FURP.ORG / PUBLIC DATA EXPLORER

COVENANT HEALTH INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COVENANT HEALTH INC (EIN 22-2484505)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-07-21
IRS object ID
201112029349300916
Schema version
2010v3.2
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)
Timestamp2011-07-21T13:13:54-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1WILLIAM STEELE & ASSOCIATES PCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line140 STARK STREETAddressLine1
CityMANCHESTERCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN222484505EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COVENANT HEALTH SYSTEMS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCOVENameControl
Phone9786546363Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 AMES POND DRIVE NO 102AddressLine1
CityTEWKSBURYCity
StateMAState
ZIP Code01876ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN AHLEName
TitleCHIEF FINANCIAL OFFICERTitle
Phone9786546363Phone
Date Signed2011-06-30DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameMICHAEL A BARBARITAName
Phone6036228881Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeXAddressChange
Name Of Principal Officer PersonJOHN AHLENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1100 AMES POND DRIVE NO 102AddressLine1
CityTEWKSBURYCity
StateMAState
ZIP Code01876ZIPCode
FieldValueIRS element (for citing)
Gross Receipts8529156GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteCOVENANTHS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1983YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionCOVENANT HEALTH SYSTEMS IS A CATHOLIC HEALTH CARE SYSTEM SPONSORING HOSPITALS, NURSING HOMES, ASSISTED LIVING RESIDENCES AND OTHER HEALTH AND ELDER SERVICES THROUGHOUT NEW ENGLAND. WE ARE COMMITTED TO THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, AND STRIVE TO OFFER A CONTINUUM OF HIGH QUALITY CARE. PLEASE SEE OUR WEBSITE FOR THE 2010 COVENANT HEALTH SYSTEMS CORPORATE REPORT.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees30TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7000ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8003118ProgramServiceRevenuePriorYear
Program Service Revenue CY7484454ProgramServiceRevenueCY
Investment Income Prior Year968610InvestmentIncomePriorYear
Investment Income Current Year867201InvestmentIncomeCurrentYear
Other Revenue Prior Year46525OtherRevenuePriorYear
Other Revenue Current Year49026OtherRevenueCurrentYear
Total Revenue Prior Year9025253TotalRevenuePriorYear
Total Revenue Current Year8400681TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year21184GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY8141689GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5248309SalariesEtcPriorYear
Salaries Etc Current Year5620464SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year4285561OtherExpensePriorYear
Other Expenses Current Year3119420OtherExpensesCurrentYear
Total Expenses Prior Year9555054TotalExpensesPriorYear
Total Expenses Current Year16881573TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-529801RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-8480892RevenuesLessExpensesCY
Total Assets BOY106520482TotalAssetsBOY
Total Assets EOY102678972TotalAssetsEOY
Total Liabilities BOY82787423TotalLiabilitiesBOY
Total Liabilities EOY68788404TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY23733059NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY33890568NetAssetsOrFundBalancesEOY
Mission DescriptionCOVENANT HEALTH SYSTEMS IS AN INNOVATIVE CATHOLIC HEALTH ORGANIZATION COMMITTED TO ADVANCING THE HEALING MINISTRY OF JESUS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense16881573Expense
Grants8141689Grants
Revenue8377106Revenue
DescriptionSPONSORING AND OPERATING A CATHOLIC HEALTH CARE SYSTEM CONSISTING OF HOSPITALS, NURSING HOMES, ASSISTED LIVING RESIDENCES AND OTHER HEALTH AND ELDER SERVICES, AND FURTHERING THE DELIVERY OF HEALTH AND HUMAN SERVICES CONSISTENT WITH THE TEACHINGS AND LAW OF THE ROMAN CATHOLIC CHURCH.Description
Total Program Service Expense16881573TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees30NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JOHN ALHE CHIEF FINANCIAL OFFICERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number9786546363TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 AMES POND DRIVEAddressLine1
CityTEWKSBURYCity
StateMAState
ZIP Code01876ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
DAVID LINCOLN
CEO,PRESIDENT & DIRECTOR40.00XX999995049607
H WILLIAM ADAMS III
DIRECTOR1.00X000
CHARLES M ALTIERI
DIRECTOR1.00X000
JOYCE L AREL
DIRECTOR, CHAIR3.00XX000
PATRICA A CAHILL
DIRECTOR1.00X000
RICHARD S CORRENTE
DIRECTOR1.00X000
EDWIN CLIFT
DIRECTOR1.00X000
JOHN A ISAACSON
DIRECTOR, VICE CHAIR3.00XX000
SR JUNE KETTERER SGM
DIRECTOR1.00X000
CATHERINE LOEFFLER
DIRECTOR1.00X000
THOMAS L KELLY
DIRECTOR1.00X000
LOUISE TROTTIER
DIRECTOR1.00X000
JOHN AHLE
TREASURER & CFO40.00X359936042623
SUSAN MCDONOUGH
VP OF STRATEGY40.00416751037882X
KENNETH FERRON
VP OF ADMINISTRATION40.00299240096315X
THOMAS LUCAS
VP - FINANCE40.00247487040179X
DAVID FRASER
VP - HUMAN RESOURCES40.00201694019430X
MARY SCHAEFER
DIRECTOR RISK MANAGEMENT40.00132203030163X
NANCY MULVIHILL
VP - CORPORATE COMM.40.00137523031426X
ARNOLD GOLDIE
REGIONAL CONTROLLER40.00128842030896X
LOUISE CLOUGH
DIRECTOR CLINICAL ADMIN.40.0015652308291X
JOSEPH O'CONNELL
CORPORATE CONTROLLER40.0014041407771X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3220608TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation394583TotalOtherCompensation
Number Individuals GT100 K13NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CATHOLIC HEALTHCARE AUDIT NETWORK
231 SOUTH BMISTON AVENUE STE 300CLAYTONMO63105INTERNAL AUDIT657528
ROPES & GRAY
ONE INTERNATIONAL PLACEBOSTONMA021102624LEGAL490635
ARCHSTONE LAW GROUP
245 WINTER STREET STE 400WALTHAMMA024518709LEGAL278054
CONGREGATION OF ST BRIGID
37 CEDARWOOD AVENUEWALTHAMMA02453RELIGIOUS234708
BAKER NEWMAN NOYES
280 FORE STREETPORTLANDME04101AUDIT148597
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionMEMBERSHIP AND OTHER FDescription
Business Code900099BusinessCode
Total Revenue Column7484454TotalRevenueColumn
Related Or Exempt Function Income7484454RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue7484454TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column843626TotalRevenueColumn
Related Or Exempt Function Income843626RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other152050Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities16967Securities
Other111508Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-16967Securities
Other40542Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column23575TotalRevenueColumn
Exclusion$23,575ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCHANGE - CSV INSURANCEDescription
Business Code900099BusinessCode
Total Revenue Column49026TotalRevenueColumn
Related Or Exempt Function Income49026RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue49026TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column8400681TotalRevenueColumn
Related Or Exempt Function Income8377106RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$23,575ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total8141689Total
Program Services8141689ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1359931Total
Program Services1359931ProgramServices

