2018-11-06T12:50:39-06:00 2017-12-31 990 2017-01-01 050342330 Mount Saint Rita Health Centre MOUN 4013336352 15 Sumner Brown Road Cumberland RI 02864 William Fleming Administrator 4013336352 2018-11-06 155.212.6.161 2018-11-06 13:50:34 US P A744FCA080835C7073C58A40247746B207170AF7 A744FCA080835C7073C58A40247746B207170AF7 2017 2019-02-21 02:37:17Z William Fleming 15 Sumner Brown Road Cumberland RI 02864 8896220 0 X MountStRita.org X 1990 RI MOUNT SAINT RITA IS A CATHOLIC SKILLED NURSING AND REHABILITATION FACILITY THAT CONTINUES THE HEALING MINISTRY OF CHRIST BY PROVIDING HEALTH CARE SERVICES THAT FOSTER EACH INDIVIDUAL'S PHYSICAL, SPIRITUAL, EMOTIONAL AND INTELLECTUAL WELL-BEING. 7 7 164 24 0 0 80659 68153 9011652 8753680 38 89 29420 74298 9121769 8896220 0 0 0 0 5108520 5118600 0 0 0 3851149 3758169 8959669 8876769 162100 19451 3364891 5463831 886832 964873 2478059 4498958 MOUNT SAINT RITA IS A CATHOLIC SKILLED NURSING AND REHABILITATION FACILITY THAT CONTINUES THE HEALING MINISTRY OF CHRIST BY PROVIDING HEALTH CARE SERVICES THAT FOSTER EACH INDIVIDUAL'S PHYSICAL, SPIRITUAL, EMOTIONAL AND INTELLECTUAL WELL-BEING. 0 0 8579658 8753680 MOUNT SAINT RITA HEALTH CENTRE PROVIDED 32,536 DAYS OF SKILLED NURSING SERVICES DURING 2017 OF WHICH 24,622 WERE TO MEDICAID RECIPIENTS. 8579658 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 24 0 164 1 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 RI X X John Ahle 4013336352 15 Sumner Brown Road Cumberland RI 02864 Kenneth Arnold Chair, thru 3/2017 2.00 X X 0 0 0 Joseph Malley Secretary 2.00 X 0 0 0 Sr Rose Angela Mclellan RSM Trustee 2.00 X 0 0 0 Thomas Wallace Trustee 2.00 X 0 0 0 Patricia Vieira APR Chair,as of 4/2017 2.00 X X 0 0 0 SrMary Costello Trustee 2.00 X 0 0 0 Peter Keenan Treasurer 2.00 X 0 0 0 Debra Servello Vice Chair 2.00 X X 0 0 0 William Fleming Administrator 40.00 X 133647 0 5641 133647 0 5641 1 0 0 0 Gilbane Building Company 7 Jackson Walkway Providence RI 02903 Construction Project 2334625 Rehab Care Group Inc PO BOX 503534 St Louis MO 63150 Rehab Services 518330 Performance Health Care ServicesInc 47R River St Wellesley MA 02481 Laundry & Housekeeping 327564 DA Plante Inc PO Box 7576 Cumberland RI 02864 Lanscaping, Maintenance & Snow Removal 103806 4 68153 68153 PATIENT SERVICE REVENU 623000 8753680 8753680 8753680 89 89 Miscellaneous 623000 74298 74298 74298 8896220 8827978 0 89 X 133647 133647 3900877 3900877 171949 171949 621710 621710 290417 290417 266477 266477 7334 7334 23300 23300 1318528 1318528 17894 17894 54483 54483 153880 153880 5215 5215 4122 4122 311920 311920 179825 179825 Supplies 728425 728425 Provider Tax 501439 501439 Utilities 172906 172906 Sales and Other Tax 10326 10326 2095 2095 8876769 8579658 297111 0 577801 377792 19094 17106 1145665 1094485 38222 37442 9744997 5818137 1568271 3926860 15838 10146 3364891 5463831 796307 864520 90525 100353 886832 964873 X 2465468 4484919 12591 14039 2478059 4498958 3364891 5463831 X 19451 2001448 X 0 1 X 0 0 X 192174 156334 106521 80659 68153 603841 9086636 8924815 8793416 9011652 8753680 44570199 9278810 9081149 8899937 9092311 8821833 45174040 0 0 0 45174040 1330 774 266 38 89 2497 1330 774 266 38 89 2497 29420 74298 103718 9280140 9081923 8900203 9121769 8896220 45280255 0.99770 0.99920 0.00010 0.00010 X 12591 8233 6785 14039 5755 12835 5999 12591 13576 5755 13576 5755 21221 7645 13576 48209 25988 22221 1.00000 0 0 446015 446015 7977909 4883721 3094188 1192206 881619 310587 128867 52797 76070 3926860 Tenant Security Deposit 10146 Professional loss reserves 90207 100353 X Part X, Line 2: Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. 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, 2017. Under Internal Revenue Service regulations, the System's tax years from 2014 through 2017 are open and subject to examination. X X X X 0 0 0 0 0 0 0 0 0 Part I, Line 3 EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF COVENANT HEALTH'S 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 AN EXTERNAL CONSULTANT TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPROTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE. Form 990, Part VI, Section A, line 6 COVENANT HEALTH iS THE SOLE MEMBER OF THE ORGANIZATION OF THE BOARD. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER BOARD DECISIONS AND BOARD COMPOSITION. Form 990, Part VI, Section A, line 7a COVENANT HEALTH IS THE SOLE MEMBER OF THE ORGANIZATION. AS SUCH IT RETAINS CERTAIN RESERVE RIGHTS OVER CORPORATE DECISIONS AND BOARD COMPOSITION. Form 990, Part VI, Section A, line 7b COVENANT HEALTH IS THE SOLE MEMBERS OF THE ORGANIZATION. AS SUCH IT RETAINS CERATIN RESERVE RIGHTS OVER BOARD DECISIONS AND BOARD COMPOSITION. Form 990, Part VI, Section B, line 11b THE FORM 990 IS PROVIDED TO AND REVIEWED WITH THE BOARD PRIOR TO FILING Form 990, Part VI, Section B, line 12c THE ORGANIZATION HAS A FULL-TIME OPERATIONAL INTEGRITY OFFICER THAT MONITORS ALL AREAS FOR POTENTIAL CONFLICTS OF INTEREST. Form 990, Part VI, Section B, line 15 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 AN EXTERNAL CONSULTANT TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THE ANALYSIS ARE TO ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM; DEVELOP MARKET COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE. Form 990, Part VI, Section C, line 19 THE FORM 990 AND GOVERNING DOCUMENTS, INCLUDING THE CONFLICT OF INTEREST POLICY, AND THE FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part IX, line 11g Purchased Services: Program service expenses 1318528. Management and general expenses 0. Fundraising expenses 0. Total expenses 1318528. Form 990, Part XI, line 9: Transfer Among Affiliates 2000000. Increase in temporary restricted assets 1448. Covenant Health Inc 100 Ames Pond Ste 102 Tewksbury MA 01876 222484505 HEALTH CARE MANAGEMENT AND RESOURCE ORGANIZATION MA 501 (C) Line 11 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0