063,310 |
| Miscellaneous Reserves | $1,715,888 |
| Due to Affiliates | -$540,453 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,437,423 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | To ensure the long-term financial viability of the Organization. |
| Part X, Line 2: | Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. St. Joseph Hospital Corporate Services, Inc., a wholly-owned subsidiary of Nashua, is a for-profit organization, which is subject to federal and state income taxes. Covenant Health Insurance, LTD. (CHIL), a wholly-owned subsidiary, is subject to taxation in the Cayman Islands. No income taxes are levied in the Cayman Islands and CHIL has been granted an exemption for any taxes that might be introduced. Accordingly, no provision for income taxes has been made in the accompanying financial statements. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2018. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,495,681 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,495,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,008,748 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,398,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,610,646 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02830 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,504,429 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,398,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,106,327 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04360 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 10 | ActivitiesOrProgramsCnt |
| Persons Served | 96 | PersonsServedCnt |
| Total Community Benefit Expns | $8,403 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,403 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 9 | ActivitiesOrProgramsCnt |
| Persons Served | 365 | PersonsServedCnt |
| Total Community Benefit Expns | $811,137 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $811,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 617 | PersonsServedCnt |
| Total Community Benefit Expns | $67,760 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $67,760 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 31 | ActivitiesOrProgramsCnt |
| Persons Served | 1078 | PersonsServedCnt |
| Total Community Benefit Expns | $887,300 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $887,300 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 31 | ActivitiesOrProgramsCnt |
| Persons Served | 1078 | PersonsServedCnt |
| Total Community Benefit Expns | $16,391,729 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,398,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,993,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04910 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $702 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $702 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $702 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,786,538 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $32,649,031 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $43,474,435 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$10,825,404 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stjoeshealing.org | WebsiteAddressTxt |
| State License | ME-37936 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Joseph Hospital | Part V, Section B, Line 5: In addition to the survey results compiled from the general community and from the medical community, the Organization conducted focus interviews with fifteen social service and public health and safety organizations: Bangor Area Homeless Shelter, Bangor Area Recovery Network, Bangor Fire Department, Bangor Region Public Health and Wellness, Catholic Charities of Maine, Community Health and Counseling Services, Eastern Area Agency on Aging, Hope Rising, Maine CDC & Prevention, Maine Department of Health & Human Services,Penobscot Community Health Center, Penquis CAP, The Salvation Army, Spruce Run, and United Way of Eastern Maine. This group of organizations was selected due to their involvement with the broader community as well as involvement with unique populations. In total 22 individuals from these organizations were interviewed. |
| St. Joseph Hospital | Part V, Section B, Line 11: The prioritization of community health needs began by correlating data received from primary data sources (community survey, medical community survey and key informant focus interviews). This data was analyzed to ascertain the most prevalent community health needs noted from each constituent group. Secondary data was then utilized to formulate a more comprehensive evaluation of the health need. Once the identified health needs had sufficient secondary data, the information was evaluated to determine common themes among the three constituent groups.Through this process five significant community health needs were identified. These needs were then prioritized utilizing a point system relative to four components: severity of health need (utilizing primary and secondary