2025-11-14T13:58:04-06:00 2024-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2024-01-01 222480149 St Joseph Healthcare Foundation STJO 2079071233 360 Broadway PO Box 403 Bangor ME 044020403 Michael Hendrix CFO 2079071233 2025-11-03 1 0 Connor Smart P02285543 2078792100 2025-11-03 2024 2025-03-06 01:10:19Z Mary Prybylo MSN 360 Broadway PO Box 403 Bangor ME 044020403 3729282 0 X www.stjoeshealing.org X 1983 ME Diversified holistic health care services X 13 9 0 10 0 0 13932245 3185017 0 0 -10155 462365 -240 -10830 13921850 3636552 23740 2167714 0 0 0 0 0 0 0 17873 20995 41613 2188709 13880237 1447843 19105892 13447720 89985 103191 19015907 13344529 Diversified holistic health care services 0 0 2169929 2167714 0 During the filing period, St. Joseph Healthcare Foundation conducted charitable activities and supported the activities of St. Joseph Hospital and related organizations through long-range planning and fundraising. 2169929 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 0 1 0 0 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 ME X X Michael Hendrix CFO 2079071233 360 Broadway PO Box 403 Bangor ME 044020403 Stephen Grubbs Trustee; CEO of Covenant Health 0.10 40.40 X 0 1235937 40164 Jims Jean Jacques MD Physician 0.10 40.40 X 0 580804 43654 Joanmarie Pellegrini MD Trustee/Physician (Start 1/2024) 0.10 40.40 X 0 323732 31785 William Wood MD Trustee 0.10 0.40 X 0 30392 0 William Buckley Trustee 0.10 0.40 X 0 0 0 Rosalind Prince Gilman Esq Trustee 0.10 0.40 X 0 0 0 Anita Haskell Trustee 0.10 0.40 X 0 0 0 Curtis Kimball Esq Trustee 0.10 0.40 X 0 0 0 Judith Josiah Martin Trustee 0.10 0.40 X 0 0 0 Bradley Ryder Trustee 0.10 0.40 X 0 0 0 Lori Varney Trustee 0.10 0.40 X 0 0 0 Robert Clark Chair 0.10 0.40 X X 0 0 0 Rebecca Whitmore Vice Chair 0.10 0.40 X X 0 0 0 Mary Prybylo President & CEO, Trustee Ex-Officio 0.10 40.40 X 0 536374 39574 Michael Hendrix Treasurer/VP Finance 0.10 40.40 X 0 365231 45792 Donna Berry Secretary 0.10 40.40 X 0 91683 29005 0 3164153 229974 0 0 1 0 0 186234 2998783 1014066 3185017 429232 429232 103193 70060 33133 33133 33133 11840 186234 22670 -10830 -10830 3636552 0 0 451535 2167714 2167714 18780 18780 2215 2215 2188709 2169929 18780 0 2307232 958547 1748000 1054214 2089788 1849020 11769243 7273404 1191629 2312535 19105892 13447720 2244 2244 87741 100947 89985 103191 X 12929360 6949057 6086547 6395472 19015907 13344529 19105892 13447720 X 1447843 196734 -7315955 X X 0 1 X 1 1 1 X 384361 1359563 808488 2682245 2404400 7639057 384361 1359563 808488 2682245 2404400 7639057 2053492 5585565 109433 73475 64428 315299 429232 991867 2700 2885 5585 8636509 0.64670 0.81280 X Schedule A, Part VI, List of Unusual Grants: Description: Estate gift Date: 08/14/24 Amount: 800000. Description: Estate gift Date: 12/26/23 Amount: 11250000. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1189249 10615 153187 51338 18780 1282933 1070815 6617 174133 45432 16884 1189249 1386471 5477 -239103 65914 16116 1070815 1273834 13301 169750 50546 19868 1386471 1162918 125797 9818 5063 1273834 0.00000 1.00000 0.00000 0 0 0 Investment in Covenant Health Investment Trust 7220470 F Investments in affiliates 52934 F 7273404 Beneficial interest in perpetual trust 1282933 Due from affiliates 3125 Wealth management 1026477 2312535 Due to affiliates 100947 100947 X Part V, Line 4: Upon review of its funds, the Foundation has deemed 100% of its endowment principal to be permanently restricted. These funds are to be maintained to draw consistent investment income from, and such earnings are to be released and used to further the Foundation's operations. All Foundation Endowment Funds are to be used to advance the exempt mission of the Foundation and its affiliated organizations, such as the St. Joseph Hospital, through the provision of holistic care, support services, and administration functions. 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. 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, 2024. Commit to Get Fit Race 198074 186234 11840 1446 3260 723 17241 198074 186234 11840 1446 3260 723 17241 22670 -10830 1 St Joseph Hospital Bangor 360 Broadway PO Box 403 Bangor ME 04402 010212435 501(c)(3) 2167714 0 General operating support 1 0 Part I, Line 2: St. Joseph Healthcare Foundation is a related organization to St. Joseph Hospital of Bangor, Maine. The primary exempt purpose of St. Joseph Healthcare Foundation is to conduct charitable activities and support the operations of St. Joseph Hospital of Bangor and its affiliate organizations. From time-to-time and as finances and conditions allow, the Foundation may provide gifts and grants for emergency relief and/or financial assistance to individuals living in the communities served by the Hospital, or to employees working within the St. Joseph Hospital of Bangor system. Such payments are subject to approval and management by the appropriate finance and executive personnel within the Hospital and its parent organization, Covenant Health, Inc. of Andover, Massachusetts. The Foundation and the Hospital share an identical Board of Directors and the President & CEO of Covenant Health is deemed an ex-officio officer on both the Hospital's and the Foundation's Board. 