COVENANT HEALTH INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT HEALTH INC (EIN 22-2484505)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-09-15
- IRS object ID
- 201742589349300919
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-09-15T10:34:32-05:00 | ReturnTs |
| Tax Period End | 2016-12-31 | 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 | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 222484505 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COVENANT HEALTH INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COVE | BusinessNameControlTxt |
| Phone | 9786546363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AMES POND DRIVE NO 102 | AddressLine1Txt |
| City | TEWKSBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN AHLE | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 9786546363 | PhoneNum |
| Signature | 2017-09-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | E DREW CHENEY | PreparerPersonNm |
| PTIN | P00182972 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2017-09-12 | 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 | 2017-09-12 | IPDt |
| IP Tm | 10:10:58 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | E1A65C102B06E5C9ADAF8DC78101520DB9B2CC9D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 4ACE08D73FD55C30CF6A437BEE2924DC9EDC1BC2 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN AHLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AMES POND DRIVE NO 102 | AddressLine1Txt |
| City | TEWKSBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $19,128,280 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COVENANTHEALTH.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | COVENANT HEALTH IS A CATHOLIC HEALTH CARE SYSTEM SPONSORING HOSPITALS, NURSING HOMES, ASSISTED LIVING RESIDENCES AND OTHER HEALTH AND ELDER SERVICES THROUGHOUT NEW ENGLAND. WE ARE COMMITTED TO THE HEALTH OF THE INDIVIDUALS AND COMMUNITIES WE SERVE, AND STRIVE TO OFFER A CONTINUUM OF HIGH QUALITY CARE. PLEASE SEE OUR WEBSITE FOR THE 2016 COVENANT HEALTH'S CORPORATE REPORT. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 64 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $8,621 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $6,457 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,109 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,074,222 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $17,617,926 | CYProgramServiceRevenueAmt |
| PY Investment Income | $951,239 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,397,500 | CYInvestmentIncomeAmt |
| PY Other Revenue | $50,827 | PYOtherRevenueAmt |
| CY Other Revenue | $93,745 | CYOtherRevenueAmt |
| PY Total Revenue | $13,076,288 | PYTotalRevenueAmt |
| CY Total Revenue | $19,128,280 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $17,230 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $14,025 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,180,702 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,400,322 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,857,522 | PYOtherExpensesAmt |
| CY Other Expenses | $16,022,538 | CYOtherExpensesAmt |
| PY Total Expenses | $12,055,454 | PYTotalExpensesAmt |
| CY Total Expenses | $26,436,885 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,020,834 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$7,308,605 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $122,591,281 | TotalAssetsBOYAmt |
| Total Assets EOY | $121,989,606 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,771,324 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $24,023,653 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $98,819,957 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $97,965,953 | NetAssetsOrFundBalancesEOYAmt |
| Mission | COVENANT HEALTH IS AN INNOVATIVE CATHOLIC HEALTH ORGANIZATION COMMITTED TO ADVANCING THE HEALING MINISTRY OF JESUS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $25,880,797 | ExpenseAmt |
| Grant | $14,025 | GrantAmt |
| Revenue | $17,703,050 | RevenueAmt |
| Desc | SPONSORING AND OPERATING A CATHOLIC HEALTH CARE SYSTEM CONSISTING OF HOSPITALS, NURSING HOMES, ASSISTED LIVING RESIDENCES AND OTHER HEALTH AND ELDER SERVICES, AND FURTHERING THE DELIVERY OF HEALTH AND HUMAN SERVICES CONSISTENT WITH THE TEACHINGS AND LAW OF THE ROMAN CATHOLIC CHURCH. | Desc |
| Total Program Service Expenses | $25,880,797 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 64 | 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 | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | 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 | 0 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| States Where Copy Of Return Is Fld | NC | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOHN AHLE CHIEF FINANCIAL OFFICER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9786546363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AMES POND DRIVE | AddressLine1Txt |
