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ST JOSEPH HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ST JOSEPH HOSPITAL (EIN 01-0212435)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-08-14
IRS object ID
201342269349302619
Schema version
2012v2.1
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

FieldValueIRS element (for citing)
Timestamp2013-08-14T13:32:48-05:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010494526EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1
CityPortlandCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010212435EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTJONameControl
Phone2072621000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1360 Broadway PO Box 403AddressLine1
CityBangorCity
StateMEState
ZIP Code044020403ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameKevin SedgwickName
TitleCFOTitle
Phone2072621000Phone
Date Signed2013-08-12DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameNicholas E PortoName
PTINP01310283PTIN
Phone2078792100Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMary PrybyloNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1360 Broadway PO Box 403AddressLine1
CityBangorCity
StateMEState
ZIP Code044020403ZIPCode
FieldValueIRS element (for citing)
Gross Receipts114590638GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.stjoeshealing.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1960YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionCommunity Hospital committed to wellness promotion, holistic healing & healthcare sevicesActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees1065TotalNbrEmployees
Total Nbr Volunteers112TotalNbrVolunteers
Total Gross UBI22345TotalGrossUBI
Net Unrelated Business Txbl Income11545NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year25408ContributionsGrantsPriorYear
Contributions Grants Current Year28561ContributionsGrantsCurrentYear
Program Service Revenue Prior Year96211654ProgramServiceRevenuePriorYear
Program Service Revenue CY101019340ProgramServiceRevenueCY
Investment Income Prior Year652196InvestmentIncomePriorYear
Investment Income Current Year1341163InvestmentIncomeCurrentYear
Other Revenue Prior Year48605OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year96937863TotalRevenuePriorYear
Total Revenue Current Year102389064TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year41892683SalariesEtcPriorYear
Salaries Etc Current Year46028196SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year46362793OtherExpensePriorYear
Other Expenses Current Year49961546OtherExpensesCurrentYear
Total Expenses Prior Year88255476TotalExpensesPriorYear
Total Expenses Current Year95989742TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8682387RevenuesLessExpensesPriorYear
Revenues Less Expenses CY6399322RevenuesLessExpensesCY
Total Assets BOY55078752TotalAssetsBOY
Total Assets EOY73778520TotalAssetsEOY
Total Liabilities BOY34131081TotalLiabilitiesBOY
Total Liabilities EOY48440864TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20947671NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25337656NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission Description"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 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 services.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense8928563Expense
Revenue24643558Revenue
DescriptionSt. Joseph Hospital provides quality medical healthcare regardless of race, creed, sex, national origin, handicap, age or ability to pay. 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 served 3,995 inpatients representing 18,279 patient days and served more than 82,696 outpatients representing more than 3,489,771 tests and procedures performed. 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. The unreimbursed value of providing care to these patients is $87,879,785. In addition, St. Joseph Hospital provided charity care totaling $2,837,793 and provided $5,558,328 in services to those unable to pay. Charity care is also provided through many reduced price services and fee 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 the 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. 1) Surgical Department - Our Surgery Center was the first hospital-based day surgery facility in Maine. It features a caring staff, including its own dedicated anesthesia team, in the modern surroundings of our surgical center, which has six spacious suites.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1945215Expense
Revenue16638612Revenue
Description2) Endoscopy Department - Our physicians are committed to provide the highest quality digestive disease health care in Northern and Eastern Maine including the performance of life-saving endoscopic screenings and procedures.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense6284873Expense
Revenue22194250Revenue
Description3) Emergency Room - 16-bed Emergency Department is open 24 hours a day, seven days a week. It includes seven cardiac care rooms, including three critical care rooms, and rooms for treatment of emergency cases in obstetrics/gynecology, orthopedics and ophthalmology (conditions and injuries of the eyes). There are also several suture rooms and a digital x-ray unit. The Emergency Department is staffed around the clock by physicians, physician assistants, registered nurses, CNAs and a secretary. Emergency Department greeters are also available from 7 a.m. to 11:30 p.m. Greeters help patients with registration and provide comfort to them during their visit.Description

Activity Other ActivityOther

FieldValueIRS element (for citing)
Expense59617005Expense
