ST JOSEPH HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HOSPITAL (EIN 01-0212435)
- Tax period
- 2014-01-01 to 2014-12-31
- Filed
- 2015-07-31
- IRS object ID
- 201532129349300413
- Schema version
- 2014v5.0
- 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 C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-07-31T08:48:44-05:00 | ReturnTs |
| Tax Period End | 2014-12-31 | 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 | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 507 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010212435 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 2072621000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Mary Prybylo | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 2072621000 | PhoneNum |
| Signature | 2015-06-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2015-06-28 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Mary Prybylo | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $131,641,150 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.stjoeshealing.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1960 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Community Hospital committed to wellness promotion, holistic healing & healthcare services | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 16 | VotingMembersIndependentCnt |
| Total Employee | 1114 | TotalEmployeeCnt |
| Total Volunteers | 114 | TotalVolunteersCnt |
| Total Gross UBI | $41,217 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $23,025 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $121,194 | PYContributionsGrantsAmt |
| CY Contributions Grants | $19,457 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $111,639,312 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $122,709,539 | CYProgramServiceRevenueAmt |
| PY Investment Income | $694,612 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,677,228 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $112,455,118 | PYTotalRevenueAmt |
| CY Total Revenue | $124,406,224 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $48,569,315 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $49,440,066 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $54,805,343 | PYOtherExpensesAmt |
| CY Other Expenses | $63,249,792 | CYOtherExpensesAmt |
| PY Total Expenses | $103,374,658 | PYTotalExpensesAmt |
| CY Total Expenses | $112,689,858 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $9,080,460 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,716,366 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $76,591,969 | TotalAssetsBOYAmt |
| Total Assets EOY | $74,781,127 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $44,380,874 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $45,223,714 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $32,211,095 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $29,557,413 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | "St. Joseph Healthcare-committed to wellness promotion and holistic healing-provides healthcare services which embody compassion, competence and community." ... not just words, but a way of life - a noble statement of what we are, meticulously crafted after thoughtful consideration, study and examination of all the things we do, big and small, day and night, caring for our patients. These are the words we live by, each and every one of us who comprise the caring community of St. Joseph Healthcare. We take our mission seriously. Those we serve depend on it. St. Joseph Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age, sexual orientation or ability to pay. Although reimbursement for services rendered is critical to operation and stability, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare s | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $91,157,216 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $122,668,322 | RevenueAmt |
| Desc | St. Joseph Hospital provides quality medical healthcare for all people through direct patient care at various hospital and clinical locations. Although reimbursement for services rendered is critical to the operation and stability of St. Joseph Hospital, it is recognized that not all individuals possess the ability to purchase essential medical services and further that our mission is to serve the community with respect to providing healthcare services and healthcare education. St. Joseph Hospital provides care to persons covered by governmental programs at below cost. Recognizing its mission to the community, services are provided to both Medicare and Medicaid patients. (continued on Schedule O) Charity care is also provided through many reduced price services and free programs offered throughout the year based upon activities and services which St. Joseph Hospital believes will serve a bona fide community health need. For more information regarding the services and programs provided at St. Joseph Hospital and Hospital's commitment to serve all members of the community please visit our website at www.stjoeshealing.org or contact the Public Affairs office at (207) 262-1720. | Desc |
| Total Program Service Expenses | $91,157,216 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | 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 | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 108 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1114 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | ME | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michael Hendrix | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2079071200 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04402 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Robert Clark | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Joseph Cyr | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| L William Demaso | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Glenn Goodwin | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Ned Jennings | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Bernard LaBree | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Sister Nancy Marie CSSF | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Noelle Merrill | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Sheila Pechinski | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Patricia Quirk | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Adrien Roy | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Bradley Ryder | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Cynthia Self MD | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| Michael Starks MD | ||||||||
| Trustee | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | ||
| William Lucy | ||||||||
| President | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Gen Nelson Durgin | ||||||||
| Vice President | 0.10 | 0.40 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Mary Prybylo Ex Officio | ||||||||
| President/CEO | 40.00 | 0.40 | Yes (X) | $337,013 | $0 | $28,319 | Yes (X) | |
| Michael Hendrix | ||||||||
| Treasurer/VP Finance (eff. 1/14) | 40.00 | 0.40 | Yes (X) | $175,970 | $0 | $27,749 | Yes (X) | |
| Kevin Sedgwick | ||||||||
| Teasurer/VP Finance (thru 1/14) | 40.00 | 0.40 | Yes (X) | $104,152 | $0 | $8,693 | Yes (X) | |
| Joseph Borer MD | ||||||||
| ED Physician | 40.00 | $264,442 | $0 | $25,452 | Yes (X) | |||
| Paul Buckley MD | ||||||||
| ED Physician | 40.00 | $298,690 | $0 | $1,129 | Yes (X) | |||
| Joel Herrington MD | ||||||||
| ED Physician | 40.00 | $278,081 | $0 | $25,394 | Yes (X) | |||
| Charles Pattavina MD | ||||||||
| ED Physician | 40.00 | $362,351 | $0 | $12,526 | Yes (X) | |||
| William Wood MD | ||||||||
| VP Medical Affairs | 40.00 | $272,414 | $0 | $28,097 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,093,113 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $157,359 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | 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 |
|---|---|---|---|---|---|
| Sound Physicians of Arizona | |||||
| PO Box 742936 | Los Angeles | CA | 90074 | Physician Services | $1,727,805 |
| Spectrum Medical Group | |||||
| 324 Gannett Drive Suite 200 | South Portland | ME | 04106 | Anesthesia Services | $1,704,420 |
| Dragonfly Therapy | |||||
| 840 Hammond Street Suite 2 | Bangor | ME | 04401 | Physical Therapy | $1,031,386 |
| Dahl-Chase Diagnostic Services | |||||
| 417 State Street Suite 441 | Bangor | ME | 04401 | Pathology Services | $788,539 |
| Synernet Inc Transcription | |||||
| 110 Free Street | Portland | ME | 04101 | Transcription & Coding | $529,583 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $19,457 | AllOtherContributionsAmt |
| Total Contributions | $19,457 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Net Patient Services | 621110 | $119,939,346 | $119,939,346 | |
| Medical/Laboratory | 621500 | $1,523,808 | $1,482,591 | $41,217 |
| Services to Affiliates | 541200 | $1,177,801 | $1,177,801 | |
| Gift Shop | 453220 | $68,584 | $68,584 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $122,709,539 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $611,771 | TotalRevenueColumnAmt |
| Exclusion | $611,771 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,023,331 | SecuritiesAmt |
| Other | $1,277,052 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,948,211 | SecuritiesAmt |
| Other | $1,286,715 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,075,120 | SecuritiesAmt |
| Other | -$9,663 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,065,457 | TotalRevenueColumnAmt |
| Exclusion | $1,065,457 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $124,406,224 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $122,668,322 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $41,217 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,677,228 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $569,051 | TotalAmt |
| Program Services | $446,136 | ProgramServicesAmt |
| Management And General | $122,915 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,839,951 | TotalAmt |
| Program Services | $32,018,522 | ProgramServicesAmt |
| Management And General | $8,821,429 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,846 | TotalAmt |
| Program Services | $73,575 | ProgramServicesAmt |
| Management And General | $20,271 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,051,191 | TotalAmt |
| Program Services | $3,960,134 | ProgramServicesAmt |
| Management And General | $1,091,057 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,886,027 | TotalAmt |
| Program Services | $2,262,645 | ProgramServicesAmt |
| Management And General | $623,382 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,636 | TotalAmt |
| Program Services | $266,275 | ProgramServicesAmt |
| Management And General | $73,361 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $237,235 | TotalAmt |
| Program Services | $185,992 | ProgramServicesAmt |
| Management And General | $51,243 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,484,168 | TotalAmt |
| Program Services | $9,003,588 | ProgramServicesAmt |
| Management And General | $2,480,580 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,962 | TotalAmt |
| Program Services | $275,938 | ProgramServicesAmt |
| Management And General | $76,024 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,519,752 | TotalAmt |
| Program Services | $16,871,484 | ProgramServicesAmt |
| Management And General | $4,648,268 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,933,511 | TotalAmt |
| Program Services | $1,515,873 | ProgramServicesAmt |
| Management And General | $417,638 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,239,152 | TotalAmt |
| Program Services | $1,755,495 | ProgramServicesAmt |
| Management And General | $483,657 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,392 | TotalAmt |
| Program Services | $24,611 | ProgramServicesAmt |
| Management And General | $6,781 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $194,836 | TotalAmt |
| Program Services | $152,751 | ProgramServicesAmt |
| Management And General | $42,085 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $790,570 | TotalAmt |
| Program Services | $619,807 | ProgramServicesAmt |
| Management And General | $170,763 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,114,651 | TotalAmt |
| Program Services | $3,225,886 | ProgramServicesAmt |
| Management And General | $888,765 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,995,935 | TotalAmt |
| Program Services | $1,564,813 | ProgramServicesAmt |
| Management And General | $431,122 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provision for Bad Debt | $10,964,155 | $10,964,155 | |
| Tax & Match | $2,037,552 | $2,037,552 | |
| Maintenance & Repairs | $1,938,497 | $1,519,782 | $418,715 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,076,788 | TotalAmt |
| Program Services | $2,412,202 | ProgramServicesAmt |
| Management And General | $664,586 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,689,858 | TotalAmt |
| Program Services | $91,157,216 | ProgramServicesAmt |
| Management And General | $21,532,642 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $852,723 | BOYAmt |
| EOY | $1,365,636 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,157,144 | BOYAmt |
| EOY | $752,614 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,405,687 | BOYAmt |
| EOY | $11,848,489 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $863,992 | BOYAmt |
| EOY | $593,348 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,244,468 | BOYAmt |
| EOY | $1,799,534 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $80,720,816 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $49,119,154 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,421,448 | BOYAmt |
| EOY | $31,601,662 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,296,035 | BOYAmt |
| EOY | $22,391,415 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $339,442 | BOYAmt |
| EOY | $320,550 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $305,830 | BOYAmt |
| EOY | $251,879 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,705,200 | BOYAmt |
| EOY | $3,856,000 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,591,969 | BOYAmt |
| EOY | $74,781,127 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,646,506 | BOYAmt |
| EOY | $9,304,267 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,008,648 | BOYAmt |
| EOY | $23,540,425 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $356,551 | BOYAmt |
| EOY | $41,621 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,369,169 | BOYAmt |
| EOY | $12,337,401 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,380,874 | BOYAmt |
| EOY | $45,223,714 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,782,856 | BOYAmt |
| EOY | $27,174,411 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,428,239 | BOYAmt |
| EOY | $2,383,002 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,211,095 | BOYAmt |
| EOY | $29,557,413 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,591,969 | BOYAmt |
| EOY | $74,781,127 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,716,366 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,960,271 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,409,777 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | Yes (1) | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $15,915 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $500 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | Yes (1) | RalliesDemonstrationsInd |
| Rallies Demonstrations | $500 | RalliesDemonstrationsAmt |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $16,915 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | American Hospital Association dues paid was $29,119, of which 23.98% ($6,983) was available for lobbying activities. Maine Hospital Association dues paid was $52,543, of which 17.00% ($8,932) was available for lobbying activities. During 2014, members of the Board of Directors of St. Joseph Hospital contacted various members of the State of Maine legislature to discuss the importance of Medicaid expansion under the Affordable Care Act. The Director of Community Networks made occasional trips to Augusta to meet with State legislators during legislative sessions. Incidental funds ($500) were expended in this effort. Also during 2014, St. Joseph Hospital, along with other regional healthcare providers, hosted two breakfast meetings for area members of the State of Maine legislature to discuss the importance of Medicaid expansion under the Affordable Care Act. Direct expenditures and the value of staff compensation for this event did not exceed $500. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,428,239 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $72,210 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $86,501 | OtherExpendituresAmt |
| Administrative Expenses | $30,946 | AdministrativeExpensesAmt |
| End Year Balance | $2,383,002 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,277,355 | BeginningYearBalanceAmt |
| Contributions | $5,879 | ContributionsAmt |
| Investment Earnings Or Losses | $261,017 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $86,012 | OtherExpendituresAmt |
| Administrative Expenses | $30,000 | AdministrativeExpensesAmt |
| End Year Balance | $2,428,239 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,107,925 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $169,430 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,277,355 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,288,800 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$180,875 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,107,925 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,072,249 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $216,551 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,288,800 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $175,048 | OtherCostOrOtherBasisAmt |
| Book Value | $175,048 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $41,434,301 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,888,692 | DepreciationAmt |
| Book Value | $21,545,609 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,179,846 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,584,355 | DepreciationAmt |
| Book Value | $595,491 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $35,319,514 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,646,107 | DepreciationAmt |
| Book Value | $8,673,407 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $612,107 | OtherCostOrOtherBasisAmt |
| Book Value | $612,107 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $31,601,662 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Beneficial Interest in Perpetual Trust | $2,383,002 |
| Funds Held by Trustees | $421,545 |
| Insurance Recoveries | $1,051,453 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $3,856,000 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Pension Obligations | $5,818,086 |
| Estimated 3rd Party Payor Settlements | $4,454,008 |
| Miscellaneous Reserves | $2,065,307 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $12,337,401 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $120,445,953 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,960,271 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | -$3,960,271 | RevenueNotReportedAmt |
| Revenue Subtotal | $124,406,224 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $124,406,224 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $112,689,858 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $112,689,858 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $112,689,858 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Ensure the long-term financial viability of the Organization. |
