STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

ST JOSEPH HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HOSPITAL (EIN 01-0212435)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202303179349309220
Schema version
2022v5.0
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)
Return2023-11-13T15:19:24-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010212435EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Joseph HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSTJOBusinessNameControlTxt
Phone2079071233PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 Broadway PO Box 403AddressLine1Txt
CityBangorCityNm
State AbbreviationMEStateAbbreviationCd
ZIP044020403ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael HendrixPersonNm
Person TitleTreasurer & VP FinancePersonTitleTxt
Phone2079071233PhoneNum
Signature2023-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMichaelPersonFirstNm
Person LastHendrixPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonConnor SmartPreparerPersonNm
PTINP02285543PTIN
Phone2078792100PhoneNum
Preparation2023-11-09PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMary Prybylo MSNPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 Broadway PO Box 403AddressLine1Txt
CityBangorCityNm
State AbbreviationMEStateAbbreviationCd
ZIP044020403ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$198,639,195GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.stjoeshealing.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1960FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionCommunity hospital committed to wellness promotion, holistic healing and healthcare services.ActivityOrMissionDesc
Voting Members Governing Body14VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1463TotalEmployeeCnt
Total Volunteers42TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$5,570,732PYContributionsGrantsAmt
CY Contributions Grants$766,029CYContributionsGrantsAmt
PY Program Service Revenue$174,806,283PYProgramServiceRevenueAmt
CY Program Service Revenue$189,544,669CYProgramServiceRevenueAmt
PY Investment Income$2,907,950PYInvestmentIncomeAmt
CY Investment Income$738,707CYInvestmentIncomeAmt
PY Other Revenue-$261,208PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$183,023,757PYTotalRevenueAmt
CY Total Revenue$191,049,405CYTotalRevenueAmt
PY Grants And Similar Paid$6,178PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$250CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$85,126,197PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$94,466,933CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$96,180,662PYOtherExpensesAmt
CY Other Expenses$106,491,274CYOtherExpensesAmt
PY Total Expenses$181,313,037PYTotalExpensesAmt
CY Total Expenses$200,958,457CYTotalExpensesAmt
PY Revenues Less Expenses$1,710,720PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$9,909,052CYRevenuesLessExpensesAmt
Total Assets BOY$73,052,907TotalAssetsBOYAmt
Total Assets EOY$66,202,016TotalAssetsEOYAmt
Total Liabilities BOY$38,123,005TotalLiabilitiesBOYAmt
Total Liabilities EOY$43,944,021TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$34,929,902NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$22,257,995NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSt. Joseph Healthcare is a Catholic Health Ministry, providing healing and care for the whole person, in service to all in our communities. These are not just words, but a way of life - a noble statement of what we are, meticulously crafted after thoughtful consideration, study and examination of all the things we do, big and small, day and night, caring for our patients. These are the words we live by, each and every one of us who comprise the caring community of St. Joseph Healthcare. We take our Mission seriously. Those we serve depend on it.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$147,465,892ExpenseAmt
Grant$250GrantAmt
Revenue$189,544,669RevenueAmt
DescSt. Joseph Hospital provides quality medical healthcare for all people through direct patient care at various hospital and clinical locations. Although reimbursement for services rendered is critical to the operation and stability of the Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services and healthcare education. St. Joseph Hospital provides care to persons covered by governmental programs at below cost. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. (Continued on Schedule O)Charity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services which St. Joseph Hospital believes will serve a bona fide community health need. For more information regarding the services and programs provided at St. Joseph Hospital and Hospital's commitment to serve all members of the community please visit our website at www.stjoeshealing.org or contact the Public Affairs office at (207) 907-1720.Desc
Total Program Service Expenses$147,465,892TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document74IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee1463EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members14GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Michael Hendrix CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2079071233PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 Broadway PO Box 403AddressLine1Txt
CityBangorCityNm
State AbbreviationMEStateAbbreviationCd
ZIP044020403ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Stephen Grubbs
Trustee0.1045.40Yes (X)$0$853,102$37,161
Ganesha Santhyadka MD
Trustee40.100.40Yes (X)$803,935$0$43,661
Heather Evans DO
Trustee40.100.40Yes (X)$182,003$0$25,117
William Buckley
Trustee0.100.40Yes (X)$0$0$0
Robert Clark
Trustee0.100.40Yes (X)$0$0$0
Rosalind Prince Gilman Esq
Trustee0.100.40Yes (X)$0$0$0
Anita Haskell
Trustee0.100.40Yes (X)$0$0$0
Jennifer Khavari
Trustee0.100.40Yes (X)$0$0$0
Curtis Kimball Esq
Trustee0.100.40Yes (X)$0$0$0
Bernard LaBree
Trustee (end 1/2022)0.100.40Yes (X)$0$0$0
Adrien Roy Jr
Trustee (end 1/2022)0.100.40Yes (X)$0$0$0
Bradley Ryder
Trustee0.100.40Yes (X)$0$0$0
William Wood MD
Trustee0.100.40Yes (X)$0$0$0
Rebecca Whitmore
Trustee0.100.40Yes (X)$0$0$0
William Lucy
Chair0.100.40Yes (X)$0$0$0Yes (X)
L William Demaso
Vice Chair0.100.40Yes (X)$0$0$0Yes (X)
Mary Prybylo RN MSN
President & CEO, Ex-Officio0.1040.40$0$436,469$45,732Yes (X)
Michael Hendrix
Treasurer, VP Finance40.100.40$561,056$0$42,593Yes (X)
Donna Berry
Secretary40.100.40$88,925$0$26,864Yes (X)
Joseph Gallagher MD
Physician40.000.00$649,724$0$20,786Yes (X)
Michael Sighonolfi MD
Physician40.000.00$634,946$0$24,831Yes (X)
Michael Starks MD
Physician40.000.00$595,470$0$32,470Yes (X)
John Vanadia MD
Physician40.000.00$547,077$0$44,391Yes (X)
James Jean Jacques MD
Physician40.000.00$562,127$0$34,884Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,625,263TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,289,571TotReportableCompRltdOrgAmt
Total Other Compensation$378,490TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K140IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Covenant Health Inc
100 Ames Pond Drive Suite 102TewksburyMA01876Management services$28,146,022
Medefis Inc
PO Box 5068New YorkNY100875068Healthcare management services$11,653,684
NES Medical Services of New England
PO Box 936451AtlantaGA31193Healthcare management services$2,355,475
Dragonfly Therapy
810 Hammond Street Suite 2BangorME15250Therapy and rehabilitation$1,081,137
Cepheid Inc
PO Box 74007537ChicagoIL60674Diagnostic services$956,214
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K70CntrctRcvdGreaterThan100KCnt
Government Grants$754,979GovernmentGrantsAmt
All Other Contributions$11,050AllOtherContributionsAmt
Total Contributions$766,029TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services621110$184,229,136$184,229,136