| City | TEWKSBURY | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 01876 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| DAVID R LINCOLN | |||||||||
| CEO,PRESIDENT & DIRECTOR | 40.00 | Yes (X) | Yes (X) | $830,218 | $0 | $37,931 | |||
| H WILLIAM ADAMS III | |||||||||
| DIRECTOR THRU 6/2016 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOYCE L AREL | |||||||||
| DIRECTOR THRU 6/2016 | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN A ISAACSON | |||||||||
| DIRECTOR | 3.00 | Yes (X) | $4,550 | $0 | $0 | ||||
| SR JUNE KETTERER SGM | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| THOMAS L KELLY | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $4,550 | $0 | $0 | ||||
| LOUISE TROTTIER | |||||||||
| DIRECTOR, CHAIR | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| AISHA BONNY | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $4,550 | $0 | $0 | ||||
| JAMES F LOFTUS IV | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $4,550 | $0 | $0 | ||||
| JOHN M PALLONE | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN D OLIVERIO | |||||||||
| DIRECTOR, VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $4,550 | $0 | $0 | |||
| WILLIAM P LUCY | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $4,550 | $0 | $0 | ||||
| KENNETH ARNOLD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| LESLEY ADKISON | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| BRUCE BONNELL | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $4,550 | $0 | $0 | ||||
| DANIEL MINGLE | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN AHLE | |||||||||
| TREASURER & CFO | 37.00 | Yes (X) | $738,263 | $0 | $36,019 | 3.00 | |||
| SUSAN MCDONOUGH | |||||||||
| VP OF STRATEGY THRU 6/2016 | 40.00 | $311,777 | $0 | $31,064 | Yes (X) | ||||
| KENNETH FERRON | |||||||||
| VP - ELDER SERVICES OPERAT | 40.00 | $370,135 | $0 | $41,271 | Yes (X) | ||||
| ANNE BERGER | |||||||||
| VP - QUALITY IMPROVEMENT & | 40.00 | $261,511 | $0 | $13,513 | Yes (X) | ||||
| KAREN BOWLING | |||||||||
| CIO | 40.00 | $307,197 | $0 | $22,405 | Yes (X) | ||||
| JAMES B COFFEY | |||||||||
| FOUNDATION PRESIDENT | 1.00 | $195,838 | $0 | $37,183 | 39.00 | Yes (X) | |||
| KAREN LEIBOLD | |||||||||
| VP - HUMAN RESOURCES | 40.00 | $255,440 | $0 | $39,451 | Yes (X) | ||||
| JOHN NEWMAN | |||||||||
| VP & GENERAL COUNSEL | 40.00 | $253,965 | $0 | $10,633 | Yes (X) | ||||
| PAUL ERCOLINI | |||||||||
| DIR OF FINANCE LONG TERM C | 40.00 | $186,398 | $0 | $35,534 | Yes (X) | ||||
| JOSEPH O'CONNELL | |||||||||
| CORPORATE CONTROLLER | 40.00 | $177,413 | $0 | $19,361 | Yes (X) | ||||
| JOHN RAFFERTY | |||||||||
| DIRECTOR SUPPLY CHAIN | 40.00 | $195,821 | $0 | $35,067 | Yes (X) | ||||
| BRIAN MURRAY | |||||||||
| DIR TECH & INFORM SECURITY | 2.00 | $157,986 | $0 | $36,924 | 38.00 | Yes (X) | |||
| KIMBERLY LABERGE | |||||||||
| VP IT SYSTEMS | 40.00 | $170,572 | $0 | $37,816 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,444,384 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $434,172 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 37 | 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 |
|---|---|---|---|---|---|
| DELOITTE CONSULTING LLP | |||||
| PO BOX 844717 | DALLAS | TX | 75284 | CONSULTING | $11,836,100 |
| GOOD HELP CONNECTIONS LLC | |||||
| 8990 OLD ANNAPOLIS ROAD STE M | COLUMBIA | MD | 21045 | IT VENDOR | $2,510,230 |
| CHAN | |||||
| 231 SOUTH BEMISTON AVENUE STE 300 | CLAYTON | MO | 63105 | INTERNAL AUDIT | $618,212 |
| JM EMERSON LLC | |||||
| 815 SPRING PARK LOOP | CELEBRATION | FL | 34747 | INTERIM VP | $445,087 |
| DENNIS SHUBERT MD PHD | |||||
| PO BOX 159 | SEAL HARBOR | ME | 04675 | CONSULTING | $222,380 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $19,109 | AllOtherContributionsAmt |
| Total Contributions | $19,109 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| MEMBERSHIP AND OTHER FEES | 900099 | $17,609,305 | $17,609,305 | |
| K-1 ORDINARY INCOME | 561000 | $8,621 | $8,621 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $17,617,926 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,397,500 | TotalRevenueColumnAmt |
| Exclusion | $1,397,500 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CHANGE - CSV INSURANCE | 900099 | $50,064 | $50,064 |
| OTHER INCOME | 900099 | $43,681 | $43,681 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $93,745 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $19,128,280 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $17,703,050 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $8,621 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,397,500 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,025 | TotalAmt |