| Part X, Line 2: | Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. St. Joseph Hospital Corporate Services, Inc., a wholly-owned subsidiary of Nashua, is a for-profit organization, which is subject to federal and state income taxes. CHIL, a wholly-owned subsidiary, is subject to taxation in the Cayman Islands. No income taxes are levied in the Cayman Islands and CHIL has been granted an exemption for any taxes that might be introduced. Accordingly, no provision for income taxes has been made in the accompanying financial statements. 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, 2014. Under Internal Revenue Service regulations, the System's tax years from 2011 through 2014 are open and subject to examination. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent350 | Yes (X) | Percent350Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1295 | PersonsServedCnt |
| Total Community Benefit Expns | $1,583,455 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,583,455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01560 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5298 | PersonsServedCnt |
| Total Community Benefit Expns | $10,107,645 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,478,715 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,628,930 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03570 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6593 | PersonsServedCnt |
| Total Community Benefit Expns | $11,691,100 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,478,715 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,212,385 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05130 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 424 | PersonsServedCnt |
| Total Community Benefit Expns | $45,064 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $45,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 927 | PersonsServedCnt |
| Total Community Benefit Expns | $1,292,078 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,286,078 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01260 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2244 | PersonsServedCnt |
| Total Community Benefit Expns | $204,791 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $204,791 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3595 | PersonsServedCnt |
| Total Community Benefit Expns | $1,541,933 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,535,933 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01500 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10188 | PersonsServedCnt |
| Total Community Benefit Expns | $13,233,033 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,484,715 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,748,318 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06630 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $225 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $225 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 260 | PersonsServedCnt |
| Total Community Benefit Expns | $13,638 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,638 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 260 | PersonsServedCnt |
| Total Community Benefit Expns | $13,863 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,104,133 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $27,909,070 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $40,909,189 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$13,000,119 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04401 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stjoeshealing.org | WebsiteAddressTxt |
| State License | ME-37936 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 13 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 350.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Joseph Hospital | Part V, Section B, Line 5: In addition to the survey results compiled from the general community and from the medical community, the Organization conducted focus interviews with fourteen social service and public health and safety organizations: Bangor Area Homeless Shelter, Bangor Area Recovery Network, Bangor Fire Department, Bangor Police Department, Bangor Region Public Health and Wellness, Community Health and Counseling Services, Eastern Area Agency on Aging, Penobscot Community Health Center, Penobscot County Sheriff's Department, Penquis CAP, Rape Response Services, The Salvation Army, Spruce Run, and United Way of Eastern Maine. This group of organizations was selected due to their involvement with the broader community as well as involvement with unique populations. In total 24 individuals from these organizations were interviewed. |
| St. Joseph Hospital | Part V, Section B, Line 11: The prioritization of community health needs began by correlating data received from primary data sources (community survey, medical community survey and key informant focus interviews). This data was analyzed to ascertain the most prevalent community health needs noted from each constituent group. Secondary data was then utilized to formulate a more comprehensive evaluation of the health need. Once the individual identified health needs had sufficient secondary data, the information was evaluated to determine common themes among the three constituent groups.Through this process five significant community health needs were identified. These needs were then prioritized utilizing a point system relative to four components: severity of health need (utilizing primary and secondary data sources), estimated feasibility and effectiveness of possible interventions, the level of importance the community, medical community and key informant focus interviews placed on the need (determined by listing within top three barriers to health or listing within top three most pressing health concerns), and synergy between two or more constituent groups relative to importance of health need. The five community health needs in order of importance are: weight management, affordability of health care services, meaningful health education, transportation, and substance abuse. The implementation plan that was developed identifies a number of actions that St. Joseph Hospital will take to address these health needs. In areas where the Hospital does not have the required expertise or resources to address these needs, the implementation plan identifies actions that will provide support to other community organizations that are better able to address these needs.Recognizing that there will be limited funds available to address the full list of community health needs, and recognizing that other agencies and organizations in the area had expertise or missions in these areas, there are a number of health needs that were identified by some respondents that are not included in the implementation strategy. These include: aging problems, cancer, child abuse/neglect, dental problems, domestic violence, infectious diseases, mental health problems, suicide, and teenage pregnancy. |
| St. Joseph Hospital | Part V, Section B, Line 22d: Based on FAP eligibility, either 100% is written off or is subject to a sliding fee scale of which the payment rate is significantly discounted from the commercial payment rates. |
| Schedule H, Part V, Section B, Line 8: | The Community Health Needs Assessment was conducted in 2013, and in 2014 St. Joseph Healthcare began addressing community health needs through the Implementation Strategy. There were five areas of priority identified: weight management, affordability of health care services, health education, transportation, and substance abuse. In 2014, St. Joseph Healthcare embarked on addressing these needs. Notably, a multi-faceted community education program was developed to encourage an increase in physical activity, the adoption of a healthier lifestyle, and awareness of health conditions and disease management; a collaborative partnership was created with a Federally Qualified Health Center (PCHC) to ensure enrollment of community members within the Affordable Care Act marketplace insurance exchange - this partnership included community outreach, awareness and certified enrollment support throughout the community; an education session regarding available community transportation options was conducted with individuals who are responsible for scheduling the majority of patient encounters within St. Joseph Healthcare - this allowed scheduling staff to ensure that patients would be made aware of transportation options so as not to delay health care services; and St. Joseph Healthcare senior leaders were integral in the development of a Community Health Leadership Board in which leading health and social service organization leaders have joined together to begin addressing community health needs in a systematic and collaborative manner - the first area of focus is substance abuse and this area of focus will continue through 2015. The five areas of identified community health needs will continue to be addressed through St. Joseph Healthcare's Implementation Strategy plan established for 2015. |
| Schedule H, Part V, Section B, Line 16c & 16f: | St. Joseph Healthcare's Financial Assistance Policy (FAP) was designed and developed to serve as "a plain language" guide to the programs available for financial assistance and the qualification requirements. |
| Schedule H, Part V, Section B, Line 7a & 10a: | The Hospital's most recent CHNA and Implementation Strategy can be found at:www.stjoeshealing.org/about-us/documents/CHNA_2013.pdf |
| Schedule H, Part V, Section B, Line 16a & 16b | The Hospital's Financial Assistance Policy (Benevolence Program) & Financial Assistance Applications can be found at:Policy: www.stjoeshealing.org/billing/documents/RI%20018_Benevolence.pdfApplication: www.stjoeshealing.org/billing/documents/Benev_ap.pdf |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 6a: | The community benefit report is based on the Catholic Health Association guidelines and utilizes the Association's CBISA software to record the benefits. |
| Part I, Line 7: | The cost-to-charge ratio was derived from Worksheet 2. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 10,964,155. |
| Part II, Community Building Activities: | Community support consisted of maintaining a community vegetable stand, health and wellness educational programming for seniors, and staff resources to support community benefit efforts including data collection, data management and review of applicable community benefit activities. |
| Part III, Line 2: | Estimated cost of bad debt expense reported is derived from the accounting system using cost-to-charge ratios from the as-filed Medicare cost report. |
| Part III, Line 3: | The Hospital does not estimate any amount of bad debt expense is attributable to patients eligible under the Hospital's financial assistance policy. |
| Part III, Line 4: | Footnotes to the Organization's financial statements that describe bad debt expense are located on pages 15-17 of the attached financial statements. |
| Part III, Line 8: | Costs are from the accounting system using cost-to-charge ratios from the as-filed Medicare cost report, but none of these costs are being claimed as a community benefit in Part I, line 7. |
| Part III, Line 9b: | Our collection policy, R.019, does address patients who have benevolence. If they qualify for free care, then their balance is written off. If they qualify for cost share, then their balance follows the same billing and collection process as any other self-pay account. |
| Part VI, Line 2: | The Hospital conducted a new Community Health Needs Assessment in 2013. This document will be utilized as a main source of information in directing activities to assist in improving the health of individuals with the Hospital's primary service area. The assessment conducted in 2013 provided useful information to assist in identifying and prioritizing community health needs. Data collection from a wide cross-section of individuals, including those who serve the poor and the marginalized has resulted in a listing of five areas of priority relative to community health needs. These five areas represent a synergistic awareness of these needs with a wide-array of community health needs assessment participants. In order of importance they are: Issues relative to weight management, issues relative to the affordability of health care services, issues relative to meaningful health education, issues relative to transportation, and issues relative to substance abuse. |
| Part VI, Line 3: | Each inpatient receives a packet upon admission that includes a description of the Hospital's Benevolence (Free Care and Cost Share) Policy. If an inpatient has any questions during their stay, a patient ombudsman is available to assist. Signage is placed in all outpatient registration sites and applications are available. Staff is available to answer questions. Upon billing, included with the statement is a notification that free care and cost share is available, the poverty guidelines, and a telephone number for assistance. The Policy is also posted on the Hospital's website. |