ACO management fees541610$1,812,042$1,812,042
Medical/laboratory621990$1,427,155$1,427,155
Administrative/affiliate services561000$1,242,054$1,242,054
Nutrition and cafeterias722514$834,282$834,282
FieldValueIRS element (for citing)
Total Program Service Revenue$189,544,669TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$425,780TotalRevenueColumnAmt
Exclusion$425,780ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$7,778,742SecuritiesAmt
Other$123,975OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$7,589,790SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$188,952SecuritiesAmt
Other$123,975OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$312,927TotalRevenueColumnAmt
Exclusion$312,927ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$191,049,405TotalRevenueColumnAmt
Related Or Exempt Func Income$189,544,669RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$738,707ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$250TotalAmt
Program Services$250ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,774,154TotalAmt
Program Services$1,575,492ProgramServicesAmt
Management And General$198,662ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$77,329,001TotalAmt
Program Services$68,675,244ProgramServicesAmt
Management And General$8,653,757ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,038,599TotalAmt
Program Services$921,477ProgramServicesAmt
Management And General$117,122ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,169,590TotalAmt
Program Services$8,135,540ProgramServicesAmt
Management And General$1,034,050ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,155,589TotalAmt
Program Services$4,578,636ProgramServicesAmt
Management And General$576,953ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$30,223,271TotalAmt
Management And General$30,223,271ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$80,490TotalAmt
Management And General$80,490ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$244,411TotalAmt
Management And General$244,411ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$8,459TotalAmt
Management And General$8,459ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$91,694TotalAmt
Management And General$91,694ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,149,863TotalAmt
Program Services$16,510,538ProgramServicesAmt
Management And General$8,639,325ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$109,348TotalAmt
Program Services$71,785ProgramServicesAmt
Management And General$37,563ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,202,180TotalAmt
Program Services$2,102,187ProgramServicesAmt
Management And General$1,099,993ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$389,232TotalAmt
Program Services$255,525ProgramServicesAmt
Management And General$133,707ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,805,013TotalAmt
Program Services$1,841,452ProgramServicesAmt
Management And General$963,561ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$122,285TotalAmt
Program Services$80,278ProgramServicesAmt
Management And General$42,007ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$177,168TotalAmt
Program Services$116,308ProgramServicesAmt
Management And General$60,860ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$602,868TotalAmt
Program Services$602,868ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,471,051TotalAmt
Program Services$2,471,051ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,752,702TotalAmt
Program Services$1,807,111ProgramServicesAmt
Management And General$945,591ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
Drugs/medical supplies$26,244,379$26,244,379
Provision for bad debt$7,461,671$7,461,671
Service provider tax$3,040,315$3,040,315
Dietary and nutrition$973,785$973,785

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$341,089TotalAmt
Management And General$341,089ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$200,958,457TotalAmt
Program Services$147,465,892ProgramServicesAmt
Management And General$53,492,565ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,828,748BOYAmt
EOY$2,296,172EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$60,141BOYAmt
EOY$65,285EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$744,541BOYAmt
EOY$717,815EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,369,838BOYAmt
EOY$18,823,614EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,120,359BOYAmt
EOY$3,257,694EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$299,439BOYAmt
EOY$561,799EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$97,005,992LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$67,799,973LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$29,349,227BOYAmt
EOY$29,206,019EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$2,992,913BOYAmt
EOY$2,312,180EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$13,740,554BOYAmt
EOY$2,725,576EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,547,147BOYAmt
EOY$6,235,862EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$73,052,907BOYAmt
EOY$66,202,016EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,844,480BOYAmt
EOY$11,092,770EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$10,832,551BOYAmt
EOY$570,741EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,445,974BOYAmt
EOY$32,280,510EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$38,123,005BOYAmt
EOY$43,944,021EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$31,789,391BOYAmt
EOY$19,820,471EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,140,511BOYAmt
EOY$2,437,524EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$34,929,902BOYAmt
EOY$22,257,995EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$73,052,907BOYAmt
EOY$66,202,016EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$9,909,052ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,247,556NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$515,299OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$8,459GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$8,459TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationPart II-B, Line 1f: St. Joseph Hospital partners with various like-minded professional associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. To maintain these partnerships, St. Joseph's Hospital pays membership dues back to these various associations. A portion of the dues paid to these associations have been designated as available for lobbying expenditures. Any lobbying expenditures paid by the associations are incurred in order to help track and discuss legislation affecting health care policy. The specific dues paid by St. Joseph Hospital to the trade associations in 2022, as well as the portion of those dues that were estimated to be available for lobbying expenditures, are detailed below: Maine Hospital Association - Total 2022 dues: $57,158 - Portion of dues available for lobbying: $8,459 In order to take advantage of group rates and terms, Covenant Health Inc., the parent-organization of the St. Joseph Hospital of Bangor system, arranges for membership and dues with the American Hospital Association on behalf of the Hospital. While the Hospital is ultimately the member of the Association, the Hospital pays its AHA dues by reimbursing Covenant Health for the cost of the membership. At the time of this tax return filing, the Hospital cannot confirm the exact amount of dues paid to the AHA in 2022, or if any portion was available for lobbying expenditures by the AHAExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,022,299BeginningYearBalanceAmt
Contributions$11,050ContributionsAmt
Investment Earnings Or Losses-$516,447InvestmentEarningsOrLossesAmt
Other Expenditures$144,727OtherExpendituresAmt
Administrative Expenses$32,059AdministrativeExpensesAmt
End Year Balance$2,340,116EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,776,908BeginningYearBalanceAmt
Contributions$26,787ContributionsAmt
Investment Earnings Or Losses$371,393InvestmentEarningsOrLossesAmt
Other Expenditures$117,673OtherExpendituresAmt
Administrative Expenses$35,116AdministrativeExpensesAmt
End Year Balance$3,022,299EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,487,860BeginningYearBalanceAmt
Contributions$26,185ContributionsAmt
Investment Earnings Or Losses$420,409InvestmentEarningsOrLossesAmt
Other Expenditures$122,849OtherExpendituresAmt
Administrative Expenses$34,697AdministrativeExpensesAmt
End Year Balance$2,776,908EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,112,680BeginningYearBalanceAmt
Contributions$7,289ContributionsAmt
Investment Earnings Or Losses$484,718InvestmentEarningsOrLossesAmt
Other Expenditures$86,959OtherExpendituresAmt
Administrative Expenses$29,868AdministrativeExpensesAmt
End Year Balance$2,487,860EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,445,628BeginningYearBalanceAmt
Investment Earnings Or Losses-$194,139InvestmentEarningsOrLossesAmt
Other Expenditures$108,226OtherExpendituresAmt
Administrative Expenses$30,583AdministrativeExpensesAmt
End Year Balance$2,112,680EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$175,048OtherCostOrOtherBasisAmt
Book Value$175,048BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,546,605OtherCostOrOtherBasisAmt
Depreciation$29,641,885DepreciationAmt
Book Value$20,904,720BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,093,605OtherCostOrOtherBasisAmt
Depreciation$3,091,429DepreciationAmt
Book Value$2,176BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,833,823OtherCostOrOtherBasisAmt
Depreciation$35,066,659DepreciationAmt
Book Value$7,767,164BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$356,911OtherCostOrOtherBasisAmt
Book Value$356,911BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$29,206,019TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Due from affiliates$5,854,052
Security deposits$381,810
FieldValueIRS element (for citing)
Total Book Value Other Assets$6,235,862TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Third party payor settlements (net surplus)-$1,988,731
Lease liabilities$2,054,274
Professional insurance liabilities$1,232,228
Due to affiliates$30,982,739
FieldValueIRS element (for citing)
Total Liability$32,280,510TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:To ensure the long-term financial viability of the Organization and its exempt, charitable mission, which includes the promotion and provision of holistic healing and healthcare services.
Part X, Line 2:St. Joseph Hospital of Bangor is a member of the Covenant Health, Inc. System. 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. 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, 2022.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$724,070TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$724,070NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,971,833TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,597,457DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,374,376NetCommunityBenefitExpnsAmt
Total Expense0.05360TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$29,695,903TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,597,457DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,098,446NetCommunityBenefitExpnsAmt
Total Expense0.05730TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served363PersonsServedCnt
Total Community Benefit Expns$746,924TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$746,924NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs6ActivitiesOrProgramsCnt
Total Community Benefit Expns$25,901TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,901NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served363PersonsServedCnt
Total Community Benefit Expns$772,825TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$772,825NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs9ActivitiesOrProgramsCnt
Persons Served363PersonsServedCnt
Total Community Benefit Expns$30,468,728TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$18,597,457DirectOffsettingRevenueAmt
Net Community Benefit Expns$11,871,271NetCommunityBenefitExpnsAmt
Total Expense0.06130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,467,424BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$86,099,562ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$157,660,407CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$71,560,845MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1St Joseph HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 Broadway PO Box 403AddressLine1Txt
CityBangorCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04401ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.stjoeshealing.orgWebsiteAddressTxt
State LicenseME-37936StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Joseph HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Section COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt22ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
St. Joseph HospitalPart V, Section B, Line 5: St. Joseph Hospital of Bangor participated in the 2022 Maine Shared Community Health Needs Assessment Report. The primary service area for St. Joseph Hospital is Penobscot County, therefore, St. Joseph Hospital will utilize the findings from the 2022 Maine Shared Community Health Needs Assessment Report: Penobscot County. The Maine Shared CHNA is a public-private collaboration governed by a Steering Committee, which is made up of representatives of each member organization. The Steering Committee sets fiscal and operational goals that then implemented by the Maine Shared CHNA Program Manager. Input is provided by key stakeholder groups including the Metrics Committee and the Health Equity Engagement Committee. The Metrics Committee is charged with creating and reviewing a common set of population/community health indicators and measures ever three years. The Health Equity/Community Engagement Committee is charged with updating outreach methodology to ensure a collection of broad, diverse, and representative qualitative data form groups that are more likely to experience health disparities. To ensure these methods reflect the needs and cultural expectations this committee included representatives form a variety of Maine's ethnic-based can community-based organizations, along with representatives from public health and healthcare, and a variety of additional partners.The 2021-2022 Maine Shared CHNA process involved three phases.Data Analysis:The first phase of the project involved the analysis of more than 220 health indicators for the state, counties, public health districts, selected cities, and by specific demographics when available.Community Outreach and Engagement:Community outreach and engagement for the Maine Shared CHNA included the following efforts:- 17 County Forums (Maine)- 9 Community Sponsored Events- 1,000 Oral SurveysNew this cycle was an expanded effort to reach those who experience systemic disadvantages and therefore experience a greater rate of health disparities. The communities included:- Black or African American- Homeless or formerly homeless- LGBTQ+ community- Older adults- People who are deaf or hard of hearing- People who live with a disability- People with low income- People with a mental health diagnosis- YouthThese events followed the same methodology as county forums with hosts providing input on the data presentation and leading the effort to recruit participants.Communities, businesses, and individuals that were consulted during the engagement process for input. The State Report, found on the Maine Shared CHNA website, www.mainechna.org, provides a full description.