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3421962Total
Program Services3421962ProgramServices

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total238464Total
Program Services238464ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total371252Total
Program Services371252ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total228855Total
Program Services228855ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total570133Total
Program Services570133ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total149690Total
Program Services149690ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total260819Total
Program Services260819ProgramServices

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total308346Total
Program Services308346ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total946692Total
Program Services946692ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total123331Total
Program Services123331ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total30686Total
Program Services30686ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PURCHASED SERVICES491385491385
EQUIP. RENT & MAINTENAN4776447764
MISCELLANEOUS3174131741
AUTO EXPENSE2971029710
ADVERTISING2889228892

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total100231Total
Program Services100231ProgramServices

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16881573Total
Program Services16881573ProgramServices
Management And General0ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY516421BOY
EOY2396316EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2132608BOY
EOY544981EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY173493BOY
EOY157264EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis769994LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec620331LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY258844BOY
EOY149663EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY34528315BOY
EOY37688431EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY68910801BOY
EOY61742317EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY106520482BOY
EOY102678972EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2303521BOY
EOY2073696EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY31005515BOY
EOY30829781EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY49478387BOY
EOY35884927EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY82787423BOY
EOY68788404EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY23267178BOY
EOY33390297EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY465881BOY
EOY500271EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY23733059BOY
EOY33890568EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY106520482BOY
EOY102678972EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-8480892ReconcilationRevenueExpenses
Reconcilation Other Changes18638401ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years5718CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years503000CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year7000CurrentTaxYearMinus1Year
Total515718Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7553864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7870857CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7661167CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8003118CurrentTaxYearMinus1Year
Current Tax Year7484454CurrentTaxYear
Total38573460Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7553864CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7876575CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8164167CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8010118CurrentTaxYearMinus1Year
Current Tax Year7484454CurrentTaxYear
Total39089178Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50939089178PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years810409CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years995673CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years853500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year977662CurrentTaxYearMinus1Year
Current Tax Year843626CurrentTaxYear
Total4480870Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years810409CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years995673CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years853500CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year977662CurrentTaxYearMinus1Year
Current Tax Year843626CurrentTaxYear
Total4480870Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years3073739CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-3817CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-65618CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year37473CurrentTaxYearMinus1Year
Current Tax Year72601CurrentTaxYear
Total3114378Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11438012CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years8868431CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8952049CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9025253CurrentTaxYearMinus1Year
Current Tax Year8400681CurrentTaxYear
Total46684426Total
FieldValueIRS element (for citing)
Public Support Percentage5090.83730PublicSupportPercentage509
Prior Year Support Percentage0.83570PriorYearSupportPercentage
Investment Income Percentage0.09600InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.10280PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance465881BeginningOfYearBalance
Investment Earnings Or Losses34390InvestmentEarningsOrLosses
End Of Year Balance500271EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance396185BeginningOfYearBalance
Investment Earnings Or Losses69696InvestmentEarningsOrLosses
End Of Year Balance465881EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Contributions500000Contributions
Investment Earnings Or Losses-103815InvestmentEarningsOrLosses
End Of Year Balance396185EndOfYearBalance
FieldValueIRS element (for citing)
Term Endowment EOY Balance1.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis19019OtherCostOrOtherBasis
Depreciation1771Depreciation
Book Value17248BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis750975OtherCostOrOtherBasis
Depreciation618560Depreciation
Book Value132415BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings149663TotalOfBookValueLandBuildings

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionBOARD DESIGNATED INVESTMENTSDescription
Book Value37688431BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities37688431TotalOfBookValueSecurities

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
FUNDS HELD BY TRUSTEE20035102
NOTES RECIEVABLE AND OTHER ASSETS1070680
DUE FROM AFFILIATES30855914
GAAP ACQUISITION ADJUSTMENT9780621
FieldValueIRS element (for citing)
Total Book Value Other Assets61742317TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILILATES$31,328,988
OTHER VARIOUS LIABILITIES$4,555,939
FieldValueIRS element (for citing)
Total Of Amounts35884927TotalOfAmounts
Total Revenue8400681TotalRevenue
Total Expenses16881573TotalExpenses
Excess Or Deficit For Year-8480892ExcessOrDeficitForYear
Net Unrealized GL On Investments3863337NetUnrealizedGLOnInvestments
Other$14,775,064OtherAmount
Total Adjustments18638401TotalAdjustments
Excess Or Deficit Per FS10157509ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt7484000TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal7484000RevenueSubtotal
Other Revenues Not Included916681OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt916681RevenueNotRptdOnFinStmt
Total Revenue Per Form9908400681TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt8733000TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal8733000ExpensesSubtotal
Other Expenses Not Included8148573OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt8148573ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016881573TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:PART V, LINE 4:FUNDS TO BE USED TO ASSIST THE NEEDY THROUGH EDUCATON AND/OR PROJECTS FOR THE POOR AS DETERMINED BY THE VICE PRESIDENT OF MISSION AND APPROVED BY THE PRESIDENT OF COVENANT HEALTH SYSTEMS.
PART XI, LINE 8 - OTHER ADJUSTMENTS:INTERCOMPANY TRANSFERS: 4,959,873. INVESTMENT GAINS TEMPORARILY RESTRICTED NET ASSETS: 34,390. ROUNDING 180. GAAP ACQUISITION ADJUSTMENT 9,780,621.
PART XII, LINE 4B - OTHER ADJUSTMENTS:CASH SURRENDER VALUE 49,026. INVESTMENT INCOME CLASSIFIED AS NON OPERATING 843,626. GAIN ON SALE OF ASSETS CLASSIFIED AS NON OPERATING 23,575. ROUNDING 454.
PART XIII, LINE 4B - OTHER ADJUSTMENTS:CASH SURRENDER VALUE 49,026. ROUNDINGS -453. DONATION CLASSIFIED AS NON OPERATING 8,100,000.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
FELICIAN SISTERS OF NORTH AMERICA INC
871 MERCER ROADBEAVER FALLSPA1501027128247335000000SUPPORT FOR MINISTRY.
ORDER OF THE CONGREGATION OF ST BRIGID
5118 LOMA LINDA DRIVESAN ANTONIOTX7820138017462392693PROVIDE TRANSPORTATION TO HELP CARRY ON MINISTRY.18075BLUE BOOK VALUEAUTO
NEW HAMPSHIRE CATHOLIC CHARITIES
215 MYRTLE STREETMANCHESTERNH03104435402022216335000CHRISTMAS DRIVE TO ASSIST POOR AND NEEDY
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations3TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: GRANTS ARE MADE BASED ON THE REQUESTING ORGANIZATION'S MISSION, ITS NEED AND ITS ABILITY TO USE THE FUNDS IN ACCORDANCE WITH THE GRANT REQUEST. ALL GRANTS ARE APPROVED BY THE BOARD OF DIRECTORS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID LINCOLN
68836200031163301225003735701049602000
JOHN AHLE
328651000312850122500303730402559000
SUSAN MCDONOUGH
2792790001374720122500256320454633000
KENNETH FERRON
266282000329580711890251260395555000
THOMAS LUCAS
213236000342510107390294400287666000
DAVID FRASER
1836320001806209663097670221124000
MARY SCHAEFER
1304610001742065400236230162366000
NANCY MULVIHILL
1338560003667067850246410168949000
ARNOLD GOLDIE
1270260001816063770245190159738000
LOUISE CLOUGH
1263110003021206034022570164814000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1A$13,327 OF COMPANION TRAVEL COSTS WAS PROVIDED FOR SOME BUSINESS TRIPS DURING 2010.
PART I, LINE 4BTHE ORGANIZATION 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. CONTRIBUTIONS MADE DURING 2010 ARE AS FOLLOWS: $295,402 WAS CONTRIBUTED TO THE GRANTOR TRUST FOR THE BENEFIT OF DAVID LINCOLN; AND $112,711 WAS CONTRIBUTED TO THE GRANTOR TRUST FOR THE BENEFIT OF SUSAN MCDONOUGH. AMOUNTS INCLUDED IN B(II) OF SCHEDULE J FOR HIGHEST COMPENSATED EMPLOYEES.
PART I, LINE 6THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY THE ORGANIZATION'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR. THE ENTITLEMENT TO AWARDS FOR A PARTICULAR YEAR IS NOT DETERMINED UNTIL EARLY THE FOLLOWING YEAR. THE ORGANIZATION PAID NO INCENTIVE COMPENSATION AWARDS IN 2010 BASED ON PERFORMANCE DURING 2009. AMOUNT WOULD BE INCLUDED IN (B)(II) OF SCHEDULE J FOR HIGHEST COMPENSATED EMPLOYEES.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MA HEALTH & EDUCATION AUTHORITY
04245601157586CL782002-02-1452276161CAPITAL EQUIPMENT & PROJECTS PLUS REFUNDING PRIOR ISSUES100
MA HEALTH & EDUCATION AUTHORITY
04245601157586DBF92007-10-3024646225YOUVILLE PLACE ACQUISITION & REFUNDING PRIOR ISSUES100

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindRefunding EscrowRefundingEscrow
404450004372316900158400000020041111
116050001198863383111115057842008011111226315

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
000000.000000.000000.000000
000000.000000.000000.000000

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
000000
000000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 7ATHE DIRECTORS OF THE ORGANIZATION ARE ELECTED BY THE MEMBERS OF COVENANT HEALTH SYSTEMS, A PUBLIC JURIDIC PERSON OF PONTIFICAL RIGHT UNDER THE LAWS OF THE ROMAN CATHOLIC CHURCH (THE "CHS PUBLIC JURIDIC PERSON").
FORM 990, PART VI, SECTION A, LINE 7BANY CHANGE IN THE WRITTEN STATEMENTS OF PHILOSOPHY OR MISSION OF THE ORGANIZATION MUST BE APPROVED BY THE CHS PUBLIC JURIDIC PERSON BEFORE SUCH CHANGE BECOMES EFFECTIVE.
FORM 990, PART VI, SECTION B, LINE 11THE 990 RETURN IS PRESENTED TO THE BOARD OF DIRECTORS. THEY REVIEW IT PRIOR TO SUBMISSION.
THE ORGANIZATION HAS A FULL-TIME DESIGNATED ORGANIZATIONAL INTEGRITY OFFICER THAT MONITORS OPERATIONS TO DETECT AND/OR RESOLVE CONFLICT OF INTEREST ISSUES.FORM 990, PART VI, SECTION B, LINE 12C
EVERY TWO TO THREE 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. THE SPECIFIC OBJECTIVES OF THIS ANALYSIS ARE TO: - ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM. - DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS. - ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE.FORM 990, PART VI, SECTION B, LINE 15
POLICIES AND GOVERNING DOCUMENTS ARE AVAILABLE AT THE HOME OFFICE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 3,863,337. INTERCOMPANY TRANSFERS: 4,959,873. INVESTMENT GAINS TEMPORARILY RESTRICTED NET ASSETS: 34,390. ROUNDING 180. GAAP ACQUISITION ADJUSTMENT 9,780,621. TOTAL TO FORM 990, PART XI, LINE 5: 18,638,401.FORM 990, PART XI, LINE 5:
OTHER CHANGES IN NET ASSETSON JULY 29, 2010, CHS ACQUIRED ST. JOSEPH HEALTHCARE FOUNDATION WHICH SERVES THE GREATER BANGOR MAINE AREA. CHS BECAME THE SOLE CORPORATE MEMBER OF THE FOUNDATION. THE TRANSACTION WAS ACCOUNTED FOR IN ACCORDANCE WITH ACCOUNTING STANDARD ASU 2010-07 WHICH REQUIRES THE ASSETS AND LIABILITIES OF THE FOUNDATION TO BE ACCOUNTED FOR AT FAIR MARKET VALUE AS OF THE DATE OF ACQUISITION. FOR PURPOSES OF COMPLETING THIS FORM 990, THE NET ASSETS OF THE FOUNDATION ARE RECORDED AS AN INCREASE TO THE UNRESTRICTED NET ASSETS OF CHS. THE AMOUNT RECORDED AS OF DECEMBER 31, 2010 EQUALS $9,780,621. IN CONJUNCTION WITH THE ACQUISITION CHS AGREED TO A CHARITABLE PLEDGE AGREEMENT WITH THE FELECIAN SISTERS OF NORTH AMERICA. THE NET AMOUNT OF THE PLEDGE EQUALS $8,100,000 AND IS REPORTED ON SCHEDULE I.PART XI, LINE 5

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (35 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
YOUVILLE LIFECARE INC
1575 CAMBRIDGE STREETCAMBRIDGEMA02138042103582HOSPITALMA501(C) 3509(A)(3)CHS1
ST JOSEPH MANOR HEALTH CARE
215 THATCHER STREETBROCKTONMA02302042565937NURSING HOMEMA501(C) 3509(A)(1)CHS1
ST MARY'S HEALTH SYSTEM
PO BOX 7291LEWISTONME04243222504349HOSPITALME501(C) 3509(A)(3)CHS1
ST JOSEPH'S HOSPITAL OF NASHUANH INC
172 KINSLEY STREETNASHUANH03061020222215HOSPITALNH501(C) 3509(A)(1)CHS1
YOUVILLE PLACE
10 PELHAM ROADLEXINGTONMA02421043297834ASSISTED LIVINGMA501(C) 3509(A)(2)CHS1
ST MARY'S VILLA NURSING HOME INC
675 ST MARYS VILLA ROADMOSCOWPA18444232057177NURSING HOMEPA501(C) 3509(A)(2)CHS1
CHS OF WALTHAM INC DBA MARISTHILL NURING & REHABILIATION CENTER
66 NEWTON STREETWALTHAMMA02453043333609NURSING HOMEMA501(C) 3509(A)(2)CHS1
CHS OF WORCESTER INC DBA ST MARY CARE CENTER
39 QUEEN STREETWORCHESTERMA01610043419625NURSING HOMEMA501(C) 3509(A)(2)CHS1
FANNY ALLEN HOLDINGS INC
790 COLLEGE PARKWAYCOLCHESTERVT05446030181052FOUNDATIONVT501(C) 3509(A)(2)CHS1
ST ANDRE HEALTH CARE
407 POOL STREETBIDDEFORDME04005010342399NURSING HOMEME501(C) 3509(A)(2)CHS1
MI NURSING RESTORATIVE CENTER INC
172 LAWRENCE STREETLAWRENCEMA01841042104851NURSING HOMEMA501(C) 3509(A)(2)CHS1
HELPING HANDS OF ST MARGUERITE INC
799 CONCORD AVENUECAMBRIDGEMA02138800199674PRIVATE HOME-CAREMA501(C) 3509(A)(2)CHS1
PROVIDENTIA PRIMA TRUST
420 BEDFORD STREETLEXINGTONMA02420046835128INVESTMENT TRUSTMA501(C) 3509(A)(3)CHS1
FANNY ALLEN CORPORATION INC
790 COLLEGE PARKWAYCOLCHESTERVT05446222495808FOUNDATIONVT501(C) 3509(A)(2)FANNY ALLEN HOLDING INC1
YOUVILLE HOUSE INC
1573 CAMBRIDGE STREETCAMBRIDGEMA02138043239593ASSISTED LIVINGMA501(C) 3509(A)(3)YOUVILLE LIFECARE INC1
YOUVILLE HOSPITAL AND REHABILITATION CENTER INC
1575 CAMBRIDGE STREETCAMBRIDGEMA02138043239563HOSPITALMA501(C) 3509(A)(1)YOUVILLE LIFECARE INC1
ST MARY'S REGIONAL MEDICAL CENTER
PO BOX 7291LEWISTONME04243010211551HOSPITALME501(C) 3509(A)(1)ST MARY'S HEALTH SYSTEM1
COMMUNITY CLINICAL SERVICES
PO BOX 7291LEWISTONME04243010409788PHYSICIAN PRATICEME501(C) 3509(A)(2)ST MARY'S HEALTH SYSTEM1
ST MARY'S D'YOUVILLE PAVILION
PO BOX 7291LEWISTONME04243010211558NURSING HOMEME501(C) 3509(A)(2)ST MARY'S HEALTH SYSTEM1
ST MARY'S RESIDENCES
PO BOX 7291LEWISTONME04243222504356LOW INCOME HOUSINGME501(C) 3509(A)(2)ST MARY'S HEALTH SYSTEM1
NEIGHBORHOOD HOUSING INITIATIVE
PO BOX 7291LEWISTONME04243010539730AFFORDABLE HOUSINGME501(C) 3509(A)(2)ST MARY'S HEALTH SYSTEM1
SOUHEGAN NURSING ASSOCIATION
24 NORTH RIVER ROADMILFORDNH03055020222795HOME HEATH & HOSPICENH501(C) 3509(A)(1)ST JOSEPH HOSPITAL OF NASHUA NH INC1
THE SURGICENTER AT ST JOSEPH HOSPITAL INC
172 KINSLEY STREETNASHUANH03061020222215HEALTHCARENH501(C) 3509(A)(1)ST JOSEPH HOSPITAL OF NASHUA NH INC1
DH FAMILY MEDICINE OF NASHUA
172 KINSLEY STREETNASHUANH03061208404257PHYSICIAN SERVICESNH501(C) 3509(A)(2)ST JOSEPH HOSPITAL OF NASHUA NH INC1
MI MANAGEMENT INC
172 LAWRENCE STREETLAWRENCEMA01841042857794ASSISTED LIVINGMA501(C) 3509(A)(3)CHS1
MI ADULT DAY HEALTH CARE CENTER INC
189 MAPLE STREETLAWRENCEMA01841042921888ADULT DAY CAREMA501(C) 3509(A)(2)CHS1
MI RESIDENTIAL COMMUNITY INC
189 MAPLE STREETLAWRENCEMA01841042647207HUD LOW INCOME HOUSINGMA501(C) 3509(A)(2)CHS1
MI RESIDENTIAL COMMUNITY II INC
189 MAPLE STREETLAWRENCEMA01841042679954HUD LOW INCOME HOUSINGMA501(C) 3509(A)(2)CHS1
MI RESIDENTIAL COMMUNITY III INC
189 MAPLE STREETLAWRENCEMA01841042186043HUD LOW INCOME HOUSINGMA501(C) 3509(A)(2)CHS1
MI TRANSPORTATION INC
189 MAPLE STREETLAWRENCEMA01841042921889ELDERLY TRANSPORTATION SERVICEMA501(C) 3509(A)(2)CHS1
ST JOSEPH HEALTHCARE FOUNDATION
360 BROADWAYBANGORME04402222480149HEALTHCARE FOUNDATIONME501(C) 3509(A)(3)CHS1
ST JOSEPH HOSPITAL
360 BROADWAYBANGORME04402010212435HOSPITALME501(C) 3509(A)(1)ST JOSEPH HEALTHCARE FOUNDATION1
M & J COMPANY
360 BROADWAYBANGORME04402222480150LEASE HOLDING COMPANYME501(C) 2ST JOSEPH HEALTHCARE FOUNDATION1
ST JOSEPH AMBULATORY CARE INC
360 BROADWAYBANGORME04402222480373PHYSICIAN PRATICEME501(C) 3509(A)(3)ST JOSEPH HEALTHCARE FOUNDATION1
ATERNATIVE HEALTH SERVICES
360 BROADWAYBANGORME04402010422885HOME HEALTH AND HOSPICEME501(C) 3509(A)(1)ST JOSEPH HEALTHCARE FOUNDATION1

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileState
COVENANT HEALTH SYSTEMS INSURANCE LTD
720 WEST BAY ROADGEORGETOWNCJ043360127INSURANCE COMPANYCJCHSC877620350275121.00000
CAMPUS HOLDING
010406049HOLDING COMPANYST MARY'S HEALTH SYSTEMC1.00000PO BOX 7291LEWISTONME04240ME
ST JOSEPH CORPORATE SERVICES INC
020405197HOLDING COMPANYST JOSEPH'S HOSPITAL OF NASHUA NH INCC-11991000274740001.00000172 KINSLEY STREETNASHUANH03060NH
STRAUSS INCORPORATED
010391369ST JOSEPH HEALTHCARE FOUNDATIONC1270001.00000360 BROADWAYBANGORME04402ME
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (27 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
LOAN FROM - ST JOSEPH HOSPITAL OF NASHUA
E16739133ACCRUAL
DUE TO AFFILIATE - ST MARY'S HEALTH SYSTEM
E8846640ACCRUAL
DUE TO AFFILIATE - YOUVILLE HOUSE INC
E5049147ACCRUAL
DUE TO AFFILIATE - ST ANDRE'S HEALTH CARE
E483100ACCRUAL
DUE TO AFFILIATE - YOUVILLE HOUSE INC
E210968ACCRUAL
LOAN TO ST ANDRE'S HEALTH CARE
D494313ACCRUAL
LOAN TO ST MARY'S HEALTH SYSTEM
D22145228ACCRUAL
LOAN TO ST JOSEPH HEALTH CARE
D7612421ACCRUAL
LOAN TO YOUVILLE HOUSE INC
D1341280ACCRUAL
INVESTMENTS HELD BY PROVIDENTIA PRIMA TRUST
Q28502842ACCRUAL
INTER-COMPANY TRANSFERS - HELPING HANDS OF ST MARGUERITE INC
B40000ACCRUAL
INTER-COMPANY TRANSFERS - YOUVILLE LIFECARE
C5000000ACCRUAL
MEMBERSHIP FEE - MARISTHILL NURSING & REHABILIATION CENTER
R166824ACCRUAL
MEMBERSHIP FEE - ST JOSEPH HOSPITAL OF NASHUA
R2553792ACCRUAL
MEMBERSHIP FEE - YOUVILLE LIFECARE INC
R142123ACCRUAL
MEMBERSHIP FEE - MARY IMMACULATE NURSING RESTORATIVE
R356868ACCRUAL
MEMBERSHIP FEE - FANNY ALLEN FOUNDATION
R197904ACCRUAL
MEMBERSHIP FEE - YOUVILLE PLACE
R89962ACCRUAL
MEMBERSHIP FEE - ST MARY CARE CENTER
R142128ACCRUAL
MEMBERSHIP FEE - ST MARY'S HEALTH SYSTEM
R2052072ACCRUAL
MEMBERSHIP FEE - COVENANT HEALTH SYSTEM INSURANCE LTD
R80004ACCRUAL
MEMBERSHIP FEE - ST JOSEPH MANOR HEALTH CARE
R168804ACCRUAL
MEMBERSHIP FEE - ST ANDRE HEALTH CARE
R131816ACCRUAL
MEMBERSHIP FEE - ST MARY'S VILLA
R126348ACCRUAL
MEMBERSHIP FEE - YOUVILLE HOUSE
R60204ACCRUAL
MEMBERSHIP FEE - ST JOSEPH HOSPITAL OF BANGOR
R174423ACCRUAL
MEMBERSHIP FEE - HELPING HANDS
R1764ACCRUAL