| Program Services | $14,025 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,568,481 | TotalAmt |
| Program Services | $1,486,136 | ProgramServicesAmt |
| Management And General | $82,345 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,189,680 | TotalAmt |
| Program Services | $6,812,222 | ProgramServicesAmt |
| Management And General | $377,458 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $248,415 | TotalAmt |
| Program Services | $235,373 | ProgramServicesAmt |
| Management And General | $13,042 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $928,402 | TotalAmt |
| Program Services | $879,661 | ProgramServicesAmt |
| Management And General | $48,741 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $465,344 | TotalAmt |
| Program Services | $440,913 | ProgramServicesAmt |
| Management And General | $24,431 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,386 | TotalAmt |
| Program Services | $56,268 | ProgramServicesAmt |
| Management And General | $3,118 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,446 | TotalAmt |
| Program Services | $125,493 | ProgramServicesAmt |
| Management And General | $6,953 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,004,877 | TotalAmt |
| Program Services | $13,004,877 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,946 | TotalAmt |
| Program Services | $32,946 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,279 | TotalAmt |
| Program Services | $59,279 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,240 | TotalAmt |
| Program Services | $482,240 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $760,273 | TotalAmt |
| Program Services | $760,273 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $704,204 | TotalAmt |
| Program Services | $704,204 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$201,788 | TotalAmt |
| Program Services | -$201,788 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,470 | TotalAmt |
| Program Services | $12,470 | ProgramServicesAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| PURCHASED SERVICES | $683,756 | $683,756 |
| PRINTING & PUBLICATION | $76,964 | $76,964 |
| LICENSES | $66,892 | $66,892 |
| EQUIPMENT RENTAL | $39,303 | $39,303 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $109,290 | TotalAmt |
| Program Services | $109,290 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,436,885 | TotalAmt |
| Program Services | $25,880,797 | ProgramServicesAmt |
| Management And General | $556,088 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,683,580 | BOYAmt |
| EOY | $3,799,535 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,185,451 | BOYAmt |
| EOY | $1,798,507 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $447,896 | BOYAmt |
| EOY | $390,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $18,196,617 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $1,246,993 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,146,080 | BOYAmt |
| EOY | $16,949,624 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $81,346,716 | BOYAmt |
| EOY | $72,943,973 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,781,558 | BOYAmt |
| EOY | $26,107,277 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,591,281 | BOYAmt |
| EOY | $121,989,606 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,695,900 | BOYAmt |
| EOY | $4,016,973 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,250,055 | BOYAmt |
| EOY | $4,179,131 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $950,000 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,875,369 | BOYAmt |
| EOY | $15,827,549 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,771,324 | BOYAmt |
| EOY | $24,023,653 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,421,078 | BOYAmt |
| EOY | $97,583,112 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $398,879 | BOYAmt |
| EOY | $382,841 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,819,957 | BOYAmt |
| EOY | $97,965,953 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $122,591,281 | BOYAmt |
| EOY | $121,989,606 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,308,605 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $6,760,639 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$306,038 | OtherChangesInNetAssetsAmt |
| 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $19,109 | CurrentTaxYearAmt |
| Total | $19,109 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,916,191 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,347,631 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,894,967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,065,246 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,609,305 | CurrentTaxYearAmt |
| Total | $58,833,340 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $8,916,191 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $9,347,631 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,894,967 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $12,065,246 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $17,628,414 | CurrentTaxYearAmt |
| Total | $58,852,449 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $58,852,449 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $731,308 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $833,709 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,211,047 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,000,692 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,397,500 | CurrentTaxYearAmt |
| Total | $5,174,256 | TotalAmt |
Post1975 UBTI Post1975UBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | $75,521 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $358,710 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $7,962 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $8,621 | CurrentTaxYearAmt |
| Total | $450,814 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $731,308 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $909,230 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,569,757 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,008,654 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,406,121 | CurrentTaxYearAmt |
| Total | $5,625,070 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $47,440 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,398,117 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $327,512 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $50,827 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $93,745 | CurrentTaxYearAmt |
| Total | $1,917,641 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $9,694,939 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $11,654,978 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $12,792,236 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $13,124,727 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $19,128,280 | CurrentTaxYearAmt |
| Total | $66,395,160 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.88640 | PublicSupportCY509Pct |
| Public Support PY509 | 0.88660 | PublicSupportPY509Pct |
| Investment Income CY | 0.08470 | InvestmentIncomeCYPct |
| Investment Income PY | 0.08000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
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 D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $398,879 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $11,462 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $27,500 | GrantsOrScholarshipsAmt |
| End Year Balance | $382,841 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $453,426 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,133 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $59,680 | GrantsOrScholarshipsAmt |
| End Year Balance | $398,879 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $481,975 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $8,951 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $37,500 | GrantsOrScholarshipsAmt |
| End Year Balance | $453,426 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $532,468 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,507 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $56,000 | GrantsOrScholarshipsAmt |
| End Year Balance | $481,975 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $509,511 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $22,957 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $532,468 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment Balance EOY | 1.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $61,042 | OtherCostOrOtherBasisAmt |
| Depreciation | $29,711 | DepreciationAmt |
| Book Value | $31,331 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,312,024 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,217,282 | DepreciationAmt |
| Book Value | $94,742 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $16,823,551 | OtherCostOrOtherBasisAmt |
| Book Value | $16,823,551 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $16,949,624 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENTS | Desc |
| Book Value | $72,943,973 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $72,943,973 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| FUNDS HELD BY TRUSTEE | $1,943,506 |
| OTHER ASSETS | $975,776 |
| DUE FROM AFFILIATES | $6,363,573 |
| GAAP ACQUISITION ADJUSTMENTS | $16,824,422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $26,107,277 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO AFFILIATES | $14,199,191 |
| OTHER VARIOUS LIABILITIES | $1,628,358 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $15,827,549 | 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 BY THE VICE PRESIDENT OF MISSION AND APPROVED BY THE PRESIDENT OF COVENANT HEALTH. |
