ST JOSEPH HOSPITAL: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HOSPITAL (EIN 01-0212435)
- Tax period
- 2021-01-01 to 2021-12-31
- Filed
- 2022-11-08
- IRS object ID
- 202213129349303001
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-11-08T12:16:19-06:00 | ReturnTs |
| Tax Period End | 2021-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 507 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010212435 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 2079071233 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael Hendrix | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 2079071233 | PhoneNum |
| Signature | 2022-11-07 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Michael | PersonFirstNm |
| Person Last | Hendrix | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Connor Smart | PreparerPersonNm |
| PTIN | P02285543 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2022-11-07 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mary Prybylo MSN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $193,235,600 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stjoeshealing.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Community hospital committed to wellness promotion, holistic healing and healthcare services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1376 | TotalEmployeeCnt |
| Total Volunteers | 49 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $10,562,756 | PYContributionsGrantsAmt |
| CY Contributions Grants | $5,570,732 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $147,660,216 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $174,806,283 | CYProgramServiceRevenueAmt |
| PY Investment Income | $562,175 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,907,950 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | -$261,208 | CYOtherRevenueAmt |
| PY Total Revenue | $158,785,147 | PYTotalRevenueAmt |
| CY Total Revenue | $183,023,757 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $10,215 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $6,178 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $74,312,941 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $85,126,197 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $84,806,989 | PYOtherExpensesAmt |
| CY Other Expenses | $96,180,662 | CYOtherExpensesAmt |
| PY Total Expenses | $159,130,145 | PYTotalExpensesAmt |
| CY Total Expenses | $181,313,037 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$344,998 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,710,720 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $78,254,281 | TotalAssetsBOYAmt |
| Total Assets EOY | $73,052,907 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $47,973,600 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $38,123,005 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $30,280,681 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $34,929,902 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | St. 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $129,495,736 | ExpenseAmt |
| Grant | $6,178 | GrantAmt |
| Revenue | $174,806,283 | RevenueAmt |
| Desc | St. 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 | $129,495,736 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 54 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1376 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Hendrix CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2079071233 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Stephen Grubbs | ||||||||
| Trustee | 0.10 | 45.40 | Yes (X) | $0 | $909,317 | $36,190 | ||
| Ganesha Santhyadka MD | ||||||||
| Trustee | 40.10 | 0.40 | Yes (X) | $737,772 | $0 | $42,448 | ||
| Heather Evans DO | ||||||||
| Trustee | 40.10 | 0.40 | Yes (X) | $240,978 | $0 | $26,320 | ||
| William Buckley | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Robert Clark | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Thomas Daffron | ||||||||
| Trustee (end 6/2021) | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Rosalind Prince Gilman Esq | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Anita Haskell | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Curtis Kimball Esq | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Bernard LaBree | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Adrien Roy Jr | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Bradley Ryder | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| William Wood MD | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Rebecca Whitmore | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| William Lucy | ||||||||
| Chair | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| L William Demaso | ||||||||
| Vice Chair | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Mary Prybylo RN MSN | ||||||||
| President & CEO, Ex-Officio | 0.10 | 40.40 | $0 | $706,461 | $44,672 | Yes (X) | ||
| Michael Hendrix | ||||||||
| Treasurer, VP Finance | 40.10 | 0.40 | $345,986 | $0 | $41,692 | Yes (X) | ||
| Donna Berry | ||||||||
| Secretary | 40.10 | 0.40 | $79,469 | $0 | $24,353 | Yes (X) | ||
| Joseph Gallagher MD | ||||||||
| Physician | 40.00 | 0.00 | $688,319 | $0 | $10,143 | Yes (X) | ||
| Michael Sighonolfi MD | ||||||||
| Physician | 40.00 | 0.00 | $639,495 | $0 | $25,348 | Yes (X) | ||
| Michael Starks MD | ||||||||
| Physician | 40.00 | 0.00 | $588,531 | $0 | $31,710 | Yes (X) | ||
| John Vanadia MD | ||||||||
| Physician | 40.00 | 0.00 | $556,654 | $0 | $39,310 | Yes (X) | ||
| James Jean Jacques MD | ||||||||
| Physician | 40.00 | 0.00 | $539,527 | $0 | $42,718 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,416,731 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,615,778 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $364,904 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 124 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Covenant Health Inc | |||||
| 100 Ames Pond Drive Suite 102 | Tewksbury | MA | 01876 | Management services | $24,562,308 |
| Medefis Inc | |||||
| PO Box 5068 | New York | NY | 100875068 | Healthcare management services | $6,481,812 |
| Sound Physicians of Maine Inc | |||||
| PO Box 742936 | Los Angeles | CA | 90074 | Physician services | $2,949,079 |
| DP Porter Contractors Inc | |||||
| PO Box 6313 | Hermon | ME | 044026313 | General contractor | $2,515,327 |
| Dragonfly Therapy | |||||
| 840 Hammond Street Suite 2 | Bangor | ME | 04401 | Psychologist services | $970,784 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 33 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $5,522,402 | GovernmentGrantsAmt |
| All Other Contributions | $48,330 | AllOtherContributionsAmt |
| Noncash Contributions | $22,243 | NoncashContributionsAmt |
| Total Contributions | $5,570,732 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient services | 621110 | $170,847,043 | $170,847,043 |
| ACO management fees | 541610 | $1,796,571 | $1,796,571 |
| Medical/laboratory | 621990 | $1,199,588 | $1,199,588 |
| Nutrition and cafeterias | 722514 | $722,908 | $722,908 |
| Administrative/affiliate services | 561000 | $240,173 | $240,173 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $174,806,283 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $560,254 | TotalRevenueColumnAmt |
| Exclusion | $560,254 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $12,537,039 | SecuritiesAmt |
| Other | $22,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $10,177,997 | SecuritiesAmt |
| Other | $33,846 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,359,042 | SecuritiesAmt |
| Other | -$11,346 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,347,696 | TotalRevenueColumnAmt |
| Exclusion | $2,347,696 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Loss on debt extinguishment | Desc |
| Business | 525990 | BusinessCd |
| Total Revenue Column | -$261,208 | TotalRevenueColumnAmt |
| Exclusion | -$261,208 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$261,208 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $183,023,757 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $174,806,283 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,646,742 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,178 | TotalAmt |
| Program Services | $6,178 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,539,018 | TotalAmt |
| Program Services | $1,242,560 | ProgramServicesAmt |
| Management And General | $296,458 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,663,835 | TotalAmt |
| Program Services | $56,427,706 | ProgramServicesAmt |
| Management And General | $13,236,129 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,060,124 | TotalAmt |
| Program Services | $826,897 | ProgramServicesAmt |
| Management And General | $233,227 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,328,759 | TotalAmt |
| Program Services | $6,496,432 | ProgramServicesAmt |
| Management And General | $1,832,327 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,534,461 | TotalAmt |
| Program Services | $3,536,880 | ProgramServicesAmt |
| Management And General | $997,581 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,562,308 | TotalAmt |
| Management And General | $24,562,308 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,997 | TotalAmt |
| Management And General | $117,997 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,505 | TotalAmt |
| Management And General | $135,505 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,283 | TotalAmt |
| Management And General | $12,283 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,027 | TotalAmt |
| Management And General | $55,027 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,452,598 | TotalAmt |
| Program Services | $14,158,715 | ProgramServicesAmt |
| Management And General | $7,293,883 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $509,592 | TotalAmt |
| Program Services | $397,482 | ProgramServicesAmt |
| Management And General | $112,110 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,420,811 | TotalAmt |
| Program Services | $2,668,233 | ProgramServicesAmt |
| Management And General | $752,578 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $481,139 | TotalAmt |
| Program Services | $375,288 | ProgramServicesAmt |
| Management And General | $105,851 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,981,601 | TotalAmt |
| Program Services | $2,325,649 | ProgramServicesAmt |
| Management And General | $655,952 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,322 | TotalAmt |
| Program Services | $78,251 | ProgramServicesAmt |
| Management And General | $22,071 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $230,665 | TotalAmt |
| Program Services | $179,919 | ProgramServicesAmt |
| Management And General | $50,746 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $600,707 | TotalAmt |
| Program Services | $468,551 | ProgramServicesAmt |
| Management And General | $132,156 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,159,958 | TotalAmt |
| Program Services | $1,684,767 | ProgramServicesAmt |
| Management And General | $475,191 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,420,985 | TotalAmt |
| Program Services | $1,888,368 | ProgramServicesAmt |
| Management And General | $532,617 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| Drugs/medical supplies | $26,373,523 | $26,373,523 |
| Provision for bad debt | $6,387,639 | $6,387,639 |
| Service provider tax | $3,158,583 | $3,158,583 |
| Dietary and nutrition | $814,115 | $814,115 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,304 | TotalAmt |
| Management And General | $205,304 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,313,037 | TotalAmt |
| Program Services | $129,495,736 | ProgramServicesAmt |
| Management And General | $51,817,301 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,814,101 | BOYAmt |
| EOY | $1,828,748 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,545 | BOYAmt |
| EOY | $60,141 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,515,102 | BOYAmt |
| EOY | $744,541 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,229,706 | BOYAmt |
| EOY | $16,369,838 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,388,859 | BOYAmt |
| EOY | $4,120,359 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,427 | BOYAmt |
| EOY | $299,439 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $94,791,904 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $65,442,677 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,434,775 | BOYAmt |
| EOY | $29,349,227 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,686,139 | BOYAmt |
| EOY | $2,992,913 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,407,172 | BOYAmt |
| EOY | $13,740,554 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,384,455 | BOYAmt |
| EOY | $3,547,147 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,254,281 | BOYAmt |
| EOY | $73,052,907 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,131,403 | BOYAmt |
| EOY | $12,844,480 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,552,304 | BOYAmt |
| EOY | $10,832,551 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,454,036 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,835,857 | BOYAmt |
| EOY | $14,445,974 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,973,600 | BOYAmt |
| EOY | $38,123,005 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,380,773 | BOYAmt |
| EOY | $31,789,391 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,899,908 | BOYAmt |
| EOY | $3,140,511 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,280,681 | BOYAmt |
| EOY | $34,929,902 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,254,281 | BOYAmt |
| EOY | $73,052,907 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,710,720 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$963,657 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $3,902,158 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $8,252 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $12,283 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $20,535 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Part 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 2021, as well as the portion of those dues that were estimated to be available for lobbying expenditures, are detailed below: Maine Hospital Association - Total 2021 dues: $55,759 - Portion of dues available for lobbying: $8,252 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 2021, or if any portion was available for lobbying expenditures by the AHA Additionally, the Organization also paid Kozak & Gayer PA, a law firm, $12,283 during the 2021 tax year for lobbying and governmental services. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,776,908 | BeginningYearBalanceAmt |
| Contributions | $26,787 | ContributionsAmt |
| Investment Earnings Or Losses | $371,393 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $117,673 | OtherExpendituresAmt |
| Administrative Expenses | $35,116 | AdministrativeExpensesAmt |
| End Year Balance | $3,022,299 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,487,860 | BeginningYearBalanceAmt |
| Contributions | $26,185 | ContributionsAmt |
| Investment Earnings Or Losses | $420,409 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $122,849 | OtherExpendituresAmt |
| Administrative Expenses | $34,697 | AdministrativeExpensesAmt |
| End Year Balance | $2,776,908 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,112,680 | BeginningYearBalanceAmt |
| Contributions | $7,289 | ContributionsAmt |
| Investment Earnings Or Losses | $484,718 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $86,959 | OtherExpendituresAmt |
| Administrative Expenses | $29,868 | AdministrativeExpensesAmt |
| End Year Balance | $2,487,860 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,445,628 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$194,139 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $108,226 | OtherExpendituresAmt |
| Administrative Expenses | $30,583 | AdministrativeExpensesAmt |
| End Year Balance | $2,112,680 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,247,305 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $404,737 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $176,252 | OtherExpendituresAmt |
| Administrative Expenses | $30,162 | AdministrativeExpensesAmt |
| End Year Balance | $2,445,628 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $175,048 | OtherCostOrOtherBasisAmt |
| Book Value | $175,048 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,182,014 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,802,295 | DepreciationAmt |
| Book Value | $21,379,719 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,093,605 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,088,801 | DepreciationAmt |
| Book Value | $4,804 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $40,673,124 | OtherCostOrOtherBasisAmt |
| Depreciation | $33,479,661 | DepreciationAmt |
| Book Value | $7,193,463 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $668,113 | OtherCostOrOtherBasisAmt |
| Depreciation | $71,920 | DepreciationAmt |
| Book Value | $596,193 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $29,349,227 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Covenant Health Investment Trust | $13,439,600 | F |
| Investment in Synernet | $295,954 | F |
| Investment in Downeast Telecom System | $5,000 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $13,740,554 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Third party payor settlements (net surplus) | -$5,660,164 |
| Lease liabilities | $2,042,628 |
| Professional insurance liabilities | $1,247,414 |
| Due to affiliates | $17,777,074 |
| Pension obligations (net surplus) | -$960,978 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $14,445,974 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | 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, 2021. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $679,692 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $679,692 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00390 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,274,693 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,177,347 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,097,346 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05200 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,954,385 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,177,347 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,777,038 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05590 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,764 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,764 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $866,064 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $866,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,977 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $905,805 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $905,805 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00530 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $27,860,190 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $17,177,347 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,682,843 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,467,424 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $97,785,019 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $139,377,362 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$41,592,343 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stjoeshealing.org | WebsiteAddressTxt |
| State License | ME-37936 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 19 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V, Section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Joseph Hospital | Part V, Section B, Line 5: St. Joseph Hospital of Bangor participated in the 2019 Maine Shared CHNA for Penobscot County. The Maine Shared Community Health Needs Assessment (Maine Shared CHNA) is a collaborative effort amongst many healthcare providers throughout the State of Maine. This unique public-private partnership is intended to assess the health needs of all who call Maine home. The Community Health Needs Assessment gathered community input by conducting forums held in Penobscot County. The forums identified a list of health issues impacting the Hospital's priority populations and communities in Penobscot County through a voting methodology. Per the Maine Shared CHNA Charter, the effort was conducted by the Steering Committee, Metrics Committee, and Community Engagement Committee. The Community Engagement Committee was led by the program manager who was the point of contact for all entities and partners and was responsible for meeting planning and facilitation. These committees worked in partnership with the Maine CDC and a contracted vendor. Maine CDC and its epidemiology contractor, University of Southern Maine, provided a significant amount of data analyses, technical support, and website development. JSI was contracted to support forum facilitation, a subset of data analysis, profile development, and report writing. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in all 16 Maine counties. All forms of engagement included forums and key informant interviews. Some local planning teams also conducted additional targeted outreach, focus groups, and surveys. The purpose of this outreach was to gather feedback on data and to identify health priorities, community assets, and gaps in resources to be used in health improvement planning. Communities, businesses, and individuals that were part of this input included the following: all area hospitals; provider practices; public health leaders; community service programs; Eastern Area Agency on Aging; area nursing school programs; mental health providers and agencies; detox counseling and inpatient detox services; Maine CDC/DHHS; local public health departments; Catholic Charities and Missionary Sisters; Penquis Cap Housing; childcare services; local United Way chapters; veterans and veteran-groups; tribal communities; immigrants and refugees; individuals representing those who are deaf or who have physical disabilities; adolescents; members of the LGBTQ community; rural individuals; individuals in substance use disorder recovery/prevention, as well as addiction-treatment professionals; homeless shelters; food pantries and food assistance services; ambulance and fire services; and individuals in rural areas. |
| St. Joseph Hospital | Part 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 2019 Maine Shared CHNA for Penobscot County, please refer to the full report, which is available online at the following web-address:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/documents/county-reports/2019/Penobscot-Report-Web.pdf |
| St. Joseph Hospital | Part 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 2019 Maine Shared CHNA for Penobscot County, please refer to the full report, which is available online at the following web-address:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/documents/county-reports/2019/Penobscot-Report-Web.pdf |
| St. Joseph Hospital | Part V, Section B, Line 11: The 2019 CHNA assessment conducted Forums held in Penobscot County to identify a list of health issues in that community through a voting methodology. The information contained here on this Schedule H was excerpted from the 2019 Penobscot County CHNA Report. Community outreach was conducted between September 2018 and January 2019. Community forums with residents and service providers were held in all of Maine's 16 counties. The top health priorities identified were: (1) Mental Health; (2) Social Determinants of Health; (3) Substance Use; (4) Access to Care; and (5) Physical Activity, Nutrition and Weight Management. These priorities were also identified as Statewide priorities. Mental Health: At the Penobscot County forum, depression, anxiety, and stress were identified as major mental health issues. While many said there was a need for more behavioral health services in general, inpatient services and providers specifically for youth and older adults were identified as specific gaps in the spectrum of care. Participants also called for more integration of behavioral health and primary care. The mental health needs of youth and adolescents were a dominant theme in the community forum. Community members suggested that education around mental health and stigma and behavioral health screening and treatment should be provided as early as possible (pre-K). School personnel, particularly school nurses, counselors, and health teachers, were identified as critical partners in the early identification and treatment of mental health issues. Stigma, or the disapproval or discrimination against a person based on a particular circumstance (e.g. mental health condition), was identified by several participants as a major barrier to care. Community members called for more education around mental health issues, for both providers and residents, to reduce burden and stigma. Community resources were identified in the report that support mental health services and will be vital to work on this initiative. It identified assets and gaps and needs.Social Determinants of Health: The social determinants of health are the conditions in which people live, work, learn, and play that affect their health. Factors include socioeconomic status (e.g. education, income, poverty), housing, transportation, social norms and attitudes (e.g. racismand discrimination), crime and violence, literacy, and availability of resources (e.g. food, health care). These conditions influence an individual's health and define quality of life for many segments of the population, but specifically those that are most vulnerable. According to the Kaiser Family Foundation, social factors like education, racism, and poverty accounted for over a third of total deaths in the United States. A dominant theme from key informant interviews and the community forum was the tremendous impact that the underlying social determinants, particularly food insecurity, housing, and transportation, have on residents in Penobscot County. Poverty is often at the root of these issues; without stable employment and a livable wage, many people struggle to afford nutritious foods and to secure and maintain affordable and safe housing and transportation. Many participants identified a need for resources to combat the causes and effects of poverty, including increased job education and training, financial management classes, and home economics courses in schools. Forum participants stated that although there are stores and farmers markets offering fresh and nutritious foods, specifically produce, the cost of these items is prohibitive. It was also said that farmers markets were difficult to access due to their limited hours. Participants were also concerned about children's access to healthy foods, both within and outside of schools; it was suggested that schools should expand offerings of low cost and healthy lunch to students. Forum participants identified several needs in the realm of housing: transitional and supportive housing; shelters for individuals and families; safety of housing stock in poor condition; and radon testing. Transportation was identified as an issue for those without a personal vehicle; though there is a public transportation system, residents suggested that buses should run more frequently and for longer periods of time. In Penobscot County, the unemployment rate was higher than the state overall (4.3% vs. 3.8%) in 2015-2017. The percentage of individuals living in poverty was higher than the state overall (16.3% vs. 13.5%) in 2012-2016. The percentage of children living in poverty was higher than the state overall (18.3% vs. 17.2%) in 2012-2016. The percentage of households that lack enough food to maintain healthy, active lifestyles for all household members was similar to the state overall (16.2% vs. 15.1%) in 2014-2015. The percentage of high school students who are housing insecure was higher than the state overall (4.1% vs. 3.6%) in 2017.Substance Abuse: The Substance Abuse and Mental Health ServicesAdministration (SAMHSA) estimated that 8% of adults in the United States have had a substance use disorder in the past year. Tobacco, alcohol, marijuana, and nonmedical use of prescription pain relievers (e.g. OxyContin, Vicodin) are the leading substance use health issues for adults. Tobacco, alcohol, and marijuana are the most common substances misused by adolescents, followed by amphetamines (e.g. Adderall) and nonmedical use of prescription pain relievers. Those with substance use disorders often face a number of barriers that limit access and hinder engagement in care; one study estimates that more than 50% of individuals with mental health and substance use issues are not engaged in needed services. Barriers to care include a lack of education, awareness, and understanding around the signs, symptoms, risk factors, and consequences associated with substance use, social stigma, and workforce shortages. Statewide, many forum participants and key informant interviewees identified gaps in access to substance use treatment and recovery services. Finally, those who are uninsured or underinsured are more likely to face barriers to care, and historically, coverage for substance use services has been less comprehensive than for physical health services. This is further complicated by the cost of co-pays, transportation, and medications, even for those who are eligible for free or discounted services, or for those with commercial insurance, as many private substance use treatment providers do not accept insurance and require cash payments. Many people in Penobscot County were concerned by the increased availability and use of e-cigarettes, also referred to as "vaping or "Juuling." This was especially a concern for young people. Opioid use disorder was another key theme in the community forum and key informant interviews. Participants discussed the need for more comprehensive, accessible, and affordable services to help those in need, including recovery coaches and case managers. At the community level, participants suggested that residents would benefit from education around coping mechanisms and breaking down stigma, which was identified as a barrier to substance use treatment. Key informants identified a number of priority health issues for individuals with substance use disorders and those in treatment/recovery: education and outreach around how to access healthcare and treatment options; routine basic health care (primary care, dental care); and care that addresses co-occurring mental health and substance use issues. Informants also identified needs specific to youth, including information on where and how to access treatment and better access to confidential services. Another key theme was the need to provide better access to many of the resources that make up the social determinants of health: affordable, safe, and supportive housing; transportation; and nutritious foods. In Penobscot County, the percentage of adults who currently smoke was higher than the state overall (24.6% vs. 19.8%) in 2016. Overdose emergency medical service responses per 10,000 population were higher than the state overall (128.0 vs. 93.0) in 2016-2017. Alcohol-induced deaths per 100,000 population were higher than the state overall (11.0 vs. 9.7) in 2012-2016.(Continued on later pages of this Schedule H, Part V) |
| Schedule H, Part V, Section B, Line 7a & 10a: | The Hospital's most recent CHNA and Implementation Strategy can be found at:CHNA: https://stjosephbangor.org/mschna/Implementation Strategy: https://stjosephbangor.org/wp-content/uploads/2022/03/CHNA-IS-2019.pdfAdditionally, the Maine Shared CHNA for Penobscot County can be found at:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/documents/county-reports/2019/Penobscot-Report-Web.pdf |
| Schedule H, Part V, Section B, Line 16a & 16b | The 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/Specifically, the entire Financial Assistance Policy may be found here:https://stjosephbangor.org/wp-content/uploads/2022/02/Covenant-FAP.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. |
| Schedule H, Part V, Section B, Line 11 (continued): | Access to Care: Access to a usual source of primary care is particularly important, since it greatly affects the individual's ability to receive regular preventive, routine, and urgent care, and to manage chronic conditions. Barriers to accessing care also include the availability and affordability of care. Low-income individuals, people of color, those with less than a high school diploma, and LGBTQ populations face even greater disparities in health insurance coverage compared to those who are straight, white, and well-educated. Compared to heterosexual residents (11.6%), 19.3% of bisexual residents, and 22.5% of residents who identified as something other than heterosexual, gay or lesbian, or bisexual were uninsured. Many forum participants and key informants identified the social determinants of health-particularly inability to access reliable and affordable forms of transportation as significant barriers to care. Beyond the need for Medicaid expansion, which was signed into law on January 3, 2019, participants discussed the need for comprehensive and affordable health services, specifically primary care, dental care, behavioral health, and prenatal care. Even for those with insurance, deductibles, co-pays, and prescription medications are unaffordable and prevent people from seeking care. The out-of-pocket costs associated with some forms of care deter people from getting the services or medications that they need. Physical Activity, Nutrition, and Weight: Lack of physical fitness and poor nutrition are among the leading risk factors associated with obesity and chronic health issues. Adequate nutrition helps prevent disease and is essential for the healthy growth and development of children and adolescents, while overall fitness and the extent to which people are physically active reduces the risk for many chronic conditions and is linked to good emotional health. Over the past two decades, obesity rates in the United States have doubled for adults and tripled for children. Overall, these trends have spanned all segments of the population, regardless of age, sex, race, ethnicity, education, income, or geographic region. Food insecurity refers to a lack of resources to access enough nutritional food for a household. Food insecurity has both direct and indirect impacts on health for people of all ages, but is especially In the community forum, obesity was identified as an issue for both youth and adults. Participants and key informants suggested several reasons for the increase in obesity, including the high cost of healthy foods, poor eating habits (unhealthy and not enough food), sedentary lifestyle and lack of physical activity, and lack of education. As discussed in the section on the Social Determinants of Health, forum participants identified a need to improve the quality and nutrition of food provided within the school systems.In Penobscot County, the percentage of the population that is uninsured was higher than the state overall (10.5% vs. 9.5%) in 2012-2016. The percentage of the population who reported an inability to access healthcare due to cost was slightly higher than the state overall (11.5% vs.10.3%) from 2014-2016. The ratio of primary care physicians to 100,000 population was lower than the state overall (59.5 vs. 178.4) in 2017. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Regional Breast Care CenterBone Density | ||||
| 900 Broadway | Bangor | ME | 04401 | Women's Health Clinic |
| 2 - St Joseph Diabetes and Nutrition Center | ||||
| 900 Broadway | Bangor | ME | 04401 | OP Clinic |
| 3 - St Joseph Endocrinology | ||||
| 900 Broadway | Bangor | ME | 04401 | Physician Specialty Practice |
| 4 - St Joseph Internal Medicine | ||||
| 900 Broadway | Bangor | ME | 04401 | Physician Specialty Practice |
| 5 - St Joseph Rheumatology | ||||
| 900 Broadway | Bangor | ME | 04401 | Physician Specialty Practice |
| 6 - St Joseph Family Medicine | ||||
| 900 Broadway | Bangor | ME | 04401 | Physician Family Medicine Practice |
| 7 - St Joseph Workwell-Occupational Health | ||||
| 900 Broadway | Bangor | ME | 04401 | Occupational Health Clinic |
| 8 - St Joseph Hospital Center for Sleep | ||||
| 268 Central Street | Bangor | ME | 04401 | Sleep Lab |
| 9 - St Joseph Cardiology | ||||
| 360 Broadway Suite 202 | Bangor | ME | 04401 | Physician Specialty Practice |
| 10 - St Joseph Family Medicine-MT Hope | ||||
| 700 Mount Hope Avenue | Bangor | ME | 04401 | Physician Family Medicine Practice |
| 11 - St Joseph Family Medicine-Brewer | ||||
| 329 Wilson Street | Brewer | ME | 04412 | Physician Family Medicine Practice |
| 12 - St Joseph Family Medicine-Hampden | ||||
| 21 Western Avenue | Hampden | ME | 04444 | Physician Family Medicine Practice |
| 13 - St Joseph Hospitalists Service | ||||
| 360 Broadway | Bangor | ME | 04401 | Outpatient Clinic |
| 14 - St Joseph General Surgery | ||||
| 360 Broadway Suite 207 | Bangor | ME | 04401 | Physician Specialty Practice |
| 15 - St Joseph Gastroenterology | ||||
| 360 Broadway Suite 100 | Bangor | ME | 04401 | Physician Specialty Practice |
| 16 - St Joseph Respiratory Care | ||||
| 360 Broadway Suite 202 | Bangor | ME | 04401 | Physician Specialty Practice |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $ 6,438,997. |
| 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 everyone 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 numerous new programs and activities to promote the health and wellbeing of its community. Some of the community building activities specifically in response to the Pandemic were as follows:1. Telehealth Services: the Hospital greatly expanded its telehealth services in 2020, which improved its community's access to care and medical resources. Virtual appointments with over 200 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 and easy way for patients to stay connected with their doctor and 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 many COVID-19 tests and vaccinations, contributing significantly to the community's COVID-19 response. In addition to these aforementioned efforts, during 2020 St. Joseph Hospital continued to show its commitment to the community through its initiatives, leadership, and through both cash and in-kind donations. Some of the initiatives continued through 2020 included:- Bangor Area Shelter Blood Pressure Clinic, which is conducted at the area homeless shelter.- 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.- St. Joe's Community Collaborative to Improve End-of-Life Care: In June of 2019, St. Joe's became part of The Community Collaboration for Hospice and End-of-Life Care, an initiative that the Hospital continued to work with through 2020. A team from St. Joe's committed to working alongside other organizations, providers, and volunteers from Greater Bangor to improve understanding and knowledge of hospice and end-of-life care resources in our community. The group's mantra is a "good death" is a basic need for all, especially for those who are alone or suffering. The collaborative is focused on enhancing end-of-life care and experiences across all care settings, whether at home, in the hospital or elsewhere. It also works to expand community awareness of and education about end-of-life care and hospice options for patients and their families.- 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 hard 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. - Salvation Army/Dorothy Day Soup Kitchen: employees serve lunch at the soup kitchen.- 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.- 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 on page 17 and page 18 of the attached 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 some of the 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 generally 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. For patients who cannot afford to settle their healthcare balance in full, the Hospital offers standard payment plan arrangements. Payment plans can be established for up to 24 months with a minimum monthly payment amount of $50. Additionally, for patients who do not feel they qualify under the special income guidelines and cannot make payments as outlined above, the Hospital offers patients the opportunity to speak with a financial counselor to discuss an individualized repayment plan. |
| 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 152,978 and 16.5% of the population is 65 years of age or older. The population is predominantly white (95.1%); 1.7% are two or more races, 1.2% are Hispanic, and 1.1% are Asian. The median household income is $45,302. The high school graduation rate (88.3%) is higher than the state overall, while the percent of the population with an associate's degree or higher (35.4%) is lower. |
| Part VI, Line 5: | St. Joseph Hospital utilized the 2019 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 Care- Physical Activity, Nutrition and WeightSt. 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 who reported 14 or more delays lost due to poor mental health in the past 30 days was significantly higher than the state overall - The percentage of adults with current symptoms of depression was higher than the state overall- The percentage of high school students who reported that they had been sad/hopeless for more than two weeks in a row increased significantlyIdentified gaps/needs included:- Reducing stigma associated with mental health diagnosis- Expansion of primary care integration with behavioral health and training- Early screening intervention and treatment- Access to quality care- Wait time for counseling and therapy appointmentsDuring the period of years 2020-2022, 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 percentage of households that lack enough food to maintain healthy, active lifestyles for all household members was similar to the state overall- The unemployment rate was higher than the state overall- The percentage of individuals living in poverty was higher than the state overall- The percentage of children living in poverty was higher than the state overallIdentified gaps/needs included:- Wellness integrated supportive housing sources- Transitional housing- Coordination of efforts around food insecurity- Screening of food insecurity- Health literacy education, using teach back- Resources to combat the causes and effects of poverty, including financial management classes During the period of years 2020-2022, 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 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:- The number of adults who currently smoke was higher than the state overall- Overdose emergency medical service responses per 10,000 population were higher than the state overall- Alcohol-induced deaths per 100,000 population were higher than the state overallIdentified gaps/needs included:- Substance use prevention- Education- E-cigarette vape culture- Increase access to Naloxone- Attention to all substances- Relapse preventionDuring the period of years 2020-2022, 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 for e-cigarette, 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 slightly higher than the state overall- The ratio of primary care physicians to 100,000 population was lower than the state overallIdentified gaps/needs included:- Consistent care providers - Same day care During the period of years 2020-2022, 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) Physical Activity, Nutrition and Weight:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County physical activity, nutrition and weight 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 who are obese was higher than the state overall- The percentage of adults who are obese was significantly higher than the national average- The percentage of high school students who were obese was higher than the state overall- The percentage of high school students who reported having five or more fruits and vegetables a day was significantly lower than the state- The percentage of high school students who reported having one or more soda/sports drinks a day was significantly higher than the state overallIdentified gaps/needs included:- Public education- Food insecurity- Culture of wellness at work and schools. This included giving breaks for physical activity- Access to affordable foodDuring the period of years 2020-2022, St. Joseph Hospital will focus on improving this community health need by:1. Improving engagement with an identified population2. Expanding exposure to healthy lifestyle activities3. Developing program(s) to address obesity |
| 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 States | ME |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Mother Mary Angela Employee Assistance Funds | GrantTypeTxt |
| Recipient | 7 | RecipientCnt |
| Cash Grant | $6,178 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | In an effort to provide financial assistance and support to its valuable employees, Covenant Health and its various affiliates created an employee assistance and relief program during 2020. The Hospital's Employee Campaign invited donations to the Hospital's Mother Mary Angela Fund and its Hearts United Emergency Assistance Fund. These funds allow the Hospital to provide a helping hand to members of the St. Joseph Hospital's family who might experience unexpected hardships for which they are not prepared. Employees who are able to actively demonstrate and document a financial need may be eligible for assistance by the Hospital under either of these funds. The Hospital established an independent body to review and evaluate any assistance-payments to be offered on behalf of its employees. Hospital employees do not receive assistance funds directly; when assistance is required funds are paid directly to the landlord or vendor after verifying the amount due and the financial need. The Hospital maintains books and records for the funds expensed for employee assistance and the vendors paid. No single employee received more than $5,000 in payments made on their behalf during the year. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen Grubbs | ||||||||||||||
| Trustee | $0 | $851,411 | $0 | $30,924 | $0 | $26,982 | $0 | $8,700 | $0 | $27,490 | $0 | $945,507 | $0 | $0 |
| Ganesha Santhyadka MD | ||||||||||||||
| Trustee | $716,097 | $0 | $105 | $0 | $21,570 | $0 | $8,700 | $0 | $33,748 | $0 | $780,220 | $0 | $0 | $0 |
| Mary Prybylo RN MSN | ||||||||||||||
| President & CEO, Ex-Officio | $0 | $457,173 | $0 | $241,643 | $0 | $7,645 | $0 | $8,700 | $0 | $35,972 | $0 | $751,133 | $0 | $0 |
| Joseph Gallagher MD | ||||||||||||||
| Physician | $622,469 | $0 | $45,000 | $0 | $20,850 | $0 | $8,700 | $0 | $1,443 | $0 | $698,462 | $0 | $0 | $0 |
| Michael Sighonolfi MD | ||||||||||||||
| Physician | $619,185 | $0 | $0 | $0 | $20,310 | $0 | $8,700 | $0 | $16,648 | $0 | $664,843 | $0 | $0 | $0 |
| Michael Starks MD | ||||||||||||||
| Physician | $566,961 | $0 | $0 | $0 | $21,570 | $0 | $7,934 | $0 | $23,776 | $0 | $620,241 | $0 | $0 | $0 |
| John Vanadia MD | ||||||||||||||
| Physician | $550,714 | $0 | $0 | $0 | $5,940 | $0 | $4,687 | $0 | $34,623 | $0 | $595,964 | $0 | $0 | $0 |
| James Jean Jacques MD | ||||||||||||||
| Physician | $528,438 | $0 | $0 | $0 | $11,089 | $0 | $8,591 | $0 | $34,127 | $0 | $582,245 | $0 | $0 | $0 |
| Michael Hendrix | ||||||||||||||
| Treasurer, VP Finance | $324,148 | $0 | $8,509 | $0 | $13,329 | $0 | $7,349 | $0 | $34,343 | $0 | $387,678 | $0 | $0 | $0 |
| Heather Evans DO | ||||||||||||||
| Trustee | $240,744 | $0 | $0 | $0 | $234 | $0 | $6,788 | $0 | $19,532 | $0 | $267,298 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | Any 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 7 | A 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. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. Joseph Healthcare Foundation is the sole corporate member of the Organization. |
| Form 990, Part VI, Section A, line 7a | As 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 7b | As 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 11b | The Form 990 is provided to the governing body for their review and approval prior to filing. |
| Form 990, Part VI, Section B, line 12c | This 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 15 | Any 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 19 | The 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://www.covenanthealth.net/financial-information/financial-information |
| Form 990, Part IX, line 11g | Contracted medical professionals: Program service expenses 13,145,038. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,145,038. Administrative and maintenance: Program service expenses 1,013,677. Management and general expenses 6,969,170. Fundraising expenses 0. Total expenses 7,982,847. Consulting and advisory services: Program service expenses 0. Management and general expenses 324,713. Fundraising expenses 0. Total expenses 324,713. |
| Form 990, Part XI, line 9: | Net periodic pension adjustment 960,978. Net assets released from restrictions used in Operations 2,941,180. |
| 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 (36 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Alternative Health Services | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010422885 | Home health and hospice | ME | 501(c)(3) | Line 10 | St Joseph Healthcare Foundation | 0 | |
| CHS of Waltham Inc dba Maristhill Nursing & Rehab Center | |||||||||||
| 66 Newton Street | Waltham | MA | 02453 | 043333609 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| CHS of Worcester Inc dba St Mary Care Center | |||||||||||
| 39 Queen Street | Worchester | MA | 01610 | 043419625 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Community Clinical Services | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010409788 | Physician practice | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| Covenant Health Foundation Inc | |||||||||||
| 100 Ames Pond Drive | Tewksbury | MA | 01876 | 800199674 | Charitable foundation | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Covenant Health Investment Trust | |||||||||||
| 420 Bedford Street | Lexington | MA | 02420 | 046835128 | Investment trust | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Covenant Health Inc | |||||||||||
| 100 Ames Pond Drive | Tewksbury | MA | 01876 | 222484505 | Health care management and resource organization | MA | 501(c)(3) | Line 10 | 0 | N/A | |
| Fanny Allen Corporation Inc | |||||||||||
| 790 College Parkway | Colchester | VT | 05446 | 222495808 | Charitable foundation | VT | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Fanny Allen Holdings Inc | |||||||||||
| 790 College Parkway | Colchester | VT | 05446 | 030181052 | Real estate holding company | VT | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Helping Hands of St Marguerite Inc | |||||||||||
| 799 Concord Avenue | Cambridge | MA | 02138 | 800199674 | Private home-care health services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| M & J Company | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480150 | Lease holding company | ME | 501(c)(2) | St Joseph Healthcare Foundation | 0 | ||
| Mary Immaculate Guild Inc | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 463073987 | Supporting grants and donations | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| MI Adult Day Health Care Center Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042921888 | Adult day care services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Management Inc | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 042857794 | Assisted living services | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| MI Nursing Restorative Center Inc | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 042104851 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Residential Community Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042647207 | HUD low income housing | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Transportation Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042921889 | Elderly transportation services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Mount St Rita Health Centre | |||||||||||
| 15 Sumner Brown Road | Cumberland | RI | 02864 | 050342330 | Nursing home | RI | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Neighborhood Housing Initiative | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010539730 | Affordable housing services | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| Penacook Place Inc | |||||||||||
| 150 Water Street | Haverhill | MA | 01830 | 237090088 | Nursing home | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Souhegan Nursing Association | |||||||||||
| 24 North River Road | Milford | NH | 03055 | 020222795 | Home health and hospice | NH | 501(c)(3) | Line 10 | St Joseph Hospital of Nashua NH Inc | 0 | |
| St Joseph Ambulatory Care Inc | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480373 | Physician practice | ME | 501(c)(3) | Line 3 | St Joseph Healthcare Foundation | 0 | |
| St Andre Health Care | |||||||||||
| 407 Pool Street | Biddeford | ME | 04005 | 010342399 | Nursing home and restorative facility | ME | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Joseph Healthcare Foundation | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480149 | Healthcare foundation | ME | 501(c)(3) | Line 7 | Covenant Health Inc | 0 | |
| St Joseph Manor Health Care | |||||||||||
| 215 Thatcher Street | Brockton | MA | 02302 | 042565937 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Joseph's Hospital of Nashua NH Inc | |||||||||||
| 172 Kinsley Street | Nashua | NH | 03061 | 020222215 | Hospital and health care facility | NH | 501(c)(3) | Line 3 | Covenant Health Inc | 0 | |
| St Mary's D'Youville Pavilion | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010211558 | Nursing home and restorative facility | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| St Mary's Health System | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 222504349 | Hospital and health care facility | ME | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| St Mary's Regional Medical Center | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010211551 | Hospital and health care facility | ME | 501(c)(3) | Line 3 | St Mary's Health System | 0 | |
| St Mary's Residences | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 222504356 | Low income housing | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| St Mary's Villa Nursing Home Inc | |||||||||||
| 675 St Marys Villa Road | Moscow | PA | 18444 | 232057177 | Nursing home and restorative facility | PA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| The Surgicenter at St Joseph Hospital Inc | |||||||||||
| 172 Kinsley Street | Nashua | NH | 03061 | 020222215 | Healthcare and surgery center | NH | 501(c)(3) | Line 10 | St Joseph Hospital of Nashua NH Inc | 0 | |
| Youville Hospital and Rehabilitation Center Inc | |||||||||||
| 1575 Cambridge Street | Cambridge | MA | 02138 | 043239563 | Hospital and health care facility | MA | 501(c)(3) | Line 10 | Youville Lifecare Inc | 0 | |
| Youville House Inc | |||||||||||
| 1573 Cambridge Street | Cambridge | MA | 02138 | 043239593 | Assisted living services | MA | 501(c)(3) | Line 10 | Youville Lifecare Inc | 0 | |
| Youville Lifecare Inc | |||||||||||
| 1575 Cambridge Street | Cambridge | MA | 02138 | 042103582 | Hospital and health care facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Youville Place | |||||||||||
| 10 Pelham Road | Lexington | MA | 02421 | 043297834 | Assisted living services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Campus Holding | ||||||||||||||
| PO Box 7291 | Lewiston | ME | 04240 | 010406049 | Holding company | ME | N/A | C | 0 | |||||
| Covenant Health Insurance LTD | ||||||||||||||
| 043360127 | Self-insurance company | N/A | C | 0 | PO Box 69 | Grand Cayman | CJ | KY1-1102 | CJ | |||||
| GNM Corporation | ||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020400550 | Real estate holding company | NH | N/A | C | 0 | |||||
| SJ Physicians Services | ||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020522234 | Physician practice | NH | N/A | C | 0 | |||||
| St Joseph Corporate Services Inc | ||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020405197 | Holding company | NH | N/A | C | 0 | |||||
| Strauss Incorporated | ||||||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010391369 | Repairs and transcriptions | ME | N/A | C | 0 | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |