COVENANT HEALTH INVESTMENT TRUST: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COVENANT HEALTH INVESTMENT TRUST (EIN 04-6835128)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-06-19
- IRS object ID
- 201421709349300332
- Schema version
- 2013v3.0
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-06-19T14:45:34-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 020383073 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM STEELE & ASSOCIATES PC | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 STARK STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 046835128 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROVIDENTIA PRIMA TRUST | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PROV | BusinessNameControlTxt |
| Phone | 9786546363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AMES POND DRIVE | AddressLine1 |
| City | TEWKSBURY | City |
| State | MA | State |
| ZIP Code | 01876 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN AHLE | PersonNm |
| Person Title | CHIEF FINANCIAL OFFICER | PersonTitleTxt |
| Phone | 9786546363 | PhoneNum |
| Signature | 2014-06-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | WILLIAM G STEELE JR CPA | PreparerPersonNm |
| PTIN | P00233103 | PTIN |
| Phone | 6036228881 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JOHN AHLE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AMES POND DRIVE | AddressLine1 |
| City | TEWKSBURY | City |
| State | MA | State |
| ZIP Code | 01876 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $12,418,420 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | COVENANTHS.ORG | WebsiteAddressTxt |
| Type Of Organization Trust | Yes (X) | TypeOfOrganizationTrustInd |
| Formation | 1996 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | PROVIDENTIA PRIMA WAS ESTABLISHED TO HOLD AND MANAGE POOLED INVESTMENTS OF VARIOUS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (C) (3) | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 4 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $9,484,818 | PYInvestmentIncomeAmt |
| CY Investment Income | $12,406,639 | CYInvestmentIncomeAmt |
| PY Other Revenue | $16,455 | PYOtherRevenueAmt |
| CY Other Revenue | $11,781 | CYOtherRevenueAmt |
| PY Total Revenue | $9,501,273 | PYTotalRevenueAmt |
| CY Total Revenue | $12,418,420 | 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 | $0 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $851,295 | PYOtherExpensesAmt |
| CY Other Expenses | $818,648 | CYOtherExpensesAmt |
| PY Total Expenses | $851,295 | PYTotalExpensesAmt |
| CY Total Expenses | $818,648 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,649,978 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,599,772 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $179,178,125 | TotalAssetsBOYAmt |
| Total Assets EOY | $232,932,602 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,638,875 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $2,951,565 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $176,539,250 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $229,981,037 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDENTIA PRIMA WAS ESTABLISHED TO HOLD AND MANAGE POOLED INVESTMENTS OF VARIOUS ORGANIZATIONS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501 (C) (3). | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Desc | N/A | Desc |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | 0 | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| 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 | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| 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 | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 4 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | 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 | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 | JOHN AHLE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 9786546363 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 AMES POND DRIVE | AddressLine1 |
| City | TEWKSBURY | City |
| State | MA | State |
| ZIP Code | 01876 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (9 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt |
|---|---|---|---|---|---|---|---|
| JOHN AHLE | |||||||
| TREASURER/SECRETARY | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $382,416 | $101,750 |
| CAROLYN KASABIAN | |||||||