0 0 0 0 0 0 0 0 0 Stephen Grubbs Trustee; CEO of Covenant Health 0 805455 0 400000 0 30482 0 10350 0 29814 0 1276101 0 0 Jims Jean Jacques MD Physician 0 579448 0 0 0 1356 0 6783 0 36871 0 624458 0 0 Mary Prybylo President & CEO, Trustee Ex-Officio 0 403833 0 122823 0 9718 0 10350 0 29224 0 575948 0 0 Michael Hendrix Treasurer/VP Finance 0 363124 0 0 0 2107 0 8774 0 37018 0 411023 0 0 Joanmarie Pellegrini MD Trustee/Physician (Start 1/2024) 0 298505 0 0 0 25227 0 5075 0 26710 0 355517 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. X 2 15600 Value per books X 6075 Value per books X 2 991894 Fair Market Value X 1 497 Value per books 0 1 1 Part I, Line 32b: St. Joseph Healthcare Foundation conducted charitable activities and supported the activities of St. Joseph Hospital and related organizations through long-range planning and fundraising. Through these activities the Foundation may from time-to-time receive donations of non-cash property, either in support of the Foundation's fundraising events or as non-cash gifts for the benefit of the Foundation's related organizations. Upon receipt of such gifts the Foundation coordinates with the related organizations to either utilize the donated property as part of its fundraising efforts, or to ensure such donated property is incorporated into the related organizations' exempt, charitable operations. Net equity transfers and grants to related organizations. 2024-12-31 7335338 Value per book 010212435 St Joseph Hospital 360 Broadway PO Box 403 Bangor ME 04402 501(c)(3) 0 0 0 0 Part II, Line 2e: Person(s) Involved: Please refer to this Form 990, Part VII, List of Officers and Directors. Part II, Line 2e: Explanation of Involvement: St. Joseph Healthcare Foundation ("SJHF"), along with St. Joseph Hospital of Bangor ("SJHB"), is affiliated with and part of the Covenant Health System, a group of related organizations dedicated to providing care, health, and patient services in and around New England. The Foundation works closely with the SJHB to provide health care and service to communities in and around Bangor, Maine. During the year covered by this Form 990, SJHF made significant transfers of its net assets to St. Joseph Hospital Bangor SJHB, itself a related organization within the Covenant Health System. Due to the inter-related nature of the organizations within the System, many individuals serve as directors, officers, executives, or employees simultaneously between multiple entities. In any event where the named individuals served either or both SJHF and SJHB, as either Board Members or employees, none of those individuals became entitled to any additional compensation or benefits because of these transfers and net asset dispositions. Furthermore, none of the listed individuals' roles or responsibilities materially changed due to the transfers with either respective entity. Form 990, Schedule N, Part II, Significant Disposition of Net Assets: During the period covered by this Form 990, St. Joseph Healthcare Foundation ("SJHF") made significant transfers and dispositions of its net assets, as defined in the IRS Form 990 Instructions, to the St. Joseph Hospital of Bangor ("SJHB"). Both SJHF and SJHB are affiliated with and part of the Covenant Health System, a group of related organizations dedicated to providing care, health, and patient services in and around New England. The transfers and dispositions of net assets related predominantly to movements of cash accounts, cash equivalent assets, and transferring investments between entities. All such movements of net assets from SJHF to SJHB were related to and in furtherance of the System's mission to provide care and health services to its community. The transfers from SJHF to SJHB, as reported on this Schedule N, are also included on this Form 990, Part XI, Line 9, Other Changes in Net Assets for this tax year, Net Transfers (To)/From Affiliates for -$7,335,338. Form 990, Part VI, Section A, line 6 Covenant Health Inc. is the sole corporate member of the Organization. Form 990, Part VI, Section A, line 7a As the sole corporate member of the Organization, Covenant Health, Inc. 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 elect the Board of Directors or remove them with or without cause; 4. To appoint and remove the president; 5. To ratify the Board of Director's election of the Chair of the Board; 6. 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; 7. To approve all long-range strategic plans before implementation; 8. To approve the acquisition, sale, or encumbrance of any real estate valued in excess of an amount set by the Member in writing; 9. To approve all capital budgets and non-budgeted expenses in excess of an amount set by the Member in writing; 10. To approve all debt in excess of limits set by the Member in writing; 11. To appoint the auditors; 12. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 13. To approve any reclassification or other change of any capital stock or other equity security; and, 14. To approve the issuance of, or the creation of any obligation to issue, any equity security. 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: www.covenanthealth.net/financials Form 990, Part XI, line 9: Recoveries of prior year uncollectible pledges 19,383. Net transfers to affiliates -7,335,338. Form 990, Part XII, Line 2c: The audit process has not changed from the previous year. Alternative Health Services 360 Broadway Bangor ME 04402 010422885 Home health and hospice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation 1 Bangor Nursing and Rehabilitation Center 103 Texas Avenue Bangor MA 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 1 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 1 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 Hospital 360 Broadway Bangor ME 04402 010212435 Hospital and health care facility ME 501(c)(3) Line 3 St Joseph Healthcare Foundation 1 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 1 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 1 0 1 1 0 0 0 1 0 0 1 0 1 1 0 0 1 0 St Joseph Hospital of Bangor B 2167714 Actual per book St Joseph Hospital of Bangor R 7335338 Actual per book St Joseph Hospital of Bangor E 100947 Actual per book