| 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, 2016. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATHOLIC RELIEF SERVICES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 228 W LEXINGTON ST | AddressLine1Txt |
| City | BALTIMORE | CityNm |
| State Abbreviation | MD | StateAbbreviationCd |
| ZIP | 21201 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 135563422 | RecipientEIN |
| IRC Section | 501 (C) 3 | IRCSectionDesc |
| Cash Grant | $5,000 | CashGrantAmt |
| Purpose Of Grant | CHRISTMAS CHARITY DRIVE | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | GRANTS ARE MADE BASED ON THE REQUESTING ORGANIZATION'S MISSION, ITS NEED AND ITS ABILITY TO USE THE FUNDS IN ACCORDANCE WITH THE GRANT REQUEST. ALL GRANTS ARE APPROVED BY THE BOARD OF DIRECTORS. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DAVID R LINCOLN | ||||||||||||||
| CEO,PRESIDENT & DIRECTOR | $824,397 | $0 | $0 | $0 | $5,821 | $0 | $10,600 | $0 | $27,331 | $0 | $868,149 | $0 | $0 | $0 |
| JOHN AHLE | ||||||||||||||
| TREASURER & CFO | $434,470 | $0 | $0 | $0 | $303,793 | $0 | $10,600 | $0 | $25,419 | $0 | $774,282 | $0 | $300,000 | $0 |
| SUSAN MCDONOUGH | ||||||||||||||
| VP OF STRATEGY THRU 6/2016 | $311,777 | $0 | $0 | $0 | $0 | $0 | $6,210 | $0 | $24,854 | $0 | $342,841 | $0 | $0 | $0 |
| KENNETH FERRON | ||||||||||||||
| VP - ELDER SERVICES OPERAT | $361,237 | $0 | $0 | $0 | $8,898 | $0 | $10,600 | $0 | $30,671 | $0 | $411,406 | $0 | $0 | $0 |
| ANNE BERGER | ||||||||||||||
| VP - QUALITY IMPROVEMENT & | $259,228 | $0 | $0 | $0 | $2,283 | $0 | $10,218 | $0 | $3,295 | $0 | $275,024 | $0 | $0 | $0 |
| KAREN BOWLING | ||||||||||||||
| CIO | $304,445 | $0 | $0 | $0 | $2,752 | $0 | $10,600 | $0 | $11,805 | $0 | $329,602 | $0 | $0 | $0 |
| JAMES B COFFEY | ||||||||||||||
| FOUNDATION PRESIDENT | $195,238 | $0 | $0 | $0 | $600 | $0 | $6,450 | $0 | $30,733 | $0 | $233,021 | $0 | $0 | $0 |
| KAREN LEIBOLD | ||||||||||||||
| VP - HUMAN RESOURCES | $249,195 | $0 | $0 | $0 | $6,245 | $0 | $8,191 | $0 | $31,260 | $0 | $294,891 | $0 | $0 | $0 |
| JOHN NEWMAN | ||||||||||||||
| VP & GENERAL COUNSEL | $252,009 | $0 | $0 | $0 | $1,956 | $0 | $0 | $0 | $10,633 | $0 | $264,598 | $0 | $0 | $0 |
| PAUL ERCOLINI | ||||||||||||||
| DIR OF FINANCE LONG TERM C | $183,406 | $0 | $0 | $0 | $2,992 | $0 | $7,550 | $0 | $27,984 | $0 | $221,932 | $0 | $0 | $0 |
| JOSEPH O'CONNELL | ||||||||||||||
| CORPORATE CONTROLLER | $176,599 | $0 | $0 | $0 | $814 | $0 | $7,087 | $0 | $12,274 | $0 | $196,774 | $0 | $0 | $0 |
| JOHN RAFFERTY | ||||||||||||||
| DIRECTOR SUPPLY CHAIN | $194,077 | $0 | $0 | $0 | $1,744 | $0 | $6,484 | $0 | $28,583 | $0 | $230,888 | $0 | $0 | $0 |
| BRIAN MURRAY | ||||||||||||||
| DIR TECH & INFORM SECURITY | $157,512 | $0 | $0 | $0 | $474 | $0 | $6,541 | $0 | $30,383 | $0 | $194,910 | $0 | $0 | $0 |
| KIMBERLY LABERGE | ||||||||||||||
| VP IT SYSTEMS | $170,057 | $0 | $0 | $0 | $515 | $0 | $7,002 | $0 | $30,814 | $0 | $208,388 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | $67,748 OF COMPANION TRAVEL COSTS WERE PROVIDED FOR A BUSINESS TRIP DURING 2016 TO PRESENT THE PUBLIC JURIDIC PERSON TO THE VATICAN. |
| PART I, LINES 4A-B | DURING 2016, SUSAN MCDONOUGH RECEIVED A SEVERANCE PAYMENT OF $151,830. THE ORGANIZATION MAINTAINS A SUPPLEMENTAL EXECUTIVE RETIREMENT PROGRAM FOR CERTAIN EXECUTIVES UNDER WHICH THE ORGANIZATION MAKES A CONTRIBUTION TO A GRANTOR TRUST FOR THE BENEFIT OF THE EXECUTIVE THAT IS INTENDED TO PROVIDE A SPECIFIED LEVEL OF RETIREMENT BENEFITS AT RETIREMENT AGE COMMENSURATE WITH RETIREMENT BENEFITS PROVIDED TO EXECUTIVES IN COMPARABLE POSITIONS BY SIMILARLY SITUATED ORGANIZATIONS. AMOUNTS CONTRIBUTED TO THE GRANTOR TRUST ARE HELD FOR THE BENEFIT OF THE EXECUTIVE UNTIL HE OR SHE REACHES AGE 60, AT WHICH TIME THEY ARE RELEASED TO THE EXECUTIVE. THE FULL AMOUNT PAID INTO THE GRANTOR TRUST IS TAXABLE TO THE EXECUTIVE WHEN SO PAID, AND IS INCLUDED IN THE EXECUTIVE'S REPORTED COMPENSATION. CONTRIBUTIONS MADE DURING 2016 ARE AS FOLLOWS: NO AMOUNTS WERE CONTRIBUTED TO THE GRANTOR TRUST FOR THE BENEFIT OF THE EXECUTIVES. AMOUNTS WOULD BE INCLUDED IN B(II) OF SCHEDULE J FOR HIGHEST COMPENSATED EMPLOYEES. |
| PART I, LINE 7 | THE ORGANIZATION MAINTAINS AN INCENTIVE COMPENSATION PLAN FOR EXECUTIVES THAT IS ADMINISTERED BY THE ORGANIZATION'S COMPENSATION COMMITTEE. THE PLAN PROVIDES EXECUTIVES WITH THE OPPORTUNITY TO EARN REASONABLE INCENTIVE COMPENSATION BASED ON THE PERFORMANCE OF THE ORGANIZATION AND THE PERFORMANCE OF THE INDIVIDUAL EXECUTIVE, AS MEASURED AGAINST GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR. THE ENTITLEMENT TO AWARDS FOR A PARTICULAR YEAR IS NOT DETERMINED UNTIL EARLY THE FOLLOWING YEAR. DURING 2016 NO INCENTIVE COMPENSATION AWARDS WERE PAID TO EMPLOYEES WHICH WERE ACCRUED AS DEFERRED INCENTIVE COMPENSATION UNDER THIS PLAN FROM 2015. IF PAID, AMOUNTS WOULD HAVE BEEN INCLUDED IN (B)(II) OF SCHEDULE J FOR HIGHEST COMPENSATED EMPLOYEES. |
