MOUNT ST RITA HEALTH CENTRE: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT ST RITA HEALTH CENTRE (EIN 05-0342330)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-09-22
- IRS object ID
- 201612669349300801
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-09-22T10:13:57-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 ELM STREET SUITE 302 | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050342330 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT ST RITA HEALTH CENTRE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 4013336352 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 SUMNER BROWN ROAD | AddressLine1Txt |
| City | CUMBERLAND | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02864 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN AHLE | PersonNm |
| Person Title | SYSTEM TREASURER | PersonTitleTxt |
| Phone | 4013336352 | PhoneNum |
| Signature | 2016-09-21 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | E DREW CHENEY | PreparerPersonNm |
| PTIN | P00182972 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2016-09-21 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN AHLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 SUMNER BROWN ROAD | AddressLine1Txt |
| City | CUMBERLAND | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02864 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $8,946,184 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | MOUNTSTRITA.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1990 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | MOUNT 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 Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 172 | TotalEmployeeCnt |
| Total Volunteers | 60 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $156,334 | PYContributionsGrantsAmt |
| CY Contributions Grants | $106,521 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $8,830,362 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $8,803,720 | CYProgramServiceRevenueAmt |
| PY Investment Income | $774 | PYInvestmentIncomeAmt |
| CY Investment Income | $266 | CYInvestmentIncomeAmt |
| PY Other Revenue | $94,453 | PYOtherRevenueAmt |
| CY Other Revenue | $21,827 | CYOtherRevenueAmt |
| PY Total Revenue | $9,081,923 | PYTotalRevenueAmt |
| CY Total Revenue | $8,932,334 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $5,890,942 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $5,477,480 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $4,005,987 | PYOtherExpensesAmt |
| CY Other Expenses | $4,071,496 | CYOtherExpensesAmt |
| PY Total Expenses | $9,896,929 | PYTotalExpensesAmt |
| CY Total Expenses | $9,548,976 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$815,006 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$616,642 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,590,413 | TotalAssetsBOYAmt |
| Total Assets EOY | $2,616,289 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $3,619,219 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,057,167 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | -$1,028,806 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,559,122 | NetAssetsOrFundBalancesEOYAmt |
| Mission | MOUNT 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $9,215,029 | ExpenseAmt |
| Revenue | $8,803,884 | RevenueAmt |
| Desc | MOUNT SAINT RITA HEALTH CENTRE PROVIDED 32,469 DAYS OF SKILLED NURSING SERVICES DURING 2015 OF WHICH 22,224 WERE TO MEDICAID RECIPIENTS. | Desc |
| Total Program Service Expenses | $9,215,029 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | 0 | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln 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 | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 11 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 172 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | Yes (1) | 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 | RI | 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 | JOHN AHLE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4013336352 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 15 SUMNER BROWN ROAD | AddressLine1Txt |
| City | CUMBERLAND | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02864 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (13 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|
| KENNETH ARNOLD | ||||||
| CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| SR ANNE MARIE COLEMAN RSM | ||||||
| PAST SECRETARY THRU JUNE 2015 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| STEPHAINE IGOE | ||||||
| ADMINISTRATOR, EX-OFFICIO | 40.00 | Yes (X) | Yes (X) | $84,125 | $0 | $23,439 |
| SAMUEL AZZA | ||||||
| PAST TRUSTEE THRU JUNE 2015 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| JOSEPH MALLEY | ||||||
| SECRETARY | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SR ROSE ANGELA MCLELLAN RSM | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| SR MARIANNA SYLVESTER RSM | ||||||
| PAST TRUSTEE THRU JUNE 2015 | 2.00 | Yes (X) | $0 | $0 | $0 | |
| THOMAS WALLACE | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PATRICIA VIERA APR | ||||||
| VICE CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | |
| BRENDA PICARD | ||||||
| PAST LIASON, EX-OFFICIO THRU JUNE 15 | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 |
| MARY COSTELLO | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| PETER KEENAN | ||||||
| TREASURER | 2.00 | Yes (X) | $0 | $0 | $0 | |
| DEBORAH SERVELLO | ||||||
| TRUSTEE | 2.00 | Yes (X) | $0 | $0 | $0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $84,125 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $23,439 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | 0 | 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 |
|---|---|---|---|---|---|
| HEALTHCARE SERVICE GROUP | |||||
| 3220 TILLMAN DRIVE SUITE 300 | BENSALEM | PA | 19020 | LAUNDRY AND HOUSEKEEPING | $392,011 |
| COVENANT HEALTH | |||||
| 100 AMES POND DRIVE | TEWKSBURY | MA | 01876 | MANAGEMENT | $367,852 |
| CARELINK | |||||
| 225 CHAPMAN ST BOX 7 | PROVIDENCE | RI | 02905 | REHAB SERVICES | $307,722 |
| REHAB CARE GROUP INC | |||||
| PO BOX 503534 | ST LOUIS | MO | 63150 | REHAB SERVICES | $224,054 |
| LGC&D | |||||
| 10 WEYBOSSET ST SUITE 700 | PROVIDENCE | RI | 02903 | AUDIT/ACCOUNTING | $131,104 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $106,521 | AllOtherContributionsAmt |
| Total Contributions | $106,521 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT SERVICE REVENU | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $8,803,720 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,803,720 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $8,803,720 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $266 | TotalRevenueColumnAmt |
| Exclusion | $266 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $35,513 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $13,850 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,663 | TotalRevenueColumnAmt |
| Exclusion | $21,663 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | VENDING MACHINE INCOME | Desc |
| Business | 623000 | BusinessCd |
| Total Revenue Column | $164 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $164 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $164 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,932,334 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $8,803,884 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $21,929 | 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 | $98,975 | TotalAmt |
| Program Services | $98,975 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,127,359 | TotalAmt |
| Program Services | $4,127,359 | ProgramServicesAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,518 | TotalAmt |
| Program Services | $133,518 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $820,123 | TotalAmt |
| Program Services | $820,123 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $297,505 | TotalAmt |
| Program Services | $297,505 | ProgramServicesAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $127,500 | TotalAmt |
| Management And General | $127,500 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,871 | TotalAmt |
| Management And General | $13,871 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,408 | TotalAmt |
| Management And General | $181,408 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,486,876 | TotalAmt |
| Program Services | $1,486,876 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,582 | TotalAmt |
| Program Services | $16,582 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,009 | TotalAmt |
| Program Services | $54,009 | ProgramServicesAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,474 | TotalAmt |
