2016-08-09T11:54:03-05:00 2015-12-31 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2015-01-01 010342399 ST ANDRE HEALTH CARE FACILITY STAN 2072825171 407 POOL STREET BIDDEFORD ME 04005 STEPHEN ALAIMO CEO ADMINISTRATOR 2072825171 2016-08-01 E DREW CHENEY P00182972 8002447444 2016-08-01 2015 2016-12-15 16:53:06Z STEPHEN ALAIMO 407 POOL STREET BIDDEFORD ME 04005 8212247 0 X STANDRE.ORG X 1946 ME ST. ANDRE HEALTH CARE FACILITY ANSWERS GOD'S CALL TO PROMOTE A HIGH QUALITY, COMPASSIONATE HEALTH CARE COMMUNITY WHERE ALL PEOPLE FLOURISH. 7 6 225 0 0 0 14500 11994 7341757 7877951 15666 -15216 5927 9277 7377850 7884006 0 0 0 0 4588764 4942884 0 0 0 3101440 3086295 7690204 8029179 -312354 -145173 5098288 4086757 2116509 1243111 2981779 2843646 ST ANDRE HEALTH CARE FACILITY ANSWERS GOD'S CALL TO PROMOTE A HIGH QUALITY,COMPASSIONATE HEALTH CARE COMMUNITY WHERE ALL PEOPLE FLOURISH. 0 0 7907008 7887228 ST ANDRE HEALTH CARE FACILITY PROVIDED 29,572 SKILLED NURSING CARE DAYS OF SERVICE OF WHICH 18,747 DAYS WERE REIMBURSED BY MEDICAID AT WELL BELOW COST. 7907008 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 17 0 1 225 1 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X X STEPHEN ALAIMO 2072825171 407 POOL STREET BIDDEFORD ME 04005 SR JOANNE ROY TRUSTEE 1.00 X 0 0 0 JOANNA SALAMONE SECRETARY 1.00 X X 0 0 0 MICHAEL MOREL TREASURER 1.00 X X 0 0 0 NANCY DRAPEAU FORMER CHAIR THRU JUNE 2015 1.00 X X 0 0 0 HELENE GIRARD KENNEDY FORMER VICE CHAIR THRU MAY 2015 1.00 X X 0 0 0 KAREN WAYCOTT TRUSTEE 1.00 X 0 0 0 VICTORIA THIEME TRUSTEE 1.00 X 0 0 0 JOHN KERRY CHAIR 1.00 X X 0 0 0 ANDREA OTIS-HIGGINS PRESIDENT/CEO THRU 5/13/15 40.00 X X 60882 0 728 STEPHEN ALAIMO PRESIDENT/CEO BEG 6/29/15 40.00 X X 55289 0 114 116171 0 842 0 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 PATIENT REHABILIATION SERVICES 499170 COVENANT HEALTH INC 100 AMES POND DRIVE TEWKSBURY MA 01876 MANAGEMENT SERVICES 222362 2 11994 11994 PATIENT SERVICE REVENU 623000 7877951 7877951 7877951 13025 13025 300000 328241 -28241 -28241 -28241 CAFETERIA SALES 623000 9277 9277 9277 7884006 7887228 0 -15216 116171 116171 4033606 4033606 5800 5800 484498 484498 302809 302809 81299 81299 18262 18262 40872 40872 173080 173080 198581 198581 8412 8412 40045 40045 330537 330537 63217 63217 PATIENT CARE PURCH SERV 954147 954147 MEDICAL & OTHER SUPPLIE 570992 570992 MEDICAID USER FEE 470558 470558 OTHER PATIENT CARE EXPE 136293 136293 8029179 7907008 122171 0 252505 64143 121558 131278 592340 620867 20814 12859 48136 67866 8000059 5468589 2803037 2531470 1159856 631943 100042 26331 5098288 4086757 1396718 843131 576667 351277 100000 0 43124 48703 2116509 1243111 X 2981779 2843646 2981779 2843646 5098288 4086757 -145173 7040 0 X 0 1 X 1 0 X 6481 8239 3451 14500 11994 44665 8010356 7924937 7622718 7347684 7887228 38792923 8016837 7933176 7626169 7362184 7899222 38837588 0 0 0 38837588 17286 28073 19086 15666 13025 93136 17286 28073 19086 15666 13025 93136 8034123 7961249 7645255 7377850 7912247 38930724 0.99760 0.99720 0.00240 0.00280 X 1268 1268 4333033 2672202 1660831 3658626 2796387 862239 7132 7132 2531470 RESIDENT PERSONAL FUNDS 26049 PROFESSIONAL LIABILITY LOSS RESERVES 22654 48703 X PART X, LINE 2: COVENANT AND ITS MEMBER ORGANIZATIONS ARE CONSIDERED NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND ARE EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE CODE, EXCEPT AS NOTED BELOW. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD, ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE SYSTEM HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2015. UNDER INTERNAL REVENUE SERVICE REGULATIONS, THE SYSTEM'S TAX YEARS FROM 2012 THROUGH 2015 ARE OPEN AND SUBJECT TO EXAMINATION. FORM 990, PART VI, SECTION A, LINE 6 COVENANT HEALTH, INC. IS THE SOLE MEMBER OF ST. ANDRE AND AS SUCH HAS CERTAIN RESERVED RIGHTS. FORM 990, PART VI, SECTION A, LINE 7A COVENANT HEALTH, INC. IS THE SOLE MEMBER OF ST ANDRE AND AS SUCH HAS CERTAIN RESERVED RIGHTS. FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS REVIEWED BY THE BOARD OF TRUSTEES PRIOR TO ITS BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ST ANDRE HEALTH CARE FACILITY HAS A FORMAL, WRITTEN ORGANIZATIONAL INTEGRITY POLICY ADMINISTERED BY A FULL-TIME ORGANIZATIONAL INTEGRITY OFFICER. FORM 990, PART VI, SECTION B, LINE 15 EVERY 2 TO 3 YEARS THE COMPENSATION COMMITTEE OF THE 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. OBJECTIVES ARE TO ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS OF THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. FORM 990, PART VI, SECTION C, LINE 19 ST ANDRE HEALTH CARE FACILITY MAKES ITS GOVERNING BODY DOCUMENTS AND POLICIES AVAILABLE TO INTERESTED PARTIES UPON REQUEST. COVENANT HEALTH INC 100 AMES POND DRIVE TEWKSBURY MA 01876 222484505 MANAGEMENT MA 501(C)3 9 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0