| Part VI, Line 4: | The Hospital's primary service area is Penobscot County which comprises the county seat and the third most populated city in the State of Maine: Bangor (population 33,039 - Maine.gov 2013 estimate). The County consists of a total area of 3,556.14 square miles. Within the Hospital's primary service area of Penobscot County the southern and western regions of the County account for more than 50% of the inpatient admissions. The Hospital's secondary service area includes the Penobscot County border communities such as the towns of Bucksport and Ellsworth (located in Hancock County), Milo and Dover-Foxcroft (located in Piscataquis County) and Winterport (located in Waldo County). The U.S. Census report estimates the 2012 population for Penobscot County as 153,746; recognizes that 96.6% are white, 50.7% are female; 13.1% are 65 years of age or older; 13.7% are below the poverty level; and the median household income is $42,206. In 2014, 57% of the hospital admissions were over 65 years of age. |
| Part VI, Line 5: | The St. Joseph Healthcare system is deeply committed to creating healthier communities and advocating on behalf of those who are disadvantaged and underserved. As a Catholic organization, it is the very core of the Catholic social teachings in which we gain inspiration and guidance for the continuation of the work that began in 1947 under the leadership of the Sisters of St. Felix of Cantalice - the Felician Sisters. The Felician Congregation Foundress, Blessed Mary Angela, was focused on the spiritual renewal of society through compassionate caring for the whole person-body, mind and spirit. It is from this philosophical foundation and with the continued direction, guidance and vision set forth by Covenant Health that St. Joseph Healthcare continues Jesus's healing ministry within the greater Bangor community. Through this ministry St. Joseph Healthcare has donated $1,549,796 in dollars, goods, and services to the greater Bangor community and the global community. The employees' commitment to these various projects is true testament to the Organization being in communion with the Catholic Church and its social teachings.St. Joseph Healthcare has recognized its role in supporting human development and the development of healthy communities. One way in which St. Joseph Healthcare strives to support these activities is through the education of the next generation of health care leaders who will be called to continue the Catholic health care ministry. St. Joseph Healthcare assisted 17 aspiring physician assistants and assisted 105 students of nursing, including Bachelor level nurse degree programs, nurse practitioner training programs and nursing partnerships. St. Joseph Healthcare also provided health professional educational opportunities for 160 individuals. These opportunities represented individuals within one of the following health profession areas of study: emergency medical services, exercise science, health information management, medical technologist, medical assistant, nutrition services, pharmacy, physical therapy, and radiography. St. Joseph Healthcare recognizes the importance of enhanced training and educational opportunities for members of Emergency Medical Services organizations, including those within rural and volunteer EMS associations. St. Joseph Healthcare presented a day-long educational program to support EMS providers.St. Joseph Healthcare has provided community health improvement services and outreach to many within the greater Bangor community. As St. Joseph Healthcare is located in a rural area with limited public transportation options; patients are often in need of taxi service but find they are lacking funds to support this need. St. Joseph Healthcare has provided taxi vouchers to ensure patients with safe travel options. Literacy within the greater Bangor community can often affect an individual's ability to enroll in social service programs. St. Joseph Healthcare has provided application assistance to 41 individuals. The initiative to ensure that individuals gain access to the Affordable Care Act health insurance marketplace through enrollment has been a priority for St. Joseph Healthcare. The Organization recognized the need for individuals to receive personal assistance throughout the enrollment process; as such, the Organization took the step to obtain training for certified enrollment counselors. The Community Health Needs Assessment identified a need to educate the public on health and wellness opportunities. St. Joseph healthcare created an on-line presence, Lighten Ups St. Joseph. This program provides educational materials relative to weight loss, healthy living, and exercise and allows participants to set and track personal goals. Several initiatives were undertaken to support community health and wellness; these initiatives specifically focused on education of providers, health leaders, and community members. Initiatives focused around food security, human trafficking, sexual assault, and community health and wellness outreach through a public relations campaign titled Healthy Active Living in which educational materials, videos, and community sessions were provided to support community health improvement. The Spiritual Care Department actively provides spiritual support to patients and their family members. The Spiritual Care Department support extends to any member of the community who seeks assistance. In addition, the Spiritual Care Department implemented a 12-month bereavement outreach program in which family members are provided consistent bereavement support materials and opportunities for spiritual support through the grieving process. St. Joseph Healthcare supported the American Heart Association through fundraising assistance, community leadership and in-kind activities to enable increased education regarding cardiovascular health risks, and wellness opportunities within the greater Bangor community. Recognizing the threat of influenza in vulnerable populations, St. Joseph Healthcare provided flu vaccinations to health care students and community board members. In celebration of Hospital Week, children were invited to attend a teddy bear clinic in which the children were provided with education and access to medical professionals in a non-threatening