| TRUSTEE | 1.00 | 39.00 | Yes (X) | $0 | $278,831 | $23,871 | |
| DONALD M DEHART | |||||||
| CHAIR/PRESIDENT | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD J PLAMONDON | |||||||
| VICE PRESIDENT | 1.00 | 39.00 | Yes (X) | Yes (X) | $0 | $300,185 | $31,339 |
| WILLIAM ADAMS | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL ERCOLINI | |||||||
| TRUSTEE | 1.00 | 39.00 | Yes (X) | $0 | $172,756 | $32,705 | |
| KEVIN HALLORAN | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| WILLIAM DEMASO | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| SR CATHERINE O'CONNOR | |||||||
| TRUSTEE | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,134,188 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $189,665 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (4 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| SILCHESTER INTERNATIONAL INVESTORS | |||||
| 780 3RD AVENUE 42ND FLOOR | NEW YORK | NY | 10017 | INVESTMENT MANAGER | $146,746 |
| NEPC LLC | |||||
| 255 STATE STREET | BOSTON | MA | 02109 | INVESTMENT MANAGER | $142,900 |
| STATE STREET BANK & TRUST | |||||
| 200 CLARENDON STREET | BOSTON | MA | 02116 | CUSTODIAN FEES | $116,226 |
| IRONBRIDGE CAPITAL MANAGEMENT LP | |||||
| ONE PARKVIEW PLAZA SUITE 600 | OAKBROOK TERRACE | IL | 60181 | INVESTMENT MANAGER | $108,488 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 4 | CntrctRcvdGreaterThan100KCnt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,294,575 | TotalRevenueColumnAmt |
| Exclusion | $4,294,575 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,112,064 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,112,064 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,112,064 | TotalRevenueColumnAmt |
| Exclusion | $8,112,064 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $11,781 | TotalRevenueColumnAmt |
| Exclusion | $11,781 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $11,781 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $12,418,420 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $12,418,420 | ExclusionAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,193 | TotalAmt |
| Management And General | $35,193 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $710,053 | TotalAmt |
| Management And General | $710,053 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|
| ADMINISTRATION EXPENSE | $50,000 | $50,000 |
| MISCELLANEOUS EXPENSES | $23,402 | $23,402 |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $818,648 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $818,648 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,258,411 | BOYAmt |
| EOY | $636,711 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,325,437 | BOYAmt |
| EOY | $182,562,681 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,377,110 | BOYAmt |
| EOY | $45,854,451 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,217,167 | BOYAmt |
| EOY | $3,878,759 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,178,125 | BOYAmt |
| EOY | $232,932,602 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,638,875 | BOYAmt |
| EOY | $2,951,565 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,638,875 | BOYAmt |
| EOY | $2,951,565 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,539,250 | BOYAmt |
| EOY | $229,981,037 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $176,539,250 | BOYAmt |
| EOY | $229,981,037 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $179,178,125 | BOYAmt |
| EOY | $232,932,602 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $11,599,772 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $21,643,948 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $20,198,067 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (18 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| COVENANT HEALTH SYSTEMS | |||||
| 222484505 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| ST MARY'S HEALTH SYSTEM INC | |||||
| 222504349 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| FANNY ALLEN CORPORATION | |||||
| 222495808 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| CHS OF WALTHAM INC | |||||
| 043333609 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| ST JOSEPH HOSPITAL | |||||
| 020222215 | 3 | Yes (1) | Yes (1) | Yes (1) | $0 |
| YOUVILLE HOSPITAL | |||||
| 043239563 | 3 | Yes (1) | Yes (1) | Yes (1) | $0 |
| YOUVILLE PLACE INC | |||||
| 043297834 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| ST ANDRE HEALTH CARE FACILITY | |||||
| 010342399 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| MI NURSINGRESTORATIVE CENTER INC | |||||
| 042104851 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| ST MARY'S VILLA NURSING HOME INC | |||||
| 232057177 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| MI MANAGEMENT INC | |||||
| 042857794 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| MI ADULT DAY HEALTH CENTER INC | |||||
| 042921888 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| MI TRANSPORTATION INC | |||||
| 042921889 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| YOUVILLE HOUSE INC | |||||
| 043239593 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| ST MARY'S REGIONAL MEDICAL CTR | |||||
| 010211551 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| ST MARY'S D'YOUVILLE PAVILION | |||||
| 012011558 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| ST JOSEPH HOSPITAL | |||||
| 010212435 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| ST JOSEPH AMBULATORY CARE INC | |||||
| 010422885 | 9 | Yes (1) | Yes (1) | Yes (1) | $0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 18 | SupportedOrganizationsTotalCnt |
| Support Sum | $0 | SupportSumAmt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $0 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | ALTERNATIVE INVESTMENTS | Desc |
| Book Value | $45,854,451 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $45,854,451 | TotalBookValueSecuritiesAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $33,243,720 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $21,643,948 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $21,643,948 | RevenueNotReportedAmt |
| Revenue Subtotal | $11,599,772 | RevenueSubtotalAmt |
| Other Revenues Not Included | $818,647 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $818,647 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $12,418,419 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $0 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $818,647 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $818,647 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $818,647 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART X, LINE 2: | INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS IS THE FOLLOWING "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. THE SYSTEM HAS EVALUATED THE POSITIONS TAKEN ON ITS FILED TAX RETURNS, AND HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2013." |
| PART XI, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT EXPENSES INCLUDED IN REVENUE 818,647. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | INVESTMENT EXPENSES INCLUDED IN REVENUE 818,647. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOHN AHLE | ||||||||||||||
| TREASURER/SECRETARY | $0 | $339,914 | $0 | $0 | $0 | $42,502 | $0 | $70,050 | $0 | $31,700 | $0 | $484,166 | $0 | $0 |
| CAROLYN KASABIAN | ||||||||||||||
| TRUSTEE | $0 | $256,012 | $0 | $0 | $0 | $22,819 | $0 | $2,472 | $0 | $21,399 | $0 | $302,702 | $0 | $0 |
| RICHARD J PLAMONDON | ||||||||||||||
| VICE PRESIDENT | $0 | $246,681 | $0 | $27,880 | $0 | $25,624 | $0 | $7,650 | $0 | $23,689 | $0 | $331,524 | $0 | $0 |
| PAUL ERCOLINI | ||||||||||||||
| TRUSTEE | $0 | $147,221 | $0 | $0 | $0 | $25,535 | $0 | $7,004 | $0 | $25,701 | $0 | $205,461 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 3 | THE BOARD OF TRUSTEES DELEGATED MANAGEMENT DUTIES TO CARDINAL INVESTMENT MANAGEMENT, INC. (EIN 04-3391257). |
| FORM 990, PART VI, SECTION B, LINE 11 | THE 990 IS PRESENTED TO, AND REVIEWED BY, THE BOARD PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE MONITORING AND ENFORCEMENT OF COMPLIANCE WITH THE POLICY IS COMPLETED AT THE INDIVIDUAL BOARD LEVELS OF THE ENTITIES THAT ARE SHAREHOLDERS OF PROVIDENTIA PRIMA. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART XI, LINE 9: | NET TRANSFER FROM AFFILIATES 20,198,067. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (20 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH SYSTEM INC | |||||||||||
| 100 AMES POND DRIVE | TEWKSBURY | MA | 01876 | 222484505 | MANAGEMENT AND HEALTH RESOURCE ORGANIZATION | MA | 501(C)(3) | LINE 9 | N/A | 0 | |
| ST MARY'S HEALTH SYSTEM | |||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 222504349 | PARENT COMPANY | ME | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| FANNY ALLEN CORPORATION | |||||||||||
| 790 COLLEGE PARKWAY | COLCHESTER | VT | 05446 | 222495808 | HEALTH CARE SERVICES | VT | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| CHS WALTHAM | |||||||||||
| 66 NEWTON STREET | WALTHAM | MA | 02453 | 043333609 | SKILLED NURSING FACILITY | MA | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| ST JOSEPH HOSPITAL | |||||||||||
| 172 KINSLEY ST | NASHUA | NH | 03061 | 020222215 | ACUTE CARE HOSPITAL | NH | 501(C)(3) | LINE 3 | 0 | COVENANT HEALTH SYSTEMS | |
| YOUVILLE HOSPITAL | |||||||||||
| 100 AMES POND DRIVE | TEWKSBURY | MA | 01876 | 023239563 | FORMER REHAB HOSPITAL | MA | 501(C)(3) | LINE 3 | 0 | COVENANT HEALTH SYSTEMS | |
| YOUVILLE PLACE | |||||||||||
| 10 PELHAM RD | LEXINGTON | MA | 02421 | 043297834 | ASSISTED LIVING FACILITY | MA | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| ST ANDRE SKILLED NURSING AND REHAB FACILITY | |||||||||||
| 407 POOL ST | BIDDEFORD | ME | 04005 | 010342399 | SKILLED NURSING FACILITY | ME | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| MI NURSING RESTORATIVE CENTER | |||||||||||
| 172 LAWRENCE ST | LAWRENCE | MA | 01841 | 042104851 | SKILLED NURSING FACILITY | MA | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| ST MARY'S VILLA NURSING HOME | |||||||||||
| 675 ST MARYS VILLA ROAD | MOSCOW | PA | 18444 | 232057177 | SKILLED NURSING FACILITY | PA | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| MI MANAGEMENT INC | |||||||||||
| 172 LAWRENCE ST | LAWRENCE | MA | 01841 | 042857794 | SKILLED NURSING FACILITY | MA | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| MI ADULT DAY HEALTH CENTER | |||||||||||
| 172 LAWRENCE ST | LAWRENCE | MA | 01841 | 042921888 | SKILLED NURSING FACILITY | MA | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| MI TRANSPORTATION | |||||||||||
| 172 LAWRENCE ST | LAWRENCE | MA | 01841 | 042921889 | SKILLED NURSING FACILITY | MA | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| YOUVILLE HOUSE | |||||||||||
| 1575 CAMBRIDGE ST | CAMBRIDGE | MA | 02138 | 043239593 | ASSISTED LIVING FACILITY | MA | 501(C)(3) | LINE 9 | 0 | COVENANT HEALTH SYSTEMS | |
| YOUVILLE LIFECARE | |||||||||||
| 100 AMES POND DRIVE | TEWKSBURY | MA | 01876 | 042103582 | MANAGEMENT SERVICES | MA | 501(C)(3) | LINE 11A, I | 0 | COVENANT HEALTH SYSTEMS | |
| ST MARY'S REGIONAL MEDICAL CENTER | |||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 010211551 | HOSPITAL | ME | 501(C)(3) | LINE 9 | 0 | ST MARY'S HEALTH SYSTEM | |
| ST MARY'S D'YOUVILLE PAVILION | |||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 010211558 | NURSING HOME | ME | 501(C)(3) | LINE 9 | 0 | ST MARY'S HEALTH SYSTEM | |
| ST JOSEPH HOSPITAL | |||||||||||
| 360 BROADWAY | BANGOR | ME | 04402 | 010212435 | HOSPITAL | ME | 501(C)(3) | LINE 1 | 0 | ST JOSEPH HEALTHCARE FOUNDATION | |
| ST JOSEPH AMBULATORY CARE INC | |||||||||||
| 360 BROADWAY | BANGOR | ME | 04402 | 222480373 | PHYSICIAN PRATICE | ME | 501(C)(3) | LINE 3 | 0 | ST JOSEPH HEALTHCARE FOUNDATION | |
| COMMUNITY CLINICAL SERVICES | |||||||||||
| PO BOX 7291 | LEWISTON | ME | 04243 | 010409788 | PHYSICIAN PRATICE | ME | 501(C)(3) | LINE 3 | 0 | ST MARY'S HEALTH SYSTEM | |
| 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 | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (20 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| COVENANT HEALTH SYSTEMS INC | ||
| R | $20,734,626 | CASH |
| YOUVILLE HOUSE INC | ||
| R | $1,192,822 | CASH |
| ST JOSEPH HOSPITAL (BANGOR ME) | ||
| R | $2,000,000 | CASH |
| YOUVILLE PLACE | ||
| R | $500,000 | CASH |
| MI NUSING RESTORATIVE CENTER | ||
| R | $448,400 | CASH |
| MI MANAGEMENT INC | ||
| R | $53,024 | CASH |
| MI ADULT DAY HEALTH CENTER | ||
| R | $12,240 | CASH |
| MI TRANSPORTATION | ||
| R | $53,000 | CASH |
| COVENANT HEALTH SYSTEMS INC | ||
| S | $24,906,096 | CASH |
| ST MARY'S VILLA NURSING HOME | ||
| S | $2,525,000 | CASH |
| ST JOSEPH HOSPITAL (NASHUA NH) | ||
| S | $6,551,032 | CASH |
| MI NUSING RESTORATIVE CENTER | ||
| S | $5,513,400 | CASH |
| MI MANAGEMENT INC | ||
| S | $652,024 | CASH |
| MI ADULT DAY HEALTH CENTER | ||
| S | $138,000 | CASH |
| MI TRANSPORTATION | ||
| S | $598,000 | CASH |
| YOUVILLE HOUSE INC | ||
| S | $2,472,826 | CASH |
| ST JOSEPH HOSPITAL (BANGOR ME) | ||
| S | $18,273,350 | CASH |
| ST MARY'S REGIONAL MEDICAL CENTER | ||
| S | $6,133,952 | CASH |
| COMMUNITY CLINICAL SERVICES | ||
| S | $255,000 | CASH |
| YOUVILLE PLACE | ||
| S | $80,000 | CASH |