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
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T13:32:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010494526 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 507 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010212435 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJO | NameControl |
| Phone | 2072621000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 044020403 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Kevin Sedgwick | Name |
| Title | CFO | Title |
| Phone | 2072621000 | Phone |
| Date Signed | 2013-08-12 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Nicholas E Porto | Name |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Mary Prybylo | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 044020403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 114590638 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.stjoeshealing.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1960 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Community Hospital committed to wellness promotion, holistic healing & healthcare sevices | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1065 | TotalNbrEmployees |
| Total Nbr Volunteers | 112 | TotalNbrVolunteers |
| Total Gross UBI | 22345 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 11545 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 25408 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 28561 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 96211654 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 101019340 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 652196 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1341163 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 48605 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 96937863 | TotalRevenuePriorYear |
| Total Revenue Current Year | 102389064 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 41892683 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 46028196 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 46362793 | OtherExpensePriorYear |
| Other Expenses Current Year | 49961546 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 88255476 | TotalExpensesPriorYear |
| Total Expenses Current Year | 95989742 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 8682387 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6399322 | RevenuesLessExpensesCY |
| Total Assets BOY | 55078752 | TotalAssetsBOY |
| Total Assets EOY | 73778520 | TotalAssetsEOY |
| Total Liabilities BOY | 34131081 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 48440864 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20947671 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 25337656 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| 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 Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 8928563 | Expense |
| Revenue | 24643558 | Revenue |
| Description | 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 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 1945215 | Expense |
| Revenue | 16638612 | Revenue |
| Description | 2) 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6284873 | Expense |
| Revenue | 22194250 | Revenue |
| Description | 3) 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 59617005 | Expense |
| Revenue | 37520575 | Revenue |
| Description | Other healthcare services | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 59617005 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 37520575 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 76775656 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 1 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 127 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1065 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kevin Sedgwick | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2079071200 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04402 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Melvin Braverman | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| Joseph Cyr | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| William Demaso | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| Ned Jennings | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| Sister Nancy Marie CSSF | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| Sheila Pechinski | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| David Renedo MD | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| Michael Starks MD | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| Robert Welch | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| Frederick Wlodarski MD | ||||||||
| Trustee | 0.10 | 0.10 | X | 0 | 0 | 0 | ||
| Edwin Clift part year | ||||||||
| Chairman/President | 0.10 | 0.10 | X | 0 | 0 | 0 | X | |
| Nelson Durgin | ||||||||
| Vice President | 0.10 | 0.10 | X | 0 | 0 | 0 | X | |
| Lee Ryckman | ||||||||
| Secretary | 0.10 | 0.10 | X | 0 | 0 | 0 | X | |
| Mary Prybylo | ||||||||
| President/CEO | 40.00 | 0.10 | X | 320700 | 0 | 11146 | X | |
| Kevin Sedgwick | ||||||||
| Treasurer/CFO | 40.00 | 0.10 | X | 179992 | 0 | 10791 | X | |
| Wayne Woodford part year | ||||||||
| Treasurer/EVP/CFO | 40.00 | 0.10 | X | 275402 | 0 | 10063 | X | |
| Joseph Borer MD | ||||||||
| ED Physician | 40.00 | 263157 | 0 | 10145 | X | |||
| Paul Buckley MD | ||||||||
| ED Physician | 40.00 | 279191 | 0 | 940 | X | |||
| Thomas Dancoes MD | ||||||||
| ED Physician | 40.00 | 288410 | 0 | 10166 | X | |||
| Charles Pattavina MD | ||||||||
| ED Physician | 40.00 | 355333 | 0 | 4349 | X | |||
| Richard Renzi MD | ||||||||
| ED Physician | 40.00 | 305516 | 0 | 9457 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2267701 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 67057 | TotalOtherCompensation |
| Number Individuals GT100 K | 27 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Spectrum Medical Group | |||||
| 324 Gannett Drive | South Portland | ME | 04106 | Anesthesia services | 1697083 |
| Sound Physicians of Maine Inc | |||||
| 1123 Pacific Avenue | Tacoma | WA | 98402 | Hospitalists | 1497294 |
| Dahl-Chase Diagnostic Services | |||||
| 417 State Street | Bangor | ME | 04401 | Pathology services | 783854 |
| King's Medical Company | |||||
| 1894 Georgetown Road | Hudson | OH | 44236 | MRI Services | 710775 |
| Dragonfly Therapy | |||||
| PO Box 225 | Stillwater | ME | 04489 | Physical Therapy | 550185 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 20 | NumberOfContractorsGT100K |
| All Other Contributions | 28561 | AllOtherContributions |
| Total Contributions | 28561 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net Patient Services | 621110 | 96928446 | 96928446 | |
| Medical/Laboratory | 621500 | 3325890 | 3303545 | 22345 |
| Services to Affiliates | 541200 | 741963 | 741963 | |
| Gift Shop | 453220 | 23041 | 23041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 101019340 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 579697 | TotalRevenueColumn |
| Exclusion | $579,697 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12915249 | Securities |
| Other | 47791 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12178575 | Securities |
| Other | 22999 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 736674 | Securities |
| Other | 24792 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 761466 | TotalRevenueColumn |
| Exclusion | $761,466 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 102389064 | TotalRevenueColumn |
| Related Or Exempt Function Income | 100996995 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 22345 | UnrelatedBusinessRevenue |
| Exclusion | $1,341,163 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 808094 | Total |
| Program Services | 633546 | ProgramServices |
| Management And General | 174548 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35959192 | Total |
| Program Services | 28192007 | ProgramServices |
| Management And General | 7767185 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 404909 | Total |
| Program Services | 317449 | ProgramServices |
| Management And General | 87460 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6311263 | Total |
| Program Services | 4948029 | ProgramServices |
| Management And General | 1363234 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2544738 | Total |
| Program Services | 1995075 | ProgramServices |
| Management And General | 549663 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 822259 | Total |
| Program Services | 644651 | ProgramServices |
| Management And General | 177608 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 202562 | Total |
| Program Services | 158809 | ProgramServices |
| Management And General | 43753 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170835 | Total |
| Management And General | 170835 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9633127 | Total |
| Program Services | 7552372 | ProgramServices |
| Management And General | 2080755 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 189480 | Total |
| Program Services | 148552 | ProgramServices |
| Management And General | 40928 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17209079 | Total |
| Program Services | 13491918 | ProgramServices |
| Management And General | 3717161 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1687192 | Total |
| Program Services | 1322759 | ProgramServices |
| Management And General | 364433 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2330642 | Total |
| Program Services | 1827223 | ProgramServices |
| Management And General | 503419 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25808 | Total |
| Program Services | 20233 | ProgramServices |
| Management And General | 5575 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169697 | Total |
| Program Services | 133042 | ProgramServices |
| Management And General | 36655 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 666102 | Total |
| Program Services | 522224 | ProgramServices |
| Management And General | 143878 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3586790 | Total |
| Program Services | 2812043 | ProgramServices |
| Management And General | 774747 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1741575 | Total |
| Program Services | 1365395 | ProgramServices |
| Management And General | 376180 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provision for bad debt | 5581642 | 5581642 | |
| Tax & Match | 2074053 | 2074053 | |
| Maintenance & repairs | 1767607 | 1385804 | 381803 |
| Gift Shop | 18037 | 18037 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2085059 | Total |
| Program Services | 1648830 | ProgramServices |
| Management And General | 436229 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95989742 | Total |
