2025-11-13T15:53:02-06:00 2024-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2024-01-01 010538534 Bangor Nursing & Rehabilitation Center BANG 2079474557 103 Texas Avenue Bangor ME 04401 Kimberly Gonzales CFO 2079474557 2025-11-03 1 0 Connor Smart P02285543 2078792100 2025-11-03 2024 2025-03-06 01:10:19Z Janet Hope 103 Texas Avenue Bangor ME 04401 8195866 0 X www.bangornrc.com/ X 2001 ME Long-term care nursing facility. 7 6 89 6 0 0 14341 87120 7683429 7989299 738 -1419 118270 118270 7816778 8193270 0 0 0 0 6072898 2425613 0 0 0 3473383 7277113 9546281 9702726 -1729503 -1509456 2083410 2057610 2604960 4088616 -521550 -2031006 It is the mission of the Bangor Nursing and Rehabilitation Center to provide the highest level of care with the highest level of quality, competency and professionalism that focuses on the health andwell-being of the community it serves. 0 0 8837563 0 7989299 The Bangor Nursing & Rehabilitation Center is a 60-bed skilled nursing facility providing complex nursing and rehabilitation care to a significantly large sub-acute population with short-term to average-lengths of stay. 8837563 1 1 0 1 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 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 24 0 1 89 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X Kimberly Gonzales CFO 2079474557 103 Texas Avenue Bangor ME 04401 Sandy Nesin Esq Secretary/Trustee (end 6/2024) 0.10 40.00 X X 0 416435 22550 Dr John Patten Trustee 0.10 40.00 X 0 197856 34948 Helen Burlock RN Trustee 0.10 0.00 X 0 0 0 Deborah Laurie Trustee 0.10 0.00 X 0 0 0 John Miller Trustee 0.10 0.00 X 0 0 0 Nichi Farnham Chair/Trustee 0.10 0.00 X X 0 0 0 Alicia Murray Vice Chair/Trustee 0.10 0.00 X X 0 0 0 Janna Gau Treasurer/Trustee 0.10 0.00 X X 0 0 0 Janet Hope President/Administrator 40.00 0.00 X 141251 0 42380 Kimberly Gonzales CFO; SJH(B) Director of Finance 0.10 40.00 X 0 182542 6337 Jessica Taylor Secretary/Trustee (start 6/2024) 0.10 40.00 X 0 124749 24188 Richard Miles RN 40.00 0.00 X 108686 0 5619 249937 921582 136022 2 0 1 0 Amergis Healthcare Staffing Inc 7223 Lee DeForest Drive Columbia MD 21046 Contract nursing 1146849 Krucial Rapid Response Inc 10895 Lowell Avenue 100 Overland Park KS 66210 Contract nursing 850060 Metz Culinary Management 2 Woodland Drive Dallas PA 18612 Dietary contract services 847941 Medefis Consolidated PO Box 5068 New York NY 10087 Contract nursing 586412 TwoMagnets Inc PO Box 103125 Pasadena CA 911893125 Contract nursing 569430 11 72971 14149 87120 Resident/rehab service 623000 7989299 7989299 7989299 1177 1177 118270 0 118270 118270 118270 2596 -2596 -2596 -2596 8193270 7989299 0 116851 X 183631 176420 7211 1829507 1750132 79375 20563 20038 525 249149 242782 6367 142763 139115 3648 307779 307779 57899 57899 43876 43876 4505329 4182945 322384 95089 88285 6804 359608 333876 25732 7112 6603 509 630 585 45 10708 10708 140065 140065 42055 39046 3009 Medical supplies/drugs 734772 734772 Medicare provider tax 585306 585306 Dietary/nutrition 219306 219306 Provision for bad debts 167579 167579 9702726 8837563 865163 0 117021 189052 39404 9678 868078 801025 45432 45432 65820 97017 6837686 5925594 939644 912092 8011 3314 2083410 2057610 1239767 855668 10675 1365193 3222273 2604960 4088616 X -521550 -2031006 -521550 -2031006 2083410 2057610 -1509456 0 X X 0 1 X 1 1 1 X 1016401 188409 201225 14341 87120 1507496 5654048 2653079 6093793 7683429 7989299 30073648 6670449 2841488 6295018 7697770 8076419 31581144 925 925 421883 448462 99399 116317 1086061 421883 448462 925 99399 116317 1086986 30494158 119664 59800 118981 119008 119447 536900 119664 59800 118981 119008 119447 536900 6790113 2901288 6413999 7816778 8195866 32118044 0.94940 0.92690 0.01670 0.01760 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 6293 0 0 0 6293 0 Part II-B, Line 1: Bangor Nursing & Rehabilitation Center was a member of the Maine Health Care Association and the American Health Care Association in the year ended December 31, 2024. A portion of the dues paid to each of the associations was available for lobbying expenditures on behalf of the Center and the other member organizations in furtherance of their exempt purposes. As of the filing of this Form 990, the Associations have provided, nor is the Center able to determine, the portion of dues paid in 2024, if any, that was available for lobbying expenditures. For transparency purposes, the Center is therefore disclosing the full amount of dues paid in 2024 to both the Maine Health Care Association ($4,985) and American Health Care Association ($1,308) on this Schedule C. The actual amount of such dues that were available for lobbying purposes in 2024 was likely less than this total amount. 5401953 4715854 686099 1435733 1209740 225993 912092 Due to related organizations 2842552 Other liabilites 24933 Professional Liability loss Reserves 354788 3222273 X Part X, Line 2: Bangor Nursing & Rehabilitation Center is a member of the Covenant Health, Inc. System. Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2024. 0 0 0 0 0 0 0 0 0 Sandy Nesin Esq Secretary/Trustee (end 6/2024) 0 415966 0 0 0 469 0 9907 0 12643 0 438985 0 0 Dr John Patten Trustee 0 196137 0 0 0 1719 0 6236 0 28712 0 232804 0 0 Kimberly Gonzales CFO; SJH(B) Director of Finance 0 181521 0 0 0 1021 0 5408 0 929 0 188879 0 0 Janet Hope President/Administrator 140329 0 0 0 922 0 4211 0 38169 0 183631 0 0 0 Part I, Line 3 Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. Form 990, Part VI, Section A, line 6 The sole Member of the Corporation shall be Covenant Health, Inc., a Massachusetts nonprofit corporation. Form 990, Part VI, Section A, line 7a The Bylaws of the Bangor Nursing & Rehabilitation Center (the "Corporation") state that Covenant Health, Inc., as the sole corporate member, retains the following powers over the Corporation's Board of Directors: 1. To elect the Directors of the Corporation and to remove them with or without cause. 2. To appoint and remove the President of the Corporation, including a President secured by management contract. The Member may remove the President at any time. 3. To ratify the Board of Directors' election of the Chair of the Board of Directors., as well as other officers as is applicable. 4. The Member may fix the maximum and minimum number of directors able to serve on the Corporation's board. However, the Member may not reduce the total number of directors to less than five or greater than fifteen. 5. The Member may fill any vacancy on the Board of Directors. Form 990, Part VI, Section A, line 7b The Bylaws of the Bangor Nursing & Rehabilitation Center (the "Corporation") state that Covenant Health, Inc., as the sole corporate member, retains the following powers over the Corporation's governance decisions and operations: 1. To approve any changes in the Corporation's mission statement or philosophy of the Corporation, or of any of its subsidiaries. 2. To amend or repeal the Corporation's governing documents, articles of incorporation, and bylaws. 3. To approve or reject all plans of merger, consolidation, reorganization, or dissolution of the Corporation or any subsidiary of the corporation; and to approve or reject all transfers, sales, or transactions impacting substantially all of the assets of the Corporation or any subsidiary of the Corporation. 4. To approve or reject any purchases, acquisitions, joint ventures, partnerships, or creations of new subsidiaries representing a 25% or more voting power. 5. To approve or reject the acquisition, sale, or encumbrance by the Corporation or any subsidiary of any real estate valued in excess of the amount set by the Member in writing from time to time. 6. To approve all long-range strategic plans of the Corporation. 7. To approve all capital budgets and non-budgeted expenses in excess of previously set amounts, and to approve the operating budget. 8. To approve the debt of the Corporation not part of the approved budget and that exceeds limits previously set by the Member. 9. To appoint the auditors of the Corporation and any subsidiary. 10. To approve the sale, assignment, or transfer of any subsidiary interest. 11. To approve any reclassification of any capital stock, equity, or security of any subsidiary of the Corporation. 12. To approve the issuance of or creation of any obligation to issue equity securities of any subsidiary. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the governing body for their review and approval prior to filing. Form 990, Part VI, Section B, line 12c This process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected. Form 990, Part VI, Section B, line 15 Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. Form 990, Part VI, Section C, line 19 The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's parent organization, Covenant Health, Inc., also makes its 990 available at the following web address: https://covenanthealth.net/financials/ Form 990, Part IX, line 11g Contract labor - consulting: Program service expenses 3,241,282. Management and general expenses 322,384. Fundraising expenses 0. Total expenses 3,563,666. Purchased services: Program service expenses 941,663. Management and general expenses 0. Fundraising expenses 0. Total expenses 941,663. Form 990, Part XII, Line 2c: The audit process has not changed since the prior year. Alternative Health Services 360 Broadway Bangor ME 04402 010422885 Home health and hospice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation 0 CHS of Waltham Inc dba Maristhill Nursing & Rehab Center 66 Newton Street Waltham MA 02453 043333609 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 CHS of Worcester Inc dba St Mary Care Center 39 Queen Street Worchester MA 01610 043419625 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 Community Clinical Services PO Box 7291 Lewiston ME 04243 010409788 Physician practice ME 501(c)(3) Line 10 St Mary's Health System 0 Covenant Health Foundation Inc 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 Inc 189 Maple Street Lawrence MA 01841 042647207 HUD low income housing MA 501(c)(3) Line 10 Covenant Health Inc 0 MI Transportation Inc 189 Maple Street Lawrence MA 01841 042921889 Elderly transportation services MA 501(c)(3) Line 10 Covenant Health Inc 0 Mount St Rita Health Centre 15 Sumner Brown Road Cumberland RI 02864 050342330 Nursing home RI 501(c)(3) Line 10 Covenant Health Inc 0 Neighborhood Housing Initiative PO Box 7291 Lewiston ME 04243 010539730 Affordable housing services ME 501(c)(3) Line 10 St Mary's Health System 0 Penacook Place Inc 150 Water Street Haverhill MA 01830 237090088 Nursing home MA 501(c)(3) Line 10 Covenant Health Inc 0 Souhegan Nursing Association 24 North River Road Milford NH 03055 020222795 Home health and hospice NH 501(c)(3) Line 10 St Joseph Hospital of Nashua NH Inc 0 St Joseph Ambulatory Care Inc 360 Broadway Bangor ME 04402 222480373 Physician practice ME 501(c)(3) Line 3 St Joseph Healthcare Foundation 0 St Andre Health Care 407 Pool Street Biddeford ME 04005 010342399 Nursing home and restorative facility ME 501(c)(3) Line 10 Covenant Health Inc 0 St Joseph Healthcare Foundation 360 Broadway Bangor ME 04402 222480149 Healthcare foundation ME 501(c)(3) Line 7 Covenant Health Inc 0 St Joseph Hospital 360 Broadway Bangor ME 04402 010212435 Hospital and health care facility ME 501(c)(3) Line 3 Covenant Health Inc 0 St Joseph Manor Health Care 215 Thatcher Street Brockton MA 02302 042565937 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 St Joseph's Hospital of Nashua NH Inc 172 Kinsley Street Nashua NH 03061 020222215 Hospital and health care facility NH 501(c)(3) Line 3 Covenant Health Inc 0 St Mary's D'Youville Pavilion PO Box 7291 Lewiston ME 04243 010211558 Nursing home and restorative facility ME 501(c)(3) Line 10 St Mary's Health System 0 St Mary's Health System PO Box 7291 Lewiston ME 04243 222504349 Hospital and health care facility ME 501(c)(3) Line 12a, I Covenant Health Inc 0 St Mary's Regional Medical Center PO Box 7291 Lewiston ME 04243 010211551 Hospital and health care facility ME 501(c)(3) Line 3 St Mary's Health System 0 St Mary's Residences PO Box 7291 Lewiston ME 04243 222504356 Low income housing ME 501(c)(3) Line 10 St Mary's Health System 0 St Mary's Villa Nursing Home Inc 675 St Marys Villa Road Moscow PA 18444 232057177 Nursing home and restorative facility PA 501(c)(3) Line 10 Covenant Health Inc 0 The Surgicenter at St Joseph Hospital Inc 172 Kinsley Street Nashua NH 03061 020222215 Healthcare and surgery center NH 501(c)(3) Line 10 St Joseph Hospital of Nashua NH Inc 0 Youville Hospital and Rehabilitation Center Inc 1575 Cambridge Street Cambridge MA 02138 043239563 Hospital and health care facility MA 501(c)(3) Line 10 Youville Lifecare Inc 0 Youville House Inc 1573 Cambridge Street Cambridge MA 02138 043239593 Assisted living services MA 501(c)(3) Line 10 Youville Lifecare Inc 0 Youville Lifecare Inc 1575 Cambridge Street Cambridge MA 02138 042103582 Hospital and health care facility MA 501(c)(3) Line 10 Covenant Health Inc 0 Youville Place 10 Pelham Road Lexington MA 02421 043297834 Assisted living services MA 501(c)(3) Line 10 Covenant Health Inc 0 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 GNM Corporation 172 Kinsley Street Nashua NH 03060 020400550 Real estate holding company NH N/A C 0 SJ Physicians Services 172 Kinsley Street Nashua NH 03060 020522234 Physician practice NH N/A C 0 St Joseph Corporate Services Inc 172 Kinsley Street Nashua NH 03060 020405197 Holding company NH N/A C 0 Strauss Incorporated 360 Broadway Bangor ME 04402 010391369 Repairs and transcriptions ME N/A C 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 1 0 0 0 0