| SCHEDULE J, PART II, COLUMN F: | JOHN AHLE, TREASURER, WAS A PARTICIPANT IN A DEFERRED COMPENSATION PLAN SPONSORED BY COVENANT HEALTH, INC. FROM 2011 THROUGH 2015, ALL OF WHICH WAS REPORTED ON PRIOR FORMS 990. THE $300,000 AMOUNT PAID IN 2016 IS REQUIRED TO BE REPORTED IN ITS ENTIRETY AGAIN ON SCHEDULE J, IN COLUMN F AND AS PART OF THE COMPENSATION REPORTED IN COLUMN B (III) OF THE 2016 FORM 990. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MA HEALTH & EDUCATION AUTHORITY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 042456011 | BondIssuerEIN |
| CUSIP | 57586DBF9 | CUSIPNum |
| Bond Issued | 2007-10-30 | BondIssuedDt |
| Issue Price | $24,646,225 | IssuePriceAmt |
| Purpose | YOUVILLE PLACE ACQUISITION & REFUNDING PRIOR ISSUES | PurposeDesc |
| Defeased | Yes (1) | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Bond Defeased | $11,605,000 | BondDefeasedAmt |
| Total Proceeds | $1,198,863 | TotalProceedsAmt |
| Refunding Escrow | $11,226,315 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $383,111 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $11,505,784 | CapitalExpendituresAmt |
| Substantial Completion | 2008 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | Yes (1) | AdvanceRefundingInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | Yes (1) | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART IV, LINE 2C: | THE REBATE REPORT COMPUTATION DATE IS 10/30/17 REFLECTING ACTIVITY TO 10/31/14. |
| PART IV, #7 & PART V: | THE BOND IS CAREFULLY AND CONSISTENTLY MONITORED FOR POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS, BUT THE PROCEDURES WERE NOT WRITTEN AS OF THE END OF THE YEAR COVERED BY THIS TAX RETURN. HOWEVER, THE ORGANIZATION IS CONSIDERING ADOPTING FORMAL POLICIES THAT SET FORTH THE ORGANIZATION'S METHODOLOGY FOR ENSURING POST-ISSUANCE COMPLIANCE WITH IRS REQUIREMENTS PERTAINING TO TAX-EXEMPT DEBT AND CONTAIN SPECIFIC LANGUAGE REGARDING ORGANIZATIONAL RESPONSIBILITY, RECORD RETENTION, PRIVATE BUSINESS USE, ARBITRAGE REBATE, AND REMEDIAL ACTION. ALTHOUGH FORMAL POLICIES ARE NOT IN PLACE IN REGARDS TO THE REMEDIATION OF OUR BOND, THE MONITORING REQUIREMENTS OF SECTION 148, AND PROCEDURES TO ENSURE THAT VIOLATIONS ARE TIMELY IDENTIFIED AND CORRECTED, THE ORGANIZATION HAS COMPLIANCE CHECKS IN PLACE THAT SUBSTANTIATE THESE REQUIREMENTS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 7A | THE DIRECTORS OF THE ORGANIZATION ARE ELECTED BY THE MEMBERS OF COVENANT HEALTH, A PUBLIC JURIDIC PERSON OF PONTIFICAL RIGHT UNDER THE LAWS OF THE ROMAN CATHOLIC CHURCH (THE "CHS PUBLIC JURIDIC PERSON"). |
| FORM 990, PART VI, SECTION A, LINE 7B | ANY CHANGE IN THE WRITTEN STATEMENTS OF PHILOSOPHY OR MISSION OF THE ORGANIZATION MUST BE APPROVED BY THE COVENANT HEALTH PUBLIC JURIDIC PERSON BEFORE SUCH CHANGE BECOMES EFFECTIVE. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE 990 RETURN IS PRESENTED TO THE BOARD OF DIRECTORS. THEY REVIEW IT PRIOR TO SUBMISSION. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE ORGANIZATION HAS A FULL-TIME DESIGNATED ORGANIZATIONAL INTEGRITY OFFICER THAT MONITORS OPERATIONS TO DETECT AND/OR RESOLVE CONFLICT OF INTEREST ISSUES. |
| FORM 990, PART VI, SECTION B, LINE 15 | EVERY TWO TO THREE YEARS THE COMPENSATION COMMITTEE OF THE 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 MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. THE SPECIFIC OBJECTIVES OF THIS ANALYSIS ARE TO: - ASSESS THE COMPETITIVENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR LEADERSHIP TEAM. - DEVELOP MARKET BASED COMPETITIVE SALARY RANGES FOR ALL EXECUTIVE POSITIONS. - ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF THERE ARE ANY, ARE COMPETITIVE AND REASONABLE. FORM 990, PART VI, SECTION B, LINE 16B: ALTHOUGH WRITTEN POLICIES WERE NOT IN PLACE AS OF THE END OF THE YEAR COVERED BY THIS TAX RETURN REQUIRING THE ORGANIZATION TO EVALUATE ITS PARTICIPATION IN JOINT VENTURE ARRANGEMENTS UNDER APPLICABLE FEDERAL LAW TO ENSURE THAT THE ORGANIZATION'S EXEMPT STATUS IS PROTECTED, THE ORGANIZATION PERFORMED DUE DILIGENCE WITH RESPECT TO ITS JOINT VENTURE ARRANGEMENTS TO SAFEGUARD THE ORGANIZATION'S EXEMPT STATUS. THE ORGANIZATION IS CONSIDERING ADOPTING FORMAL WRITTEN POLICIES BY THE END OF THE NEXT FISCAL YEAR. |
| FORM 990, PART VI, SECTION C, LINE 19 | POLICIES AND GOVERNING DOCUMENTS ARE AVAILABLE AT THE HOME OFFICE UPON REQUEST. |
| FORM 990, PART IX, LINE 11G | OTHER CONSULTING & DUES: PROGRAM SERVICE EXPENSES 13,004,877. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,004,877. |
| FORM 990, PART XI, LINE 9: | TRANSFER TO AFFILIATE -290,000. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS -16,038. |
