2024-11-14T13:46:16-06:00 2023-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2023-01-01 222504356 St Mary's Residences STMA 2077778546 93 Campus Avenue PO Box 7291 Lewiston ME 04240 Joseph E Marino CFO & Treasurer 2077778546 2024-11-07 1 0 Connor Smart P02285543 2078792100 2024-11-07 2023 2024-10-15 13:58:12Z Cindy Segar Miller 93 Campus Avenue PO Box 7291 Lewiston ME 04240 2040333 0 X www.stmarysmaine.com X 1983 ME St. Mary's Residences offers 128 private apartments reserved exclusively for seniors and/or handicapped individuals. Residents have the independence of living on their own, with some extra help when needed. 9 8 0 8 0 0 21500 10721 1922291 1991113 12315 38499 0 0 1956106 2040333 0 0 0 0 0 0 0 0 0 1411707 2149659 1411707 2149659 544399 -109326 3745876 4151304 2048836 1963590 1697040 2187714 The mission of St. Mary's Residences is to continue the healing ministry of the Catholic Church in the spirit of St. Marguerite d'Youville by providing preventive, curative, restorative, and supportive services with compassion and respect for everyone. 0 0 2147209 0 1991113 St. Mary's Residences is a not-for-profit corporation which owns and operates an independent-living housing project in Lewiston, Maine. It consists of 128 private apartments reserved exclusively for the elderly and/or handicapped. It offers tenants the independence of living on their own with some extra help when needed. St. Mary's Residences' housing gives the elderly the opportunity to combine independent living with support services. 2147209 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 9 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 9 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 ME X X Joseph E Marino CFO & Treasurer 2077778546 93 Campus Avenue PO Box 7291 Lewiston ME 04240 Jeffery Davila MD Director 0.20 40.40 X 0 682295 11248 Anne Brown MD Director (end 11/2023) 0.30 40.60 X 0 152877 38770 David Geiger Esq Director 0.30 0.60 X 0 0 0 Ralph Harder MD Director 0.60 1.20 X 0 0 0 Lena Jo Hartley Director 0.60 1.20 X 0 0 0 John Isaacson Director 0.30 0.60 X 0 0 0 Deacon Denis Mailhot Director 0.30 0.60 X 0 0 0 Kathy McManus Director 0.60 1.20 X 0 0 0 Steve Ouellette Director 0.50 1.00 X 0 0 0 Mark Anthoine Chair 1.00 2.00 X X 0 0 0 Stephen Grubbs Covenant Health, President & CEO 0.10 45.00 X 0 803102 38604 Cindy Segar-Miller President & CEO 0.10 40.20 X 0 177283 0 Steve Jorgensen President & CEO (end 8/2023) 0.10 40.20 X 0 772789 22615 Joseph Marino CFO & Treasurer 0.10 40.20 X 0 221388 2328 Donald Bevers CFO & Treasurer (end 4/2023) 0.10 40.20 X 0 263613 25622 Cynthia Scott Secretary 0.10 40.20 X 0 73894 15569 0 3147241 154756 0 0 1 0 0 10721 10721 Residential services 623000 1991113 1991113 1991113 38499 38499 2040333 1991113 0 38499 X 2450 2450 495980 495980 28419 28419 1300785 1300785 118958 118958 127035 127035 1412 1412 Maintenance and repairs 74620 74620 2149659 2147209 2450 0 1638133 2233517 116997 122880 26634 42958 3592207 2621490 1047479 970717 916633 781232 3745876 4151304 72440 14010 1777249 1644363 199147 305217 2048836 1963590 X 1689157 2169110 7883 18604 1697040 2187714 3745876 4151304 X -109326 600000 X X 0 1 X 1 1 1 X 13596 10000 4293 21500 10721 60110 1863983 1878733 1853885 1922291 1991113 9510005 1877579 1888733 1858178 1943791 2001834 9570115 0 0 0 9570115 21359 3075 191 12315 38499 75439 21359 3075 191 12315 38499 75439 1898938 1891808 1858369 1956106 2040333 9645554 0.99220 0.99450 0.00780 0.00550 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 76829 -76829 13170 13170 3030272 2206243 824029 548765 415247 133518 970717 Replacement reserve escrow 604158 Security deposits and insurance escrow 100313 Due from affiliates 76761 781232 Due to affiliates 242728 Security deposits 48612 FIN 47 deferred expense obligations 13877 305217 X Part V, Line 4: In its 2019 tax year, the Organization determined that its restricted investment holdings, which were previously designated as endowment funds on Schedule D, Part V, did not meet the terms and definitions of endowment funds as provided in IRS Guidance and the Form 990 instructions. Accordingly, the Organization's 2019 ending balance for endowment funds was corrected to an appropriate zero-value. This continues to be the case in 2021; the figures reported on Schedule D, Part V have been maintained only to reflect the carryforward of the Organization's historic filings. Temporarily restricted funds continue to be reported separately on Form 990, Part X, Line 28. Restricted net assets, as were previously reported as endowment funds, are largely composed of restricted grants used to provide housing solutions to elderly, ill, or disenfranchised persons. 