2025-11-12T14:32:08-06:00 2024-12-31 010494526 Baker Newman & Noyes 650 Elm Street Suite 302 Manchester NH 03101 990 2024-01-01 020222215 St Joseph Hospital STJO 6038823000 172 Kinsley Street Nashua NH 030612013 Gerard F Hadley Treasurer and CFO 6038823000 2025-11-06 1 0 Connor Smart P02285543 6036262200 2025-11-06 2024 2025-03-06 01:10:19Z John Jurczyk 172 Kinsley Street Nashua NH 030612013 329061463 0 X stjosephhospital.com X 1943 NH Healthcare services to anyone needing care. 14 12 1873 130 37699 0 728455 1585744 281947188 310549416 -2858162 3417264 3657100 25095 283474581 315577519 52996 3757 0 0 127112157 142554826 0 0 0 161010106 176002149 288175259 318560732 -4700678 -2983213 245199262 253286725 124570036 129775888 120629226 123510837 X We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. 1 0 62658060 0 82396750 Inpatient medical, surgical and rehabilitative services to anyone needing care in the greater Nashua area. 132882526 0 222776402 Outpatient services including surgery, radiology, laboratory, rehabilitative, cardiovascular, breast health, cardiac rehab, and mental health to anyone needing services in the greater Nashua area. 86209139 3757 0 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. 3491420 0 5376264 3491420 5376264 285241145 1 1 0 1 0 0 0 0 0 1 1 1 1 0 1 1 0 1 0 0 0 0 0 0 1 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 1 156 0 1 1873 1 1 1 0 0 0 0 1 1 0 0 0 0 0 0 X 14 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 NH X X Gerard F Hadley CFO 6038823000 172 Kinsley Street Nashua NH 030612013 John A Jurczyk SVP & President 38.00 2.00 X X 0 476177 39798 Gerard Hadley Treasurer and CFO 40.00 0.00 X X 302412 13106 36402 Uwe Hurley Director 1.00 0.00 X 0 0 0 Ralph Jenkins Director 1.00 0.00 X 0 0 0 Donnalee Lozeau Director 1.00 0.00 X 0 0 0 Louise Murphy Director (start 3/2024) 1.00 0.00 X 0 0 0 Laura Mylott Director 1.00 0.00 X 0 0 0 Deborah Novotny Director 1.00 0.00 X 0 0 0 Joseph J Porcello Director 1.00 0.00 X 0 0 0 Daniel M Weeks Director 1.00 0.00 X 0 0 0 John Parolin Chair (end 6/2024); Director 1.00 0.00 X X 0 0 0 Sean Howell Vice Chair (end 6/2024); Chair 1.00 0.00 X X 0 0 0 Kevin Halloran Director; Vice Chair (start 7/2024) 1.00 0.00 X X 0 0 0 Arthur Urschel Secretary 1.00 0.00 X X 0 0 0 Stephen Grubbs CEO, Covenant Health, Inc. 1.00 49.00 X 0 1235937 40164 Deepak Vatti Medical Director 40.00 0.00 X 432978 0 51523 Alison Madden VP Medical Affairs 40.00 0.00 X 398293 0 34246 Umer Syed MD Physician 40.00 0.00 X 882097 0 43005 Albert Tom MD Physician 40.00 0.00 X 865122 0 37072 Raymond Suarez MD Physician 40.00 0.00 X 606520 0 44545 Laurence Young MD Physician 40.00 0.00 X 526823 0 39912 Michael Remar MD Physician 40.00 0.00 X 526617 0 37478 4540862 1725220 404145 263 0 1 0 Medefis Inc PO Box 5068 New York NY 10087 Locum and staffing 3968951 Apogee Medical Management Inc 15059 N Scottsdale Road 600 Scottsdale AZ 85254 Healthcare services 3317755 Brookstone Builders Inc 600 Harvey Road Manchester NH 03103 General construction 1975348 InCare PLLC 50 Dolphin Road Newton MA 02459 Healthcare services 1859854 New Hampshire Imaging Services Inc 1 Pillsbury Street 200 Concord NH 03301 Healthcare services 1560338 39 99695 1486049 851192 1585744 Patient services 622110 304519969 304519969 Tuition, education, and seminars 611600 3093104 3093104 Physician and office/admin fees 622110 1781905 1781905 Cafeteria 722514 895169 895169 Thrift/gift shop and boutique 459420 259269 259269 310549416 1753322 1753322 135007 198793 -63786 -63786 -63786 14913735 2415 13252208 0 1661527 2415 1663942 1663942 12428 99695 32893 -20465 -20465 71697 50 71647 71647 Answering services 517000 22559 22559 Housekeeping services 812900 15140 15140 37699 315577519 310549416 37699 3404660 X 3757 3757 1254338 1204283 50055 114560291 109988692 4571599 1889087 1813702 75385 16940574 16264550 676024 7910536 7567329 343207 21059918 21059918 732463 732463 100000 100000 55758503 51768640 3989863 713715 662644 51071 5176487 4806078 370409 813754 755525 58229 6047869 5615107 432762 254470 236261 18209 1468567 1363482 105085 2737561 2737561 5291972 5291972 6447096 5985767 461329 Med. supplies/equipment 39072121 39072121 Provision for bad debts 13814525 13814525 Medicaid tax 13383014 13383014 Repairs and maintenance 1702673 1580836 121837 1427441 1325299 102142 318560732 285241145 33319587 0 10235449 5676622 1195417 1253760 33120665 41322760 1936591 1862750 4813326 5060651 5084048 3265655 198376284 128530033 63759377 69846251 3536308 8192376 99068172 93847366 18009186 18107400 1941413 1731012 2499310 3120122 245199262 253286725 35689556 41969102 88880480 87806786 124570036 129775888 X 117918567 120944926 2710659 2565911 120629226 123510837 245199262 253286725 X -2983213 5315421 549403 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 31766 0 0 0 31766 0 Part II-B, Line 1: St. Joseph's Hospital of Nashua is a member of the New Hampshire Hospital Association (NHHA). The Hospital is also a member of the American Hospital Association (AHA) through its affiliation with Covenant Health, Inc. The Hospital maintains its memberships within these industry groups for access to resources and information that help the Hospital better serve its patients and its community. A portion of the dues paid to these associations and industry groups in the year ending December 31, 2024, were available for lobbying expenditures on behalf of the Hospital and other NHHA and/or AHA members, in furtherance of their exempt purposes. Accordingly, the amount reported on the Hospital's 2024 Form 990, Schedule C, Part II-B, Line 1g, represents the dues paid to the NHHA and AHA that the Hospital estimates to have been available for such lobbying expenditures. The Hospital estimates that, of the total dues paid to these bodies