Revenue37520575Revenue
DescriptionOther healthcare servicesDescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp59617005TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev37520575TotalOfOtherProgramServiceRev
Total Program Service Expense76775656TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org1TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096127NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1065NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledMEStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Kevin SedgwickBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2079071200TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1360 BroadwayAddressLine1
CityBangorCity
StateMEState
ZIP Code04402ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
Melvin Braverman
Trustee0.100.10X000
Joseph Cyr
Trustee0.100.10X000
William Demaso
Trustee0.100.10X000
Ned Jennings
Trustee0.100.10X000
Sister Nancy Marie CSSF
Trustee0.100.10X000
Sheila Pechinski
Trustee0.100.10X000
David Renedo MD
Trustee0.100.10X000
Michael Starks MD
Trustee0.100.10X000
Robert Welch
Trustee0.100.10X000
Frederick Wlodarski MD
Trustee0.100.10X000
Edwin Clift part year
Chairman/President0.100.10X000X
Nelson Durgin
Vice President0.100.10X000X
Lee Ryckman
Secretary0.100.10X000X
Mary Prybylo
President/CEO40.000.10X320700011146X
Kevin Sedgwick
Treasurer/CFO40.000.10X179992010791X
Wayne Woodford part year
Treasurer/EVP/CFO40.000.10X275402010063X
Joseph Borer MD
ED Physician40.00263157010145X
Paul Buckley MD
ED Physician40.002791910940X
Thomas Dancoes MD
ED Physician40.00288410010166X
Charles Pattavina MD
ED Physician40.0035533304349X
Richard Renzi MD
ED Physician40.0030551609457X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2267701TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation67057TotalOtherCompensation
Number Individuals GT100 K27NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Spectrum Medical Group
324 Gannett DriveSouth PortlandME04106Anesthesia services1697083
Sound Physicians of Maine Inc
1123 Pacific AvenueTacomaWA98402Hospitalists1497294
Dahl-Chase Diagnostic Services
417 State StreetBangorME04401Pathology services783854
King's Medical Company
1894 Georgetown RoadHudsonOH44236MRI Services710775
Dragonfly Therapy
PO Box 225StillwaterME04489Physical Therapy550185
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
All Other Contributions28561AllOtherContributions
Total Contributions28561TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Services6211109692844696928446
Medical/Laboratory6215003325890330354522345
Services to Affiliates541200741963741963
Gift Shop4532202304123041
FieldValueIRS element (for citing)
Total Program Service Revenue101019340TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column579697TotalRevenueColumn
Exclusion$579,697ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12915249Securities
Other47791Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities12178575Securities
Other22999Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities736674Securities
Other24792Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column761466TotalRevenueColumn
Exclusion$761,466ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column102389064TotalRevenueColumn
Related Or Exempt Function Income100996995RelatedOrExemptFunctionIncome
Unrelated Business Revenue22345UnrelatedBusinessRevenue
Exclusion$1,341,163ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total808094Total
Program Services633546ProgramServices
Management And General174548ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total35959192Total
Program Services28192007ProgramServices
Management And General7767185ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total404909Total
Program Services317449ProgramServices
Management And General87460ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6311263Total
Program Services4948029ProgramServices
Management And General1363234ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2544738Total
Program Services1995075ProgramServices
Management And General549663ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total822259Total
Program Services644651ProgramServices
Management And General177608ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total202562Total
Program Services158809ProgramServices
Management And General43753ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total170835Total
Management And General170835ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9633127Total
Program Services7552372ProgramServices
Management And General2080755ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total189480Total
Program Services148552ProgramServices
Management And General40928ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total17209079Total
Program Services13491918ProgramServices
Management And General3717161ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1687192Total
Program Services1322759ProgramServices
Management And General364433ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2330642Total
Program Services1827223ProgramServices
Management And General503419ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total25808Total
Program Services20233ProgramServices
Management And General5575ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total169697Total
Program Services133042ProgramServices
Management And General36655ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total666102Total
Program Services522224ProgramServices
Management And General143878ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3586790Total
Program Services2812043ProgramServices
Management And General774747ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1741575Total
Program Services1365395ProgramServices
Management And General376180ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Provision for bad debt55816425581642
Tax & Match20740532074053
Maintenance & repairs17676071385804381803
Gift Shop1803718037

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2085059Total
Program Services1648830ProgramServices
Management And General436229ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total95989742Total
Program Services76775656ProgramServices
Management And General19214086ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1861BOY
EOY10501469EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY124950BOY
EOY733448EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY7391509BOY
EOY9253666EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY758317BOY
EOY1075818EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1765636BOY
EOY1278566EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis63983212LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec43418989LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY21918727BOY
EOY20564223EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY17963368BOY
EOY7931687EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1603616BOY
EOY1603616EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY151719BOY
EOY325249EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3399049BOY
EOY20510778EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY55078752BOY
EOY73778520EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6177949BOY
EOY6656070EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY13651816BOY
EOY26289871EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1095392BOY
EOY688715EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY13205924BOY
EOY14806208EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY34131081BOY
EOY48440864EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY18839746BOY
EOY23060301EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2107925BOY
EOY2277355EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20947671BOY
EOY25337656EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY55078752BOY
EOY73778520EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses6399322ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1033034ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment-10471ReconcilationPriorAdjustment
Reconcilation Other Changes-3031900ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations1GrantsOtherOrganizations
Grants Other Organizations$15,374GrantsOtherOrganizationsAmount
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB15374TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1:ReturnReference
ExplanationAmerican Hospital Association dues paid was $27,082, of which 23.98% was allocated for lobbying activities. Maine Health Association dues paid was $52,543, of which 16.90% was allocated for lobbying activities.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance2107925BeginningOfYearBalance
Investment Earnings Or Losses169430InvestmentEarningsOrLosses
End Of Year Balance2277355EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance2288800BeginningOfYearBalance
Investment Earnings Or Losses-180875InvestmentEarningsOrLosses
End Of Year Balance2107925EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2072249BeginningOfYearBalance
Investment Earnings Or Losses216551InvestmentEarningsOrLosses
End Of Year Balance2288800EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1869854BeginningOfYearBalance
Investment Earnings Or Losses202395InvestmentEarningsOrLosses
End Of Year Balance2072249EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance2478837BeginningOfYearBalance
Investment Earnings Or Losses-608983InvestmentEarningsOrLosses
End Of Year Balance1869854EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs0EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis47578OtherCostOrOtherBasis
Book Value47578BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis27886564OtherCostOrOtherBasis
Depreciation17753151Depreciation
Book Value10133413BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3184846OtherCostOrOtherBasis
Depreciation2201484Depreciation
Book Value983362BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis31552885OtherCostOrOtherBasis
Depreciation23464354Depreciation
Book Value8088531BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1311339OtherCostOrOtherBasis
Book Value1311339BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings20564223TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Beneficial interest in perpetual trust2277355
Funds held by Trustees13303145
Estimated Third Party Payor Settlements4820278
Malpractice Claims Reserve110000
FieldValueIRS element (for citing)
Total Book Value Other Assets20510778TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
Pension obligations$7,226,544
Estimated 3rd party payor settlements$6,830,419
Professional liability loss reserves$749,245
FieldValueIRS element (for citing)
Total Of Amounts14806208TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt103422098TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments1033034NetUnrealizedGainsInvestments
Revenue Not Rptd F9901033034RevenueNotRptdF990
Revenue Subtotal102389064RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form990102389064TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt95989742TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal95989742ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99095989742TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:Ensure the long-term financial viability of the organization.
Description of Uncertain Tax Positions Under FIN 48: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. CHSIL, a wholly-owned subsidiary, is subject to taxation in the Cayman Islands. No income taxes are levied in the Cayman Islands, and CHSIL 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. The System has evaluated the positions taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2012.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent350XPcent350
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served3053PersonsServed
Total Community Benefit Expense1320993TotalCommunityBenefitExpense
Net Community Benefit Expense1320993NetCommunityBenefitExpense
Percent Of Total Expense0.01380PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served6260PersonsServed
Total Community Benefit Expense12456328TotalCommunityBenefitExpense
Direct Offsetting Revenue7901982DirectOffsettingRevenue
Net Community Benefit Expense4554346NetCommunityBenefitExpense
Percent Of Total Expense0.04740PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served9313PersonsServed
Total Community Benefit Expense13777321TotalCommunityBenefitExpense
Direct Offsetting Revenue7901982DirectOffsettingRevenue
Net Community Benefit Expense5875339NetCommunityBenefitExpense
Percent Of Total Expense0.06120PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs21NumberOfActivitiesOrPrograms
Persons Served427PersonsServed
Total Community Benefit Expense31051TotalCommunityBenefitExpense
Direct Offsetting Revenue3000DirectOffsettingRevenue
Net Community Benefit Expense28051NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served443PersonsServed
Total Community Benefit Expense1213471TotalCommunityBenefitExpense
Net Community Benefit Expense1213471NetCommunityBenefitExpense
Percent Of Total Expense0.01260PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs20NumberOfActivitiesOrPrograms
Persons Served846PersonsServed
Total Community Benefit Expense110045TotalCommunityBenefitExpense
Net Community Benefit Expense110045NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs58NumberOfActivitiesOrPrograms
Persons Served1716PersonsServed
Total Community Benefit Expense1354567TotalCommunityBenefitExpense
Direct Offsetting Revenue3000DirectOffsettingRevenue
Net Community Benefit Expense1351567NetCommunityBenefitExpense
Percent Of Total Expense0.01400PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs58NumberOfActivitiesOrPrograms
Persons Served11029PersonsServed
Total Community Benefit Expense15131888TotalCommunityBenefitExpense
Direct Offsetting Revenue7904982DirectOffsettingRevenue
Net Community Benefit Expense7226906NetCommunityBenefitExpense
Percent Of Total Expense0.07520PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$2,255,386BadDebtExpenseAmount
Amount Reimbursed By Medicare27917398AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare33645898CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5728500MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1St Joseph HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1360 Broadway PO Box 403AddressLine1
CityBangorCity
StateMEState
ZIP Code04401ZIPCode
FieldValueIRS element (for citing)
Website Addresswww.stjoeshealing.orgWebsiteAddress
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1St Joseph HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted0CHNAConducted
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted1UsesFPGDiscounted
FPG Discount Percent350.000000000000FPGDiscountPercent
Explains Basis1ExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
State RegulationXStateRegulation
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Collection Activities0CollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 3c: The Organization does utilize FPG to determine eligibility.
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 and the bad expense from Part IX, Line 25, Column A of $5,558,328 has been removed from the denominator.
Part II: Community support consisted of American Red Cross blood drives, sending supplies to elementary school children in need, maintaining a community vegetable stand and providing pastoral care to the community.
Part III, Line 4: Costs are from the accounting system using cost-to-charge ratios from the as filed Medicare Cost Report. St. Joseph Hospital does not factor in discounts and payments in determining bad debt expense. Charges for services rendered to individuals from whom payment is expected and ultimately not received are written off and in 2012 included as an operating expense as part of the provision for bad debts.
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 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 V, Section B, Line 20d: 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.St. Joseph Hospital
Part VI, Line 2: The Hospital participated in a Community Statewide Health Needs Assessment which was conducted in 2010 and published in 2011. This document continues to be utilized as a main source of information in directing activities to assist in improving the health of individuals within the Hospital's primary service area. In addition, the 2012 United Way of Eastern Maine community needs assessment document is also utilized to assist in directing activities relative to community outreach in an effort to improve the health and well-being of individuals within the Hospital's primary service area. Data from these documents highlighted several areas of concern within the Hospital's primary service area including: poverty levels, poverty levels for individuals under the age of 17, unemployment rates, access to transportation, food security, prevalence of cardiovascular and diabetes risk factors (obesity, sedentary lifestyle, smoking, high blood pressure, cholesterol and heart disease), prevalence of asthma and COPD, preventive cancer screenings and incidents of cancer, high patterns of mental health risk factors, high pattern of emergency department usage and inpatient utilization rates.
Part VI, Line 3: Each inpatient receives a packet upon admission that includes a description of the Hospital's Free Care Policy. If an inpatient has any questions during the 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 is available, the poverty guidelines, and a 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 32,817-U.S. Census 2012 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 2012 population for Penobscot County as 153,746; recognizes that 95.4% are white; 50.7% are female; 15.4% are 65 years of age or older; 16.3% are below the poverty level; and the median household income is $43,601. In 2012, 57.7% of the hospital admissions were over 65 years of age.
Part VI, Line 5: St. Joseph Hospital is comprised of employees and community partners who demonstrate a deep and abiding commitment to furthering the Catholic health ministry. Individuals are deeply committed through personal activities and professional involvement to ensure that St. Joseph Healthcare is a leading advocate in defending human dignity. Through our service, we work to extend Jesus's ministry of love and compassion. The Organization's community outreach activities extend through communion with the vision set forth by Covenant Health Systems, Catholic Health Ministry and the Organization's founding Congregation, Sisters of St. Felix of Cantalice-the Felician Sisters. As a leading advocate in defense of human dignity, the Organization has focused activities around improving basic human needs. These needs are often characterized as basic human rights-the basic human right to food, shelter, education, healthcare services and a preservation of human dignity with a life free from exploitation. St. Joseph's efforts in the area of community health improvement services extended to health education activities and health care support services. - The Organization supported the American Heart Association through educational programs, events and fundraising to support further community outreach. - St. Joseph Healthcare was the premier sponsor of two of the largest community events in the area: Bangor's Garden Show and the Maine Harvest Festival. At each of these events, employees provided educational materials and hands-on demonstrations regarding nutritional foods, menu planning based on medical conditions, healthy cookbooks based on widely available and affordable local produce, hands-on cooking demonstrations and sampling of nutritious foods. In addition, children were a focus at these events. Children were encouraged to learn how to grow their own healthy food by planting a bush bean seed which would produce a healthy supply of beans for an entire family. Children were also encouraged to make their own healthy snack in which they were introduced to new, healthier options. It is estimated that more than 7,000 community members received educational information about gardening and healthy living through nutritious food selection at these two events. - St. Joseph Healthcare supported the continuing rehabilitation for individuals struggling with pulmonary function issues by providing trained staff to support the Bangor Y Phase 3 Pulmonary Rehab Program.- Pulmonary function issues can be extremely debilitating and research has shown that a proper support group which focuses on education and lifestyle enhancement can greatly improve pulmonary function. The Organization manages a Better Breathers' Club which provides support, education and lifestyle improvement options for those suffering from pulmonary function disorders. - In an effort to improve food security for community members within the region, the Organization chose to educate individuals about growing their own nutritional foods. The challenge within the local geographic region is a short growing season which can often lead to food waste, compounding the food security issue. To combat this, the Organization arranged for two free canning and freezing demonstrations in conjunction with the University of Maine Cooperative Extension. A canning and freezing expert provided a hands-on demonstration in which participants learned how to extend the use of garden grown excess produce through the canning and freezing process. Community members embraced the opportunity to receive this education and classes were filled to capacity with more than 30 individuals benefitting from this educational opportunity. - The Organization supported CPR and first aid training for various not-for-profit organizations by providing education staff to facilitate these programs. - St. Joseph Healthcare was an active member in the Bangor Beacon Community grant which focused on innovative care management methods to improve the health and well-being of community members struggling with the effects of long-term medical conditions. - St. Joseph Healthcare engaged the kindergarten students at the local Catholic elementary school through a Teddy Bear Clinic-an educational program designed to allow children the opportunity to visit with physicians and other medical professionals in a non-threatening environment. Students brought their teddy bears into the hospital for "check-ups" and were able to experience hands-on learning with the medical tools they would frequently see during a visit to the Emergency Department. In addition, students were educated about healthy eating and living and provided safety tips. - All individuals are entitled to live a life free of exploitation. One of the most difficult injustices to comprehend is that of human trafficking which has been characterized as modern-day slavery. Human trafficking is second only to the drug trade as the largest global crime enterprise. The state of Maine and the greater Bangor community is not impervious to this world-wide threat to human dignity. Due to Maine's significant agricultural economy and its proximity as a border state, human trafficking is a real and legitimate issue. In 2012, St. Joseph Healthcare focused efforts on creating awareness and educational opportunities for individuals who would most likely be able to identify and provide a conduit for intervention in a human trafficking circumstance. Working in conjunction with the Human Trafficking division within the Maine Coalition Against Sexual Assault organization, two in-depth programs were offered to community clinicians to provide these individuals with education and the necessary tools to identify victims of human trafficking. These clinicians were provided important "red flag" checklists to be utilized during patient encounters. In addition, patient-focused literature and information was widely disseminated within the Emergency Department. - The Spiritual Care Department actively provides spiritual support to patients and their family members. In addition, the Spiritual Care Department support also extends to any member of the community who seeks spiritual assistance from the Spiritual Care Department, regardless of direct involvement with patient services at the Organization. - The Organization's Employee Health and Wellness services provided counseling and follow-up care for community individuals who, outside of the patient care setting, were exposed to blood and body fluids. - Literacy issues often create barriers for individuals seeking services from government agencies. In an effort to remove these barriers, the Organization provides support by assisting individuals with the completion of applications for government assistance. - As the Organization is located in a more rural area, transportation can often be a challenge for individuals. Individuals who seek medical attention may arrive by ambulance, but upon discharge from the hospital, are in need of transportation. The Organization provides taxi vouchers for these individuals to ensure that they safely arrive at their destination. St. Joseph recognizes the need to educate the next generation of healthcare providers to ensure the continuation of the Catholic health ministry by not only providing important on the job experience but also exposing individuals to the mission of attending and caring for the whole person-body, mind and spirit. Through educational partnerships 442, aspiring health care professionals received the opportunity to gain pertinent training and experience within the Organization. - Eighteen aspiring physician assistants engaged in student rotations within the Organization. - The Organization supported two physicians through organizational rotation. - Twenty-five individuals within bachelor and general degree programs received additional training from St. Joseph Healthcare. These students typically represent nutrition services and pre-med programs. - One individual within a graduate degree program was provided the opportunity to work alongside an established physician assistant within a respiratory practice. - Nine individuals were included within the nurse practitioner rotation program at St. Joseph Healthcare.- Student rotations for aspiring nurses were conducted for 126 individuals. - Twenty-three senior level nursing students were provided the opportunity to work in direct partnership with experienced RNs from within the Organization to prepare the nursing student for graduation. - Individuals within the field of Emergency Medical Services were provided the opportunity for student rotation within the organization. Fifty-nine individuals were part of this program.continued below
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 Serves, Inc. (which provides home health and hospice services). By joining Covenant Health System, St. Joseph Healthcare is now aligned with two other acute care hospitals and multiple skilled nursing and assisted living facilities.
MEReports Filed With StatesPart VI, Line 7
Continued from above- Health Information Management is a growing field and requires significant expertise. St. Joseph Healthcare was delighted to provide 64 individuals with the opportunity to enhance their skills through experience within the Health Information Management department. - Fifteen students from the medical technology field were provided with student rotations.- The health care community is becoming increasingly reliant on individuals in the Medical Assistant field. Five individuals from this field were provided important experience.- Twenty students from pharmacy degree programs were able to expand their skills by working within the Pharmacy department. - Phlebotomy students were able to experience a busy outpatient laboratory and a clinical laboratory during student rotation. - The Medical Imaging department hosted 55 students as they worked to acquire their degrees in radiography. - Students from the field of respiratory therapy were able to enhance their skills and experience the respiratory needs of a community hospital through a student rotation program which supported 7 individuals. - Eleven students gained valuable experience and hands-on learning through the surgical assistant student rotation program. St. Joseph believes strongly in collaborating with and supporting the good works of other not-for-profit community organizations which share a vision of providing for those within the community who are underserved and compromised by social inequities.- The Organization provided cash donations to a number of not-for-profit community agencies to further the endeavors of these valuable community organizations. Some of the recipients of these financial contributions included the Pine Tree Chapter of the American Red Cross to support disaster relief services, the Brewer Fire Museum, Catholic Charities of Maine, the Muskie Legal Fund to assist in providing no-charge legal services and the Bangor Green Drinks Event to promote environmental sustainability.- 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. - Employees supported the American Association of Healthcare Administrative Management through providing board leadership, educational training and in-service programming.- The Organization supported the American Red Cross donor services through the coordination of two community blood drives. - The Bangor Y was supported through employee involvement as activity leaders and program educators for a Bangor Y Leadership School. - The Organization's CEO has supported many organizations through leadership and involvement with specific activities. Her involvement has extended to the Penobscot Theatre Company, Rotary Club, Bangor Chamber of Commerce and Bangor Nursing & Rehab to name just a few. - The Organization supported a missionary trip to Paraguay through the donation of medications to a community physician who arranged for this missionary program.- Encouraging healthy living through alternative exercise programs led the Organization to partner with the Bangor Land Trust to print maps and educational trail materials for community use. - In 2012, St. Joseph Healthcare demonstrated a commitment to providing healthcare services in its primary service area and also a commitment to those most in need in developing countries. Ensuring that the most vulnerable populations in developing countries have access to quality healthcare services was also a focus. In 2012, St. Joseph Healthcare donated several pallets of medical equipment and supplies for a medical missionary program with distribution in Honduras and Nicaragua. Some of the items donated included exam tables, surgical equipment, operating room supplies and IV poles. - Support of the Kiwanis Club occurred through employee commitment to serving within this group and supporting public relations activities. - St. Joseph Healthcare focused on providing assistance to those agencies which ensure a secure, warm place for people struggling with homelessness. The Organization supported both the Bangor Area Homeless Shelter and the Shaw House by providing laundry services. In support of these agencies, St. Joseph provided fresh linens for every bed and clean towels for every client providing the most comfortable stay possible. More than 56,000 pounds of fresh laundry were provided. - St. Joseph Healthcare has supported the Maine Breast Cancer Coalition, an organization dedicated to advocacy, education and support services surrounding breast cancer. The Organization is involved in this program through employee board leadership and involvement with providing support services. - Collaborating with agencies which are focused on the most poor and vulnerable within our communities was an important outreach focus. In 2012, the Organization committed to providing a noon-time meal in conjunction with the Salvation Army. The food was prepared by the Organization's Nutrition Services department and served by St. Joseph employees. This activity was provided on a monthly basis. Also, on a monthly basis, St. Joseph employees served a nutritious evening meal, prepared by the Organization's Nutrition Services department, to the Bangor Area Homeless Shelter. - The Nutrition Services department made significant contributions toward community education. Employees from within this department provided food safety demonstrations for community organizations, provided numerous community cooking demonstrations focused on healthy alternatives and also provided excess food to the Bangor Area Homeless Shelter. - Employees participated in a pet food collection program for the senior population in coordination with the Eastern Area Agency on Aging (EAAA). Many seniors struggle to survive on fixed incomes and will often neglect their own needs for food and medication to ensure that the needs of their beloved pets are met. In learning this, the employees organized a pet food collection program which was then distributed to seniors in need. The EAAA representatives shared that through this program seniors were able to care for both their pets and tend to their own needs. Employees donated 40 file boxes full of pet food. Additionally, cat litter, pet toys and other pet items were included. - The Organization worked in conjunction with the United Way of Eastern Maine's Backpack for Kids program. This program highlights school children who are lacking proper nutrition outside of school hours. Research indicates that children lacking proper nutrition struggle physically and educationally. The school based nutrition programs satisfy these children's nutritional needs throughout the school week; however, the lack of nutrition over the weekend affects learning. With a lack of nutrition over the weekend, it takes 48 hours of proper nutrition before the child is able to learn at the same level as a child who has had nourishment through the weekend; essentially without weekend nutrition a child loses 2 days of learning each week. The Backpack for Kids program provides a backpack stuffed with nutritional kid-friendly food items on Friday afternoon to provide nourishment through the weekend. St. Joseph Healthcare employees adopted a small elementary school in rural Maine in which the Organization committed to providing the backpack food for the duration of the school year (4 months). Employees donated thousands of items to this project. In addition, adopting these school children continued. The Organization hosted a back-to-school carnival for these children in which exercise activities, creative arts activities, a healthy family meal, and opportunities for connection with people from the healthcare field was organized.- Recognizing the plight of homeless teenagers, employees organized a "Teens in Need" collection program. Employees provided hundreds of items (40 full file boxes) to assist homeless teenagers through the community's Shaw House program. Donated items focused around "teen friendly" easy to prepare food and also included much needed personal care items. St. Joseph supported community building activities through the organization of an internal program titled, Adopt a Plot, in which employees were encouraged to adopt a green space of land on the Organization's property to tend as a flower and vegetable garden. Employees then donated the vegetables to a community complimentary vegetable stand. Employees provided the bulk of donations to the stand; demonstrating their personal commitment to the values of compassion and community.Part VI, Line 5, continued:
St. Joseph Healthcare supported community benefit operations through a number of activities including a community vegetable exchange stand, public education campaigns and special educational programming.- The Organization supported the American Cancer Society's Daffodil Days to support cancer prevention activities. - The Organization coordinated a fruit and vegetable exchange stand during the summer months, in which home gardeners donated excess produce to the stand. The produce was then provided to vulnerable community members free of charge. It is estimated that between 35-45 vulnerable families benefited from this program. - The Organization focused several activities around the public education of the community regarding various public health issues such as influenza, sleep education, drug take-back programs and the dissemination of the Bangor Public Health Newsletter.- The senior population was the focus of outreach and educational activities in collaboration with the Hammond Street Senior Center.- An outreach program titled Senior Wise was arranged monthly to take place at the Organization. This program focuses on educating the senior population regarding various health and safety topics, while at the same time providing discounted evening meals.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Mary Prybylo
President/CEO30045000020250000111460331846000
Kevin Sedgwick
Treasurer/CFO15749200022500000107910190783000
Wayne Woodford part year
Treasurer/EVP/CFO23590200039500000100630285465000
Joseph Borer MD
ED Physician219220027437016500000101450273302000
Paul Buckley MD
ED Physician2101270351470339170009400280131000
Thomas Dancoes MD
ED Physician227592044318016500000101660298576000
Charles Pattavina MD
ED Physician28272303361003900000043490359682000
Richard Renzi MD
ED Physician2496370558790000094570314973000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
Part I, Line 4aWayne Woodford received a severance payment of $12,598.
Part I, Line 7Part I, Line 7: Joseph Borer, Paul Buckley, Thomas Dancoes, Charles Pattavina, and Richard Renzi received incentive bonuses.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
MHHEFA
A0103143842010-06-2416207915Refinance Series 1998B, 1999A and 2001A revenue bonds000
MHHEFA
B0103143842012-06-282900361Refinance Series 2002A revenue bonds000
MHHEFA
C0103143842012-10-3113490000Construction Project -Renovate ED & ASU, & Const New Medical Office Building000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCapitalized InterestCapitalizedInterestAmount UnspentAmountUnspent
A1620791512604881480903013783256520101001
B2900361184381267352338004445320121001
C134900001843082548000176114512542000

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A00000.000000.000000.00000001
B00000.000000.000000.00000001
C00000.000000.000000.00000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
A000000001
B000000001
C000000001

Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6St. Joseph Healthcare Foundation, a Maine nonprofit corporation, shall be the sole member of St. Joseph Hospital.
Form 990, Part VI, Section A, line 7aThe 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 7bSt. 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 11There 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 12cEach member is required to complete a form disclosing any conflicts of interest. These conflicts are known; any 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 15Through 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 19The organization makes its governing documents, policies and financial statements available to the public upon each individual request.
Form 990, Part IX, line 11gPhysician Services: Program service expenses 3,161,919. Management and general expenses 871,141. Fundraising expenses 0. Total expenses 4,033,060. Purchased Services: Program service expenses 3,431,774. Management and general expenses 945,489. Fundraising expenses 0. Total expenses 4,377,263. Medical Testing Services: Program service expenses 958,679. Management and general expenses 264,125. Fundraising expenses 0. Total expenses 1,222,804.Other Fees
Form 990, Part XI, line 9:Transfers to affiliates -3,031,900.Changes in Net Assets or Fund Balances:
Form 990, Part XII, Line 2cThe audit process has not changed from the previous year.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
St Joseph Healthcare Foundation
360 BroadwayBangorME044020403222480149Diversified holistic health care servicesME501(C)(3)Line 11a, ICovenant Health Systems Inc0
St Joseph Ambulatory Care Inc
360 BroadwayBangorME044020403222480373Ambulatory care and clinical servicesME501(C)(3)Line 11a, ISt Joseph Healthcare Foundation0
Alternative Health Services
360 BroadwayBangorME044020403010422885Home health agencyME501(C)(3)Line 3St Joseph Healthcare Foundation0
M & J Company
360 BroadwayBangorME044020403222480150Real estate holding companyME501(C)(2)St Joseph Healthcare Foundation0
Covenant Health Systems Inc
100 Ames Pond DrTewksburyMA01876222484505Sponsoring & operating a health care systemMA501(c)(3)Line 90N/A

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Strauss IncBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1360 BroadwayAddressLine1
CityBangorCity
StateMEState
ZIP Code044020403ZIPCode
FieldValueIRS element (for citing)
EIN010391369EIN
Primary ActivityMedical transcriptionPrimaryActivity
Legal Domicile StateMELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1St Joseph Healthcare FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityCTypeOfEntity
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
M & J Company
K1050800Actual amount transferred
M & J Company
L83076Actual amount transferred
M & J Company
S2107161Actual amount transferred