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. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2023. 1 0 0 0 0 0 0 0 0 Stephen Grubbs Covenant Health, President & CEO 0 773120 0 0 0 29982 0 9900 0 28704 0 841706 0 0 Steve Jorgensen President & CEO (end 8/2023) 0 435730 0 0 0 337059 0 9900 0 12715 0 795404 0 300000 Jeffery Davila MD Director 0 677496 0 0 0 4799 0 9701 0 1547 0 693543 0 0 Donald Bevers CFO & Treasurer (end 4/2023) 0 262791 0 0 0 822 0 788 0 24834 0 289235 0 0 Joseph Marino CFO & Treasurer 0 220008 0 0 0 1380 0 1500 0 828 0 223716 0 0 Anne Brown MD Director (end 11/2023) 0 152087 0 0 0 790 0 4831 0 33939 0 191647 0 0 Cindy Segar-Miller President & CEO 0 177283 0 0 0 0 0 0 0 0 0 177283 0 0 Part I, Line 3 Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. Form 990, Part VI, Section A, line 6 St. Mary's Health System is the sole corporate member of the organization. Form 990, Part VI, Section A, line 7a As the sole corporate member of the Organization, St. Mary's Health System retains the ability to elect and remove the Organization's board of directors with or without cause. Form 990, Part VI, Section A, line 7b As the sole corporate member of the Organization, Covenant Health, Inc. has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 4. To approve all long-range strategic plans before implementation; 5. To approve the acquisition, sale, or encumbrance of any real estate valued in excess of an amount set by the Member in writing; 6. To approve all capital budgets and non-budgeted expenses in excess of an amount set by the Member in writing; 7. To approve all debt in excess of limits set by the Member in writing; 8. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 9. To approve any reclassification or other change of any capital stock or other equity security; 10. To approve the issuance of, or the creation of any obligation to issue, an equity security; and, 11. To evaluate the performance of the filing organization in preserving, furthering and promoting the purposes of the Corporation. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the governing body for their review and approval prior to filing. Form 990, Part VI, Section B, line 12c This process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected. Form 990, Part VI, Section B, line 15 Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. Form 990, Part VI, Section C, line 19 The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available on the website of its parent organization, Covenant Health, at the following web address: https://www.covenanthealth.net/financials Form 990, Part IX, line 11g Maintenance and Operations: Program service expenses 295,829. Management and general expenses 0. Fundraising expenses 0. Total expenses 295,829. Administrative and Managerial: Program service expenses 200,151. Management and general expenses 0. Fundraising expenses 0. Total expenses 200,151. Form 990, Part XI, line 9: Net transfers (to)/from affiliates 600,000. Form 990, Part XII, Line 2c: The audit process has not changed from the prior year. Alternative Health Services 360 Broadway Bangor ME 04402 010422885 Home health and hospice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation 0 Bangor Nursing and Rehabilitation Center 103 Texas Avenue Bangor ME 04401 010538534 Long-term care nursing facility ME 501(c)(3) Line 10 Covenant Health Inc 0 CHS of Waltham Inc dba Maristhill Nursing & Rehab Center 66 Newton Street Waltham MA 02453 043333609 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 CHS of Worcester Inc dba St Mary Care Center 39 Queen Street Worchester MA 01610 043419625 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 Community Clinical Services PO Box 7291 Lewiston ME 04243 010409788 Physician practice ME 501(c)(3) Line 10 St Mary's Health System 0 Covenant Health Foundation Inc 40 Shattuck Road 317 Andover MA 01810 800199674 Charitable foundation MA 501(c)(3) Line 12a, I Covenant Health Inc 0 Covenant Health Investment Trust 40 Shattuck Road 317 Andover MA 01810 046835128 Investment trust MA 501(c)(3) Line 12a, I Covenant Health Inc 0 Covenant Health Inc 40 Shattuck Road 317 Andover MA 01810 222484505 Health care management and resource organization MA 501(c)(3) Line 10 N/A 0 Fanny Allen Corporation Inc 40 Shattuck Road 317 Andover MA 01810 222495808 Charitable foundation VT 501(c)(3) Line 12a, I Covenant Health Inc 0 Fanny Allen Holdings Inc 40 Shattuck Road 317 Andover MA 01810 030181052 Real estate holding company VT 501(c)(3) Line 12a, I