| FORM 990-STATEMENT PURSUANT TO REGULATION SECTION 1.351-3(A): | THIS STATEMENT IS PURSUANT TO REGULATION SECTION 1.351-3(A) BY COVENANT HEALTH, INC. (EIN 22-2484505), A SIGNIFICANT TRANSFEROR. ON VARIOUS DATES DURING 2016, COVENANT HEALTH, INC. (EIN 22-2484505) TRANSFERRED THE FOLLOWING PROPERTY TO COVENANT HEALTH INSURANCE LTD (EIN 04-3360127): CASH- FAIR MARKET VALUE AND ADJUSTED TAX BASIS EQUAL TO $6,751,215 NO PRIVATE LETTER RULING WAS RECEIVED IN CONNECTION WITH THE SECTION 351 EXCHANGE. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (36 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| YOUVILLE LIFECARE INC | ||||||||||
| 1575 CAMBRIDGE STREET | CAMBRIDGE | MA | 02138 | 042103582 | HOSPITAL | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| ST JOSEPH MANOR HEALTH CARE | ||||||||||
| 215 THATCHER STREET | BROCKTON | MA | 02302 | 042565937 | NURSING HOME | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| ST MARY'S HEALTH SYSTEM | ||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 222504349 | HOSPITAL | ME | 501(C) 3 | LINE 12A, I | COVENANT HEALTH | Yes (1) |
| ST JOSEPH'S HOSPITAL OF NASHUANH INC | ||||||||||
| 172 KINSLEY STREET | NASHUA | NH | 03061 | 020222215 | HOSPITAL | NH | 501(C) 3 | LINE 3 | COVENANT HEALTH | Yes (1) |
| YOUVILLE PLACE | ||||||||||
| 10 PELHAM ROAD | LEXINGTON | MA | 02421 | 043297834 | ASSISTED LIVING | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| ST MARY'S VILLA NURSING HOME INC | ||||||||||
| 675 ST MARYS VILLA ROAD | MOSCOW | PA | 18444 | 232057177 | NURSING HOME | PA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| CHS OF WALTHAM INC DBA MARISTHILL NURSING & REHAB CENTER | ||||||||||
| 66 NEWTON STREET | WALTHAM | MA | 02453 | 043333609 | NURSING HOME | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| CHS OF WORCESTER INC DBA ST MARY CARE CENTER | ||||||||||
| 39 QUEEN STREET | WORCHESTER | MA | 01610 | 043419625 | NURSING HOME | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| FANNY ALLEN HOLDINGS INC | ||||||||||
| 790 COLLEGE PARKWAY | COLCHESTER | VT | 05446 | 030181052 | REAL ESTATE HOLDING | VT | 501(C) 3 | LINE 12A, I | COVENANT HEALTH | Yes (1) |
| ST ANDRE HEALTH CARE | ||||||||||
| 407 POOL STREET | BIDDEFORD | ME | 04005 | 010342399 | NURSING HOME | ME | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| MI NURSING RESTORATIVE CENTER INC | ||||||||||
| 172 LAWRENCE STREET | LAWRENCE | MA | 01841 | 042104851 | NURSING HOME | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| HELPING HANDS OF ST MARGUERITE INC | ||||||||||
| 799 CONCORD AVENUE | CAMBRIDGE | MA | 02138 | 800199674 | PRIVATE HOME-CARE | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| PROVIDENTIA PRIMA TRUST | ||||||||||
| 420 BEDFORD STREET | LEXINGTON | MA | 02420 | 046835128 | INVESTMENT TRUST | MA | 501(C) 3 | LINE 12A, I | COVENANT HEALTH | Yes (1) |
| FANNY ALLEN CORPORATION INC | ||||||||||
| 790 COLLEGE PARKWAY | COLCHESTER | VT | 05446 | 222495808 | FOUNDATION | VT | 501(C) 3 | LINE 12A, I | COVENANT HEALTH | Yes (1) |
| YOUVILLE HOUSE INC | ||||||||||
| 1573 CAMBRIDGE STREET | CAMBRIDGE | MA | 02138 | 043239593 | ASSISTED LIVING | MA | 501(C) 3 | LINE 10 | YOUVILLE LIFECARE INC | Yes (1) |
| YOUVILLE HOSPITAL AND REHABILITATION CENTER INC | ||||||||||
| 1575 CAMBRIDGE STREET | CAMBRIDGE | MA | 02138 | 043239563 | HOSPITAL | MA | 501(C) 3 | LINE 10 | YOUVILLE LIFECARE INC | Yes (1) |
| ST MARY'S REGIONAL MEDICAL CENTER | ||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 010211551 | HOSPITAL | ME | 501(C) 3 | LINE 3 | ST MARY'S HEALTH SYSTEM | Yes (1) |
| COMMUNITY CLINICAL SERVICES | ||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 010409788 | PHYSICIAN PRATICE | ME | 501(C) 3 | LINE 10 | ST MARY'S HEALTH SYSTEM | Yes (1) |
| ST MARY'S D'YOUVILLE PAVILION | ||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 010211558 | NURSING HOME | ME | 501(C) 3 | LINE 10 | ST MARY'S HEALTH SYSTEM | Yes (1) |
| 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 | Yes (1) |
| NEIGHBORHOOD HOUSING INITIATIVE | ||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 010539730 | AFFORDABLE HOUSING | ME | 501(C) 3 | LINE 10 | ST MARY'S HEALTH SYSTEM | Yes (1) |
| SOUHEGAN NURSING ASSOCIATION | ||||||||||
| 24 NORTH RIVER ROAD | MILFORD | NH | 03055 | 020222795 | HOME HEATH & 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 | NH | 501(C) 3 | LINE 10 | ST JOSEPH HOSPITAL OF NASHUA NH INC | Yes (1) |
| DH FAMILY MEDICINE OF NASHUA | ||||||||||
| 172 KINSLEY STREET | NASHUA | NH | 03061 | 208404257 | PHYSICIAN SERVICES | 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 | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| MI ADULT DAY HEALTH CARE CENTER INC | ||||||||||
| 189 MAPLE STREET | LAWRENCE | MA | 01841 | 042921888 | ADULT DAY CARE | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| MI RESIDENTIAL COMMUNITY INC | ||||||||||
| 189 MAPLE STREET | LAWRENCE | MA | 01841 | 042647207 | HUD LOW INCOME HOUSING | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| MI RESIDENTIAL COMMUNITY II INC | ||||||||||
| 189 MAPLE STREET | LAWRENCE | MA | 01841 | 042679954 | HUD LOW INCOME HOUSING | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| MI RESIDENTIAL COMMUNITY III INC | ||||||||||
| 189 MAPLE STREET | LAWRENCE | MA | 01841 | 042186043 | HUD LOW INCOME HOUSING | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| MI TRANSPORTATION INC | ||||||||||
| 189 MAPLE STREET | LAWRENCE | MA | 01841 | 042921889 | ELDERLY TRANSPORTATION SERVICE | MA | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| ST JOSEPH HEALTHCARE FOUNDATION | ||||||||||
| 360 BROADWAY | BANGOR | ME | 04402 | 222480149 | HEALTHCARE FOUNDATION | ME | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
| ST JOSEPH HOSPITAL | ||||||||||
| 360 BROADWAY | BANGOR | ME | 04402 | 010212435 | HOSPITAL | ME | 501(C) 3 | LINE 3 | ST JOSEPH HEALTHCARE FOUNDATION | Yes (1) |
| M & J COMPANY | ||||||||||
| 360 BROADWAY | BANGOR | ME | 04402 | 222480150 | LEASE HOLDING COMPANY | ME | 501(C) 2 | ST JOSEPH HEALTHCARE FOUNDATION | Yes (1) | |
| ST JOSEPH AMBULATORY CARE INC | ||||||||||
| 360 BROADWAY | BANGOR | ME | 04402 | 222480373 | PHYSICIAN PRATICE | ME | 501(C) 3 | LINE 10 | ST JOSEPH HEALTHCARE FOUNDATION | Yes (1) |
| ALTERNATIVE HEALTH SERVICES | ||||||||||
| 360 BROADWAY | BANGOR | ME | 04402 | 010422885 | HOME HEALTH AND HOSPICE | ME | 501(C) 3 | LINE 10 | ST JOSEPH HEALTHCARE FOUNDATION | Yes (1) |
| MOUNT ST RITA HEALTH CENTRE | ||||||||||
| 15 SUMNER BROWN ROAD | CUMBERLAND | RI | 02864 | 050342330 | NURSING HOME | RI | 501(C) 3 | LINE 10 | COVENANT HEALTH | Yes (1) |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH INSURANCE LTD | ||||||||||||||||
| 720 WEST BAY ROAD | GEORGETOWN | CJ | 043360127 | INSURANCE COMPANY | CJ | COVENANT HEALTH | C | $4,699,591 | $50,146,119 | 1.00000 | Yes (1) | |||||
| CAMPUS HOLDING | ||||||||||||||||
| 010406049 | HOLDING COMPANY | ST MARY'S HEALTH SYSTEM | C | 1.00000 | Yes (1) | PO BOX 7291 | LEWISTON | ME | 04240 | ME | ||||||
| ST JOSEPH CORPORATE SERVICES INC | ||||||||||||||||
| 020405197 | HOLDING COMPANY | ST JOSEPH'S HOSPITAL OF NASHUA NH INC | C | $1,064,000 | $31,509,000 | 1.00000 | Yes (1) | 172 KINSLEY STREET | NASHUA | NH | 03060 | NH | ||||
| STRAUSS INCORPORATED | ||||||||||||||||
| 010391369 | REPAIR & TRANSCRIPTION | ST JOSEPH HEALTHCARE FOUNDATION | C | 1.00000 | Yes (1) | 360 BROADWAY | BANGOR | ME | 04402 | ME | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | 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 | 0 | 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 | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (26 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| LOAN FROM - ST JOSEPH HOSPITAL OF NASHUA | ||
| E | $14,199,191 | ACCRUAL |
| LOAN TO ST ANDRE'S HEALTH CARE | ||
| D | $66,770 | ACCRUAL |
| LOAN TO ST MARY'S HEALTH SYSTEM | ||
| D | $2,991,299 | ACCRUAL |
| LOAN TO ST JOSEPH HEALTH CARE | ||
| D | $2,166,456 | ACCRUAL |
| LOAN TO ST JOSEPH HOSPITAL OF NASHUA | ||
| D | $1,028,259 | ACCRUAL |
| LOAN TO YOUVILLE HOUSE INC | ||
| D | $181,178 | ACCRUAL |
| INVESTMENTS HELD BY PROVIDENTIA PRIMA TRUST | ||
| R | $4,077,757 | ACCRUAL |
| INTER-COMPANY TRANSFERS - MT ST RITA HEALTH CENTRE | ||
| B | $750,000 | ACCRUAL |
| INTER-COMPANY TRANSFERS - ST JOSEPH HOSPITAL OF NASHUA | ||
| C | $460,000 | ACCRUAL |
| MEMBERSHIP FEE - MARISTHILL NURSING & REHABILIATION CENTER | ||
| S | $262,052 | ACCRUAL |
| MEMBERSHIP FEE - ST JOSEPH HOSPITAL OF NASHUA | ||
| S | $4,895,054 | ACCRUAL |
| MEMBERSHIP FEE - MARY IMMACULATE NURSING RESTORATIVE | ||
| S | $611,389 | ACCRUAL |
| MEMBERSHIP FEE - FANNY ALLEN HOLDINGS | ||
| S | $236,004 | ACCRUAL |
| MEMBERSHIP FEE - YOUVILLE PLACE | ||
| S | $74,676 | ACCRUAL |
| MEMBERSHIP FEE - ST MARY CARE CENTER | ||
| S | $249,578 | ACCRUAL |
| MEMBERSHIP FEE - ST MARY'S HEALTH SYSTEM | ||
| S | $4,667,330 | ACCRUAL |
| MEMBERSHIP FEE - COVENANT HEALTH INSURANCE LTD | ||
| S | $90,000 | ACCRUAL |
| MEMBERSHIP FEE - ST JOSEPH MANOR HEALTH CARE | ||
| S | $282,338 | ACCRUAL |
| MEMBERSHIP FEE - ST ANDRE HEALTH CARE | ||
| S | $169,118 | ACCRUAL |
| MEMBERSHIP FEE - ST MARY'S VILLA | ||
| S | $230,234 | ACCRUAL |
| MEMBERSHIP FEE - YOUVILLE HOUSE | ||
| S | $65,100 | ACCRUAL |
| MEMBERSHIP FEE - MOUNT ST RITA HEALTH CENTRE | ||
| S | $183,828 | ACCRUAL |
| MEMBERSHIP FEE - ST JOSEPH HOSPITAL OF BANGOR | ||
| S | $3,966,527 | ACCRUAL |
| INVESTMENTS HELD BY PROVIDENTIA PRIMA TRUST | ||
| S | $19,994,622 | ACCRUAL |
| LOAN REPAID MOUNT ST RITA HEALTH CENTRE | ||
| E | $150,000 | ACCRUAL |
| LOAN REPAID STMARY'S HEALTH SYSTEM | ||
| E | $800,000 | ACCRUAL |