2011-07-13T09:26:14-05:00 2010-12-31 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2010-01-01 043419625 CHS OF WORCESTER INC CHSO 9786546363 100 AMES POND RD SUITE 102 TEWKSBURY MA 01876 THOMAS LUCAS 9786546363 2011-06-30 Michael A Barbarita 6036228881 2010 2016-02-24 21:20:13Z ST MARY HEALTH CARE CENTER THOMAS LUCAS 100 AMES POND ROAD SUITE 102 TEWKSBURY MA 01876 8289130 0 0928 X COVENANTHS.ORG X 1998 MA ST. MARY HEALTH CARE CENTER, A CATHOLIC REHABILITATION AND SKILLED NURSING FACILITY, WAS ESTABLISHED AS A CONTINUING EXPRESSION OF THE VISION OF ST. MARGUERITE d'YOUVILLE, FOUNDRESS OF THE SISTERS OF CHARITY OF MONTREAL, THE "GREY NUNS". IN THE SPIRIT OF MARGUERITE, WHOSE LEGACY WE SHARE, WE SEEK TO "BRING THE MIRACLE OF LOVE TO ALL" THROUGH COMPASSIONATE CARE.ST. MARY HEALTH CARE DESIRES, IN PARTNERSHIP WITH OTHERS COMMITTED TO PROVIDING HOLISTIC AND INCLUSIVE CARE FOR ALL, TO DEVELOP INNOVATIVE AND CREATIVE MEANS TO ENHANCE THE PHYSICAL, EMOTIONAL AND SOCIAL AND SPIRITUAL WELL-BEING OF THOSE WE SERVE. 7 5 199 0 0 0 1370 6815 8810020 8273670 6207 3899 3601 4746 8821198 8289130 0 0 0 0 5552030 5608987 0 0 0 3322080 2809530 8874110 8418517 -52912 -129387 4488428 4255609 799975 696544 3688453 3559065 THE ORGANIZATION PROVIDED 38,043 DAYS OF SKILLED NURSING CARE TO ELDERLY PATIENTS FROM ALL ECONOMIC, ETHNIC AND RELIGIOUS BACKGROUNDS. 0 0 8287373 8273670 THE ORGANIZATION PROVIDED 38,043 DAYS OF SKILLED NURSING CARE TO ELDERLY PATIENTS FROM ALL ECONOMIC, ETHNIC AND RELIGIOUS BACKGROUNDS. 32,703 DAYS WERE MEDICAID DAYS 8287373 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 12 0 1 199 1 0 0 0 0 0 0 0 0 0 0 0 X 7 5 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 MA X X THOMAS LUCAS 9786546363 100 AMES POND ROAD SUITE 102 TEWKSBURY MA 01876 THOMAS LUCAS 1.00 X X 0 247487 40179 FRANCES MCPARTLAND 1.00 X 0 0 0 KENNETH FERRON 1.00 X 0 299240 96315 RICHARD FREIJE 1.00 X 0 0 0 DIANNE BRUCE 3.00 X X 0 0 0 SUSAN MAEDLER 1.00 X 0 0 0 STEVEN DIORIO 1.00 X X 0 0 0 MICHAEL ISABELLA 1.00 X 58606 0 0 SHANNON CORO 1.00 X 38340 0 0 0 546727 136494 0 0 1 0 NEW ENGLAND HSKPG & MAINT 1565 MAIN ST BLDG 2 SUITE 201 TEWKSBURY MA 01876 LAUNDRY/HOUSEKEEPING 308712 1 6815 6815 DIRECT PATIENT CARE 623000 8273670 8273670 8273670 3599 3599 300 300 300 300 VENDING & OTHER 623000 4746 4746 4746 8289130 8273670 0 8645 96946 96946 4571371 4571371 10400 10400 588901 588901 341369 341369 103728 103728 6832 6832 20584 20584 584837 584837 21143 21143 58318 58318 45795 45795 204411 204411 8488 8488 3795 3795 223104 223104 92361 92361 PROVIDER TAX 691281 691281 PATIENT SUPPLIES 568839 568839 BAD DEBTS 98890 98890 BUILDING SUPPLIES 77124 77124 8418517 8287373 131144 0 530833 323010 504578 402044 528599 589004 43279 32288 5028535 2156961 2834539 2871574 46600 37689 4488428 4255609 710406 605637 89569 90907 799975 696544 X 3688453 3559065 3688453 3559065 4488428 4255609 -129387 X 0 1 1 X 0 X 1516 6028 4391 6815 18750 7366668 7961853 8875655 8821198 8278715 41304089 7366668 7963369 8881683 8825589 8285530 41322839 0 0 0 41322839 10341 86 234 6207 3599 20467 10341 86 234 6207 3599 20467 7377009 7963455 8881917 8831796 8289129 41343306 0.99950 0.99960 0.00050 0.00040 X 55000 55000 1576935 499031 1077904 2011527 900234 1111293 993281 689702 303579 391792 67994 323798 2871574 LIABILITY INSURANCE LOSS RESERVE 53218 RESIDENT FUNDS 37689 90907 8289130 8418517 -129387 0 -129387 8289130 0 8289130 0 8289130 8418517 0 8418517 0 8418517 X X X X 0 0 0 0 0 0 0 0 0 THOMAS LUCAS 0 213236 0 0 0 34251 0 10739 0 29440 0 287666 0 0 KENNETH FERRON 0 266282 0 0 0 32958 0 71189 0 25126 0 395555 0 0 Form 990, Part VI, Section A, line 6 COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS CONCERNING CORPORATE DECISIONS AND BOARD COMPOSITION. Form 990, Part VI, Section A, line 7a COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD DECISIONS. Form 990, Part VI, Section A, line 7b COVENANT HEALTH SYSTEMS IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITIONS. Form 990, Part VI, Section B, line 11 THE FORM 990 IS PROVIDED TO THE BOARD FOR REVIEW PRIOR TO ITS BEING FILED Form 990, Part VI, Section B, line 12c THE ORGANIZATION REQUIRES ANNUAL CONFLICT OF STATEMENTS TO BE SIGNED BY BOARD MEMBERS AND KEY EMPLOYEES REMINDING THEM OF THE DUTIES AND OBLIGATIONS TO REPORT REAL OR POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Section B, line 15 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH SYSTEM'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 ANUUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. Form 990, Part VI, Section C, line 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, FINANCIAL STATEMENTS AND THE FORM 990 TO THE PUBLIC UPON REQUEST. THE FORM 990 IS ALSO POSTED ON COVENANT HEALTH SYSTEMS' WEBSITE. COVENANT HEALTH SYSTEMS 100 AMES POND RD SUITE 102 TEWKSBURY MA 01876 222484505 HEALTHCARE MANAGEMENT AND RESOURCE ORGANIZATION MA 501(C)(3) 509 (A)(2) 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 COVENANT HEALTH SYSTEMS L 103728 CASH