data sources), estimated feasibility and effectiveness of possible interventions, the level of importance the community, medical community and key informant focus interviews placed on the need (determined by listing within top three barriers to health or listing within top three most pressing health concerns), and synergy between two or more constituent groups relative to importance of health need. The implementation plan that was developed identifies a number of actions that St. Joseph Hospital will take to address these health needs. In areas where the Hospital does not have the required expertise or resources to address these needs, the implementation plan identifies actions that will provide support to other community organizations that are better able to address these needs.Recognizing that there will be limited funds available to address the full list of community health needs, and recognizing that other agencies and organizations in the area had expertise or missions in these areas, there are a number of health needs that were identified by some respondents that are not included in the implementation strategy. These include: cancer, dental problems, diabetes, domestic violence, infectious diseases, suicide, and teenage pregnancy. |
| Schedule H, Part V, Section B, Line 8: | A second Community Health Needs Assessment was conducted in 2016 and an Implementation Strategy was adopted in the same year. There were six areas of priority identified, such as: substance and alcohol use disorder, mental health, obesity, cancers, aging problems and diabetes. St. Joseph Healthcare then developed a robust implementation strategy to address four of these needs. In 2017 St. Joseph Healthcare addressed the substance and alcohol use disorder with strategic initiatives including awareness building in the community, implementing prescribing protocols in our primary care facilities, training our primary care providers in substance use disorder treatment, providing enhanced access to Subaxone treatment and by improving access to the rapid response kits in partnership with Community Health Leadership Board, which is a collaboration of nine major healthcare agencies in the area. We will continue to address the issue of obesity adding an additional "Healthy Lifestyle Program" available to patients in need while continuing the educational and awareness building presence in the social media though "Healthy Active Living." We will also partner with other local agencies and programs to provide food security resources to patients and families who are in need.In 2017, we partnered with the Eastern Area Agency on Aging in educating and providing awareness to the public regarding resources available for the aging population. St. Joseph Healthcare conducted two workshops including the screening of "Being Mortal" to facilitate the end of life care decision making and providing resources for the same.In 2017 St. Joseph Healthcare provided training to our employees in caring for patients with behavioral disorders and will continue to provide clinical expertise in the hospital focusing on the inpatient population.Despite these new initiatives, St. Joseph Healthcare is committed to providing counselling services to facilitate enrollment of community members within the Affordable Care Act marketplace insurance exchange through certified enrollment support throughout the community. |
| Schedule H, Part V, Section B, Line 16c & 16f: | St. Joseph Healthcare's Financial Assistance Policy (FAP) was designed and developed to serve as "a plain language" guide to the programs available for financial assistance and the qualification requirements. |
| Schedule H, Part V, Section B, Line 7a & 10a: | The Hospital's most recent CHNA and Implementation Strategy can be found at:CHNA: http://www.stjoeshealing.org/about-us/health-needs-assessmentImplementation Strategy: Updated: https://www.stjoeshealing.org/media/file/2017-19%20CHINAIS_Edited_ver2.pdf |
| Schedule H, Part V, Section B, Line 16a & 16b | The Hospital's Financial Assistance Policy (Benevolence Program), Financial Assistance Applications, and Plain Language Summary (PLS) can be found at:Policy: https://www.stjoeshealing.org/media/file/Financial%20Assistance%20Policy%20Dec%202017AK.docxApplication: https://www.stjoeshealing.org/media/file/Application%204-2017.pdf PLS:https://www.stjoeshealing.org/media/file/Summary%204-2017.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - REGIONAL BREAST CARE CENTERBONE DENSITY | ||||
| 900 BROADWAY | BANGOR | ME | 04401 | WOMEN'S HEALTH CLINIC |
| 2 - ST JOSEPH DIABETES AND NUTRIRION CENTER | ||||
| 900 BROADWAY | BANGOR | ME | 04401 | OP CLINIC |
| 3 - ST JOSEPH ENDOCRINOLOGY | ||||
| 900 BROADWAY | BANGOR | ME | 04401 | PHYSICIAN SPECIALTY PRACTICE |
| 4 - ST JOSEPH INTERNAL MEDICINE | ||||
| 900 BROADWAY | BANGOR | ME | 04401 | PHYSICIAN SPECIALTY PRACTICE |
| 5 - ST JOSEPH RHEUMATOLOGY | ||||
| 900 BROADWAY | BANGOR | ME | 04401 | PHYSICIAN SPECIALTY PRACTICE |
| 6 - ST JOSEPH FAMILY MEDICINE | ||||
| 900 BROADWAY | BANGOR | ME | 04401 | PHYSICIAN FAMILY MEDICINE PRACTICE |
| 7 - ST JOSEPH WORKWELL-OCCUPATIONAL HEALTH | ||||
| 900 BROADWAY | BANGOR | ME | 04401 | OCCUPATIONAL HEALTH CLINIC |
| 8 - ST JOSEPH HOSPITAL CENTER FOR SLEEP | ||||
| 268 CENTRAL ST | BANGOR | ME | 04401 | SLEEP LAB |
| 9 - ST JOSEPH CARDIOLOGY | ||||
| 360 BROADWAY SUITE 202 | BANGOR | ME | 04401 | PHYSICIAN SPECIALTY PRACTICE |
| 10 - ST JOSEPH FAMILY MEDICINE-MTHOPE | ||||
| 700 MOUNT HOPE AVENUE | BANGOR | ME | 04401 | PHYSICIAN FAMILY MEDICINE PRACTICE |
| 11 - ST JOSEPH FAMILY MEDICINE-BREWER | ||||
| 329 WILSON ST | BREWER | ME | 04412 | PHYSICIAN FAMILY MEDICINE PRACTICE |
| 12 - ST JOSEPH FAMILY MEDICINE-HAMPDEN | ||||
| 21 WESTERN AVENUE | HAMPDEN | ME | 04444 | PHYSICIAN FAMILY MEDICINE PRACTICE |
| 13 - ST JOSEPH HOSPITALISTS SERVICE | ||||
| 360 BROADWAY | BANGOR | ME | 04401 | OUTPATIENT CLINIC |
| 14 - ST JOSEPH GENERAL SURGERY | ||||
| 360 BROADWAY SUITE 207 | BANGOR | ME | 04401 | PHYSICIAN SPECIALTY PRACTICE |
| 15 - ST JOSEPH GASTROENTEROLOGY | ||||
| 360 BROADWAY SUITE 100 | BANGOR | ME | 04401 | PHYSICIAN SPECIALTY PRACTICE |
| 16 - ST JOSEPH RESPIRATORY CARE | ||||
| 360 BROADWAY SUITE 204 | BANGOR | ME | 04401 | PHYSICIAN SPECIALTY PRACTICE |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The community benefit report is based on the Catholic Health Association guidelines and utilizes the Association's CBISA software to record the benefits. |
| Part I, Line 7: | The cost-to-charge ratio was derived from Worksheet 2. |
| Part II, Community Building Activities: | During 2018, St. Joseph Healthcare continued to show its commitment to the community through its initiatives, leadership, cash and in-kind donations. We continue to strive to provide compassionate, high quality, wholistic healthcare and community services to make this one of the healthiest communities in the state. Some of the initiatives and work in 2018 include:Leadership provided education and community services through the Maine Multi Cultural Centre.Provided community services through the ACI Physician Practices to support Courage Lives (formerly known as Hope Rising), a residential recovery program for victims of human trafficking.Provided taxi vouchers to persons who needed assistance with transportation. Provided community service hours to various not-for-profit organizations to support health, wellness and community betterment activities. This included support for activities, such as: o Suicide Preventiono Shaw House Homeless Shelter for Teenso Bangor Region Chamber of Commerceo American Folk Festivalo Community Health Leadership Boardo Choosing Wisely Initiativeso Maine Multi Cultural Centreo Sex Trafficking Area Response Teamo Being Mortal: End of Life Care Workshopso Circle of Caringo Bangor Area Homeless Sheltero Food and Medicine Groupo Bangor Livable Communitieso Community Health and Safety Fairso Boy Scouts of Americao Bangor Salvation Armyo United Wayo Notary Services for PatientsPresident/CEO provided executive leadership on several community initiatives including the Community Health Leadership Board, and service on community boards including Penquis CAP, Bangor Nursing and Rehab, Maine Hospital Association, etc.Employees donated 23 hours of community service with different agencies. Assisted patients who lacked resources with medical supplies.Provided and served a noon-time meal once per month at the Bangor Salvation Army Dorothy Day Soup Kitchen. This provided 358 nutritious meals to individuals struggling with food security.Social and environmental improvement activities were provided by the diverse service departments of St. Joseph Healthcare. We continue to provide education and awareness in areas of population health and provide support through service and donations to vulnerable populations in the area. St. Joseph Healthcare also collaborates with area agencies to address food insecurity in this community and provides food and grocery items for anyone in need. Employees provided hours of service to start and maintain the St. Joseph Closet, St. Joseph Food Pantry and St. Joseph Cupboard which benefit patients, families, employees and the community. Provided community benefit through several awareness building and educational programs as part of public awareness building on human trafficking. Supported the Vegetable Exchange Stand to provide low-income individuals with the opportunity to access fresh fruits and vegetables. Excess produce from home gardeners is donated to the stand and community members are invited to enjoy this produce at no charge. Partnered with Good Shepherd Food Bank to provide 355 individuals with bags of nonperishable food for three days and resources for local food sources.Served an evening meal once per month to the Greater Bangor Area Homeless Shelter for a total of 259 meals. Dietary provided food assistance to address food insecurity for patients. Established a supportive partnership with Kingman Elementary School to ensure food security, enhanced educational opportunities, improved educational tools and connectivity relative to health and wellness education. Nutrition Services provides complimentary food and beverages to family members who sit vigil with loved ones who are nearing the end of life. Nutrition Services also provided 1,080 healthy meals for the residents of Hope House. During 2018, St. Joseph Healthcare continued to show its commitment to the community through its initiatives, leadership, cash and in-kind donations. |