St. Joseph HospitalPart V, Section B, Line 6a: The Maine Shared CHNA for Penobscot County was conducted with numerous healthcare organizations, care providers, community groups, professional associations, and community members. For a full list of the hospital facilities that participated in the 2022 Maine Shared CHNA for Penobscot County, please refer to the full report, which is available online at the following web-address:www.mainechna.org
St. Joseph HospitalPart V, Section B, Line 6b: The Maine Shared CHNA for Penobscot County was conducted with numerous healthcare organizations, care providers, community groups, professional associations, and community members. For a full list of the organizations other than hospital facilities that participated in the 2022 Maine Shared CHNA for Penobscot County, please refer to the full report, which is available online at the following web-address:www.mainechna.org
St. Joseph HospitalPart V, Section B, Line 11: St. Joseph Hospital's Implementation Strategy for 2023-2025 will focus on applying action items to support Community Health Improvement related to the following areas and implementation strategy.A. Identified Community Need: Mental Health 1. Expand access to mental health services. 2. Reduce the stigma associated with metal health. 3. Improve screening intervention for identified populations.B. Identified Community Need: Substance and Alcohol Use 1. Expand substance use disorder treatment options. 2. Participate in collaborative community initiatives focused on improving treatment access, substance use prevention and substance use education.C. Identified Community Need: Access to Care 1. Implement new care delivery models to enhance access to care. 2. Expand Same Day Care Services 3. Expand Primary Care Access (the correct level of care at the correct location of service)D. Identified Community Need: Social Determinants of Health 1. Implement programs to support food security. 2. Expand programs to support wellness services within the housing insecure population.St. Joseph Hospital will engage in specific action items associated with each identified community health need. These action items and associated measures of success will be contained within a yearly CHNA Action Plan. A CHNA Action Plan will be established for each of the associated years; 2023, 2024, 2025.
Schedule H, Part V, Section B, Line 7a & 10a:The Hospital's most recent CHNA can be reached through the Hospital's website at:https://stjosephbangor.org/mschna/The most recent CHNA is directly available on the Hospital's website at:https://stjosephbangor.org/wp-content/uploads/2023/09/Penobscot-County-MSCHNA-Report-2022.pdfThe most recent CHNA is also available on the Maine.gov website, at:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/documents/county-reports/2022/Penobscot%20County%20MSCHNA%20Report%202022.pdfAdditionally, both the current Maine Shared CHNA for Penobscot County (to which the Hospital participates and contributes) as well as past reports can be found at:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/final-CHNA-reports.shtmlLastly, the Hospital's CHNA Implementation Strategy is available online at:https://stjosephbangor.org/our-mission/community-resources/A direct link to the most recent Implementation Strategy is copied below:https://stjosephbangor.org/wp-content/uploads/2023/10/2023-CHNA-Implementation-Strategy.pdf
Schedule H, Part V, Section B, Line 16a & 16bThe Hospital's Financial Assistance Policy (Benevolence Program), Financial Assistance Applications, and Plain Language Summary (PLS) can be found at:https://stjosephbangor.org/patients-visitors/billing-insurance/financial-assistance/Specifically, the entire Financial Assistance Policy may be found here:https://stjosephbangor.org/wp-content/uploads/2023/10/Convenant-Financial-Assistance-Policy.pdfAdditionally, the Free Care Guidelines may be found here:https://stjosephbangor.org/wp-content/uploads/2022/02/2022Free-Care-Guidelines-Notice-SJB-landscape.pdf
Schedule H, Part V, Section B, Line 16i:Currently, the Hospital's Financial Assistance Policy is only available online in English, as the community served by the Hospital has no LEP populations.
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Regional Breast Care CenterBone Density
900 BroadwayBangorME04401Women's Health Clinic
2 - St Joseph Diabetes and Nutrition Center
900 BroadwayBangorME04401OP Clinic
3 - St Joseph Endocrinology
900 BroadwayBangorME04401Physician Specialty Practice
4 - St Joseph Internal Medicine
900 BroadwayBangorME04401Physician Specialty Practice
5 - St Joseph Rheumatology
900 BroadwayBangorME04401Physician Specialty Practice
6 - St Joseph Family Medicine
900 BroadwayBangorME04401Physician Family Medicine Practice
7 - St Joseph Workwell-Occupational Health
900 BroadwayBangorME04401Occupational Health Clinic
8 - St Joseph Hospital Center for Sleep
268 Central StreetBangorME04401Sleep Lab
9 - St Joseph Cardiology
360 Broadway Suite 202BangorME04401Physician Specialty Practice
10 - St Joseph Family Medicine-MT Hope
700 Mount Hope AvenueBangorME04401Physician Family Medicine Practice
11 - St Joseph Family Medicine-Brewer
329 Wilson StreetBrewerME04412Physician Family Medicine Practice
12 - St Joseph Family Medicine-Hampden
21 Western AvenueHampdenME04444Physician Family Medicine Practice
13 - St Joseph Hospitalists Service
360 BroadwayBangorME04401Outpatient Clinic
14 - St Joseph General Surgery
360 Broadway Suite 207BangorME04401Physician Specialty Practice
15 - St Joseph Gastroenterology
360 Broadway Suite 100BangorME04401Physician Specialty Practice
16 - St Joseph Respiratory Care
360 Broadway Suite 202BangorME04401Physician Specialty Practice

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:The community benefit report is based on the Catholic Health Association guidelines and utilizes the Association's CBISA software to record the benefits.
Part I, Line 7:The cost-to-charge ratio was derived from Worksheet 2.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 7,461,671.
Part II, Community Building Activities:With a calling from God and the vision of Blessed Mary Angela, the Felician Sisters extended their ministry of care to St. Joseph Hospital, Bangor, Maine in 1947. To all those in need, we provide compassionate, high quality holistic healthcare. We pledge to continue our mission as the leader of compassionate service, remaining a pillar of healing, while responding to the ever-changing needs of our communities.Our Mission: "we are a Catholic Health Ministry, providing healing and care for the whole person, in service to all in our communities." These are not just words, but a way of life - a noble statement of what we are, meticulously crafted after thoughtful consideration, study, and examination of all the things we do, big and small, day and night, caring for our patients. These are the words we live by each and every one of us who comprise the caring community of St. Joseph Healthcare. We take our Mission seriously. Those we serve depend on it.Due to the COVID-19 Pandemic, the Hospital had to undertake programs and activities to promote the health and wellbeing of its community, and this continued through 2022. The community building activities specifically in response to the Pandemic, continue as follows:1. Telehealth Services: The Hospital expanded its telehealth services in 2020 and continued through 2022, which improved its community's access to care and medical resources. Virtual appointments with over two hundred providers across our system, allowed us to continue to offer patients high quality care and offer patients a terrific alternative to in-office visits. In addition to concerns around COVID-19, the Hospital has also moved to this model to ensure its patients benefit from a continuity of care. Telehealth is a safe way for patients to stay connected with their doctor and can be evaluated for mild and most moderate illnesses, including concerns about COVID-19.2. Public Health Initiatives: The Hospital issued public health guidance on proper mask use, sanitation, and social distancing. The Hospital also administered COVID-19 tests and vaccinations, contributing significantly to the community's COVID-19 response. In addition to these aforementioned efforts, during 2022 St. Joseph Hospital continued to show its commitment to the community through its initiatives, leadership, and through both cash and in-kind donations. Initiatives included:- S.A.F.E. Nurses Program: St. Joe's is incredibly proud of its S.A.F.E. (Sexual Assault Forensic Examiner) nurses' program, which is composed of a team of nurses who have been specially trained to provide comprehensive medical care to patients affected by sexual assault, domestic violence or even sexual exploitation or trafficking.- Commit to Get Fit: Since lack of physical activity and obesity are significant health challenges in the community, St. Joseph's has dedicated fundraising efforts similar to our sister hospital, to create a community event to encourage physical activity. The Commit to Get Fit Challenge is focused on encouraging individuals of all levels of physical activity to engage in the event. We welcome and support the person who is committed to running their first 5K with as much enthusiasm as the person who is putting all their effort into walking our 3K. Our success can be seen on the faces of the walkers and runners as they cross the finish line.- Mother Mary Angela Fund: The MMA Fund is an employee and donation subsidized fund used to meet the critical and emergent needs of patients, employees, and volunteers. Resources from this fund can used to pay medication co-pays, non-covered supplies for home care patients, and rent payments for those experiencing tough times.- Healing Arts: musicians put on a performance at St. Joseph Healthcare. The program focuses entirely on enhancing the hospital's environment through the arts.- St. Joseph's Closet: The organization purchases clothing for patients that come to the hospital and who might need them.- Bangor Area Homeless Shelter: Monthly meals served by employees of the organization. - Kingman School Backpack Program: distinct departments within the Hospital collaboratively support a child for the school year by providing child-friendly food, ensuring that the child will have food over the weekend. - Employee Food Pantry: Donated items are given to patients with food insecurity.- Hope House: The SJB Dietary Department prepares meals to serve at the at the Hope House, supporting adults with development disabilities.- Casual for a Cause: Donations to the Mother Mary Angela Fund from wearing jeans.- Bangor Area Homeless Shelter: The SJB Dietary Department prepares meals to serve at the local homeless shelter.- Bangor Area homeless Shelter: St. Joseph's laundry washes the linens of the homeless shelter. The total per month wash-load is in excess of 1,100 pounds of laundry.- Salvation Army Soup Kitchen: the SJB Dietary Department prepares and provides a luncheon meal to serve at the Dorothy Day Soup Kitchen.- Maine Multicultural Center: St. Joseph Hospital leaders participate in The Maine Multicultural Center, a community-driven group representing Bangor-area businesses as well as cultural and educational organizations. The Hospital promotes community enrichment and economic growth by attracting, retaining, supporting, and integrating people of diverse cultures and backgrounds into greater Bangor.
Part III, Line 2:Estimated cost of bad debt expense reported is derived from the accounting system using cost-to-charge ratios from the as-filed Medicare cost report. The calculated cost-to-charge ratio for the year was determined to be 38.32%. Therefore, it is estimated the organization's bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15 was $2,467,424 for the 2021 tax year.
Part III, Line 3:The Hospital does not estimate any amount of bad debt expense that is attributable to patients eligible under the Hospital's financial assistance policy. Accordingly, no amount has been included on Schedule H, Part III, Line 3.
Part III, Line 4:Footnotes to the Organization's financial statements that describe bad debt expense are located in Footnote 2, Page 11, of the Organization's consolidated financial statements.
Part III, Line 8:Costs are from the accounting system using cost-to-charge ratios from the as-filed Medicare cost report, but none of these costs are being claimed as a community benefit in Part I, line 7.
Part III, Line 9b:Our collection policy does address patients who have benevolence. If they qualify for free care, then their balance is written off. If they qualify for cost share, then their balance follows the same billing and collection process as any other self-pay account.
Part VI, Line 2:In 1947, when the Felician Sisters bought the Paine Private Hospital, renamed it St. Joseph Healthcare, and began their ministry in this community, it was a long-time commitment they were offering the residents of the greater Bangor area. This commitment was not only to care for the sick in this community, but also to keep the community healthy and provide care for people who are poor and vulnerable. When the ownership of this faith-based community hospital was transferred to Covenant Health, this commitment was renewed with even more passion and striving for excellence. Covenant Health's four values (compassion, integrity, collaboration, and excellence) are reflected through our daily business, which has made this organization a beacon of hope and a place of healing and compassion.Honoring the legacy of this organization, St. Joseph Healthcare continues to care for the poor and vulnerable in our society. We have been proactive and creative in providing appropriate assistance where needed. Currently, this commitment to caring for the whole person manifests itself through community outreach programs, activities and services designed to support community members' health and wellness needs. It also supports the growth and sustainability of a healthy and productive community. By partnering with and supporting agencies with a similar mission and goals, St. Joseph Healthcare is able to provide persons and communities with a higher level of service, while also addressing social issues facing us today.
Part VI, Line 3:St. Joseph Hospital of Bangor operates in conformity with the Financial Assistance Policy as defined and mandated within the Covenant Health System. Consistent with its mission to provide high quality health and wellness services for the community, it is the Hospital's policy that an individual meeting qualified income guidelines may receive financial assistance in paying medically necessary self-pay bills, without discrimination due to race, gender, age, sexual orientation, religious affiliation, social or immigrant status, or health insurance status. In accordance with the Affordable Care Act (ACA), any patient eligible for financial assistance will not be charged more for emergency or medically necessary care than the amount billed (AGB) to insured patients. Covenant Health follows all EMTALA regulations, and no patient will be denied emergency services.Each inpatient receives a packet upon admission that includes a description of the Hospital's Benevolence (Free Care and Cost Share) Policy. If an inpatient has any questions during their stay, a patient ombudsman is available to assist. Signage is placed in all outpatient registration sites and applications are available. Staff is available to answer questions. Upon billing, included with the billing-statement is a notification that free care and cost share is available, the poverty guidelines, and a telephone number for assistance.In accordance with 22 M.R.S.A. Section 1716 and the State of Maine Department of Human Services and Bureau of Medical Services Chapter 150, Agency 10-144, the hospital provides Free Care to residents of Maine, whose income fall below certain thresholds.
Part VI, Line 4:The Hospital's primary service area is Penobscot County, which comprises the county seat and the third most populated city in the State of Maine: Bangor. The County consists of a total area of 3,556.14 square miles. Within the Hospital's primary service area of Penobscot County, the southern and western regions of the County account for more than 50% of the inpatient admissions. The Hospital's secondary service area includes the Penobscot County border communities such as the towns of Bucksport and Ellsworth (located in Hancock County), Milo and Dover-Foxcroft (located in Piscataquis County) and Winterport (located in Waldo County). The population of Penobscot County is 151,774 and 29.4% of the population is 65 years of age or older and living alone. The population is white (94.5%); 2.0% are two or more races, American Indian/Alaskan Native 1.3%, and 1.0% are Asian. The median household income is $50,808. The high school graduation rate (86.2%) and the percent of the population with an associate degree or higher (38.3%) is lower than state average.
Part VI, Line 5:St. Joseph Hospital utilized the 2022 Maine Shared Community Health Needs Assessment (Maine CHNA)-Penobscot County to craft an informed implementation strategy and yearly action plan to address community health needs within the primary service area for St. Joseph Hospital. The Maine CHNA-Penobscot County is intended for collaborative utilization to fulfill the Internal Revenue Service (IRS) requirements for non-profit hospitals. The health priorities for Penobscot County as outlined in the Maine CHNA are as follows (listed in order of identified highest priority):- Mental Health- Social Determinants of Health- Substance Use- Access to CareSt. Joseph Hospital will be addressing each of these priorities relative to the organization's:- Mission- Scope of services - Areas of expertise- Collaborative efforts and integration with fellow community organizations Mental Health:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County mental health quantitative and qualitative data as well as identified gaps/needs in relation to St. Joseph Hospital's scope of services and areas of expertise to craft an informed implementation strategy.Associated data demonstrates that:- The percentage of adults with current symptoms of depression was higher than the state overall- The percentage of youth that experience suicidal ideation and feeling sad and hopeless, 32.5% for high school students and 21.1% of middle school students.Identified gaps/needs included:- Collaboration-Providers, not enough and lack of skills and education to address mental health needs.- Barriers to Treatment, long waitlists, lack of inpatient beds and poor access to outpatient services- Stress/IsolationDuring the period of years 2023-2025, St. Joseph Hospital will focus on improving this community health need by:1. Expanding access to mental health services 2. Reducing the stigma associated with mental health3. Improving screening intervention for identified populationsSocial Determinants of Health:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County social determinants of health quantitative and qualitative data as well as identified gaps/needs in relation to St. Joseph Hospital's scope of services and areas of expertise to craft an informed implementation strategy.Associated data demonstrates that:- The unemployment rate was similar to the state overall- The percentage of individuals living in poverty was higher than the state overall- The percentage of children living in poverty was similar to the state overall- Median household income was lower than the state overallIdentified gaps/needs included:- Barriers to Care- Poverty, low median income- Equity, inequitable access for minorities and immigrants- Housing- Transportation- Physical Activity During the period of years 2023-2025, St. Joseph Hospital will focus on improving this community health need by:1. Implementing programs to support food security 2. Implementing programs to support the integration of wellness services within housing insecure population3. Implementing financial management educational program4. Actively participating with collaborative community initiatives focused on improving social determinants of health-with intent to participate in and integrate programs within St. Joseph Hospital. Substance & Alcohol Use:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County substance use quantitative and qualitative data as well as identified gaps/needs in relation to St. Joseph Hospital's scope of services and areas of expertise to craft an informed implementation strategy.Associated data demonstrates that:- Overdose deaths were significantly higher than the state overall, both for Drug-induced as well as Alcohol-induced.- Drug-affected infants were significantly higher that the state overall.- Hospital utilization for opiate poisoning was higher than the state overall.Identified gaps/needs included:- Treatment- Recovery- Funding/Resources- Harm Reduction- Ease of access substances- Equity- StigmaDuring the period of years 2023-2025, St. Joseph Hospital will focus on improving this community health need by:1. Actively participating with collaborative community initiatives focused on improving access to Naloxone, substance use prevention, substance use education2. Expanding substance use disorder treatment options3. Improving screening intervention vaping and alcohol consumption4. Expanding relapse prevention servicesAccess to Care:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County access to care quantitative and qualitative data as well as identified gaps/needs in relation to St. Joseph Hospital's scope of services and areas of expertise to craft an informed implementation strategy.Associated data demonstrates that:- The percentage of the population that is uninsured was higher than the state overall- The percentage who reported an inability to access healthcare due to cost was higher than the state overall- The ratio of primary care physicians to 100,000 population was lower than the state overallIdentified gaps/needs included:- Providers - Costs- Barriers to care- TransportationDuring the period of years 2023-2025, St. Joseph Hospital will focus on improving this community health need by:1. Implementing new care delivery models which align with provider practice preference in an effort to improve provider satisfaction and enhance access (consistency in provider staffing)2. Expanding same day care services3. Expanding primary care access (correct level of care at the correct location of service)
Part VI, Line 6:St. Joseph Healthcare is comprised of St. Joseph Hospital (an acute care hospital), St. Joseph Ambulatory Care, Inc., (Infusion Therapy services and employer health services), and Alternative Health Services, Inc. (which provides home health and hospice services). By joining Covenant Health, Inc., St. Joseph Healthcare is aligned with two other acute care hospitals and multiple skilled nursing and assisted living facilities.
Part VI, Line 7, Reports Filed With StatesME

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephen Grubbs
Trustee$0$775,120$0$50,000$0$27,982$0$9,150$0$28,011$0$890,263$0$0
Ganesha Santhyadka MD
Trustee$779,230$0$0$0$24,705$0$9,150$0$34,511$0$847,596$0$0$0
Joseph Gallagher MD
Physician$626,671$0$0$0$23,053$0$9,150$0$11,636$0$670,510$0$0$0
Michael Sighonolfi MD
Physician$613,487$0$0$0$21,459$0$7,873$0$16,958$0$659,777$0$0$0
Michael Starks MD
Physician$572,699$0$0$0$22,771$0$8,194$0$24,276$0$627,940$0$0$0
Michael Hendrix
Treasurer, VP Finance$308,976$0$250,000$0$2,080$0$7,519$0$35,074$0$603,649$0$0$0
James Jean Jacques MD
Physician$560,850$0$0$0$1,277$0$0$0$34,884$0$597,011$0$0$0
John Vanadia MD
Physician$540,987$0$0$0$6,090$0$7,707$0$36,684$0$591,468$0$0$0
Mary Prybylo RN MSN
President & CEO, Ex-Officio$0$397,526$0$27,282$0$11,661$0$9,150$0$36,582$0$482,201$0$0
Heather Evans DO
Trustee$181,790$0$0$0$213$0$5,238$0$19,879$0$207,120$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. 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 then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the 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.
Part I, Line 7A Compensation Committee recommends the variable pay award that may be issued to qualifying employees and officers. The payment of the award is discretionary and is subject to meeting the pre-determined goals of the Organization. For the year covered by this Form 990, Schedule J, Michael Hendrix, who served as an Officer of the Organization as its Treasurer and VP of Finance, received a retention bonus of $250,000. The bonus was contingent upon Mr. Hendrix's completion of a set term of service (five years) and the accomplishment of agreed upon performance metrics during that time. Accordingly, as the $250,000 was not guaranteed and would only be paid upon the satisfaction of these conditions, the Organization is reporting the payment of the retention bonus as a non-fixed payment subject to Form 990, Schedule J disclosure for transparency and compliance purposes.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6St. Joseph Healthcare Foundation is the sole corporate member of the Organization.
Form 990, Part VI, Section A, line 7aAs the sole corporate member of the Organization, St. Joseph Healthcare Foundation retains the ability to elect and remove the Organization's board of directors with or without cause.
Form 990, Part VI, Section A, line 7bAs the sole corporate member of the Organization, St. Joseph Healthcare Foundation has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 4. To approve all long-range strategic plans before implementation; 5. To approve the acquisition, sale, or encumbrance of any real estate valued in excess of an amount set by the Member in writing; 6. To approve all capital budgets and non-budgeted expenses in excess of an amount set by the Member in writing; 7. To approve all debt in excess of limits set by the Member in writing; 8. To appoint the auditors; 9. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 10. To approve any reclassification or other change of any capital stock or other equity security; 11. To approve the issuance of, or the creation of any obligation to issue, an equity security; and, 12. To evaluate the performance of the Medical Center in preserving, furthering, and promoting the purposes of the Medical Center.
Form 990, Part VI, Section B, line 11bThe Form 990 is provided to the governing body for their review and approval prior to filing.
Form 990, Part VI, Section B, line 12cThis process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected.
Form 990, Part VI, Section B, line 15Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. 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 then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the 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 19The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available on the website of its parent organization, Covenant Health, Inc., at the following web address: https://covenanthealth.net/financials/
Form 990, Part IX, line 11gContracted medical professionals: Program service expenses 16,510,538. Management and general expenses 1,646,522. Fundraising expenses 0. Total expenses 18,157,060. Administrative and maintenance: Program service expenses 0. Management and general expenses 6,242,378. Fundraising expenses 0. Total expenses 6,242,378. Consulting and advisory services: Program service expenses 0. Management and general expenses 750,425. Fundraising expenses 0. Total expenses 750,425.
Form 990, Part XI, line 9:Net periodic pension cost adjustment -1,667,050. Net adjustments to pension liabilities 792,570. Net assets released from restrictions used in Operations 490,974. Transfers to related organizations -131,793.
Form 990, Part XII, Line 2c:The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (37 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Alternative Health Services
360 BroadwayBangorME04402010422885Home health and hospiceME501(c)(3)Line 10St Joseph Healthcare Foundation0
Bangor Nursing and Rehabilitation Center
103 Texas AvenueBangorME04401010538534Long-term care nursing facilityME501(c)(3)Line 10Covenant Health Inc0
CHS of Waltham Inc dba Maristhill Nursing & Rehab Center
66 Newton StreetWalthamMA02453043333609Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
CHS of Worcester Inc dba St Mary Care Center
39 Queen StreetWorchesterMA01610043419625Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
Community Clinical Services
PO Box 7291LewistonME04243010409788Physician practiceME501(c)(3)Line 10St Mary's Health System0
Covenant Health Foundation Inc
100 Ames Pond DriveTewksburyMA01876800199674Charitable foundationMA501(c)(3)Line 12a, ICovenant Health Inc0
Covenant Health Investment Trust
420 Bedford StreetLexingtonMA02420046835128Investment trustMA501(c)(3)Line 12a, ICovenant Health Inc0
Covenant Health Inc
100 Ames Pond DriveTewksburyMA01876222484505Health care management and resource organizationMA501(c)(3)Line 100N/A
Fanny Allen Corporation Inc
790 College ParkwayColchesterVT05446222495808Charitable foundationVT501(c)(3)Line 12a, ICovenant Health Inc0
Fanny Allen Holdings Inc
790 College ParkwayColchesterVT05446030181052Real estate holding companyVT501(c)(3)Line 12a, ICovenant Health Inc0
Helping Hands of St Marguerite Inc
799 Concord AvenueCambridgeMA02138800199674Private home-care health servicesMA501(c)(3)Line 10Covenant Health Inc0
M & J Company
360 BroadwayBangorME04402222480150Lease holding companyME501(c)(2)St Joseph Healthcare Foundation0
Mary Immaculate Guild Inc
172 Lawrence StreetLawrenceMA01841463073987Supporting grants and donationsMA501(c)(3)Line 12a, ICovenant Health Inc0
MI Adult Day Health Care Center Inc
189 Maple StreetLawrenceMA01841042921888Adult day care servicesMA501(c)(3)Line 10Covenant Health Inc0
MI Management Inc
172 Lawrence StreetLawrenceMA01841042857794Assisted living servicesMA501(c)(3)Line 12a, ICovenant Health Inc0
MI Nursing Restorative Center Inc
172 Lawrence StreetLawrenceMA01841042104851Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
MI Residential Community Inc
189 Maple StreetLawrenceMA01841042647207HUD low income housingMA501(c)(3)Line 10Covenant Health Inc0
MI Transportation Inc
189 Maple StreetLawrenceMA01841042921889Elderly transportation servicesMA501(c)(3)Line 10Covenant Health Inc0
Mount St Rita Health Centre
15 Sumner Brown RoadCumberlandRI02864050342330Nursing homeRI501(c)(3)Line 10Covenant Health Inc0
Neighborhood Housing Initiative
PO Box 7291LewistonME04243010539730Affordable housing servicesME501(c)(3)Line 10St Mary's Health System0
Penacook Place Inc
150 Water StreetHaverhillMA01830237090088Nursing homeMA501(c)(3)Line 10Covenant Health Inc0
Souhegan Nursing Association
24 North River RoadMilfordNH03055020222795Home health and hospiceNH501(c)(3)Line 10St Joseph Hospital of Nashua NH Inc0
St Joseph Ambulatory Care Inc
360 BroadwayBangorME04402222480373Physician practiceME501(c)(3)Line 3St Joseph Healthcare Foundation0
St Andre Health Care
407 Pool StreetBiddefordME04005010342399Nursing home and restorative facilityME501(c)(3)Line 10Covenant Health Inc0
St Joseph Healthcare Foundation
360 BroadwayBangorME04402222480149Healthcare foundationME501(c)(3)Line 7Covenant Health Inc0
St Joseph Manor Health Care
215 Thatcher StreetBrocktonMA02302042565937Nursing home and restorative facilityMA501(c)(3)Line 10Covenant Health Inc0
St Joseph's Hospital of Nashua NH Inc
172 Kinsley StreetNashuaNH03061020222215Hospital and health care facilityNH501(c)(3)Line 3Covenant Health Inc0
St Mary's D'Youville Pavilion
PO Box 7291LewistonME04243010211558Nursing home and restorative facilityME501(c)(3)Line 10St Mary's Health System0
St Mary's Health System
PO Box 7291LewistonME04243222504349Hospital and health care facilityME501(c)(3)Line 12a, ICovenant Health Inc0
St Mary's Regional Medical Center
PO Box 7291LewistonME04243010211551Hospital and health care facilityME501(c)(3)Line 3St Mary's Health System0
St Mary's Residences
PO Box 7291LewistonME04243222504356Low income housingME501(c)(3)Line 10St Mary's Health System0
St Mary's Villa Nursing Home Inc
675 St Marys Villa RoadMoscowPA18444232057177Nursing home and restorative facilityPA501(c)(3)Line 10Covenant Health Inc0
The Surgicenter at St Joseph Hospital Inc
172 Kinsley StreetNashuaNH03061020222215Healthcare and surgery centerNH501(c)(3)Line 10St Joseph Hospital of Nashua NH Inc0
Youville Hospital and Rehabilitation Center Inc
1575 Cambridge StreetCambridgeMA02138043239563Hospital and health care facilityMA501(c)(3)Line 10Youville Lifecare Inc0
Youville House Inc
1573 Cambridge StreetCambridgeMA02138043239593Assisted living servicesMA501(c)(3)Line 10Youville Lifecare Inc0
Youville Lifecare Inc
1575 Cambridge StreetCambridgeMA02138042103582Hospital and health care facilityMA501(c)(3)Line 10Covenant Health Inc0
Youville Place
10 Pelham RoadLexingtonMA02421043297834Assisted living servicesMA501(c)(3)Line 10Covenant Health Inc0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Campus Holding
PO Box 7291LewistonME04240010406049Holding companyMEN/AC0
Covenant Health Insurance LTD
043360127Self-insurance companyN/AC0PO Box 69Grand CaymanCJKY1-1102CJ
GNM Corporation
172 Kinsley StreetNashuaNH03060020400550Real estate holding companyNHN/AC0
SJ Physicians Services
172 Kinsley StreetNashuaNH03060020522234Physician practiceNHN/AC0
St Joseph Corporate Services Inc
172 Kinsley StreetNashuaNH03060020405197Holding companyNHN/AC0
Strauss Incorporated
360 BroadwayBangorME04402010391369Repairs and transcriptionsMEN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd