2014-08-28T09:28:14-05:00 2013-12-31 020383073 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2013-01-01 010342399 ST ANDRE HEALTH CARE FACILITY STAN 2072825171 407 POOL STREET BIDDEFORD ME 04005 ANDREA OTIS-HIGGINS CEO ADMINISTRATOR 2072825171 2014-08-18 1 WILLIAM G STEELE JR CPA P00233103 6036228881 2013 2015-11-30 17:44:51Z ANDREA OTIS-HIGGINS 407 POOL STREET BIDDEFORD ME 04005 7645255 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. 10 9 228 0 0 0 8239 3451 7916129 7614933 28073 19086 8808 7785 7961249 7645255 0 0 0 0 4651948 4630932 0 0 0 3369071 3236261 8021019 7867193 -59770 -221938 5182711 5090502 1829962 1818961 3352749 3271541 ST ANDRE HEALTH CARE FACILITY ANSWERS GOD'S CALL TO PROMOTE A HIGH QUALITY,COMPASSIONATE HEALTH CARE COMMUNITY WHERE ALL PEOPLE FLOURISH. 0 0 7737329 7622718 ST ANDRE HEALTH CARE FACILITY PROVIDED 30,845 SKILLED NURSING CARE DAYS OF SERVICE OF WHICH 22,182 DAYS WERE REIMBURSED BY MEDICAID AT WELL BELOW COST. 7737329 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 13 0 1 228 1 0 0 0 0 0 0 0 0 0 0 X 10 9 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X X ANDREA OTIS-HIGGINS 2072825171 407 POOL STREET BIDDEFORD ME 04005 SR JOANNE ROY TRUSTEE 1.00 X 0 0 0 ANDREA OTIS-HIGGINS PRESIDENT/EX-OFFICIO 40.00 X X 118662 0 1172 MARC MALON DC TRUSTEE 1.00 X 0 0 0 JOANNA SALAMONE TRUSTEE 1.00 X 0 0 0 MICHAEL MOREL TRUSTEE 1.00 X 0 0 0 MARILYN GUGLIUCCI TRUSTEE 1.00 X 0 0 0 ROLAND CRONKHITE JR SECRETARY 1.00 X X 0 0 0 NANCY DRAPEAU CHAIR 1.00 X X 0 0 0 HELENE GIRARD KENNEDY VICE CHAIR 1.00 X X 0 0 0 KENNETH FARLEY TREASURER THRU 11/2013 1.00 X X 0 0 0 118662 0 1172 1 0 0 0 REHABCARE GROUP INC PO BOX 503534 ST LOUIS MO 63150 PATIENT REHABILIATION SERVICES 541237 ANTHEM BLUE CROSS BLUE SHIELD PO BOX 591 LEWISTON ME 04243 HEALTH INSURANCE 466708 COVENANT HEALTH SYSTEMS INC 100 AMES POND DRIVE TEWKSBURY MA 01876 MANAGEMENT SERVICES 223958 OMNICARE INC PO BOX 715268 ST LOUIS MO 63150 PHARMACY 216527 US FOODSERVICE PO BOX 3155 BOSTON MA 02241 PATIENT FOOD 208785 9 3451 3451 PATIENT SERVICE REVENU 623000 7614933 7614933 7614933 19086 19086 CAFETERIA SALES 623000 7785 7785 7785 7645255 7622718 0 19086 118662 118662 3748449 3748449 8261 8261 474247 474247 281313 281313 93804 93804 94766 94766 36060 36060 154034 154034 223383 223383 8665 8665 52414 52414 324419 324419 43263 43263 PATIENT CARE PURCH SERV 1016306 1016306 MEDICAL & OTHER SUPPLIE 613069 613069 MEDICAID USER FEE 455594 455594 OTHER PATIENT CARE EXPE 120484 120484 7867193 7737329 129864 0 158205 30604 16123 24391 848788 588292 14427 6599 61409 52718 7688190 4811344 2720954 2876846 1322195 1473744 40610 37308 5182711 5090502 832428 931374 971408 778749 65000 26126 43838 1829962 1818961 X 3352749 3271541 3352749 3271541 5182711 5090502 -221938 140730 0 X 0 1 X 1 0 X 27499 16355 6481 8239 3451 62025 7903490 7789128 8010356 7924937 7622718 39250629 7930989 7805483 8016837 7933176 7626169 39312654 0 0 0 39312654 33103 30157 17286 28073 19086 127705 33103 30157 17286 28073 19086 127705 7964092 7835640 8034123 7961249 7645255 39440359 0.99680 0.99710 0.00320 0.00290 X 1268 1268 3869907 2261556 1608351 3575225 2549788 1025437 241790 241790 2876846 RESIDENT PERSONAL FUNDS 18980 PROFESSIONAL LIABILITY LOSS RESERVES 24858 43838 X PART X, LINE 2: INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING, "THE SYSTEM HAS EVALUATED THE POSITIONS TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2013." FORM 990, PART VI, SECTION A, LINE 6 COVENANT HEALTH SYSTEMS, 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 SYSTEMS, 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 IT'S BEING FILED. FORM 990, PART VI, SECTION B, LINE 12C ST ANDRE HELATH 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 SYSTEMS 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 IT'S GOVERNING BODY DOCUMENTS AND POLICIES AVAILABLE TO INTERESTED PARTIES UPON REQUEST. COVENANT HEALTH SYSTEMS INC 100 AMES POND DRIVE TEWKSBURY MA 01876 222484505 MANAGEMENT MA 501(C)3 509A2 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 COVENANT HEALTH SYSTEMS INC M 148004 ACTUAL COST COVENANT HEALTH SYSTEMS INC E 70270 ACTUAL COST