during this tax year, $31,766 was available for lobbying purposes as paid by the associations, calculated as follows: NHHA - Total Dues Paid: $92,680 NHHA - Lobbying Percentage Estimate: 19.37% NHHA - Dues Available for Lobbying: $17,952 AHA - Total Dues Paid: $35,421 AHA - Lobbying Percentage Estimate: 39.00% AHA - Dues Available for Lobbying: $13,814 2710658 1022635 160222 1327604 2565911 2428086 592651 374866 684945 2710658 2232839 187395 215799 207947 2428086 2093879 263264 162095 286399 2232839 2100660 395764 41894 444439 2093879 0.00000 0.44679 0.55321 0 0 3851748 3851748 116263245 71320017 44943228 1054251 1047540 6711 69986750 56162476 13824274 7220290 7220290 69846251 93847366 F 93847366 Investment in Corporate Services 14381630 C Investment in Souhegan Nursing 1124847 C Investment in Nashua Regional Cancer Center 1864758 C Investment in NH Imaging 10498 C Investment in First Choice PHO 806001 C Investment in NE Life -177268 C Investment in Cash Security Bonds 96934 C 18107400 Due to affiliates 76930511 Deferred executive compensation 6650105 Third party payor settlements 2222714 Capital lease obligations 3226850 Malpractice tail liability 1336869 Security deposits 5345 Bond issue discounts, allocated by related organization -2565608 87806786 X 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: St. Joseph Hospital of Nashua is a part of the Covenant Health System; Covenant Health, Inc. is the sole member of the Hospital. 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. 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, 2024. Ribbon Run 98545 90663 7882 500 7216 3726 748 145 4238 Lights of Remembrance 9032 9032 500 863 107577 99695 7882 500 7216 3726 748 645 5101 17936 -10054 71697 50 0 0.00000 71697 50 50 71647 NH 1 0 1 0 0.00000 1.00000 Gerard Hadley 172 Kinsley Street Nashua NH 03061 1 71697 0 Gate City Casino 55 Northeastern Boulevard Nashua NH 03062 Gate City Casino 0 Refer to supplemental information on this Schedule G, Part IV. X 0 Form 990, Schedule G, Part III, Gaming Dislcosures: The Organization engaged Gate City Casino to provide gaming and casino services on behalf of the Organization and as a third-party, independent contractor. As part of this relationship and transaction, the Organization registered for and secured the appropriate licenses to conduct gaming activities with the New Hampshire Lottery Commission. Gate City Casino was contracted by the Organization to host, operate, and run gaming and casino events on behalf of the Organization during the fiscal year. Aside from contracting with Gate City Casino to host and coordinate the games, and to receive a portion of the proceeds thereof, Saint Joseph Hospital of Nashua was not itself otherwise involved with the maintenance or running of the games. Gate City Casino collected all gaming revenues, distributed all prize payouts, kept the books and records for the charitable gaming days, and remitted the portion due to the Organization in accordance with NH Lottery regulations regarding charitable gaming activities. Additionally, Gate City Casino agreed to submit all necessary financial reports and other documentation applicable under State Gaming Law to the State of New Hampshire. Per the agreement between the Organization and Gate City Casino, the Organization was not charged any rental or facility fees for the casino services provided by Gate City Casino, nor did Gate City Casino retain back any portion of the gross gaming proceeds due to the Organization. Therefore, $0 has been reported on this Form 990, Schedule G, Part III, Line 15b, and the $71,697 reported on this Form 990, Schedule G, Part III, Line 15b represents the net gaming revenues obtained by the Organization pursuant to the agreement. Aside from nominal license and permit fees, the Hospital did not incur any costs related to this gaming activity. Lastly, as the Hospital's Treasurer and CFO, Gerard Hadley has been named on this Form 990, Schedule G, as the person responsible for the gaming event books and records. However, as indicated in the previous paragraphs, Gate City Casino was ultimately the entity which was responsible for hosting and managing these gaming activities, including the tracking and handling of any gaming cash receipts and payments. As Gerard Hadley is the Hospital's CFO, he is the final person responsible for the books and records for all St. Joseph Hospital of Nashua's activities, though any time spent by Mr. Hadley on financial reporting for the gaming activity specifically would have been nominal. 1 1 1 X 1 X 1 1 0 1 1 1215637 1215637 0.00380 14336681 8510377 5826304 0.01830 15552318 8510377 7041941 0.02210 99319053 31392052 67927001 0.21320 1392544 1392544 0.00440 100711597 31392052 69319545 0.21760 116263915 39902429 76361486 0.23970 1 3917799 39222118 56627238 -17405120 X 1 1 1 First Choice PHO Physician Hospital Organization 0.50000 0.00000 0.50000 1 1 St Joseph Hospital 172 Kinsley Street Nashua NH 030612013 00023 X X X St Joseph Hospital 0 0 1 X X X X X X X X X 23 1 1 1 1 X See Part V, Section C X See Part V, Section C X 1 22 1 See Part V, Section C 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X See Part V, Section C X See Part V, Section C X See Part V, Section C X X X X X X 1 X 0 X X X X 1 X 0 0 St. Joseph Hospital Part V, Section B, Line 5: St. Joseph Hospital worked with officials from the City of Nashua Division of Public Health 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).A Community Health Assessment is a vital tool for understanding and improving the health outcomes of our community. By leveraging data from local organizations, healthcare systems, and state agencies, we gain valuable insights into where to focus our efforts. However, our commitment to community health extends beyond data collection. We believe in the power of listening. That's why we hosted listening sessions and distributed surveys to hear directly from community members about their health concerns, experiences during the COVID-19 pandemic, and what they love about their community.The 2023 CHNA employed numerous research methods to gather input from the community, including online surveys, in-person interviews, and data analysis. The CHNA utilized these methods separately and decisively for each of its identified community health needs.The City of Nashua Division of Public Health and Community Services (DPHCS) utilized listening sessions, community surveys, and online polling to invite Greater Nashua residents to help determine what the biggest health priorities were in their communities, environmental health hazards, and socail and economic factors that effect the populations's health. The DPHCS also regularly published health-related information and shared sources for where additional information regarding health matters such as COVID-19 could be obtained.Through these efforts, the CHNA found mental health, homelessness, substance use, access to care, air and water quality, inequities in health, access to food, public safety, education, and child abuse and neglect to be the top-ten biggest health issues of the community. St. Joseph Hospital Part V, Section B, Line 6a: St. Joseph Hospital took part in the 2023 Greater Nashua Community Health Assessment for its most recent CHNA. This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of many organizations, programs, and City departments serving the GNPHR. A full list of the hospital facilities that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment St. Joseph Hospital Part V, Section B, Line 6b: St. Joseph Hospital took part in the 2023 Greater Nashua Community Health Assessment for its most recent CHNA. This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of many organizations, programs, and City departments serving the GNPHR. A full list of the organizations other than hospital facilities that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment St. Joseph Hospital Part V, Section B, Line 11: St. Joseph Hospital of Nashua coordinates with the City of Nashua Division of Public Health and Community Services (DPHCS), as well as other community agencies, partners, and members to create a collaborative and comprehensive Community Health Improvement Plan (CHIP). The 2022 Greater Nashua CHIP (released January 2022) is the fourth consecutive CHIP, based off the 2020 CHA. The Hospital also participated in the previous DPHCS Reports, including three completed CHAs (2011, 2014, and 2017) and three CHIPs (2012-2015, 2015-2018, and 2018-2021). The CHAs and CHIPs are published over staggered periods to ensure that the CHIPs are released in a timely manner to address identified health needs.As of the end of the period covered by this Form 990, the Greater Nashua Department of Health has published the 2023 CHA, though the publication of the associated CHIP is still under review. Accordingly, the 2022 CHIP remains the most recently adopted implementation plan. It is the expectation of the Hospital that a timely and associated CHIP will be published soon and in compliance with Section 501(r) requirements. Further, the Hospital believes that the 2022 CHIP accurately reflects health issues and strategies that remain relevant to the Hospital's broader community, and the Hospital's mission to deliver comprehensive patient care services.The Greater Nashua PHAC Executive Committee and CHIP Planning Team chose the following health priority areas for the CHIP 2022 based on the 2020 Greater Nashua CHA: 1. Behavioral Health (Suicide, Mental Health, and Substance Use) 2. Chronic Disease (Heart Disease/ Stroke, Diabetes, and Asthma) 3. Communicable diseases 4. Maternal and Child Health 5. Public Health Emergency PreparednessBEHAVIORAL HEALTH:Behavioral health is the scientific study of the emotions, behaviors, and biology relating to a person's mental well-being, their ability to function in everyday life, and their concept of self. Behavioral health encompasses mental health, substance misuse, and suicide prevention and is a top priority in the Greater Nashua Public Health Region (GNPHR) for a variety of reasons. These reasons include our region's high prevalence of substance misuse, high rate of opioid overdose fatalities, high rate of suicide attempts and deaths by suicide, lack of access to timely treatment for those seeking behavioral health services, and limited mental health promotion and awareness. Approximately one in eight visits to emergency departments in the United States (U.S.) involves mental and substance use disorders.Collectively, the main objectives under Behavioral Health include: 1) Reduce substance use among all age groups (illicit Substances, alcohol, tobacco, marijuana 2) Increase awareness of behavioral health resources to improve or maintain mental health in all age groups 3) Improve access to substance use and mental health services through workforce developmentCHRONIC DISEASESApproximately six in ten Americans live with at least one chronic disease, such as heart disease and stroke, cancer, or diabetes. Many chronic diseases are caused by a variety of risk factors that can be reduced by making healthy lifestyle choices. Not only the leading cause of death and disability, chronic diseases are also the leading driver of health care costs in the United States (US). It is a public health priority in the Greater Nashua Public Health Region (GNPHR) to provide health promotion and education to help our community prevent chronic diseases and manage symptoms when prevention is not possible to reduce the burden of chronic disease on our society.Collectively, the main priorities under chronic disease include: 1) Increasing prevention efforts for Type II diabetes 2) Increasing control of hypertension 3) Increase identification and treatment of depression for those with chronic diseaseCOMMUNICABLE DISEASESCommunicable, or infectious diseases, are caused by microorganisms such as bacteria, viruses, parasites and fungi that can be spread, directly or indirectly, from one person to another. Transmission can occur in a variety of ways, including direct physical contact with an infectious person, consuming contaminated foods or beverages, contact with contaminated body fluids, contact with contaminated inanimate objects, or being bitten by an infected insect. In some cases, pathogens that result in infectious diseases can become airborne and spread via the air we breathe (i.e., through inhalation). Some disease agents can be transmitted from animals to humans, and some of these agents can be transmitted in more than one way.Collectively, the main priorities under communicable disease include: 1) Increase vaccination uptake for vaccine preventable diseases 2) Increase community preparedness for communicable disease outbreaks 3) Increase effectiveness of public health system in preventing and addressing communicable disease.MATERNAL AND CHILD HEALTHMaternal health is the health of a woman during her pregnancy, birth, and postpartum period, making it an important predictor of newborn health. Children's health is the physical, mental, emotional, and social well-being of children from infancy all the way through adolescence. Many factors affect maternal and child health, including race and ethnicity, age, income level, educational attainment, medical insurance coverage, access to medical care, pre-pregnancy health, and general health status. The well-being of infants, children, and mothers determines the health of our next generation and can help predict future public health challenges for families, communities, and the healthcare system.Health behaviors and health status before a woman is pregnant can be influenced by a variety of environmental and social factors, such as access to medical care and chronic stress. Some of these factors can affect and compound others, creating a rippling effect. For instance, factors ranging from age to medical insurance coverage affect a woman's general health status; a woman's health status, in turn, directly influences her risk of pregnancy complications and her child's cognitive and physical development.Main takeaways from the Maternal and Child Health CHA: - In 2018, 93.7% of NH moms reported ever breastfeeding, and 69% reported breastfeeding for more than 8 weeks. According to the CDC, only one in four infants in the U.S. are exclusively breastfed for six months. - Children in the GNPHR are at increased risk of high blood lead levels, as 17% of homes were built before 1950, and 10.8% of six year olds are living below the federal poverty level. - In 2018, 7.5% of pregnant women in NH smoked cigarettes in their last three months of pregnancy, and 5.9% used marijuana or hash during their pregnancy. - In 2018, 14.9% of women in NH received follow-up care for depression after giving birth, and 13% women were diagnosed with depression after giving birth. - Approximately 4.6% of Nashua youth (aged 6-18) are uninsured.Collectively, the main priorities under Maternal and Child Health include: 1) Improve access and availability of universal screenings 2) Support access to affordable healthcare and referrals for families 3) Support children's social & emotional development through easily accessible services & supports 4) Improve access and supports for healthy nutrition 5) Increase the capacity of all families to advocate for themselves and their childrenPUBLIC HEALTH EMERGENCY PREPAREDNESSFrom natural disasters to terrorism, all crises have the potential to negatively impact public health. The goal of Public Health Emergency Preparedness (PHEP) is to increase a community's ability to respond in an efficient manner to incidents in order to preserve health and wellbeing of the population. There are 15 functional areas that encompass PHEP as outlined in the CDC's Public Health Emergency Preparedness and Response Capabilities.Main takeaways from the PHEP CHA 2020: - Fewer than 12% of households in Nashua have a written disaster plan. - 97.8% of Nashua households have a smoke detector. - 19% of Nashua households feel well prepared to handle an emergency. - 40% of U.S. adults don't consider themselves prepared but plan to prepare for emergencies and 68% of U.S. adults have set aside some money for an emergency.Collectively, the main priorities under PHEP include: 1) Improving the regional communications structure 2) Increasing public health planning, exercising and training among various sectors 3) Strengthening the working relationship between the region (GNPHR) and the State of New HampshireThe full 2022 CHIP can be found through the following website, in either an interactive web-based format or as a readable PDF:https://nashuanh.gov/564/Community-Health-Improvement-Plan-CHIP Schedule H, Part V, Section B, Line 7: Access to the Hospital's past and present CHNA reports can be found at the following web-address:https://nashuanh.gov/560/Community-Health-AssessmentAn Interactive Dashboard and PDF-copy of the most current CHNA can be found at the following web-address:https://dashboards.mysidewalk.com/gnphr-cha Schedule H, Part V, Section B, Line 10: The Hospital collaborated with the City of Nashua Division of Public Health to develop the Greater Nashua Community Health Improvement Plan (CHIP).Both past and present copies of the Greater Nashua CHIP can be found through the City of Nashua website, at: https://nashuanh.gov/564/Community-Health-Improvement-Plan-CHIP 12 1 - Milford Urgent Care 442 Nashua Street Milford NH 03055 Urgent care, PT, OT, radiology, mammography, physician services, labs 2 - S Nashua Radiology & Phy Offices 172 Daniel Webster Highway Nashua NH 03060 Radiology, physician practice, lab services 3 - Nashua Pediatrics-Physician Practice 155 Kinsley Street Nashua NH 03060 Physician practice 4 - Amherst Street PT & OT 460 Amherst Street Nashua NH 03060 Physical and Occupational Therapy, lab services 5 - Family Medicine of Merrimack 4 Dobson Way Merrimack NH 03054 Physician practice 6 - Merrimack PT 382 Daniel Webster Highway Merrimack NH 03054 Physicial therapy 7 - SJN Family Medicine and Specialty Svcs 208 Robinson Road Hudson NH 03051 PT and OT, Radiology, lab services, physician services 8 - NE Boulevard PT & OT 75 Northeastern Boulevard Nashua NH 03060 Physical and Occupational Therapy; lab services 9 - Dartmouth Exit 8 PT & OT 2300 Southwood Drive Nashua NH 03063 Physical and Occupational Therapy 10 - Neurology - Physician Practice 171 Kinsley Street Nashua NH 03060 Physician practice 11 - OBGYN - Physician Practice Harris Pond Merrimack NH 03054 Physician practice 12 - SJ Physicians 171 Kinsley Street Nashua NH 03060 Physician practice Part I, Line 7: St. Joseph Hospital-Nashua has several hospital clinical services and hospital-owned physician practices. In accordance with the IRS Instructions for Form 990, Schedule H, Worksheet 6, organizations may include any applicable physician practice that the Hospital subsidizes (i.e., operates at a loss) in the preparation and completion of Schedule H. Therefore, the Hospital has included the following hospital clinical services and hospital-owned physician practices that operate at a loss (i.e., are subsidized by the Hospital) and the associated costs of these practices:a. Palliative Careb. Cardiologyc. Wound Cared. Cancer Centere. Urgent Caref. Neurologyg. IMG Extended Hoursh. Milford Pediatricsi. Amherst St Family Medicinej. Kinsley St. Pediatricsk. South Nashua Primary and Specialty Carel. Hudson Family Medicinem. South Nashua Pediatricsn. Milford Primary and Specialty Careo. Merrimack Family Medicinep. OB/GYN and Midwifery q. Urgent Carer. Orthopedicss. General Surgeryt. Pulmonary Medicineu. South Nashua Family Medicinev. Endocrinologyw. IMG Primary Carex. Podiatryy. Mobile Healthcare Clinicz. Gastroenterologyaa. Oncologybb. Rheumatologycc. Psych Clinicdd. Senior CareThe above-listed hospital clinical services and hospital-owned physician practices have a community benefit (i.e. aggregate loss or subsidy from the Hospital) of approximately $67.9 million. In addition, this community benefit does not take into account bad debts, charity care, or contractual adjustments. Thus, this community benefit of approximately $67.9 million is a conservative figure that reconciles to the community benefit information reported on this IRS Form 990, Schedule H, Part I, Line 7g, Column e.Form 990, Schedule H instructions and guidance contain a template (Worksheet 2) that may be used to determine the overall cost-to-charge ratio that could be applied throughout Schedule H in order to convert care-charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part 1, Line 7, were the following:a. Schedule H Worksheet 6, Subsidized Health Services (the supporting worksheet for Part I, Line 7g): the Hospital did not utilize Worksheet 2 when calculating the percentage used to determine the profit or loss of each hospital clinical service and hospital-owned physician practice. Instead, when compiling the subsidized hospital clinical services and hospital-owned physician practices listed in Line 1c, the Hospital utilized the actual estimated costs on the modified Medicare cost report instead of applying the Worksheet 2 cost-to-charge percentage. b. Schedule H, Worksheet 3, Unreimbursed Medicaid and Other Means Tested Government Programs (the supporting schedule for Part I, Lines 7b and 7c); and Worksheet 6, Medicaid Allowable Costs for Subsidized Health Services, listed in Line 1c above (which is part of the line 7g costs): the Hospital did not utilize the Worksheet 2 percentage when calculating the Medicaid allowable cost. Instead, the Hospital utilized the actual Medicaid filed cost report for the allowable costs. The Medicaid filed cost report utilizes data from the State of New Hampshire which does not include the New Hampshire Medicaid Managed Care information. As such, the loss on Medicaid services is a conservative figure. 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 a member of Covenant Health Inc. of Andover, MA. It is the responsibility of the entire staff of St. Joseph Hospital to serve and promote the health of the greater Nashua community.Additionally, St. Joseph Hospital strives to improve the health of its community through community-based partnerships and initiatives, some of which are detailed below: Volunteer Opportunities:At St. Joseph Hospital, the spirit of giving back resonates deeply within our community. Our volunteers collectively contribute nearly 25,000 hours of service during a typical year, where their time and dedication makes a meaningful difference in the lives of our patients and staff members. We offer a wide variety of volunteer opportunities at St. Joseph Hospital. Some may vary in availability, and we welcome all skills. Opportunities include, but are not limited to: care cart; department hosts; thrift shop; patient escorts; and pet therapy. Volunteer opportunities are also available for children and youths looking to actively help improve the health of their community.Screenings and Planning:The Hospital frequently makes available free blood pressure screenings and free breast and cervical cancer screenings. The Hospital also provides access to advanced care plans that provide comfort and peace-of-mind for end-of-life care and transitions.Education and Public Engagement:The Hospital routinely hosts public community events to offer education and information covering a wide variety of subjects, including but not limited to: music, arts, and their connection to health; financial literacy; healthy aging; exercise; and nutrition.Community Investment:At St. Joseph Hospital, we strive to be good stewards of the health care resources in the greater Nashua community. As a not-for-profit health system, we reinvest every dollar we earn back into improving care. We're proud to call this home and we look forward to serving the local community for generations to come. Here's how we've invested our resources: - $1.1 million in programs, services and partnerships to benefit the community - $51.1 million in uncompensated care and community benefit - $114.2 million in salaries and benefits - $1.7 million invested in providing education opportunities to our employees - Supported 165+ medical and nursing students through our accredited learning programsThese efforts, combined with the Hospital's general operations and commitment to high-quality care, continually and significantly build and improve the communities which the Hospital serves. Part III, Line 2: The Hospital utilized Worksheet 2 from the IRS Schedule H Instructions and guidance to determine the ratio of patient care cost-to-charge (28.36% for fiscal year 2024). The Hospital then multiplied this ratio by the Hospital's total bad debt expense of $13,814,526 to determine the Part II, Line 2, Bad Debt Expense of $3,917,799 . 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, Footnote 3, Patient Service Revenues. The Hospital continues to operate under this adopted standard. Part III, Line 8: IRS Instructions and guidance for Form 990, Schedule H contain a template (Worksheet 2) that may be used to determine the overall cost-to-charge ratio. This ratio may then be applied throughout Schedule H to convert care charges to cost. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized for Part III, Line 8, was in determining Schedule H, Worksheet B, Line 2 & 6, Medicare Allowable Costs and Payments Related to Subsidized Health Services: The Hospital utilized the Medicare cost report estimated cost and payment for these services. The Hospital believes that its hospital clinical services, hospital-owned physician practices, emergency room, and home health agency (as listed on this Schedule H) should be considered a community benefit, as community members benefit by having easy access to these services, facilities, and programs which are both offered and subsidized. These facilities and programs are offered and thus subsidized through the Hospital. 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).A Community Health Assessment (CHA) is a collaborative process that identifies key health needs and issues through systematic, comprehensive data collection and analysis. CHAs provide information on a variety of health topics and help identify resources which assist with policy formulation, program implementation, and evaluation. CHAs are also a crucial component of accreditation as they help measure how well a public health system is fulfilling the assurance function, one of the three fundamental purposes of public health. The Greater Nashua CHA is part of an ongoing comprehensive community health improvement process. The purpose of the CHA is to identify vulnerable populations using comparable data within the Greater Nashua Public Health Region (GNPHR) and to subsequently identify trends in health issues, environmental health hazards, and social and economic factors that affect the populations' health.Collected and analyzed data will be used to identify priority issues within the GNPHR and develop strategies for further action which are outlined in the form of a community health improvement plan (CHIP). The CHIP creates a foundation for a work plan to improve the health of the community over the course of three years' time.One of the main objectives of the most recent Community Needs Assessment's research was to determine the biggest health concerns in the community in order to determine community health priorities. The research for this report indicated that most people in the Greater Nashua Region are concerned about mental health, homelessness, substance use, access to care, air and water quality, inequities in health, access to food, public safety, education, and child abuse and neglect to be the top-ten biggest health issues of the community. 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.Free Care is available for patients who qualify. If a patient's or their family's income is 200% or less of the Federal Poverty Guidelines, the patient may qualify for assistance for their self-pay balance. Patients may inquire about this program before arriving for care or at the time of registration or check-in. Patients may also inquire about Free Care after receiving their billing-statements. Additionally, the Hospital makes available financial representatives to answer all billing and payment questions. Representatives are available to assist with questions regarding insurance benefits, hospital charges, payment options, and the applications for 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.For its 2024 tax year, the Hospital continued to refer and rely on the collaborative 2023 Community Health Assessment that was prepared and informed in association with the City of Nashua. The four geographies mentioned most often throughout this report are the City of Nashua, the Greater Nashua Public Health Region ("GNPHR"), Hillsborough County, and the State of New Hampshire (NH). Throughout the State of NH, there are 13 public health regions. The GNPHR is composed of the City of Nashua and its 12 surrounding towns which include Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Mason, Merrimack, Milford, Mont Vernon, Pelham, and Wilton. The mission of the Greater Nashua Public Health Network (GNPHN) is to facilitate access to programs and services that develop resiliency, promote healthy behaviors, and safeguard the health of the GNPHR through partner engagement and collaboration.As of 2023, the combined population of the Greater Nashua Region was estimated to be about 218,000 individuals (about 91,000 in the City of Nashua). To gauge the demographics of this region, the CHA used a variety of survey and online-polling tools. The 2023 CHA revealed the following demographic information: - The median age in the covered community is 40.1 years old. - The general population by sex and gender is evenly split at 50% male and 50% female. - Approximately 7.5% of the GNPHR population are veterans. - The median household income in Nashua, NH is about $89,000; about $113,000 in the GNPHR; and about $91,000 in NH, state-wide. - Approximately 8% of people in Nashua live in poverty, compared to 5% in the GNPHR and 7% in NH state-wide. - Over 92% of the population in Nashua and over 94% in GNPHR have obtained a high school degree, compared to 93.8% in NH state-wide and to 89.1% in the United States on average. - Furthermore, over 40% of people in Nashua and 43% of people in the GNPHR have obtained a college degree, compared to 39% in NH state-wide and to 34.3% in the United States on average. - Approximately 4-5% of people in the GNPHR are unemployed. - The majority of citizens in the GNPHR are white; approximately 27% of people in Nashua and 17.2% of people in the GNPHR identify as a person of color.- Approximately 9.7% of people in the GNPHR identify as foreign born, and 4% of people self-identify as speaking English "less than very well". 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. It is the responsibility of the entire staff of St. Joseph Hospital to serve and promote the health of the greater Nashua community.Additionally, St. Joseph Hospital provides a variety of programs and initiatives to improve the general wellbeing and to promote the health of its community. For example, the Hospital is proud to maintain the following community outreach programs:- Community Health Education: the Hospital regularly hosts a wide variety of seminars and workshop activities to promote wellness and healthy living. - The Marguerite d'Youville Fund for the Poor: a Fund to provide medicine and medical care for the poor and uninsured members of its community.- Palliative Care: a comprehensive support network for the terminally ill and community education regarding all aspects of "end of life" planning.- School of Nursing and Scholarship Fund: academic instruction in the scientific, technical, spiritual, and social aspects of nursing, with training programs in several healthcare occupations. Scholarship support is provided to students based on financial need and desire to pursue a career in healthcare.- Age Friendly Health Care: St. Joseph Hospital participates in the Age-Friendly Health System initiative. Its goal is for every older person to receive the best care possible, avoid harm and be fully satisfied with their care.- Diversity, Equity, and Inclusion: St. Joseph Hospital is deeply committed to fostering a culture that promotes diversity, equity and inclusion in all forms. We welcome and respect patients and employees regardless of race, ethnicity, religious background, sexuality, gender identity or age. Part VI, Line 6: St. Joseph Hospital is a proud member of Covenant Health, which is an innovative, Catholic regional health care system and a leader in values-based, not-for-profit health and elder care. Covenant's family of organizations includes hospitals, skilled nursing and rehabilitation centers, assisted living and independent senior residences throughout New England and in Elmhurst Township, Pennsylvania. We are New England's largest non-profit post-acute care provider. Covenant Health is fully committed to offering a continuum of high-quality compassionate care to the individuals and communities we serve. Additionally, the Hospital frequently and actively collaborates with the City of Nashua Division of Public Health and Community Services as well as other similarly geographically located institutions to enhance the quality and availability of care throughout New Hampshire..99H8 . M*4,89,S,1 Part VI, Line 7: New Hampshire X X 1 1 0 0 0 0 0 0 0 1 0 Stephen Grubbs CEO, Covenant Health, Inc. 0 805455 0 400000 0 30482 0 10350 0 29814 0 1276101 0 0 Umer Syed MD Physician 881082 0 0 0 1015 0 8309 0 34696 0 925102 0 0 0 Albert Tom MD Physician 832000 0 7500 0 25622 0 0 0 37072 0 902194 0 0 0 Raymond Suarez MD Physician 573315 0 10000 0 23205 0 7809 0 36736 0 651065 0 0 0 Laurence Young MD Physician 523206 0 0 0 3617 0 2204 0 37708 0 566735 0 0 0 Michael Remar MD Physician 521039 0 0 0 5578 0 10103 0 27375 0 564095 0 0 0 John A Jurczyk SVP & President 0 467126 0 0 0 9051 0 10350 0 29448 0 515975 0 0 Deepak Vatti Medical Director 410218 0 0 0 22760 0 10196 0 41327 0 484501 0 0 0 Alison Madden VP Medical Affairs 395434 0 0 0 2859 0 10226 0 24020 0 432539 0 0 0 Gerard Hadley Treasurer and CFO 297876 12837 0 0 4536 269 9135 394 25751 1122 337298 14622 0 0 Part I, Line 1a The President of the Hospital may access a limited discretionary spending account with which to pursue and cover business-related expenditures that further that Hospital's mission and general operations. Additionally, the Hospital pays membership dues to the Country Club of Nashua on behalf of its President. Any meals, entertainment, or other personsal expenses incurred by Hospital staff and executives through the use of the membership held in the President's name must be paid for by the applicable individuals; should the Hospital pay for such costs when paying for the Club's membership, the Hospital will request reimbursement from the relevant persons. The Hospital does not request reimbursement for the cost of the membership; the Club's facilities, conference rooms, and meeting spaces are used primarily for Hospital functions, meetings, and other operations, are the dues are considered to be a business expense incurred by the Hospital. 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. X Life insurance 1 850000 Policy value X Event supplies 2 1192 Value per book 0 1 1 Part I, Line 32b: The Organization coordinates with engaged third-party professional advisors and investment brokers to assist with the processing and management of any non-cash financial assets or other similar non-cash gifts. Non-cash gifts of supplies, equipment, or other property are utilized by the Organization as part of its fundraising events or programmatic activities. Lastly, the Organization, as well as its parent entity, Covenant Health, employ personnel dedicated to development and fundraising who assist in the solicitation, processing, and management of non-cash gifts. Form 990, Part III, line 2 St. Joseph Hospital of Nashua expanded its cardiology services by uniting a distinguished team of experienced cardiologists and opening a state-of-the-art cardiac catheterization laboratory. This development significantly enhanced the Hospital's ability to serve patients with heart conditions by introducing one of New England's most advanced cardiac catheterization facilities alongside a highly skilled physician team. The Hospital considers this new laboratory to represent a significant increase towards its patient and program services. 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 encumbrance 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 directors engages an external consultant to provide competitive market data from various survey sources, which is used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged 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 IX, line 11g Maintenance contracts: Program service expenses 3,104,403. Management and general expenses 239,260. Fundraising expenses 0. Total expenses 3,343,663. Medical service providers: Program service expenses 24,565,724. Management and general expenses 1,893,306. Fundraising expenses 0. Total expenses 26,459,030. Contracted and purchased labor: Program service expenses 690,834. Management and general expenses 53,243. Fundraising expenses 0. Total expenses 744,077. Collections and admin support: Program service expenses 2,155,949. Management and general expenses 166,161. Fundraising expenses 0. Total expenses 2,322,110. Shared service fees: Program service expenses 21,251,730. Management and general expenses 1,637,893. Fundraising expenses 0. Total expenses 22,889,623. Form 990, Part XI, line 9: Transfers to affiliates 575,000. Adjustment to defined benefit pension obligation -25,597. Net periodic pension cost 0. Form 990, Part XII, Line 2c: The audit process has not changed from the previous year. SJH Surgicenter LLC 172 Kinsley Street Nashua NH 030612013 204181845 Inactive Outpatient Surgery NH 0 0 St Joseph Hospital Alternative Health Services 360 Broadway Bangor ME 04402 010422885 Home health and hospice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation 0 Bangor Nursing & Rehabilitation Center 103 Texas Avenue Bangor ME 04401 010538534 Nursing home and restorative facility ME 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 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 40 Shattuck Road 317 Andover MA 01810 800199674 Charitable foundation MA 501(c)(3) Line 12a, I Covenant Health Inc 0 Covenant Health Investment Trust 40 Shattuck Road 317 Andover MA 01810 046835128 Investment trust MA 501(c)(3) Line 12a, I Covenant Health Inc 0 Covenant Health Inc 40 Shattuck Road 317 Andover MA 01810 222484505 Health care management and resource organization MA 501(c)(3) Line 10 N/A 0 Fanny Allen Corporation Inc 40 Shattuck Road 317 Andover MA 01810 222495808 Charitable foundation VT 501(c)(3) Line 12a, I Covenant Health Inc 0 Fanny Allen Holdings Inc 40 Shattuck Road 317 Andover MA 01810 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 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 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 1 St Joseph Ambulatory Care Inc 360 Broadway Bangor ME 04402 222480373 Physician practice ME 501(c)(3) Line 10 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 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 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 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 1 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 Campus Holding PO Box 7291 Lewiston ME 04240 010406049 Holding company ME N/A C 0 Covenant Health Insurance LTD PO Box 69 Grand Cayman CJ KY1-1102 043360127 Self-insurance company CJ N/A C 0 First Choice PHO 172 Kinsley Street Nashua NH 03060 020461536 Physician hospital organization NH St Joseph Hospital of Nashua C 74518 866265 0.50000 1 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 Hospital Corporate Services 172 Kinsley Street Nashua NH 030612013 020405197 Holding company NH St Joseph Hospital of Nashua C 1516649 28366847 1.00000 1 Strauss Incorporated 360 Broadway Bangor ME 04402 010391369 Repairs and transcriptions ME N/A C 0 0 0 0 1 1 0 0 0 0 0 1 0 0 1 1 1 0 0 0 GNM Corporation D 9500 Cash St Joseph Corporate Services E 7204000 Cash SJ Physicians Services E 15350000 Cash GNM Corporation K 1163000 Cash SJ Physicians Services P 3686000 Cash