| Part III, Line 2: | Estimated cost of bad debt expense reported is derived from the accounting system using cost-to-charge ratios from the as-filed Medicare cost report. |
| Part III, Line 3: | The Hospital does not estimate any amount of bad debt expense that is attributable to patients eligible under the Hospital's financial assistance policy. |
| Part III, Line 4: | Footnotes to the Organization's financial statements that describe bad debt expense are located on page 18 and page 19 of the attached financial statements. |
| Part III, Line 8: | Costs are from the accounting system using cost-to-charge ratios from the as-filed Medicare cost report, but none of these costs are being claimed as a community benefit in Part I, line 7. |
| Part III, Line 9b: | Our collection policy does address patients who have benevolence. If they qualify for free care, then their balance is written off. If they qualify for cost share, then their balance follows the same billing and collection process as any other self-pay account. |
| Part VI, Line 2: | In 1947, when the Felician Sisters bought the Paine Private Hospital, renamed it St. Joseph Healthcare and began their ministry in this community, it was a long-time commitment they were offering the residents of the greater Bangor area. This commitment was not only to care for the sick in this community, but also to keep the community healthy and provide care for people who are poor and vulnerable. When the ownership of this faith-based community hospital was transferred to Covenant Health, this commitment was renewed with even more passion and striving for excellence. Covenant Health's 4 values (compassion, integrity, collaboration and excellence) are reflected through our daily business, which has made this organization a beacon of hope and a place of healing and compassion.Honoring the legacy of this organization, St. Joseph Healthcare continues to care for the poor and vulnerable in our society. We have been proactive and creative in providing appropriate assistance where needed. Currently, this commitment to caring for the whole person manifests itself through community outreach programs, activities and services designed to support community members' health and wellness needs. It also supports the growth and sustainability of a healthy and productive community. By partnering with and supporting agencies with a similar mission and goals, St. Joseph Healthcare is able to provide persons and communities with a higher level of service, while also addressing some of the social issues facing us today. |
| Part VI, Line 3: | Each inpatient receives a packet upon admission that includes a description of the Hospital's Benevolence (Free Care and Cost Share) Policy. If an inpatient has any questions during their stay, a patient ombudsman is available to assist. Signage is placed in all outpatient registration sites and applications are available. Staff is available to answer questions. Upon billing, included with the statement is a notification that free care and cost share is available, the poverty guidelines, and a telephone number for assistance. The Policy is also posted on the Hospital's website. |
| Part VI, Line 4: | The Hospital's primary service area is Penobscot County which comprises the county seat and the third most populated city in the State of Maine: Bangor. The County consists of a total area of 3,556.14 square miles. Within the Hospital's primary service area of Penobscot County the southern and western regions of the County account for more than 50% of the inpatient admissions. The Hospital's secondary service area includes the Penobscot County border communities such as the towns of Bucksport and Ellsworth (located in Hancock County), Milo and Dover-Foxcroft (located in Piscataquis County) and Winterport (located in Waldo County). The U.S. Census report estimated as of July 1, 2018 that the population for Penobscot County as 151,096; recognizes that 94.8% are white, 50.5% are female; 18.7% are 65 years of age or older; 14.3% are below the poverty level; and the median household income is $47,886. |
| Part VI, Line 5: | The St. Joseph Healthcare system is deeply committed to creating healthier communities and advocating on behalf of those who are disadvantaged and underserved. As a Catholic organization, it is the very core of the Catholic social teachings in which we gain inspiration and guidance for the continuation of the work that began in 1947 under the leadership of the Sisters of St. Felix of Cantalice - the Felician Sisters. The Felician Congregation Foundress, Blessed Mary Angela, was focused on the spiritual renewal of society through compassionate caring for the whole person-body, mind and spirit. It is from this philosophical foundation and with the continued direction, guidance and vision set forth by Covenant Health that St. Joseph Healthcare continues Jesus's healing ministry within the greater Bangor community. Through this ministry St. Joseph Healthcare has donated $888,002 in dollars, goods, and services to the greater Bangor community and the global community. The employees' commitment to these various projects is true testament to the Organization being in communion with the Catholic Church and its social teachings.St. Joseph Healthcare has recognized its role in supporting human development and the development of healthy communities. One way in which St. Joseph Healthcare strives to support these activities is through the education of the next generation of health care leaders who will be called to continue the Catholic health care ministry. St. Joseph Healthcare assisted aspiring physician assistants, students of nursing, including nurse practioners, bachelor level nurse degree programs, and nursing partnerships. St. Joseph Healthcare also provided health professional educational opportunities for individuals within the following health profession areas of study: emergency medical services, social work, health information management, medical technologist, medical assistant, pharmacy, physical and respiratory therapy, radiography, and administration. St. Joseph Healthcare recognizes the importance of enhanced training and educational opportunities for members of Emergency Medical Services organizations, including those within rural and volunteer EMS associations.St. Joseph Healthcare has provided community health improvement services and outreach to many within the greater Bangor community. The Community Health Needs Assessment identified a need to educate the public on health and wellness opportunities. St. Joseph Healthcare created an extensive media presence with "Choosing Wisely" program. This program provided educational materials relative to weight loss, healthy living, exercise, etc. The program included TV programs, heavy Social Media presence and printed literature all through the health system. Several initiatives were undertaken to support community health and wellness; these initiatives specifically focused on education of providers, health leaders, and community members. Initiatives focused around food security, human trafficking, sexual assault, and community health and wellness outreach. The Spiritual Care Department actively provides spiritual support to patients and their family members. The Spiritual Care Department support extends to any member of the community who seeks assistance. In addition, the Spiritual Care Department implemented a 12-month bereavement outreach program in which family members are provided consistent bereavement support materials and opportunities for spiritual support through the grieving process. Nurses provided healthcare screening to our homeless population through blood pressure clinics benefitting 96 persons. St. Joseph Healthcare provided support to a pulmonary support group, the Better Breathers' Club, to support individuals with chronic lung disease to enhance their lifestyle through education and community support. Leadership provided education and community services through the Maine Multi Cultural Centre. St. Joseph Healthcare provided community services through the ACI Physician Practices to support Courage Lives (formerly known as Hope Rising), a residential recovery program for victims of human trafficking. St. Joseph Healthcare provided health and wellness educational programming for seniors, Senior Wise Meal/Education Program-providing important health information and discounted pricing for nutritious meals. |
| Part VI, Line 6: | St. Joseph Healthcare is comprised of St. Joseph Hospital (an acute care hospital), St. Joseph Ambulatory Care, Inc., (Infusion Therapy services and employer health services), and Alternative Health Services, Inc. (which provides home health and hospice services). By joining Covenant Health, St. Joseph Healthcare is aligned with two other acute care hospitals and multiple skilled nursing and assisted living facilities. |
| Part VI, Line 7, Reports Filed With States | ME |
| Part VI, Line 5 (continued): | St. Joseph Healthcare supported community benefit operations through a number of activities including several public education campaigns and programming, a community vegetable exchange stand and programming focused on the elder population. The elder population was an area of focus for outreach and educational activities in collaboration with the Senior Center. Employees arranged speakers and educational programming. St. Joseph Healthcare coordinated a community fruit and vegetable stand during the summer months in which local gardeners donated their excess produce to the stand and community members were welcome to take these items free of charge. The stand was quite popular with many individuals expressing that they did not have the means to purchase fresh vegetables and that this was their only opportunity to enjoy these items. Several programs were conducted relative to public education activities. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John PattenDO | ||||||||||||||
| Trustee | $170,192 | $0 | $0 | $0 | $0 | $0 | $1,800 | $0 | $24,254 | $0 | $196,246 | $0 | $0 | $0 |
| Mary Prybylo Ex Officio | ||||||||||||||
| President | $0 | $713,239 | $0 | $0 | $0 | $0 | $0 | $2,750 | $0 | $31,498 | $0 | $747,487 | $0 | $0 |
| Michael Hendrix | ||||||||||||||
| Treasurer/VP Finance | $0 | $265,755 | $0 | $0 | $0 | $0 | $0 | $2,414 | $0 | $31,445 | $0 | $299,614 | $0 | $0 |
| Ganesha Santhyadka MD | ||||||||||||||
| Physician | $681,699 | $0 | $0 | $0 | $0 | $0 | $2,700 | $0 | $31,059 | $0 | $715,458 | $0 | $0 | $0 |
| Michael Starks MD | ||||||||||||||
| Physician | $543,370 | $0 | $0 | $0 | $0 | $0 | $1,861 | $0 | $37,488 | $0 | $582,719 | $0 | $0 | $0 |
| Scott Deron MD | ||||||||||||||
| Physician | $526,325 | $0 | $0 | $0 | $0 | $0 | $2,302 | $0 | $30,952 | $0 | $559,579 | $0 | $0 | $0 |
| Jims Jean Jacques MD | ||||||||||||||
| Physician | $511,326 | $0 | $0 | $0 | $0 | $0 | $2,750 | $0 | $30,843 | $0 | $544,919 | $0 | $0 | $0 |
| Justin Pearlman MD | ||||||||||||||
| Physician | $450,281 | $0 | $0 | $0 | $0 | $0 | $2,077 | $0 | $21,974 | $0 | $474,332 | $0 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| MHHEFA | |||||||
| A | 010314384 | 2010-06-24 | $16,207,915 | Refinance Series 1998B, 1999A and 2001A revenue bonds | 0 | 0 | 0 |
| MHHEFA | |||||||
| B | 010314384 | 2012-06-28 | $2,900,361 | Refinance Series 2002A revenue bonds | 0 | 0 | 0 |
| MHHEFA | |||||||
| C | 010314384 | 2012-10-31 | $13,490,000 | Construction Project-Renovate ED & ASU, & Const New Medical Office Building | 0 | 0 | 0 |
| MHHEFA | |||||||
| D | 010314384 | 2017-03-21 | $3,400,000 | Construction Project-Renovate | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|
| A | $16,207,915 | $1,260,488 | $137,832 | $14,809,595 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| B | $2,900,361 | $184,381 | $38,004 | $2,677,976 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | |
| C | $13,490,000 | $186,855 | $12,542,000 | 2014 | 0 | 0 | Yes (1) | Yes (1) | $761,145 | |
| D | $3,400,000 | $68,000 | $3,248,066 | 2018 | 0 | 0 | 0 | Yes (1) | $83,934 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| D | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
| D | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. Joseph Healthcare Foundation, a Maine nonprofit corporation, shall be the sole member of St. Joseph Hospital. |
| Form 990, Part VI, Section A, line 7a | The Member of St. Joseph Hospital shall elect the trustees of the Organization and may remove them with or without cause. |
| Form 990, Part VI, Section A, line 7b | St. Joseph Healthcare Foundation, the Member of St. Joseph Hospital (the Organization), shall have the following powers and rights, as outlined in its articles of incorporation and bylaws: (a) To approve any change in the written statements of philosophy and mission of the Organization or any subsidiary of the Organization, and to monitor compliance with same; (b) To amend and to repeal the articles of incorporation and the bylaws of the Organization, and to approve the adoption, amendment or repeal of the governing instruments of any subsidiary of the Organization; (c) To elect the Trustees of the Organization and to remove them with or without cause; (d) To appoint and remove the President of the Organization, including a President secured by management contract; (e) To ratify the Board of Trustees' election of the Chairperson of the Board of Trustees; (f) To approve all plans of merger, consolidation, reorganization or dissolution of the Organization or any subsidiary of the Organization, or the sale, lease, assignment or transfer of substantially all of the assets of the Organization or any subsidiary of the Organization, or the purchase or acquisition by the Organization or any subsidiary of the Organization of an interest in any corporation, partnership, joint venture or other entity, whether newly created or previously existing, which interest, in the case of a for profit entity, represents 25 percent or more of the voting power thereof or equity interest therein, or, in the case of a nonprofit entity, represents 25 percent or more of the voting power thereof or membership interest therein; (g) To approve all Board-approved long-range strategic plans of the Organization before their implementation; (h) To approve the acquisition, sale or encumbrance by the Organization or any subsidiary of the Organization of any real estate valued in excess of the amount set by the Member in writing from time to time; (i) To approve all Board approved capital budgets of the Organization and non-budgeted expenses which are in excess of the amount set by the Member in writing from time to time, and to approve the Organization's operating budget in accordance with policies set by the Member in writing from time to time; (j) To approve all debt of the Organization, not part of the approved budget, in excess of limits set by the Member in writing from time to time before such debt is incurred; (k) To appoint the auditors of the Organization and any subsidiary of the Organization; (l)To approve the sale, assignment or transfer by the Organization or any subsidiary of the Organization of any equity interest or membership interest in any subsidiary of the Organization; (m) To approve any reclassification or other change of any capital stock or other equity security of any subsidiary of the Organization, or any recapitalization of any subsidiary of the Organization; and (n) To approve the issuance of, or the creation of any obligation to issue, any equity security of any subsidiary of the Organization, or any increase or decrease in the total number of shares of authorized capital stock or other equity security of any subsidiary of the Organization. |
| Form 990, Part VI, Section B, line 11b | There is a formal presentation of the 990 to the Finance Committee and copies are provided to all Board members. |
| Form 990, Part VI, Section B, line 12c | Each Board member is required to complete a form disclosing any conflicts of interest. When these conflicts are known, any Board member with a conflict of interest is asked to leave the meeting or abstain from voting or both. |
| Form 990, Part VI, Section B, line 15 | Through compensation surveys/studies and employment contracts, compensations are determined by the compensation committee and approved by the Board. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon each individual request. Form 990 and 990-T are also available on the website of Covenant Health, Inc, a related organization (www.covenanthealth.net). |
| Form 990, Part IX, line 11g | Physician Services: Program service expenses 5,035,275. Management and general expenses 0. Fundraising expenses 0. Total expenses 5,035,275. Contract Nursing Services: Program service expenses 1,312,156. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,312,156. Physician Locum Tenum: Program service expenses 6,985,561. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,985,561. Other Medical Services: Program service expenses 1,186,311. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,186,311. Medical Testing: Program service expenses 914,169. Management and general expenses 0. Fundraising expenses 0. Total expenses 914,169. Interpretor Services: Program service expenses 12,013. Management and general expenses 0. Fundraising expenses 0. Total expenses 12,013. Non-Medical purchased services: Program service expenses 0. Management and general expenses 4,042,753. Fundraising expenses 0. Total expenses 4,042,753. Revenue Cycle, billing and registration services: Program service expenses 0. Management and general expenses 2,698,897. Fundraising expenses 0. Total expenses 2,698,897. Patient Acct Collection services: Program service expenses 0. Management and general expenses 841,076. Fundraising expenses 0. Total expenses 841,076. Admin Management Purchased services: Program service expenses 0. Management and general expenses 286,591. Fundraising expenses 0. Total expenses 286,591. |
| Form 990, Part XI, line 9: | Transfers to Affiliates 765,000. Pension adjustment -861,210. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Joseph Healthcare Foundation | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480149 | Diversified holistic health care services | ME | 501(c)(3) | Line 7 | Covenant Health Inc | 0 | |
| St Joseph Ambulatory Care Inc | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480373 | Ambulatory care and clinical services | ME | 501(c)(3) | Line 12b, II | St Joseph Healthcare Foundation | 0 | |
| Alternative Health Services | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 010422885 | Home health agency | ME | 501(c)(3) | Line 3 | St Joseph Healthcare Foundation | 0 | |
| M & J Company | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480150 | Real estate holding company | ME | 501(c)(2) | St Joseph Healthcare Foundation | 0 | ||
| Covenant Health Inc | |||||||||||
| 100 Ames Pond Drive | Tewksbury | MA | 01876 | 222484505 | Sponsoring & operating a health care system | MA | 501(c)(3) | Line 10 | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Strauss Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010391369 | EIN |
| Primary Activities | Medical transcription | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 | 0 | 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 | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | M & J Company | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | K | TransactionTypeTxt |
| Involved | $881,892 | InvolvedAmt |
| Method Of Amount Determination | Actual amount transferred | MethodOfAmountDeterminationTxt |