environment. The Organization also arranged a fundraiser for the American Heart Association. St. Joseph Healthcare supported the pulmonary support group, Better Breathers' Club. This group focuses on the education and lifestyle enhancement to improve pulmonary function. St. Joseph Healthcare believes that a strong community requires strong partnerships with many different organizations that share a similar focus to improve the health and well-being of the greater Bangor community, with special emphasis on assisting the underserved and those marginalized by society. The Organization supported the American Red Cross through the coordination and facilitation of community blood drives. In recognition that there are many individuals who are struggling to afford prescription medications, the Organization provided complimentary prescription medications to a number of individuals. The Organization donated outdated supplies to a program which redistributes these items for use within developing countries. Support of the Kiwanis Club occurred through employee commitment to serving within this group and supporting public relations activities. St. Joseph Healthcare provided laundry services for the Greater Bangor Area Homeless Shelter. Through this arrangement the Organization provided freshly laundered sheets and clean towels for every client. St. Joseph Healthcare has supported the Maine Breast Cancer Coalition - an organization dedicated to advocacy, education and support services surrounding breast cancer. In recognizing that food security continues to be a significant challenge within the community, St. Joseph Healthcare commits to providing and serving an evening meal once per month at the Greater Bangor Area Homeless Shelter and a noon-time meal at the Dorothy Day Salvation Army Soup Kitchen. The Nutrition Services Department made significant contributions through the donation of excess food and meals to community individuals and to community organizations. The Organization supports a rural school in Kingman, Maine through the creation of a program called "Support a Student" in which each student at the school has been paired with a department within the Organization and members of the department provided items of need for the student. This support includes providing school supplies, slippers, birthday presents and nourishment which is packed in each student's backpack on Friday afternoon to ensure nourishment throughout the weekend. In addition, the Organization has provided several on-site educational program events which included exercise activities, creative art activities and a healthy family meal. The Organization's CEO and other members of the Senior Leadership Team provided leadership and expertise to several different community organizations including Bangor Region Health Leadership Committee, Penquis CAP, Bangor Nursing and Rehab, Legislative connectivity gatherings, Chamber of Commerce, and the Maine Hospital Association among others. The Organization supported the United Way of Eastern Maine through the coordination of an internal employee campaign which encouraged and provided an opportunity for employees to support the efforts of the United Way. The Organization provided numerous community sponsorships to organizations that were focused on improving the health and well-being of the community at-large. These included contributions to: Maine Discovery Museum, Wounded Warriors Project, Garden Club Foundation of Maine, Bangor Area Food Summit, Bangor Humane Society, Maine Army National Guard, St. Mary's School, St. Paul the Apostle Parish, Out of the Darkness suicide prevention, Boy Scouts of America, Catholic Charities of Maine |
| Part VI, Line 6: | St. Joseph Healthcare is comprised of St. Joseph Hospital (an acute care hospital), St. Joseph Ambulatory Care, Inc., (physician group that provides primary and specialty care), and Alternative Health Services, Inc. (which provides home health and hospice services). By joining Covenant Health, St. Joseph Healthcare is aligned with two other acute care hospitals and multiple skilled nursing and assisted living facilities. |
| Part VI, Line 7, Reports Filed With States | ME |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary Prybylo Ex Officio | ||||||||||||||
| President/CEO | $314,013 | $0 | $0 | $0 | $23,000 | $0 | $0 | $0 | $28,319 | $0 | $365,332 | $0 | $0 | $0 |
| Michael Hendrix | ||||||||||||||
| Treasurer/VP Finance (eff. 1/14) | $158,470 | $0 | $0 | $0 | $17,500 | $0 | $0 | $0 | $27,749 | $0 | $203,719 | $0 | $0 | $0 |
| Joseph Borer MD | ||||||||||||||
| ED Physician | $202,159 | $0 | $28,533 | $0 | $33,750 | $0 | $0 | $0 | $25,452 | $0 | $289,894 | $0 | $0 | $0 |
| Paul Buckley MD | ||||||||||||||
| ED Physician | $212,411 | $0 | $50,891 | $0 | $35,388 | $0 | $0 | $0 | $1,129 | $0 | $299,819 | $0 | $0 | $0 |
| Joel Herrington MD | ||||||||||||||
| ED Physician | $235,513 | $0 | $38,530 | $0 | $4,038 | $0 | $0 | $0 | $25,394 | $0 | $303,475 | $0 | $0 | $0 |
| Charles Pattavina MD | ||||||||||||||
| ED Physician | $283,276 | $0 | $38,575 | $0 | $40,500 | $0 | $0 | $0 | $12,526 | $0 | $374,877 | $0 | $0 | $0 |
| William Wood MD | ||||||||||||||
| VP Medical Affairs | $249,414 | $0 | $0 | $0 | $23,000 | $0 | $0 | $0 | $28,097 | $0 | $300,511 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4a | Kevin Sedgwick, served as the Treasurer and VP of Finance until early January of 2014. He was paid a severance of compensation and benefits through July of 2014. Total salary and benefits paid to Mr. Sedgwick that constitutes severance compensation is $112,845. |
| Part I, Line 7 | Joseph Borer, Paul Buckley, Charles Pattavina, and Joel Herrington received incentive bonuses. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| MHHEFA | |||||||
| A | 010314384 | 2010-06-24 | $16,207,915 | Refinance Series 1998B, 1999A and 2001A revenue bonds | 0 | 0 | 0 |
| MHHEFA | |||||||
| B | 010314384 | 2012-06-28 | $2,900,361 | Refinance Series 2002A revenue bonds | 0 | 0 | 0 |
| MHHEFA | |||||||
| C | 010314384 | 2012-10-31 | $13,490,000 | Construction Project -Renovate ED & ASU, & Const New Medical Office Building | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt | UnspentUnspentAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $16,207,915 | $1,260,488 | $137,832 | $14,809,595 | 2010 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| B | $2,900,361 | $184,381 | $38,004 | $2,677,976 | 2012 | Yes (1) | 0 | Yes (1) | Yes (1) | ||
| C | $13,490,000 | $185,272 | $12,422,440 | 2014 | 0 | 0 | 0 | Yes (1) | $761,145 | $121,143 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | St. Joseph Healthcare Foundation, a Maine nonprofit corporation, shall be the sole member of St. Joseph Hospital. |
| Form 990, Part VI, Section A, line 7a | The Member of St. Joseph Hospital shall elect the trustees of the Organization and may remove them with or without cause. |
| Form 990, Part VI, Section A, line 7b | St. Joseph Healthcare Foundation, the Member of St. Joseph Hospital (the Organization), shall have the following powers and rights, as outlined in its articles of incorporation and bylaws: (a) To approve any change in the written statements of philosophy and mission of the Organization or any subsidiary of the Organization, and to monitor compliance with same; (b) To amend and to repeal the articles of incorporation and the bylaws of the Organization, and to approve the adoption, amendment or repeal of the governing instruments of any subsidiary of the Organization; (c) To elect the Trustees of the Organization and to remove them with or without cause; (d) To appoint and remove the President of the Organization, including a President secured by management contract; (e) To ratify the Board of Trustees' election of the Chairperson of the Board of Trustees; (f) To approve all plans of merger, consolidation, reorganization or dissolution of the Organization or any subsidiary of the Organization, or the sale, lease, assignment or transfer of substantially all of the assets of the Organization or any subsidiary of the Organization, or the purchase or acquisition by the Organization or any subsidiary of the Organization of an interest in any corporation, partnership, joint venture or other entity, whether newly created or previously existing, which interest, in the case of a for profit entity, represents 25 percent or more of the voting power thereof or equity interest therein, or, in the case of a nonprofit entity, represents 25 percent or more of the voting power thereof or membership interest therein; (g) To approve all Board-approved long-range strategic plans of the Organization before their implementation; (h) To approve the acquisition, sale or encumbrance by the Organization or any subsidiary of the Organization of any real estate valued in excess of the amount set by the Member in writing from time to time; (i) To approve all Board approved capital budgets of the Organization and non-budgeted expenses which are in excess of the amount set by the Member in writing from time to time, and to approve the Organization's operating budget in accordance with policies set by the Member in writing from time to time; (j) To approve all debt of the Organization, not part of the approved budget, in excess of limits set by the Member in writing from time to time before such debt is incurred; (k) To appoint the auditors of the Organization and any subsidiary of the Organization; (l)To approve the sale, assignment or transfer by the Organization or any subsidiary of the Organization of any equity interest or membership interest in any subsidiary of the Organization; (m) To approve any reclassification or other change of any capital stock or other equity security of any subsidiary of the Organization, or any recapitalization of any subsidiary of the Organization; and (n) To approve the issuance of, or the creation of any obligation to issue, any equity security of any subsidiary of the Organization, or any increase or decrease in the total number of shares of authorized capital stock or other equity security of any subsidiary of the Organization. |
| Form 990, Part VI, Section B, line 11 | There is a formal presentation of the 990 to the Finance Committee and copies are provided to all Board members. |
| Form 990, Part VI, Section B, line 12c | Each Board member is required to complete a form disclosing any conflicts of interest. When these conflicts are known, any Board member with a conflict of interest is asked to leave the meeting or abstain from voting or both. |
| Form 990, Part VI, Section B, line 15 | Through compensation surveys/studies and employment contracts, compensations are determined by the compensation committee and approved by the Board. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon each individual request. Form 990 and 990-T are also available on the website of Covenant Health, Inc, a related organization (www.covenanthealth.net). |
| Form 990, Part IX, line 11g | Physician Services: Program service expenses 3,720,572. Management and general expenses 1,025,055. Fundraising expenses 0. Total expenses 4,745,627. Purchased Services: Program service expenses 4,019,972. Management and general expenses 1,107,543. Fundraising expenses 0. Total expenses 5,127,515. Medical Testing Services: Program service expenses 1,023,766. Management and general expenses 282,058. Fundraising expenses 0. Total expenses 1,305,824. Consulting Services: Program service expenses 239,278. Management and general expenses 65,924. Fundraising expenses 0. Total expenses 305,202. |
| Form 990, Part XI, line 9: | Transfers to Affiliates -10,409,777. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Joseph Healthcare Foundation | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480149 | Diversified holistic health care services | ME | 501(c)(3) | Line 7 | Covenant Health Inc | 0 | |
| St Joseph Ambulatory Care Inc | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480373 | Ambulatory care and clinical services | ME | 501(c)(3) | Line 11b, II | St Joseph Healthcare Foundation | 0 | |
| Alternative Health Services | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 010422885 | Home health agency | ME | 501(c)(3) | Line 3 | St Joseph Healthcare Foundation | 0 | |
| M & J Company | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480150 | Real estate holding company | ME | 501(c)(2) | St Joseph Healthcare Foundation | 0 | ||
| Covenant Health Inc | |||||||||||
| 100 Ames Pond Drive | Tewksbury | MA | 01876 | 222484505 | Sponsoring & operating a health care system | MA | 501(c)(3) | Line 9 | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Strauss Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway | AddressLine1Txt |
| City | Bangor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 044020403 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010391369 | EIN |
| Primary Activities | Medical transcription | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| M & J Company | ||
| K | $722,602 | Actual amount transferred |
| M & J Company | ||
| L | $30,900 | Actual amount transferred |