| Program Services | $74,474 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,394 | TotalAmt |
| Program Services | $4,394 | ProgramServicesAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,101 | TotalAmt |
| Program Services | $8,101 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,114 | TotalAmt |
| Program Services | $3,114 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $319,676 | TotalAmt |
| Program Services | $319,676 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $310,400 | TotalAmt |
| Program Services | $310,400 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| SUPPLIES | $832,937 | $832,937 | |
| PROVIDER TAX | $433,495 | $433,495 | |
| UTILITIES | $193,491 | $193,491 | |
| MISCELLANEOUS | $11,168 | $11,168 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,548,976 | TotalAmt |
| Program Services | $9,215,029 | ProgramServicesAmt |
| Management And General | $333,947 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $155,341 | BOYAmt |
| EOY | $394,880 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $294,838 | BOYAmt |
| EOY | $22,058 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $748,309 | BOYAmt |
| EOY | $939,057 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,464 | BOYAmt |
| EOY | $18,257 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $6,426,933 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,195,586 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,380,461 | BOYAmt |
| EOY | $1,231,347 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $10,690 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,590,413 | BOYAmt |
| EOY | $2,616,289 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $633,485 | BOYAmt |
| EOY | $854,417 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,985,734 | BOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $150,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $52,750 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,619,219 | BOYAmt |
| EOY | $1,057,167 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,042,382 | BOYAmt |
| EOY | $1,553,367 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,576 | BOYAmt |
| EOY | $5,755 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -$1,028,806 | BOYAmt |
| EOY | $1,559,122 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,590,413 | BOYAmt |
| EOY | $2,616,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$616,642 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $3,204,570 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $160,933 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $196,086 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $192,174 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $156,334 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $106,521 | CurrentTaxYearAmt |
| Total | $812,048 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,784,009 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,307,260 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,086,636 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $8,924,815 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,825,547 | CurrentTaxYearAmt |
| Total | $44,928,267 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,944,942 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,503,346 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,278,810 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,081,149 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,932,068 | CurrentTaxYearAmt |
| Total | $45,740,315 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $45,740,315 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,510 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,339 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,330 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $774 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $266 | CurrentTaxYearAmt |
| Total | $10,219 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,510 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,339 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,330 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $774 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $266 | CurrentTaxYearAmt |
| Total | $10,219 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,949,452 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,506,685 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $9,280,140 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $9,081,923 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,932,334 | CurrentTaxYearAmt |
| Total | $45,750,534 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99980 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99970 | PublicSupportPY509Pct |
| Investment Income CY | 0.00020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00030 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 9: | FormAndLineReferenceDesc |
| Explanation | THE ORGANIZATION'S REASON FOR PUBLIC CHARITY STATUS IN PART I IS CHANGED FROM NUMBER 1 TO NUMBER 9 IN ORDER TO MORE ACCURATELY REFLECT THE NATURE OF THE ORGANIZATION'S ACTIVITIES. | ExplanationTxt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,576 | BeginningYearBalanceAmt |
| Contributions | $5,755 | ContributionsAmt |
| Other Expenditures | $13,576 | OtherExpendituresAmt |
| End Year Balance | $5,755 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $21,221 | BeginningYearBalanceAmt |
| Other Expenditures | $7,645 | OtherExpendituresAmt |
| End Year Balance | $13,576 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $48,209 | BeginningYearBalanceAmt |
| Other Expenditures | $25,988 | OtherExpendituresAmt |
| End Year Balance | $22,221 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $23,553 | BeginningYearBalanceAmt |
| Contributions | $24,656 | ContributionsAmt |
| End Year Balance | $48,209 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $20,429 | BeginningYearBalanceAmt |
| Contributions | $3,124 | ContributionsAmt |
| End Year Balance | $23,553 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $446,015 | OtherCostOrOtherBasisAmt |
| Book Value | $446,015 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,987,474 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,459,748 | DepreciationAmt |
| Book Value | $527,726 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $785,567 | OtherCostOrOtherBasisAmt |
| Depreciation | $699,237 | DepreciationAmt |
| Book Value | $86,330 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $207,877 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,601 | DepreciationAmt |
| Book Value | $171,276 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,231,347 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| TENANT SECURITY DEPOSIT | $5,062 |
| PROFESSIONAL LOSS RESERVES | $47,688 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $52,750 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | COVENANT AND ITS MEMBER ORGANIZATIONS ARE CONSIDERED NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT AS NOTED BELOW. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD, ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE SYSTEM HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2015. UNDER INTERNAL REVENUE SERVICE REGULATIONS, THE SYSTEM'S TAX YEARS FROM 2012 THROUGH 2015 ARE OPEN AND SUBJECT TO EXAMINATION. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | ANNUAL FUNDRAISING DINNER | Event1Nm |
| Gross Receipts Event1 | $35,513 | GrossReceiptsEvent1Amt |
| Gross Revenue Event1 | $35,513 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $1,487 | CashPrizesEvent1Amt |
| Food And Beverage Event1 | $6,982 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $5,381 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $35,513 | GrossReceiptsTotalAmt |
| Gross Revenue Total Events | $35,513 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $1,487 | CashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $6,982 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $5,381 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $13,850 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $21,663 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| 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 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | EVERY 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. |