Covenant Health Inc 0 Helping Hands of St Marguerite Inc 799 Concord Avenue Cambridge MA 02138 800199674 Private home-care health services MA 501(c)(3) Line 10 Covenant Health Inc 0 M & J Company 360 Broadway Bangor ME 04402 222480150 Lease holding company ME 501(c)(2) St Joseph Healthcare Foundation 0 Mary Immaculate Guild Inc 172 Lawrence Street Lawrence MA 01841 463073987 Supporting grants and donations MA 501(c)(3) Line 12a, I Covenant Health Inc 0 MI Adult Day Health Care Center Inc 189 Maple Street Lawrence MA 01841 042921888 Adult day care services MA 501(c)(3) Line 10 Covenant Health Inc 0 MI Management Inc 172 Lawrence Street Lawrence MA 01841 042857794 Assisted living services MA 501(c)(3) Line 12a, I Covenant Health Inc 0 MI Nursing Restorative Center Inc 172 Lawrence Street Lawrence MA 01841 042104851 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 MI Residential Community Inc 189 Maple Street Lawrence MA 01841 042647207 HUD low income housing MA 501(c)(3) Line 10 Covenant Health Inc 0 MI Transportation Inc 189 Maple Street Lawrence MA 01841 042921889 Elderly transportation services MA 501(c)(3) Line 10 Covenant Health Inc 0 Mount St Rita Health Centre 15 Sumner Brown Road Cumberland RI 02864 050342330 Nursing home RI 501(c)(3) Line 10 Covenant Health Inc 0 Neighborhood Housing Initiative PO Box 7291 Lewiston ME 04243 010539730 Affordable housing services ME 501(c)(3) Line 10 St Mary's Health System 0 Penacook Place Inc 150 Water Street Haverhill MA 01830 237090088 Nursing home MA 501(c)(3) Line 10 Covenant Health Inc 0 Souhegan Nursing Association 24 North River Road Milford NH 03055 020222795 Home health and hospice NH 501(c)(3) Line 10 St Joseph Hospital of Nashua NH Inc 0 St Joseph Ambulatory Care Inc 360 Broadway Bangor ME 04402 222480373 Physician practice ME 501(c)(3) Line 3 St Joseph Healthcare Foundation 0 St Andre Health Care 407 Pool Street Biddeford ME 04005 010342399 Nursing home and restorative facility ME 501(c)(3) Line 10 Covenant Health Inc 0 St Joseph Healthcare Foundation 360 Broadway Bangor ME 04402 222480149 Healthcare foundation ME 501(c)(3) Line 7 Covenant Health Inc 0 St Joseph Manor Health Care 215 Thatcher Street Brockton MA 02302 042565937 Nursing home and restorative facility MA 501(c)(3) Line 10 Covenant Health Inc 0 St Joseph's Hospital of Nashua NH Inc 172 Kinsley Street Nashua NH 03061 020222215 Hospital and health care facility NH 501(c)(3) Line 3 Covenant Health Inc 0 St Mary's D'Youville Pavilion PO Box 7291 Lewiston ME 04243 010211558 Nursing home and restorative facility ME 501(c)(3) Line 10 St Mary's Health System 0 St Mary's Health System PO Box 7291 Lewiston ME 04243 222504349 Hospital and health care facility ME 501(c)(3) Line 12a, I Covenant Health Inc 0 St Mary's Regional Medical Center PO Box 7291 Lewiston ME 04243 010211551 Hospital and health care facility ME 501(c)(3) Line 3 St Mary's Health System 0 St Mary's Residences PO Box 7291 Lewiston ME 04243 222504356 Low income housing ME 501(c)(3) Line 10 St Mary's Health System 0 St Mary's Villa Nursing Home Inc 675 St Marys Villa Road Moscow PA 18444 232057177 Nursing home and restorative facility PA 501(c)(3) Line 10 Covenant Health Inc 0 The Surgicenter at St Joseph Hospital Inc 172 Kinsley Street Nashua NH 03061 020222215 Healthcare and surgery center NH 501(c)(3) Line 10 St Joseph Hospital of Nashua NH Inc 0 Youville Hospital and Rehabilitation Center Inc 1575 Cambridge Street Cambridge MA 02138 043239563 Hospital and health care facility MA 501(c)(3) Line 10 Youville Lifecare Inc 0 Youville House Inc 1573 Cambridge Street Cambridge MA 02138 043239593 Assisted living services MA 501(c)(3) Line 10 Youville Lifecare Inc 0 Youville Lifecare Inc 1575 Cambridge Street Cambridge MA 02138 042103582 Hospital and health care facility MA 501(c)(3) Line 10 Covenant Health Inc 0 Youville Place 10 Pelham Road Lexington MA 02421 043297834 Assisted living services MA 501(c)(3) Line 10 Covenant Health Inc 0 Campus Holding PO Box 7291 Lewiston ME 04240 010406049 Holding company ME N/A C 0 Covenant Health Insurance LTD PO Box 69 Grand Cayman CJ KY1-1102 043360127 Self-insurance company CJ N/A C 0 GNM Corporation 172 Kinsley Street Nashua NH 03060 020400550 Real estate holding company NH N/A C 0 SJ Physicians Services 172 Kinsley Street Nashua NH 03060 020522234 Physician practice NH N/A C 0 St Joseph Corporate Services Inc 172 Kinsley Street Nashua NH 03060 020405197 Holding company NH N/A C 0 Strauss Incorporated 360 Broadway Bangor ME 04402 010391369 Repairs and transcriptions ME N/A C 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0