| Program Services | 76775656 | ProgramServices |
| Management And General | 19214086 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1861 | BOY |
| EOY | 10501469 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 124950 | BOY |
| EOY | 733448 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7391509 | BOY |
| EOY | 9253666 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 758317 | BOY |
| EOY | 1075818 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1765636 | BOY |
| EOY | 1278566 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 63983212 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 43418989 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21918727 | BOY |
| EOY | 20564223 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17963368 | BOY |
| EOY | 7931687 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1603616 | BOY |
| EOY | 1603616 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151719 | BOY |
| EOY | 325249 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3399049 | BOY |
| EOY | 20510778 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55078752 | BOY |
| EOY | 73778520 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6177949 | BOY |
| EOY | 6656070 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13651816 | BOY |
| EOY | 26289871 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1095392 | BOY |
| EOY | 688715 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13205924 | BOY |
| EOY | 14806208 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34131081 | BOY |
| EOY | 48440864 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18839746 | BOY |
| EOY | 23060301 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2107925 | BOY |
| EOY | 2277355 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20947671 | BOY |
| EOY | 25337656 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55078752 | BOY |
| EOY | 73778520 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6399322 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 1033034 | ReconciliationUnrealizedInvest |
| Reconcilation Prior Adjustment | -10471 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | -3031900 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $15,374 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 15374 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | American 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2107925 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 169430 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2277355 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2288800 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -180875 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2107925 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2072249 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 216551 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2288800 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1869854 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 202395 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2072249 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2478837 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -608983 | InvestmentEarningsOrLosses |
| End Of Year Balance | 1869854 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 47578 | OtherCostOrOtherBasis |
| Book Value | 47578 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27886564 | OtherCostOrOtherBasis |
| Depreciation | 17753151 | Depreciation |
| Book Value | 10133413 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3184846 | OtherCostOrOtherBasis |
| Depreciation | 2201484 | Depreciation |
| Book Value | 983362 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 31552885 | OtherCostOrOtherBasis |
| Depreciation | 23464354 | Depreciation |
| Book Value | 8088531 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1311339 | OtherCostOrOtherBasis |
| Book Value | 1311339 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 20564223 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Beneficial interest in perpetual trust | 2277355 |
| Funds held by Trustees | 13303145 |
| Estimated Third Party Payor Settlements | 4820278 |
| Malpractice Claims Reserve | 110000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 20510778 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Pension obligations | $7,226,544 |
| Estimated 3rd party payor settlements | $6,830,419 |
| Professional liability loss reserves | $749,245 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14806208 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 103422098 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1033034 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 1033034 | RevenueNotRptdF990 |
| Revenue Subtotal | 102389064 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 102389064 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 95989742 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 95989742 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 95989742 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent350 | X | Pcent350 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3053 | PersonsServed |
| Total Community Benefit Expense | 1320993 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1320993 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01380 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6260 | PersonsServed |
| Total Community Benefit Expense | 12456328 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7901982 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4554346 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04740 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9313 | PersonsServed |
| Total Community Benefit Expense | 13777321 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7901982 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5875339 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06120 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 21 | NumberOfActivitiesOrPrograms |
| Persons Served | 427 | PersonsServed |
| Total Community Benefit Expense | 31051 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 28051 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 17 | NumberOfActivitiesOrPrograms |
| Persons Served | 443 | PersonsServed |
| Total Community Benefit Expense | 1213471 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1213471 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01260 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 20 | NumberOfActivitiesOrPrograms |
| Persons Served | 846 | PersonsServed |
| Total Community Benefit Expense | 110045 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 110045 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 58 | NumberOfActivitiesOrPrograms |
| Persons Served | 1716 | PersonsServed |
| Total Community Benefit Expense | 1354567 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1351567 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01400 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 58 | NumberOfActivitiesOrPrograms |
| Persons Served | 11029 | PersonsServed |
| Total Community Benefit Expense | 15131888 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7904982 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7226906 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07520 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,255,386 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 27917398 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 33645898 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -5728500 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway PO Box 403 | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.stjoeshealing.org | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 0 | CHNAConducted |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 350.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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. | ||
| ME | Reports Filed With States | Part 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (8 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mary Prybylo | ||||||||||||||
| President/CEO | 300450 | 0 | 0 | 0 | 20250 | 0 | 0 | 0 | 11146 | 0 | 331846 | 0 | 0 | 0 |
| Kevin Sedgwick | ||||||||||||||
| Treasurer/CFO | 157492 | 0 | 0 | 0 | 22500 | 0 | 0 | 0 | 10791 | 0 | 190783 | 0 | 0 | 0 |
| Wayne Woodford part year | ||||||||||||||
| Treasurer/EVP/CFO | 235902 | 0 | 0 | 0 | 39500 | 0 | 0 | 0 | 10063 | 0 | 285465 | 0 | 0 | 0 |
| Joseph Borer MD | ||||||||||||||
| ED Physician | 219220 | 0 | 27437 | 0 | 16500 | 0 | 0 | 0 | 10145 | 0 | 273302 | 0 | 0 | 0 |
| Paul Buckley MD | ||||||||||||||
| ED Physician | 210127 | 0 | 35147 | 0 | 33917 | 0 | 0 | 0 | 940 | 0 | 280131 | 0 | 0 | 0 |
| Thomas Dancoes MD | ||||||||||||||
| ED Physician | 227592 | 0 | 44318 | 0 | 16500 | 0 | 0 | 0 | 10166 | 0 | 298576 | 0 | 0 | 0 |
| Charles Pattavina MD | ||||||||||||||
| ED Physician | 282723 | 0 | 33610 | 0 | 39000 | 0 | 0 | 0 | 4349 | 0 | 359682 | 0 | 0 | 0 |
| Richard Renzi MD | ||||||||||||||
| ED Physician | 249637 | 0 | 55879 | 0 | 0 | 0 | 0 | 0 | 9457 | 0 | 314973 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 4a | Wayne Woodford received a severance payment of $12,598. |
| Part I, Line 7 | Part 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 ReferenceBondReferenceCd | Issuer EINIssuerEIN | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| MHHEFA | |||||||
| A | 010314384 | 2010-06-24 | 16207915 | Refinance Series 1998B, 1999A and 2001A revenue bonds | 0 | 0 | 0 |
| MHHEFA | |||||||
| B | 010314384 | 2012-06-28 | 2900361 | Refinance Series 2002A revenue bonds | 0 | 0 | 0 |
| MHHEFA | |||||||
| C | 010314384 | 2012-10-31 | 13490000 | Construction Project -Renovate ED & ASU, & Const New Medical Office Building | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Capitalized InterestCapitalizedInterest | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 16207915 | 1260488 | 14809030 | 137832 | 565 | 2010 | 1 | 0 | 0 | 1 | ||
| B | 2900361 | 184381 | 2673523 | 38004 | 4453 | 2012 | 1 | 0 | 0 | 1 | ||
| C | 13490000 | 184308 | 2548 | 0 | 0 | 0 | 1 | 761145 | 12542000 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part V Form990ScheduleKPartV (3 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | St. Joseph Healthcare Foundation, a Maine nonprofit corporation, shall be the sole member of St. Joseph Hospital. | |
| Form 990, Part VI, Section A, line 7a | The Member of St. Joseph Hospital shall elect the trustees of the Organization and may remove them with or without cause. | |
| Form 990, Part VI, Section A, line 7b | St. Joseph Healthcare Foundation, the Member of St. Joseph Hospital (the Organization), shall have the following powers and rights, as outlined in its articles of incorporation and bylaws: (a) To approve any change in the written statements of philosophy and mission of the Organization or any subsidiary of the Organization, and to monitor compliance with same; (b) To amend and to repeal the articles of incorporation and the bylaws of the Organization, and to approve the adoption, amendment or repeal of the governing instruments of any subsidiary of the Organization; (c) To elect the Trustees of the Organization and to remove them with or without cause; (d) To appoint and remove the President of the Organization, including a President secured by management contract; (e) To ratify the Board of Trustees' election of the Chairperson of the Board of Trustees; (f) To approve all plans of merger, consolidation, reorganization or dissolution of the Organization or any subsidiary of the Organization, or the sale, lease, assignment or transfer of substantially all of the assets of the Organization or any subsidiary of the Organization, or the purchase or acquisition by the Organization or any subsidiary of the Organization of an interest in any corporation, partnership, joint venture or other entity, whether newly created or previously existing, which interest, in the case of a for profit entity, represents 25 percent or more of the voting power thereof or equity interest therein, or, in the case of a nonprofit entity, represents 25 percent or more of the voting power thereof or membership interest therein; (g) To approve all Board-approved long-range strategic plans of the Organization before their implementation; (h) To approve the acquisition, sale or encumbrance by the Organization or any subsidiary of the Organization of any real estate valued in excess of the amount set by the Member in writing from time to time; (i) To approve all Board approved capital budgets of the Organization and non-budgeted expenses which are in excess of the amount set by the Member in writing from time to time, and to approve the Organization's operating budget in accordance with policies set by the Member in writing from time to time; (j) To approve all debt of the Organization, not part of the approved budget, in excess of limits set by the Member in writing from time to time before such debt is incurred; (k) To appoint the auditors of the Organization and any subsidiary of the Organization; (l) To approve the sale, assignment or transfer by the Organization or any subsidiary of the Organization of any equity interest or membership interest in any subsidiary of the Organization; (m) To approve any reclassification or other change of any capital stock or other equity security of any subsidiary of the Organization, or any recapitalization of any subsidiary of the Organization; and (n) To approve the issuance of, or the creation of any obligation to issue, any equity security of any subsidiary of the Organization, or any increase or decrease in the total number of shares of authorized capital stock or other equity security of any subsidiary of the Organization. | |
| Form 990, Part VI, Section B, line 11 | There is a formal presentation of the 990 to the Finance Committee and copies are provided to all board members. | |
| Form 990, Part VI, Section B, line 12c | Each 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 15 | Through compensation surveys/studies and employment contracts, compensations are determined by the compensation committee and approved by the board. | |
| Form 990, Part VI, Section C, line 19 | The organization makes its governing documents, policies and financial statements available to the public upon each individual request. | |
| Form 990, Part IX, line 11g | Physician 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 2c | The audit process has not changed from the previous year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| St Joseph Healthcare Foundation | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480149 | Diversified holistic health care services | ME | 501(C)(3) | Line 11a, I | Covenant Health Systems Inc | 0 | |
| St Joseph Ambulatory Care Inc | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480373 | Ambulatory care and clinical services | ME | 501(C)(3) | Line 11a, I | St Joseph Healthcare Foundation | 0 | |
| Alternative Health Services | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 010422885 | Home health agency | ME | 501(C)(3) | Line 3 | St Joseph Healthcare Foundation | 0 | |
| M & J Company | |||||||||||
| 360 Broadway | Bangor | ME | 044020403 | 222480150 | Real estate holding company | ME | 501(C)(2) | St Joseph Healthcare Foundation | 0 | ||
| Covenant Health Systems Inc | |||||||||||
| 100 Ames Pond Dr | Tewksbury | MA | 01876 | 222484505 | Sponsoring & operating a health care system | MA | 501(c)(3) | Line 9 | 0 | N/A | |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Strauss Inc | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 360 Broadway | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 044020403 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010391369 | EIN |
| Primary Activity | Medical transcription | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Healthcare Foundation | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Controlled Org | 0 | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| M & J Company | ||
| K | 1050800 | Actual amount transferred |
| M & J Company | ||
| L | 83076 | Actual amount transferred |
| M & J Company | ||
| S | 2107161 | Actual amount transferred |