| PART I, LINE 4 | THE RELATED ORGANIZATION, COVENANT HEALTH, MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM FOR CERTAIN EXECUTIVES UNDER WHICH THE ORGANIZATION MAKES A CONTRIBUTION TO A GRANTOR TRUST FOR THE BENEFIT OF THE EXECUTIVE THAT IS INTENDED TO PROVIDE A SPECIFIED LEVEL OF RETIREMENT BENEFITS AT RETIREMENT AGE COMMENSURATE WITH RETIREMENT BENEFITS PROVIDED TO EXECUTIVES IN COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS. AMOUNTS CONTRIBUTED TO THE GRANTOR TRUST ARE HELD FOR THE BENEFIT OF THE EXECUTIVE UNTIL HE OR SHE REACHES AGE 60, AT WHICH TIME THEY ARE RELEASED TO THE EXECUTIVE. THE FULL AMOUNT PAID INTO THE GRANTOR TRUST IS TAXABLE TO THE EXECUTIVE WHEN SO PAID, AND IS INCLUDED IN THE EXECUTIVE'S REPORTED COMPENSATION. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 4 | ON JANUARY 23, 2015, THE ORGANIZATION AMENDED THE CORPORATE ARTICLES AS FOLLOWS- THE THIRD ARTICLE WAS DELETED IN ITS ENTIRETY AND REPLACED WITH THE FOLLOWING: THIRD: THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE: (A) TO EMBODY THE MISSION OF THE HEALING MINISTRY OF JESUS IN THE ROMAN CATHOLIC CHURCH THROUGH THE CORPORATION'S PARTICIPATION IN THE ROMAN CATHOLIC HEALTH CARE SYSTEM (THE "SYSTEM") SPONSORED BY COVENANT HEALTH SYSTEMS, A PUBLIC JURIDIC PERSON OF PONTIFICAL RIGHT UNDER THE LAWS OF THE ROMAN CATHOLIC CHURCH; TO FUNCTION AS AN INTEGRAL PART OF THE SYSTEM, AND IN CONNECTION THEREWITH TO ENGAGE IN THE DELIVERY, AND ACTIVITIES THAT FURTHER OR ARE RELATED TO OR ASSOCIATED WITH THE DELIVERY, OF HEALTH AND HUMAN SERVICES, EITHER DIRECTLY THROUGH FACILITIES OR PROGRAMS OWNED OR CONTROLLED BY THE CORPORATION ORINDIRECTLY BY ASSISTING AND SUPPORTING (FINANCIALLY AND OTHERWISE) COVENANT HEALTH, INC. (FORMERLY KNOWN AS COVENANT HEALTH SYSTEMS, INC.), A MASSACHUSETTS NON-PROFIT CORPORATION, AND OTHER ORGANIZATIONS WITHIN OR AFFILIATED OR ASSOCIATED WITH THE SYSTEM; TO OPERATE IN A MANNER CONSISTENT WITH THE TEACHINGS AND LAW OF THE ROMAN CATHOLIC CHURCH; AND TO RECOGNIZE AND EMBRACE THE SPIRIT AND TRADITIONS OF COVENANT HEALTH SYSTEMS, AS THE CURRENT SPONSOR OF THE CORPORATION, AND THE SISTERS OF MERCY OF THE AMERICAS, NORTHEAST COMMUNITY, AS THE ORIGINAL SPONSOR OF THE CORPORATION. (B) TO ESTABLISH, OPERATE AND MAINTAIN A SKILLED NURSING FACILITY IN CUMBERLAND, RHODE ISLAND IN A MANNER CONSISTENT WITH THE TEACHINGS OF THE ROMAN CATHOLIC CHURCH, TO PROVIDE MEDICAL, NURSING, REHABILITATION,EDUCATIONAL AND SOCIAL SERVICES AS MAY BE CONSISTENT WITH THE OPERATION OF A SKILLED NURSING FACILITY, AND TO CONDUCT ANY AND ALL ACTIVITIES RELATED THERETO. (C) TO ADVANCE THE KNOWLEDGE AND PRACTICE OF MEDICINE AND NURSING, INCLUDING THE PROVISION OF LONG TERM CARE AND GERIATRIC SERVICES, THROUGH RESEARCH AND EDUCATION RELATING TO CARE, TREATMENT AND HEALING. (D) TO PARTICIPATE, AS FAR AS CIRCUMSTANCES MAY WARRANT, IN ANY ACTIVITY DESIGNED AND ESTABLISHED TO PROMOTE THE GENERAL HEATH, REHABILITATION AND SOCIAL NEEDS OF THE COMMUNITY. (E) TO RECEIVE BY GIFTS, DEVISES, BEQUESTS, OR OTHERWISE, ANY KIND OF PROPERTY, ABSOLUTELY OR IN TRUST, THE PRINCIPAL OR INCOME OF THE SAME TO BE USED FOR THE FURTHERANCE OF ANY OF THE PURPOSES DESIGNATED HEREIN. (F) TO ENGAGE GENERALLY IN ANY ACTIVITY IN FURTHERANCE OF THE CORPORATION'S RELIGIOUS, CHARITABLE, EDUCATIONAL AND SCIENTIFIC PURPOSES THAT MAY LAWFULLY BE CARRIED ON BY A CORPORATION FORMED UNDER THE RHODE ISLAND NONPROFIT CORPORATION ACT, AS AMENDED OR SUPPLEMENTED FROM TIME TO TIME, TO THE EXTENT THAT SUCH ACTIVITY IS CONSISTENT WITH SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE FOURTH ARTICLE WAS DELETED IN ITS ENTIRETY AND REPLACED WITH THE FOLLOWING: FOURTH: PROVISIONS (IF ANY) FOR THE REGULATION OF THE INTERNAL AFFAIRS OF THE CORPORATION, INCLUDING PROVISIONS FOR THE DISTRIBUTION OF ASSETS ON DISSOLUTION OR FINAL LIQUIDATION, ARE: (A) THE SOLE MEMBER OF THE CORPORATION SHALL BE COVENANT HEALTH, INC. (FORMERLY KNOWN AS COVENANT HEALTH SYSTEMS, INC.), A MASSACHUSETTS NON-PROFIT CORPORATION, AND THE RIGHTS OF THE MEMBER, INCLUDING VOTING RIGHTS, SHALL BE AS STATED IN THE BYLAWS OF THE CORPORATION. (B) THE CORPORATION IS ORGANIZED EXCLUSIVELY FOR CHARITABLE, EDUCATIONAL, RELIGIOUS AND SCIENTIFIC PURPOSES WITHIN THE MEANING OF SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED (OR CORRESPONDING SECTION OF ANY FUTURE FEDERAL TAX CODE) (THE "CODE"), INCLUDING, FOR SUCH PURPOSES, THE MAKING OF DISTRIBUTIONS TO ORGANIZATIONS THAT QUALIFY AS EXEMPT ORGANIZATIONS UNDER SECTION 501 (C)(3) OF THE CODE. (C) NO PART OF THE ASSETS OF THE CORPORATION AND NO PART OF ANY NET EARNINGS OF THE CORPORATION SHALL BE DIVIDED AMONG OR INURE TO THE BENEFIT OF ANY OFFICER, DIRECTOR OR TRUSTEE OF THE CORPORATION OR ANY PRIVATE INDIVIDUAL OR BE APPROPRIATED FOR ANY PURPOSES OTHER THAN THE PURPOSES OF THE CORPORATION AS HEREIN SET FORTH; PROVIDED, HOWEVER, THAT REASONABLE COMPENSATION MAY BE PAID FOR SERVICES RENDERED TO OR FOR THE CORPORATION AFFECTING ONE OR MORE OF ITS PURPOSES. NO SUBSTANTIAL PART OF THE ACTIVITIES OF THE CORPORATION SHALL BE THE CARRYING ON OF PROPAGANDA, OR OTHERWISE ATTEMPTING TO INFLUENCE LEGISLATION, EXCEPT TO THE EXTENT THAT THE CORPORATION MAKES EXPENDITURES FOR PURPOSES OF INFLUENCING LEGISLATION IN CONFORMITY WITH THE REQUIREMENTS OF SECTION 501(H) OF THE CODE, AND THE CORPORATION SHALL NOT PARTICIPATE IN, OR INTERVENE IN (INCLUDING THE PUBLISHING OR DISTRIBUTING OF STATEMENTS), ANY POLITICAL CAMPAIGN ON BEHALF OF ANY CANDIDATE FOR PUBLIC OFFICE. IT IS INTENDED THAT THE CORPORATION SHALL BE ENTITLED TO EXEMPTION FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE AND SHALL NOT BE A PRIVATE FOUNDATION UNDER SECTION 509(A) OF THE CODE. (D) IN THE EVENT OF DISSOLUTION OF THE CORPORATION, THE BOARD OF TRUSTEES, AFTER PAYING OR MAKING PROVISION FOR THE PAYMENT OF ALL THE LIABILITIES OF THE CORPORATION, AND AFTER THE PLAN OF DISSOLUTION HAS BEEN APPROVED IN ACCORDANCE WITH RHODE ISLAND LAW, SHALL DISTRIBUTE ALL OF THE ASSET OF THE CORPORATION TO THE SOLE MEMBER OF THE CORPORATION, COVENANT HEALTH, INC., PROVIDED IT IS THEN EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE, AND IF IT IS NOT THEN EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501(C) (3) OF THE INTERNAL REVENUE CODE, THEN TO SUCH ORGANIZATION OR ORGANIZATIONS THAT ARE EXEMPT FROM FEDERAL TAXATION UNDER SECTION 501 (C)(3) OF THE INTERNAL REVENUE CODE AS THE SOLE MEMBER OF THE CORPORATION SHALL DETERMINE. (E) NOTWITHSTANDING ANY OTHER PROVISION OF THESE ARTICLES, THE CORPORATION SHALL NOT CARRY ON ANY OTHER ACTIVITIES NOT PERMITTED TO BE CARRIED ON (A) BY A CORPORATION EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE CODE; OR (B) BY A CORPORATION, CONTRIBUTIONS TO WHICH ARE DEDUCTIBLE UNDER SECTION 170(C)(2), 2055(A)(2) OR 2522(A)(2) OF THE CODE. (F) NO DIRECTOR OR TRUSTEE OF THE CORPORATION SHALL BE PERSONALLY LIABLE TO THE CORPORATION FOR MONETARY DAMAGES FOR BREACH OF THE DIRECTOR'S OR TRUSTEE'S DUTY AS A DIRECTOR OR TRUSTEE NOTWITHSTANDING ANY PROVISION OF LAW IMPOSING SUCH LIABILITY; PROVIDED, HOWEVER, THAT THIS ARTICLE SHALL NOT ELIMINATE OR LIMIT THE LIABILITY OF A DIRECTOR OR TRUSTEE (I) FOR ANY BREACH OF THE DIRECTOR'S OR TRUSTEE'S DUTY OF LOYALTY TO THE CORPORATION OR ITS MEMBER, (II) FOR ACTS OR OMISSIONS NOT IN GOOD FAITH OR WHICH INVOLVE INTENTIONAL MISCONDUCT OR A KNOWING VIOLATION OF LAW, OR (III) FOR ANY TRANSACTION FROM WHICH THE DIRECTOR OR TRUSTEE DERIVED AN IMPROPER PERSONAL BENEFIT. |
| FORM 990, PART VI, SECTION A, LINE 6 | COVENANT HEALTH, INC. 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 7A | COVENANT HEALTH, INC. 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 7B | COVENANT HEALTH, INC. IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER BOARD DECISIONS AND BOARD COMPOSITION. |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 IS PROVIDED TO AND REVIEWED WITH THE BOARD PRIOR TO FILING |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A FULL-TIME OPERATIONAL INTEGRITY OFFICER THAT MONITORS ALL AREAS FOR POTENTIAL CONFLICTS OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMPENSATION COMMITTEE HAS ENGAGED 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 19 | THE 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 IX, LINE 11G | THERAPY: PROGRAM SERVICE EXPENSES 553,638. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 553,638. OTHER CONTRACT AND PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 933,238. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 933,238. |
| FORM 990, PART XI, LINE 9: | CHANGE OF OWNERSHIP 1,028,806. INITIAL EQUITY CONTRIBUTION 700,000. TRANSFER AMONG AFFILIATES 300,000. GAIN ON ACQUISITION 1,170,009. ADDITIONS TO TEMPORARILY RESTRICTED NET ASSETS 5,755. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HEALTH INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AMES POND STE 102 | AddressLine1Txt |
| City | TEWKSBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222484505 | EIN |
| Primary Activities | HEALTH CARE MANAGEMENT AND RESOURCE ORGANIZATION | PrimaryActivitiesTxt |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Exempt Code Section | 501 (C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 9 | PublicCharityStatusTxt |
| 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |