FURP.ORG / PUBLIC DATA EXPLORER

MOUNT ST RITA HEALTH CENTRE: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
MOUNT ST RITA HEALTH CENTRE (EIN 05-0342330)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-10-19
IRS object ID
201742929349300124
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-10-19T14:36:31-05:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050342330EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mount Saint Rita Health CentreBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone4013336352PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Sumner Brown RoadAddressLine1Txt
CityCumberlandCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02864ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWilliam FlemingPersonNm
Person TitleAdministratorPersonTitleTxt
Phone4013336352PhoneNum
Signature2017-10-19SignatureDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerWilliam FlemingPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Sumner Brown RoadAddressLine1Txt
CityCumberlandCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02864ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,121,769GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressMountStRita.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionMOUNT SAINT RITA IS A CATHOLIC SKILLED NURSING AND REHABILITATION FACILITY THAT CONTINUES THE HEALING MINISTRY OF CHRIST BY PROVIDING HEALTH CARE SERVICES THAT FOSTER EACH INDIVIDUAL'S PHYSICAL, SPIRITUAL, EMOTIONAL AND INTELLECTUAL WELL-BEING.ActivityOrMissionDesc
Voting Members Governing Body8VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee153TotalEmployeeCnt
Total Volunteers35TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$106,521PYContributionsGrantsAmt
CY Contributions Grants$80,659CYContributionsGrantsAmt
PY Program Service Revenue$8,803,720PYProgramServiceRevenueAmt
CY Program Service Revenue$9,011,652CYProgramServiceRevenueAmt
PY Investment Income$266PYInvestmentIncomeAmt
CY Investment Income$38CYInvestmentIncomeAmt
PY Other Revenue$21,827PYOtherRevenueAmt
CY Other Revenue$29,420CYOtherRevenueAmt
PY Total Revenue$8,932,334PYTotalRevenueAmt
CY Total Revenue$9,121,769CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,477,480PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,108,520CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$4,071,496PYOtherExpensesAmt
CY Other Expenses$3,851,149CYOtherExpensesAmt
PY Total Expenses$9,548,976PYTotalExpensesAmt
CY Total Expenses$8,959,669CYTotalExpensesAmt
PY Revenues Less Expenses-$616,642PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$162,100CYRevenuesLessExpensesAmt
Total Assets BOY$2,616,289TotalAssetsBOYAmt
Total Assets EOY$3,364,891TotalAssetsEOYAmt
Total Liabilities BOY$1,057,167TotalLiabilitiesBOYAmt
Total Liabilities EOY$886,832TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,559,122NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,478,059NetAssetsOrFundBalancesEOYAmt
MissionMOUNT SAINT RITA IS A CATHOLIC SKILLED NURSING AND REHABILITATION FACILITY THAT CONTINUES THE HEALING MINISTRY OF CHRIST BY PROVIDING HEALTH CARE SERVICES THAT FOSTER EACH INDIVIDUAL'S PHYSICAL, SPIRITUAL, EMOTIONAL AND INTELLECTUAL WELL-BEING.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$8,740,469ExpenseAmt
Revenue$9,041,072RevenueAmt
DescMOUNT SAINT RITA HEALTH CENTRE PROVIDED 33,929 DAYS OF SKILLED NURSING SERVICES DURING 2016 OF WHICH 24,566 WERE TO MEDICAID RECIPIENTS.Desc
Total Program Service Expenses$8,740,469TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document17IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee153EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members8GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldRIStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1John AhleBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4013336352PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line115 Sumner Brown RoadAddressLine1Txt
CityCumberlandCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02864ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Kenneth Arnold
Chair2.00Yes (X)Yes (X)$0$0$0
Stephaine Igoe
Administrator, thru 4/201640.00Yes (X)Yes (X)$43,284$0$8,670
Joseph Malley
Secretary2.00Yes (X)$0$0$0
Sr Rose Angela Mclellan RSM
Trustee2.00Yes (X)$0$0$0
Thomas Wallace
Trustee2.00Yes (X)$0$0$0
Patricia Viera APR
Vice Chair2.00Yes (X)Yes (X)$0$0$0
Mary Costello
Trustee2.00Yes (X)$0$0$0
Peter Keenan
Treasurer2.00Yes (X)$0$0$0
Deborah Servello
Trustee2.00Yes (X)$0$0$0
William Fleming
Administrator from 9/201640.00Yes (X)$57,500$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$100,784TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$8,670TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Rehab Care Group Inc
PO BOX 503534St LouisMO63150Rehab Services$483,722
Performance Health Care ServicesInc
47R River StWellesleyMA02481Laundry & Housekeeping$316,250
Winxnet
PO Box 1700PortlandME04104Computer/Network$212,429
Tsomides Associates Architects Planners
389 Eliot StNewton Upper FallsMA02464Construction Project$178,833
DA Plante Inc
PO Box 7576CumberlandRI02864Lanscaping, Maintenance & Snow Removal$102,400
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
All Other Contributions$80,659AllOtherContributionsAmt
Total Contributions$80,659TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT SERVICE REVENUDesc
Business623000BusinessCd
Total Revenue Column$9,011,652TotalRevenueColumnAmt
Related Or Exempt Func Income$9,011,652RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$9,011,652TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$38TotalRevenueColumnAmt
Exclusion$38ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneousDesc
Business623000BusinessCd
Total Revenue Column$29,420TotalRevenueColumnAmt
Related Or Exempt Func Income$29,420RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$29,420OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,121,769TotalRevenueColumnAmt
Related Or Exempt Func Income$9,041,072RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$38ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$100,640TotalAmt
Program Services$100,640ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,894,189TotalAmt
Program Services$3,894,189ProgramServicesAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$118,667TotalAmt
Program Services$118,667ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$705,931TotalAmt
Program Services$705,931ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$289,093TotalAmt
Program Services$289,093ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$119,748TotalAmt
Management And General$119,748ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$8,471TotalAmt
Management And General$8,471ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$90,981TotalAmt
Management And General$90,981ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,267,273TotalAmt
Program Services$1,267,273ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$19,264TotalAmt
Program Services$19,264ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$58,193TotalAmt
Program Services$58,193ProgramServicesAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$193,107TotalAmt
Program Services$193,107ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$15,187TotalAmt
Program Services$15,187ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$3,009TotalAmt
Program Services$3,009ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,813TotalAmt
Program Services$1,813ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$310,631TotalAmt
Program Services$310,631ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$256,325TotalAmt
Program Services$256,325ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Supplies$806,382$806,382
Provider Tax$486,656$486,656
Utilities$212,212$212,212
Sales Tax$1,134$1,134

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$763TotalAmt
Program Services$763ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$8,959,669TotalAmt
Program Services$8,740,469ProgramServicesAmt
Management And General$219,200ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$394,880BOYAmt
EOY$577,801EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$22,058BOYAmt
EOY$19,094EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$939,057BOYAmt
EOY$1,145,665EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$18,257BOYAmt
EOY$38,222EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$7,074,488LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$5,506,217LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,231,347BOYAmt
EOY$1,568,271EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$10,690BOYAmt
EOY$15,838EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,616,289BOYAmt
EOY$3,364,891EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$854,417BOYAmt
EOY$796,307EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$150,000BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,750BOYAmt
EOY$90,525EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,057,167BOYAmt
EOY$886,832EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,553,367BOYAmt
EOY$2,465,468EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,755BOYAmt
EOY$12,591EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,559,122BOYAmt
EOY$2,478,059EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,616,289BOYAmt
EOY$3,364,891EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$162,100ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$756,837OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit Committee0AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$196,086CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$192,174CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$156,334CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$106,521CurrentTaxYearMinus1YearAmt
Current Tax Year$80,659CurrentTaxYearAmt
Total$731,774TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,307,260CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,086,636CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$8,924,815CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,793,416CurrentTaxYearMinus1YearAmt
Current Tax Year$9,011,652CurrentTaxYearAmt
Total$45,123,779TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,503,346CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,278,810CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,081,149CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,899,937CurrentTaxYearMinus1YearAmt
Current Tax Year$9,092,311CurrentTaxYearAmt
Total$45,855,553TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$45,855,553PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,339CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,330CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$774CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$266CurrentTaxYearMinus1YearAmt
Current Tax Year$38CurrentTaxYearAmt
Total$5,747TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$3,339CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,330CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$774CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$266CurrentTaxYearMinus1YearAmt
Current Tax Year$38CurrentTaxYearAmt
Total$5,747TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year$29,420CurrentTaxYearAmt
Total$29,420TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$9,506,685CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$9,280,140CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$9,081,923CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$8,900,203CurrentTaxYearMinus1YearAmt
Current Tax Year$9,121,769CurrentTaxYearAmt
Total$45,890,720TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99920PublicSupportCY509Pct
Public Support PY5090.99980PublicSupportPY509Pct
Investment Income CY0.00010InvestmentIncomeCYPct
Investment Income PY0.00020InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,755BeginningYearBalanceAmt
Contributions$12,835ContributionsAmt
Other Expenditures$5,999OtherExpendituresAmt
End Year Balance$12,591EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,576BeginningYearBalanceAmt
Contributions$5,755ContributionsAmt
Other Expenditures$13,576OtherExpendituresAmt
End Year Balance$5,755EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$21,221BeginningYearBalanceAmt
Other Expenditures$7,645OtherExpendituresAmt
End Year Balance$13,576EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$48,209BeginningYearBalanceAmt
Other Expenditures$25,988OtherExpendituresAmt
End Year Balance$22,221EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$23,553BeginningYearBalanceAmt
Contributions$24,656ContributionsAmt
End Year Balance$48,209EndYearBalanceAmt
FieldValueIRS element (for citing)
Term Endowment Balance EOY1.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$446,015OtherCostOrOtherBasisAmt
Book Value$446,015BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,111,381OtherCostOrOtherBasisAmt
Depreciation$4,677,611DepreciationAmt
Book Value$433,770BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,128,663OtherCostOrOtherBasisAmt
Depreciation$784,188DepreciationAmt
Book Value$344,475BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$388,429OtherCostOrOtherBasisAmt
Depreciation$44,418DepreciationAmt
Book Value$344,011BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,568,271TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
Tenant Security Deposit$15,838
Professional loss reserves$74,687
FieldValueIRS element (for citing)
Total Liability$90,525TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationCovenant 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, 2016. Under Internal Revenue Service regulations, the System's tax years from 2013 through 2016 are open and subject to examination.ExplanationTxt

Schedule J IRS990ScheduleJ

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

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationEVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF COVENANT HEALTH'S 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 MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPROTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6COVENANT HEALTH iS THE SOLE MEMBER OF THE ORGANIZATION OF THE BOARD. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER BOARD DECISIONS AND BOARD COMPOSITION.
Form 990, Part VI, Section A, line 7aCOVENANT HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION.
Form 990, Part VI, Section A, line 7bCOVENANT HEALTH IS THE SOLE MEMBERS OF THE ORGANIZATION. AS SUCH IT RETAINS CERATIN RESERVE RIGHTS OVER BOARD DECISIONS AND BOARD COMPOSITION.
Form 990, Part VI, Section B, line 11bTHE FORM 990 IS PROVIDED TO AND REVIEWED WITH THE BOARD PRIOR TO FILING
Form 990, Part VI, Section B, line 12cTHE ORGANIZATION HAS A FULL-TIME OPERATIONAL INTEGRITY OFFICER THAT MONITORS ALL AREAS FOR POTENTIAL CONFLICTS OF INTEREST.
Form 990, Part VI, Section B, line 15EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMPENSATION COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE.
Form 990, Part VI, Section C, line 19THE FORM 990 AND GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
Form 990, Part XI, line 9:Transfer Among Affiliates 750000. Additions to Temporarily Restricted Net Assets 6837.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Covenant Health IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 Ames Pond Ste 102AddressLine1Txt
CityTewksburyCityNm
State AbbreviationMAStateAbbreviationCd
ZIP01876ZIPCd
FieldValueIRS element (for citing)
EIN222484505EIN
Primary ActivitiesHEALTH CARE MANAGEMENT AND RESOURCE ORGANIZATIONPrimaryActivitiesTxt
Legal Domicile StateMALegalDomicileStateCd
Exempt Code Section501 (C)ExemptCodeSectionTxt
Public Charity StatusLine 10PublicCharityStatusTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd