ST JOSEPH HOSPITAL OF NASHUA NH: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization: ST JOSEPH HOSPITAL OF NASHUA NH (EIN 02-0222215)
Tax period: 2019-01-01 to 2019-12-31
Filed: 2020-10-29
IRS object ID: 202043039349300639
Schema version: 2019v5.1
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-10-29T11:51:45-05:00	ReturnTs
Tax Period End	2019-12-31	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 LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	650 ELM STREET SUITE 302	AddressLine1Txt
City	MANCHESTER	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2019-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222215	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	6038823000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	172 Kinsley Street	AddressLine1Txt
City	Nashua	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	030612013	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	John Jurczyk	PersonNm
Person Title	SVP and President	PersonTitleTxt
Phone	6038823000	PhoneNum
Signature	2020-10-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	8002447444	PhoneNum
Preparation	2020-10-12	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.105.168.164	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-10-12	IPDt
IP Tm	11:21:25	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	38659DA796957EF4727498C6F5EA77981E0D27E4	AtSubmissionCreationDeviceId
At Submission Filing Device Id	89AC92FCC1626BCC8DCEA1D9A8E0D80C82D36257	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2019	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	John Jurczyk	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	172 Kinsley Street	AddressLine1Txt
City	Nashua	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	030612013	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$245,568,881	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	stjosephhospital.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1943	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Healthcare services to anyone needing care.	ActivityOrMissionDesc
Voting Members Governing Body	11	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	1909	TotalEmployeeCnt
Total Volunteers	240	TotalVolunteersCnt
Total Gross UBI	$67,882	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$143,169	PYContributionsGrantsAmt
CY Contributions Grants	$461,378	CYContributionsGrantsAmt
PY Program Service Revenue	$203,824,950	PYProgramServiceRevenueAmt
CY Program Service Revenue	$230,267,456	CYProgramServiceRevenueAmt
PY Investment Income	$7,067,737	PYInvestmentIncomeAmt
CY Investment Income	$11,464,275	CYInvestmentIncomeAmt
PY Other Revenue	-$11,853	PYOtherRevenueAmt
CY Other Revenue	$10,740	CYOtherRevenueAmt
PY Total Revenue	$211,024,003	PYTotalRevenueAmt
CY Total Revenue	$242,203,849	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$35,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$96,975,644	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$112,589,791	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$133,929,521	PYOtherExpensesAmt
CY Other Expenses	$123,212,497	CYOtherExpensesAmt
PY Total Expenses	$230,905,165	PYTotalExpensesAmt
CY Total Expenses	$235,837,288	CYTotalExpensesAmt
PY Revenues Less Expenses	-$19,881,162	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$6,366,561	CYRevenuesLessExpensesAmt
Total Assets BOY	$260,709,399	TotalAssetsBOYAmt
Total Assets EOY	$273,734,500	TotalAssetsEOYAmt
Total Liabilities BOY	$141,102,584	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$134,907,189	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$119,606,815	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$138,827,311	NetAssetsOrFundBalancesEOYAmt
Mission	We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$37,172,812	ExpenseAmt
Grant	$35,000	GrantAmt
Revenue	$61,095,881	RevenueAmt
Desc	Inpatient medical, surgical and rehabilitative services to anyone needing care In the greater Nashua area.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$78,908,733	ExpenseAmt
Revenue	$165,185,161	RevenueAmt
Desc	Outpatient services including surgery, radiology, laboratory, rehabilitative, cardiovascular, breast health, cardiac rehab, and mental health to anyone needing services in the greater Nashua area.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$51,192,991	ExpenseAmt
Desc	Each year St. Joseph Hospital provides millions of dollars worth of charity care and community services reflecting our healing mission and our values. St. Joseph Hospital follows the methodology recommended by the Catholic Health Assocation for calculating the cost of charity care and community benefits. Community benefit report for 2017 is the basis for the expenses associated with these activities.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,073,286	ExpenseAmt
Revenue	$3,986,414	RevenueAmt

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,073,286	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$3,986,414	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$169,347,822	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	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	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	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
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	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	147	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1909	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	11	GoverningBodyVotingMembersCnt
Independent Voting Member	10	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	NH	StatesWhereCopyOfReturnIsFldCd
Other Website	Yes (X)	OtherWebsiteInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	Richard Plamondon	PersonNm
Phone	6038823000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	172 Kinsley Street	AddressLine1Txt
City	Nashua	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	030612013	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Key EmployeeKeyEmployeeInd
Albert Tom
Physician	40.00	0.00	Yes (X)	$735,243	$0	$41,426
Prasanna Gulur
Physician	40.00	0.00	Yes (X)	$680,071	$0	$24,993
Srikant Muddana
Physician	40.00	0.00	Yes (X)	$558,462	$0	$49,024
Young Hwa Lee
Physician	40.00	0.00	Yes (X)	$546,736	$0	$17,715
Michael Remar
Physician	40.00	0.00	Yes (X)	$486,239	$0	$45,832
John A Jurczyk
SVP & President	38.00	2.00		$0	$428,719	$27,563	Yes (X)	Yes (X)
Richard Plamondon
Treasurer / VP Finance	38.00	2.00		$0	$316,113	$26,141		Yes (X)
Andrea Erickson
VP Patient Care Services	40.00	0.00		$228,784	$0	$4,484			Yes (X)
Alison Madden
VP Medical Affairs	40.00	0.00		$214,367	$0	$13,978			Yes (X)
Judith Dunbar
Director	1.00	0.00		$0	$0	$0	Yes (X)
Ralph Jenkins
Director	1.00	0.00		$0	$0	$0	Yes (X)
Donnalee Lozeau
Director	1.00	0.00		$0	$0	$0	Yes (X)
Mary Murphy
Director	1.00	0.00		$0	$0	$0	Yes (X)
Joseph J Porcello
Director (beg 10/2019)	1.00	0.00		$0	$0	$0	Yes (X)
Daniel M Weeks
Director (beg 10/2019)	1.00	0.00		$0	$0	$0	Yes (X)
Louise Trottier
Chairman	1.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
Maurice Arel
Immediate Past Chairman	1.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
Sr Paula Marie Buley
Vice Chairman (end 5/2019)	1.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
John Parolin
Vice Chairman	40.00	0.00		$0	$0	$0	Yes (X)	Yes (X)
Arthur Urschel
Secretary	1.00	0.00		$0	$0	$0	Yes (X)	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,449,902	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$744,832	TotReportableCompRltdOrgAmt
Total Other Compensation	$251,156	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	157	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
Hospital Medicine Associates LLC
PO Box 634850	Cincinnati	OH	452634850	Physician services	$2,047,883
CompHealth Associates Inc
PO Box 972625	Dallas	TX	753972625	Physician services	$1,581,409
The ROI Companies
1920 Greenspring Drive Suite 200	Timonium	MD	21093	Third park collection	$1,008,125
Workgroup Technology Partners
PO Box 110	Westbrook	ME	040980110	IT consultants	$868,690
Granite State Anesthesiologists
168 Kinsley Street	Nashua	NH	03060	Physician services	$806,486

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Fundraising	$104,279	FundraisingAmt
All Other Contributions	$357,099	AllOtherContributionsAmt
Noncash Contributions	$8,577	NoncashContributionsAmt
Total Contributions	$461,378	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services	622110	$226,281,042	$226,281,042
Tuition, education, and seminars	611600	$1,921,282	$1,921,282
Other program fees	622110	$1,133,349	$1,133,349
Cafeteria	722514	$786,458	$786,458
Thrift/gift shop and boutique	453220	$145,325	$145,325

Field	Value	IRS element (for citing)
Total Program Service Revenue	$230,267,456	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,285,261	TotalRevenueColumnAmt
Exclusion	$5,285,261	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$138,110	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$210,663	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$72,553	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$72,553	TotalRevenueColumnAmt
Exclusion	-$72,553	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$9,314,474	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$3,129,391	SecuritiesAmt
Other	$6,069	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,185,083	SecuritiesAmt
Other	-$6,069	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,179,014	TotalRevenueColumnAmt
Exclusion	$6,179,014	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$34,320	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$104,279	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$18,909	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$15,411	TotalRevenueColumnAmt
Exclusion	$15,411	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
Answering services	517000	$47,622	$47,622
Housekeeping services	812900	$20,260	$20,260

Field	Value	IRS element (for citing)
Other Revenue Total	$67,882	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$242,203,849	TotalRevenueColumnAmt
Related Or Exempt Func Income	$230,267,456	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$67,882	UnrelatedBusinessRevenueAmt
Exclusion	$11,407,133	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$35,000	TotalAmt
Program Services	$35,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$461,613	TotalAmt
Program Services	$461,613	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$91,587,717	TotalAmt
Program Services	$68,637,094	ProgramServicesAmt
Management And General	$22,950,623	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,997,774	TotalAmt
Program Services	$2,247,448	ProgramServicesAmt
Management And General	$750,326	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,366,920	TotalAmt
Program Services	$8,521,457	ProgramServicesAmt
Management And General	$2,845,463	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,175,767	TotalAmt
Program Services	$4,631,825	ProgramServicesAmt
Management And General	$1,543,942	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$455,649	TotalAmt
Program Services	$341,737	ProgramServicesAmt
Management And General	$113,912	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$10,316	TotalAmt
Management And General	$10,316	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$131,745	TotalAmt
Management And General	$131,745	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$20,443,508	TotalAmt
Program Services	$17,693,888	ProgramServicesAmt
Management And General	$2,749,620	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$32,565	TotalAmt
Program Services	$24,424	ProgramServicesAmt
Management And General	$8,141	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,862,385	TotalAmt
Program Services	$2,146,789	ProgramServicesAmt
Management And General	$715,596	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$938,191	TotalAmt
Program Services	$703,643	ProgramServicesAmt
Management And General	$234,548	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,738,453	TotalAmt
Program Services	$3,553,840	ProgramServicesAmt
Management And General	$1,184,613	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$149,400	TotalAmt
Program Services	$112,050	ProgramServicesAmt
Management And General	$37,350	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$199,575	TotalAmt
Program Services	$149,681	ProgramServicesAmt
Management And General	$49,894	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,780,135	TotalAmt
Program Services	$2,085,101	ProgramServicesAmt
Management And General	$695,034	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$27,469,182	TotalAmt
Management And General	$27,469,182	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$7,580,748	TotalAmt
Program Services	$5,685,561	ProgramServicesAmt
Management And General	$1,895,187	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,560,012	TotalAmt
Program Services	$3,420,009	ProgramServicesAmt
Management And General	$1,140,003	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Patient-billed supplies	$25,438,796	$25,438,796
Medicaid tax	$9,955,213	$9,955,213
Provision for bad debts	$7,645,745	$7,645,745
Repair/PM contracts	$4,228,057	$3,171,043	$1,057,014

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,592,822	TotalAmt
Program Services	$2,685,865	ProgramServicesAmt
Management And General	$906,957	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$235,837,288	TotalAmt
Program Services	$169,347,822	ProgramServicesAmt
Management And General	$66,489,466	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,149,016	BOYAmt
EOY	$4,784,987	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$21,579,534	BOYAmt
EOY	$25,276,093	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$25,093,256	BOYAmt
EOY	$31,685,821	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$2,317,762	BOYAmt
EOY	$2,204,278	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,634,307	BOYAmt
EOY	$1,453,670	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,226,523	BOYAmt
EOY	$998,274	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$187,630,920	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$130,479,805	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$58,888,169	BOYAmt
EOY	$57,151,115	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$72,526,890	BOYAmt
EOY	$71,277,915	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$43,019,657	BOYAmt
EOY	$47,511,238	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$14,512,392	BOYAmt
EOY	$15,226,076	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,761,893	BOYAmt
EOY	$16,165,033	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$260,709,399	BOYAmt
EOY	$273,734,500	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$31,059,875	BOYAmt
EOY	$28,046,093	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$297,155	BOYAmt
EOY	$45,021	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$89,008,765	BOYAmt
EOY	$86,976,690	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,736,789	BOYAmt
EOY	$19,839,385	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$141,102,584	BOYAmt
EOY	$134,907,189	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	$117,821,981	BOYAmt
EOY	$136,726,651	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,784,834	BOYAmt
EOY	$2,100,660	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$119,606,815	BOYAmt
EOY	$138,827,311	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$260,709,399	BOYAmt
EOY	$273,734,500	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$6,366,561	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$10,784,926	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$2,069,009	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	$16,292	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$16,292	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	St. Joseph's Hospital of Nashua is a member of the New Hampshire Hospital Association (NHHA). A portion of the dues paid to the association in the year ending December 31, 2019 were available for lobbying expenditures on behalf of the Hospital in furtherance of their exempt purposes. The amount reported on the Hospital's 2019 Form 990, Schedule C, Part II-B, Line 1g represents the amount of dues paid by the Hospital that were available for lobbying purposes.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,784,834	BeginningYearBalanceAmt
Contributions	$301,225	ContributionsAmt
Investment Earnings Or Losses	$137,394	InvestmentEarningsOrLossesAmt
Other Expenditures	$122,793	OtherExpendituresAmt
End Year Balance	$2,100,660	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,415,041	BeginningYearBalanceAmt
Contributions	$561,381	ContributionsAmt
Investment Earnings Or Losses	-$54,863	InvestmentEarningsOrLossesAmt
Other Expenditures	$136,725	OtherExpendituresAmt
End Year Balance	$1,784,834	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,113,776	BeginningYearBalanceAmt
Contributions	$894,143	ContributionsAmt
Investment Earnings Or Losses	$31,108	InvestmentEarningsOrLossesAmt
Other Expenditures	$623,986	OtherExpendituresAmt
End Year Balance	$1,415,041	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,092,933	BeginningYearBalanceAmt
Contributions	$445,602	ContributionsAmt
Investment Earnings Or Losses	$49	InvestmentEarningsOrLossesAmt
Other Expenditures	$424,808	OtherExpendituresAmt
End Year Balance	$1,113,776	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$1,097,962	BeginningYearBalanceAmt
Contributions	$317,867	ContributionsAmt
Investment Earnings Or Losses	$47	InvestmentEarningsOrLossesAmt
Other Expenditures	$322,943	OtherExpendituresAmt
End Year Balance	$1,092,933	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.50500	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.49500	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	$3,783,337	OtherCostOrOtherBasisAmt
Book Value	$3,783,337	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,145,494	OtherCostOrOtherBasisAmt
Depreciation	$72,921,033	DepreciationAmt
Book Value	$41,224,461	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,284,065	OtherCostOrOtherBasisAmt
Depreciation	$2,198,838	DepreciationAmt
Book Value	$85,227	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$62,450,471	OtherCostOrOtherBasisAmt
Depreciation	$54,664,172	DepreciationAmt
Book Value	$7,786,299	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,967,553	OtherCostOrOtherBasisAmt
Depreciation	$695,762	DepreciationAmt
Book Value	$4,271,791	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$57,151,115	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$47,511,238	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$47,511,238	TotalBookValueSecuritiesAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in Corporate Services	$14,465,904	C
Investment in Souhegan Nursing	$760,172	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$15,226,076	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
Other accounts receivable	$967,309
Due from affiliates	$12,636,909
Nashua Regional Cancer Center	$1,945,480
Other equity investments	$582,176
Deposits	$33,159

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$16,165,033	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
All other liabilities	$16,209
Malpractice tail liability	$1,012,787
Environmental liability	$6,326,526
Pension obligations	$1,495,385
Redistribution liabilities	$921,413
Loss in investment	$1,559,704
Medicaid settlement obligations	$5,381,432
Deferred executive compensation	$1,509,919
Capital lease obligations	$1,616,010

Field	Value	IRS element (for citing)
Total Liability	$19,839,385	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part V, Line 4:

Funds to be used to assist the needy through education and/or projects for the poor as determined and approved by the board.

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. St. Joseph Hospital Corporate Services, Inc., a wholly-owned subsidiary of Nashua, is a for-profit organization, which is subject to federal and state income taxes. St. Joseph Hospital Corporate Services, Inc. has net operating loss (NOL) carryforwards for tax purposes. The NOLs are not anticipated to be utilized so the amounts have been fully offset with a reserve. 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. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. 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, 2019.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Golf Tournament	Event1Nm
Gross Receipts Event1	$138,599	GrossReceiptsEvent1Amt
Charitable Contri Event1	$104,279	CharitableContriEvent1Amt
Gross Revenue Event1	$34,320	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$11,750	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$7,159	FoodAndBeverageEvent1Amt
Entertainment Event1	$0	EntertainmentEvent1Amt
Other Direct Expenses Event1	$0	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$138,599	GrossReceiptsTotalAmt
Charitable Contributions Tot	$104,279	CharitableContributionsTotAmt
Gross Revenue Total Events	$34,320	GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events	$11,750	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$7,159	FoodAndBeverageTotalEventsAmt
Direct Expense Summary Events	$18,909	DirectExpenseSummaryEventsAmt
Net Income Summary	$15,411	NetIncomeSummaryAmt

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
Percent150	Yes (X)	Percent150Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
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)
Persons Served	7491	PersonsServedCnt
Total Community Benefit Expns	$828,151	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$828,151	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	12850	PersonsServedCnt
Total Community Benefit Expns	$9,648,696	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,648,696	NetCommunityBenefitExpnsAmt
Total Expense	0.04230	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	20341	PersonsServedCnt
Total Community Benefit Expns	$10,476,847	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$10,476,847	NetCommunityBenefitExpnsAmt
Total Expense	0.04590	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,093,968	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,093,968	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,093,968	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,093,968	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	20341	PersonsServedCnt
Total Community Benefit Expns	$11,570,815	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,570,815	NetCommunityBenefitExpnsAmt
Total Expense	0.05070	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$7,645,745	BadDebtExpenseAmt
Reimbursed By Medicare	$67,736,526	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$107,358,702	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$39,622,176	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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	1 First Choice PHO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	Physician Hospital Organization	PrimaryActivitiesTxt
Org Profit Or Ownership	0.50000	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.00000	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.50000	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
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	172 Kinsley Street	AddressLine1Txt
City	Nashua	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	030612013	ZIPCd

Field	Value	IRS element (for citing)
State License	00023	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)
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	17	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	17	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	150.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	https://www.stjosephhospital.com/patients-and-visitors/financial-assist	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.stjosephhospital.com/patients-and-visitors/financial-assist	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.stjosephhospital.com/patients-and-visitors/financial-assist	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 Translated	Yes (X)	FAPTranslatedInd
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 (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
St. Joseph Hospital	Part V, Section B, Line 5: St. Joseph Hospital worked with the City of Nashua Division of Public Health officials and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the community health needs assessment (CHNA).
St. Joseph Hospital	Part V, Section B, Line 6a: Southern New Hampshire Medical Center, Dartmouth Hitchcock Clinic
St. Joseph Hospital	Part V, Section B, Line 6b: The CHNA was conducted in partnership with the following healthcare organizations: St. Joseph Hospital, Southern NH Medical Center, Dartmouth Hitchock Clinic, Nashua, the City of Nashua Division of Public Health & Community Services, and several other local nonprofit agencies that also took part in the development of the CHNA. The Public Health Advisory Council (PHAC) provided oversight and direction for the development of the CHNA. St. Joseph Hospital is a member of the PHAC.
St. Joseph Hospital	Part V, Section B, Line 11: St. Joseph Hospital's (SJH) "Community Benefits Implementation Plan" describes how SJH is addressing the needs identified in the CHNA. The implementation plan can be found on the hospital website at: https://www.stjosephhospital.com/community-health/community-benefits-report
Schedule H, Part V, Section B, Line 7:	Hospital facility website:https://www.stjosephhospital.com/community-health/health-communityOther website:https://www.nashuanh.gov/DocumentCenter/View/11382/2017-Community-Health-Assessment
Schedule H, Part V, Section B, Line 10:	The Hospital's most recent Implementation Plan is available at:https://www.stjosephhospital.com/community-health/health-community

Field	Value	IRS element (for citing)
Facility	10	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - Milford Urgent Care
442 Nashua Street	Milford	NH	03055	Urgent care, PT, OT, radiology, mammography, and physician services
2 - NE Boulevard PT & OT
75 Northeastern Boulevard	Nashua	NH	03060	Physical and Occupational Therapy
3 - Hudson PT OT and Radiology
208 Robinson Road	Hudson	NH	03051	Physical and Occupational Therapy, Radiology
4 - Exit 8 PT & OT
2300 Southwood Drive	Nashua	NH	03063	Physical and Occupational Therapy
5 - Amherst Street PT & OT
460 Amherst Street	Nashua	NH	03060	Physical and Occupational Therapy
6 - Merrimack PT
382 Daniel Webster Highway	Merrimack	NH	03054	Physicial therapy
7 - S Nashua Radiology & Physician Offices
172 Daniel Webster Highway	Nashua	NH	03060	Radiology and physician practice
8 - Nashua Pediatrics - Physician Practice
155 Kinsley Street	Nashua	NH	03060	Physician practice
9 - OBGYN - Physician Practice
Harris Pond	Merrimack	NH	03054	Physician practice
10 - Neurology - Physician Practice
171 Kinsley Street	Nashua	NH	03060	Physician practice

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 7:	Costing methodology is an overall cost-to-charge ratio based on operating expenses as a percent of gross revenue applied to the related gross charges. Line 7a is based on gross charges written off as charity care times the overall cost-to-charge ratio. Line 7b is based on gross charges of patients with a primary payor of Traditional Medicaid or Medicaid Manage Care times the overall cost-to-charge ratio. Line 7e uses various methods to aggregate costs including but not limited to - actual expenditures for staff, supplies, and hospital space usage by community groups and cash donations.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 7,645,745.
Part II, Community Building Activities:	The Hospital maintains an open medical staff, representing over forty different specialties and treats all patients regardless of their ability to pay. The board of directors is made up of community members with varied backgrounds and industries. The Hospital utilizes any surplus funds to further its mission by providing free and low cost healthcare services, educations offerings, free screenings, support groups, and works collaboratively with other healthcare agencies to meet the identified healthcare needs of our community. St. Joseph Hospital is an affiliate of Covenant Health Inc. of Tewksbury, MA. It is the responsbility of the entire staff of St. Joseph Hospital to serve and promote the health of the greater Nashua community.
Part III, Line 2:	Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the system analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts, adjusted based on cost to charge ratio. The allowance for doubtful accounts is provided based on an analysis by management of the collectability of outstanding balances. Management considers the age of the outstanding balances and past collection efforts in determing the reserve for doubtful accounts. Accounts deemed uncollectible are charged off against the established reserve. Bad debts are reported as charged.
Part III, Line 3:	Patients deemed eligible for financial assistance follow the Hospital's financial assistance policies. Therefore, no bad debt expense related to patients eligible under the Hospital's financial assistance policy is included as a community benefit.
Part III, Line 4:	St. Joseph Hospital adopted the new accounting standards as issued by the FASB in May 2014, effective January 1, 2018, where the provision for bad debt is no longer presented as a separate line item and net patient service revenue is presented net of estimated implicit price concession revenue deductions. The adoption of the new standard did not have an impact on the recognition of revenues for any periods prior to adoption. The adoption of this accounting standard is detailed in the Hospital's audited financial statements, pages 15-18, Footnote 3, Patient Service Revenues. The Hospital continues to operate under this adopted standard.
Part III, Line 8:	None were reported as a community benefit. Costing methodology is an overall cost-to-charge ratio based on operating expenses as a percent of gross revenue applied to the gross charges of patients with a primary payor of traditional Medicare or Medicare Advantage.
Part III, Line 9b:	Every statement sent to patients indicates that financial assistance is available and provides a phone number and email contact. All customer service personnel are attuned to asking patients if they need assistance.The financial assistance application is also available on-line by visiting the facility's website.
Part VI, Line 2:	St. Joseph Hospital worked with the City of Nashua Division of Public Health officials and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the community health needs assessment (CHNA).
Part VI, Line 3:	Signage and brochures are at every point of registration, which explain the free-care and financial assistance policies. There are dedicated financial counselors who meet in person or over the telephone to provide guidance and support to patients and families who require financial assistance. Information can also be found on the hospital web site, As well as in the Hospital's community newsletters/quarterly publications. All customer service and registration personnel are trained to ask patients and families if they need financial assistance.
Part VI, Line 4:	St. Joseph Hospital serves people of all ages, race, gender, religion, ethnicity regardless of their ability to pay. The Hospital's service area is all of New Hampshire.
Part VI, Line 5:	The Hospital maintains an open medical staff, representing over forty different specialties and treats all patients regardless of their ability to pay. The board of directors is made up of community members with varied backgrounds and industries. The Hospital utilizes any surplus funds to further its mission by providing free and low cost healthcare services, educations offerings, free screenings, support groups, and works collaboratively with other healthcare agencies to meet the identified healthcare needs of our community. St. Joseph Hospital is an affiliate of Covenant Health Inc. of Tewksbury, MA. It is the responsbility of the entire staff of St. Joseph Hospital to serve and promote the health of the greater Nashua community.
Part VI, Line 7:	New Hampshire
Schedule H, Part VI, Section A, Line 6:	St Joseph Hospital, a member of Covenant Health, is a 208-licensed bed acute facility. Our Mission is to continue the healing ministry of the Catholic Church in the spirit of St Marguerite D'Youville by providing preventive, curative, restorative, and supportive services with compassion and respect for everyone. We take seriously the "preventive" aspect of the mission statement by offering prevention and wellness programs for the community, offer health screenings and working to provide access to healthy food through the nutrition center. Health System leadership participate in various community groups to conduct health care needs assessments and to develop community interventions to improve health.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Southern New Hampshire Medical Center
PO Box 2014	Nashua	NH	030612014	020483054	501(c)(3)	$25,000	Prescription Assistance
Marguerite's Place Inc
87 Palm Street	Nashua	NH	030603828	020466392	501(c)(3)	$5,000	Continued Support of Mother and Children in need
St Joseph Community Services Inc
PO Box 910	Merrimack	NH	030540910	020335003	501(c)(3)	$5,000	Meals on Wheels Assistance

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	All accounting is managed through Covenant Health's Accounts Payable (St. Joseph Hospital's (SJH) parent corporation) and SJH's Finance Department. Specific procedures and management protocols have been established for tracking grant awards. St. Joseph's has a Foundation which houses a Grants Associate that is overseen by Covenant Health's Director of Grants Administration. The Director's background over the last 30 years in the nonprofit sector has focused, in part, on financial management and grants contracts, reporting, and oversight. The Grants Associate is responsible for building and maintaining the Foundations grants research, writing, and reporting program. St. Joseph's grants management systems are also monitored by St. Joseph's Executive Director of Philanthropy to ensure redundant mechanisms of oversight. St. Joseph's Finance Department monitors and maintains a list of all contracts through a contract database. The database provides designated individuals with access to the actual contract. Finance and the Foundation review all contracts to ensure that any payments or financial reporting requirements are met. All grant expenditures are assigned to specific grants and require authorization from the departmental director requesting the expense, the Grants Associate or the Director of Grants Administration, and the Executive Director of Philanthropy.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Substantiation Required	Yes (1)	SubstantiationRequiredInd
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 (9 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
Albert Tom
Physician	$733,893	$0	$0	$0	$1,350	$0	$0	$0	$41,426	$0	$776,669	$0	$0	$0
Prasanna Gulur
Physician	$678,721	$0	$0	$0	$1,350	$0	$2,735	$0	$22,258	$0	$705,064	$0	$0	$0
Srikant Muddana
Physician	$557,562	$0	$0	$0	$900	$0	$2,750	$0	$46,274	$0	$607,486	$0	$0	$0
Young Hwa Lee
Physician	$543,322	$0	$0	$0	$3,414	$0	$2,786	$0	$14,929	$0	$564,451	$0	$0	$0
Michael Remar
Physician	$481,775	$0	$0	$0	$4,464	$0	$2,790	$0	$43,042	$0	$532,071	$0	$0	$0
John A Jurczyk
SVP & President	$0	$425,625	$0	$0	$0	$3,094	$0	$2,800	$0	$24,763	$0	$456,282	$0	$0
Richard Plamondon
Treasurer / VP Finance	$0	$312,739	$0	$0	$0	$3,374	$0	$2,559	$0	$23,582	$0	$342,254	$0	$0
Andrea Erickson
VP Patient Care Services	$228,268	$0	$0	$0	$516	$0	$1,942	$0	$2,542	$0	$233,268	$0	$0	$0
Alison Madden
VP Medical Affairs	$213,550	$0	$0	$0	$817	$0	$1,587	$0	$12,391	$0	$228,345	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Part I, Line 3

All compensation paid to the Hospital's SVP and President is established, reviewed, and approved by Covenant Health, the Hospital's sole corporate member. Covenant Health utilizes a compensation committee, independent compensation consultants, and compensation surveys and studies of similarly experienced executives employed by comparable organizations to determine a reasonable and appropriate compensation package for the Hospital's SVP and President. The compensation plan is subject to the approval of the Compensation Committee of Covenant Health's Board of Directors.

Part I, Line 7

"Cash in" of earned time.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NH Health & Education Facilities Authority
A	020279866	644614UG2	2007-10-30	$53,869,522	Renovations & Equipment	0	0	Yes (1)
NH Health & Education Facilities Authority
B	042456011	575840QA4	2012-06-27	$27,000,000	Renovations & Improvements	Yes (1)	0	0
NH Health & Education Facilities Authority
C	042456011		2014-07-17	$16,900,000	Refunding Issue	0	0	0
NH Health & Education Facilities Authority
D	042456011		2017-03-21	$7,960,000	Renovations & Equipment	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Other Spent ProceedsOtherSpentProceedsAmt
A	$53,869,522	$4,911,229	$681,812	2008	Yes (1)	Yes (1)	Yes (1)
B	$27,000,000		$572,615		Yes (1)	0	Yes (1)	$21,991,329
C	$16,900,000		$260,000	2014	Yes (1)	Yes (1)	Yes (1)
D	$7,960,000		$159,200		0	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)
B	Yes (1)
C	0	Yes (1)	0	0
D	0	Yes (1)	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part III, Line 9; Part IV, Line 7, & Part V:	FormAndLineReferenceDesc
Explanation	All bonds are carefully and consistently monitored for potential violations of Federal tax requirements. However, the monitoring procedures were not written as of the end of the year covered by this tax return. The Organization is considering adopting formal policies that would set forth the Organization's methodology for ensuring post-issuance compliance with IRS requirements pertaining to tax-exempt debt. Such policies would also contain specific language regarding organizational responsibility, record retention, private business use, arbitrage rebate, and remedial actions as applicable to the Organization's tax-exempt debts. Although formal policies are not in place in regards to the remediation of the Organization's bonds, the Organization does maintain compliance checks to ensure that the monitoring requirements of Section 148 are maintained, and that procedures are in place to ensure that any violations are identified and corrected in a timely manner.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section A, line 6	Covenant Health, Inc. is the sole member of St. Joseph Hospital.
Form 990, Part VI, Section A, line 7a	As the sole member of St. Joseph Hospital, Covenant Health, Inc. 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, Covenant Health, Inc. 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 elect the Board of Directors or remove them with or without cause; 4. To appoint and remove the president; 5. 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; 6. To approve the acquisition, sale, or encumberance of any real estate valued in excess of an amount set by the Member in writing; 7. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 8. To approve any reclassification or other change of any capital stock or other equity security; and, 9. To approve the issuance of, or the creation of any obligation to issue, any equity security.
Form 990, Part VI, Section B, line 11b	The Forms 990 are prepared by an independent tax accountant, and are then reviewed by the St. Joseph Hospital Finance Committee and board of directors prior to filing.
Form 990, Part VI, Section B, line 12c	Each year, St. Joseph Hospital conducts a survey of the board members and key management members to determine whether there are conflicts of interest (be they actual or potential). Board members and key employees have a continuing obligation to report any proposed transactions which may be perceived as a conflict of interest.
Form 990, Part VI, Section B, line 15	The compensation of officers and key employees is subject to the oversight and decisions of Covenant Health, a related entity and the sole member of the Center. Every two-to-three years the Compensation Committee of the Covenant Health board of drectors engages an external consultant to provide competitive market data from various survey sources, which is used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged 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 Hospital will make its corporate and governing documents and its financial available upon request.
Form 990, Part XI, line 9:	Net long term pension adjustment 3,360,105. Transfers to affiliates -1,291,096.
Form 990, Part XII, Line 2c:	The audit process has not changed from the previous year.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	SJH Surgicenter LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	172 Kinsley Street	AddressLine1Txt
City	Nashua	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	030612013	ZIPCd

Field	Value	IRS element (for citing)
EIN	204181845	EIN
Primary Activities	Inactive Outpatient Surgery	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Total Income	$0	TotalIncomeAmt
End Of Year Assets	$0	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	St Joseph Hospital	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 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
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
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 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
Youville Place
10 Pelham Road	Lexington	MA	02421	043297834	Assisted living services	MA	501(c)(3)	Line 10	Covenant Health Inc	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
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
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
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
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
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
Providentia Prima Trust
420 Bedford Street	Lexington	MA	02420	046835128	Investment trust	MA	501(c)(3)	Line 12a, I	Covenant Health Inc	0
Fanny Allen Corporation Inc
790 College Parkway	Colchester	VT	05446	222495808	Charitable foundation	VT	501(c)(3)	Line 12a, I	Covenant Health 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 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
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
Community Clinical Services
PO Box 7291	Lewiston	ME	04243	010409788	Physician practice	ME	501(c)(3)	Line 10	St Mary's Health System	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 Residences
PO Box 7291	Lewiston	ME	04243	222504356	Low income housing	ME	501(c)(3)	Line 10	St Mary's Health System	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
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	Yes (1)
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	Yes (1)
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 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 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 Residential Community II Inc
189 Maple Street	Lawrence	MA	01841	042679954	HUD low income housing	MA	501(c)(3)	Line 10	Covenant Health Inc	0
MI Residential Community III Inc
189 Maple Street	Lawrence	MA	01841	042186043	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
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
St Joseph Healthcare Foundation
360 Broadway	Bangor	ME	04402	222480149	Healthcare foundation	ME	501(c)(3)	Line 10	Covenant Health Inc	0
St Joseph Hospital
360 Broadway	Bangor	ME	04402	010212435	Hospital and health care facility	ME	501(c)(3)	Line 3	St Joseph Healthcare Foundation	0
M & J Company
360 Broadway	Bangor	ME	04402	222480150	Lease holding company	ME	501(c)(2)		St Joseph Healthcare Foundation	0
St Joseph Ambulatory Care Inc
360 Broadway	Bangor	ME	04402	222480373	Physician practice	ME	501(c)(3)	Line 10	St Joseph Healthcare Foundation	0
Alternative Health Services
360 Broadway	Bangor	ME	04402	010422885	Home health and hospice	ME	501(c)(3)	Line 10	St Joseph Healthcare Foundation	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
Penacook Place Inc
150 Water Street	Haverhill	MA	01830	237090088	Nursing home	MA	501(c)(3)	Line 10	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
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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Direct Controlling NADirectControllingNACd
St Joseph Hospital Corporate Services
172 Kinsley Street	Nashua	NH	030612013	020405197	Holding company	NH	St Joseph Hospital of Nashua	C	$1,705,465	$26,706,904	1.00000	Yes (1)
First Choice PHO
172 Kinsley Street	Nashua	NH	03060	020461536	Physician hospital organization	NH	St Joseph Hospital of Nashua	C	$143,730	$633,286	0.50000	Yes (1)
Covenant Health Insurance LTD
				043360127	Self-insurance company			C				0	PO Box 69	Grand Cayman	CJ	KY1-1102	CJ	N/A
Campus Holding
PO Box 7291	Lewiston	ME	04240	010406049	Holding company	ME		C				0						N/A
Strauss Incorporated
360 Broadway	Bangor	ME	04402	010391369	Repairs and transcriptions	ME		C				0						N/A
GNM Corporation
172 Kinsley Street	Nashua	NH	03060	020400550	Real estate holding company	NH		C				0						N/A
SJ Physicians Services
172 Kinsley Street	Nashua	NH	03060	020522234	Physician practice	NH		C				0						N/A

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	Yes (1)	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	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
St Joseph Corporate Services
K	$1,000,320	Cash
St Joseph Corporate Services
O	$3,685	Cash
St Joseph Corporate Services
P	$3,954,200	Cash
St Joseph Corporate Services
R	$65,000	Cash
Souhegan Nursing Association
R	$15,000	Cash