TY 2023 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(1) Stephen Grubbs...................................................................... Trustee; CEO of Covenant Health	0.10 ................. 40.00	X		0	803,102	38,604
(2) Jims Jean Jacques MD...................................................................... Physician	40.00 ................. 0.40	X		578,245	0	45,780
(3) Heather Evans DO...................................................................... Trustee (end 7/2023)	40.00 ................. 0.40	X		78,986	0	14,461
(4) William Buckley...................................................................... Trustee	0.10 ................. 0.40	X		0	0	0
(5) Rosalind Prince Gilman Esq...................................................................... Trustee	0.10 ................. 0.40	X		0	0	0
(6) Anita Haskell...................................................................... Trustee	0.10 ................. 0.40	X		0	0	0
(7) Jennifer Khavari...................................................................... Trustee (end 8/2023)	0.10 ................. 0.40	X		0	0	0
(8) Curtis Kimball Esq...................................................................... Trustee	0.10 ................. 0.40	X		0	0	0
(9) Judith Josiah Martin...................................................................... Trustee	0.10 ................. 0.40	X		0	0	0
(10) Bradley Ryder...................................................................... Trustee	0.10 ................. 0.40	X		0	0	0
(11) Lori Varney...................................................................... Trustee	0.10 ................. 0.40	X		0	0	0
(12) William Wood MD...................................................................... Trustee	0.10 ................. 0.40	X		0	0	0
(13) Robert Clark...................................................................... Chair	0.10 ................. 0.40	X	X	0	0	0
(14) Rebecca Whitmore...................................................................... Vice Chair	0.10 ................. 0.40	X	X	0	0	0
(15) Mary Prybylo ex-officio...................................................................... President	0.10 ................. 40.00		X	0	408,701	40,615
(16) Michael Hendrix...................................................................... Treasurer/VP Finance	40.00 ................. 0.40		X	296,217	0	44,748
(17) Donna Berry...................................................................... Secretary	40.00 ................. 0.40		X	91,741	0	28,154

(A) Name and business address	(B) Description of services	(C) Compensation
Covenant Health Inc 40 Shattuck Road 317 Andover,MA01810	Management services	29,058,267
Medefis Inc PO Box 5068 New York,NY100875068	Healthcare management services	6,226,009
NES Medical Services of New England PO Box 936451 Atlanta,GA31193	Healthcare management services	1,964,212
Dragonfly Therapy 840 Hammond Street Suite 2 Bangor,ME04401	Therapy services	1,268,820
Mayo Collaborative Services PO Box 9146 Minneapolis,MN55480	Diagnostic services	652,994
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 20

- TIN:

SCHEDULE A
(Form 990)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

St Joseph Hospital

Employer identification number

01-0212435

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 33 1/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 33 1/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box on lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990) 2023

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf ....
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) ..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10

Gross receipts from related activities, etc. (see instructions) ..................

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here ........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2022 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2023. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2022. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2023. If the organization did not check a box on line 13, 16a, or 16b, and line 14 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

10%-facts-and-circumstances test—2022. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line 15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported organization ............ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990) 2023

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose
3	Gross receipts from activities that are not an unrelated trade or business under section 513 .....
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge
6	Total. Add lines 1 through 5
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) 2023	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First 5 years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here................................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2023 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2022 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2023 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2022 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2023. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3 % support tests—2022. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ..... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990) 2023

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer lines 3b and 3c below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked box 12a or 12b in Part I, answer lines 4b and 4c below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer lines 5b and 5c below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons, as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined on line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined on line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990) 2023

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in line 2 above, did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer lines 2a and 2b below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described on line 2a, above constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer lines 3a and 3b below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations?If "Yes" or "No", provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990) 2023

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by 0.035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990) 2023

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations(continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2023 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2023	(iii) Distributable Amount for 2023
1 Distributable amount for 2023 from Section C, line 6
2 Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2023:
a From 2018.......
b From 2019.......
c From 2020.......
d From 2021.......
e From 2022.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2023 distributable amount
i Carryover from 2018 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2023 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2023 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2023, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions.
6 Remaining underdistributions for 2023. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions.
7 Excess distributions carryover to 2024. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2019.....
b Excess from 2020.....
c Excess from 2021.....
d Excess from 2022.....
e Excess from 2023.....

Schedule A (Form 990) (2023)

Schedule A (Form 990) 2023

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Name of the organization

St Joseph Hospital

Employer identification number

01-0212435

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note: Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution: An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its Form 990-EZ
or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990) (2023)

Schedule B (Form 990) (2023) Page 2

Name of organization St Joseph Hospital

Part I Contributors	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 3

Name of organization St Joseph Hospital		Employer identification number 01-0212435

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
(a) No. from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (See instructions)	(d) Date received
		$
Schedule B (Form 990) (2023)

Schedule B (Form 990) (2023)

Page 4


Name of organization St Joseph Hospital			Employer identification number 01-0212435
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No. from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990) (2023)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

St Joseph Hospital

Employer identification number

01-0212435

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990.

Cat. No. 50084S

Schedule C (Form 990) 2022

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2019	(b) 2020	(c) 2021	(d) 2022	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2022

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes|No

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

7,324

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

7,324

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
Part II-B, Line 1:	Part II-B, Line 1f: St. Joseph Hospital of Bangor partners with various like-minded trade and professional associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. One of these associations is the Maine Hospital Association ("MHA"). To maintain its membership with the MHA, the Hospital is required to remit dues back to the MHA. A portion of the dues paid to MHA has been designated as available for lobbying expenditures. Any lobbying expenditures paid by MHA are incurred in order to help track, discuss, and respond to legislation affecting health care policy. The specific dues paid by the Hospital to MHA in 2023, as well as the portion of the dues estimated to be available for lobbying expenditures, are detailed below: - Total 2023 dues paid: $53,460 - Portion of dues available for lobbying (13.7%): $7,324 Additionally, St. Joseph Hosptial, through its affiliation with Covenant Health, Inc. of Andover, Massachusetts, is also a member of the American Hospital Association ("AHA"). The AHA provides similar member services to the Hospital as the MHA but on a broader, more national level. As Covenant Health maintains and manages this affiliation on behalf of the Hospital, the Hospital is unable to estimate the portion of dues paid to the AHA on its behalf, or what portion of such dues, if any, were available for lobbying expenditures. However, while the Hospital is not able to put dollars to this relationship for purposes of this Schedule C, the Hospital has still elected to disclose this relationship for transparency purposes.

Return Reference

Explanation

Part II-B, Line 1:

Part II-B, Line 1f: St. Joseph Hospital of Bangor partners with various like-minded trade and professional associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. One of these associations is the Maine Hospital Association ("MHA"). To maintain its membership with the MHA, the Hospital is required to remit dues back to the MHA. A portion of the dues paid to MHA has been designated as available for lobbying expenditures. Any lobbying expenditures paid by MHA are incurred in order to help track, discuss, and respond to legislation affecting health care policy. The specific dues paid by the Hospital to MHA in 2023, as well as the portion of the dues estimated to be available for lobbying expenditures, are detailed below: - Total 2023 dues paid: $53,460 - Portion of dues available for lobbying (13.7%): $7,324 Additionally, St. Joseph Hosptial, through its affiliation with Covenant Health, Inc. of Andover, Massachusetts, is also a member of the American Hospital Association ("AHA"). The AHA provides similar member services to the Hospital as the MHA but on a broader, more national level. As Covenant Health maintains and manages this affiliation on behalf of the Hospital, the Hospital is unable to estimate the portion of dues paid to the AHA on its behalf, or what portion of such dues, if any, were available for lobbying expenditures. However, while the Hospital is not able to put dollars to this relationship for purposes of this Schedule C, the Hospital has still elected to disclose this relationship for transparency purposes.

Schedule C (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
right arrow

Attach to Form 990.
right arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

St Joseph Hospital

Employer identification number

01-0212435

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after July 25, 2006, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year right arrow

Number of states where property subject to conservation easement is located right arrow

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
right arrow

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2022

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....	2,340,116	3,022,299	2,776,908	2,487,860	2,112,680
b	Contributions ...	21,016	11,050	26,787	26,185	7,289
c	Net investment earnings, gains, and losses	395,836	-516,447	371,393	420,409	484,718
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	88,287	144,727	117,673	122,849	86,959
f	Administrative expenses ....	30,992	32,059	35,116	34,697	29,868
g	End of year balance ......	2,637,689	2,340,116	3,022,299	2,776,908	2,487,860

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment right arrow

0 %

Permanent endowment right arrow

100.000 %

Term endowment right arrow

0 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	175,048		175,048
b	Buildings ....	50,615,002	30,428,516	20,186,486
c	Leasehold improvements	3,093,605	3,092,988	617
d	Equipment ....	33,444,826	25,832,349	7,612,477
e	Other .....	1,993,746	19,525	1,974,221
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				29,948,849

Schedule D (Form 990) 2022

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)Due from affiliates				6,446,358
(2)Security deposits				381,810
(3)Third party payor receivables				1,619,930
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				8,448,098

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
Lease liabilities	1,592,991
Professional insurance liabilities	1,208,965
Due to affiliates	31,140,426
Bond issue discounts, allocated from related organization	-631,874





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	33,310,508
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2022

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ...........	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

Part V, Line 4:

To ensure the long-term financial viability of the Organization and its exempt, charitable mission, which includes the promotion and provision of holistic healing and healthcare services.

Part X, Line 2:

St. Joseph Hospital of Bangor is a member of the Covenant Health, Inc. System. 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. 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.

Schedule D (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow

Attach to Form 990.
Medium right arrow

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

St Joseph Hospital

Employer identification number

01-0212435

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .			1,252,963		1,252,963	0.630 %
b	Medicaid (from Worksheet 3, column a) . . . . .			30,942,203	19,632,637	11,309,566	5.700 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .			32,195,166	19,632,637	12,562,529	6.330 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).
f	Health professions education (from Worksheet 5) . . .	3	394	666,941		666,941	0.340 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	6	1,441	44,485		44,485	0.020 %
j	Total. Other Benefits . .	9	1,835	711,426		711,426	0.360 %
k	Total. Add lines 7d and 7j .	9	1,835	32,906,592	19,632,637	13,273,955	6.690 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023

Schedule H (Form 990) 2023

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

2,506,988

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

93,222,391

Enter Medicare allowable costs of care relating to payments on line 5.....

159,087,489

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-65,865,098

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2023

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	St Joseph Hospital 360 Broadway PO Box 403 Bangor,ME04401 www.stjoeshealing.org ME-37936	X	X	X

Schedule H (Form 990) 2023

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	St Joseph Hospital
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 22

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): See Part V, Section C

Other website (list url): See Part V, Section C

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): See Part V, Section C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2023

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	St Joseph Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 400.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

See Part V, Section C

The FAP application form was widely available on a website (list url):

See Part V, Section C

A plain language summary of the FAP was widely available on a website (list url):
See Part V, Section C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 6

Part VFacility Information (continued)

Billing and Collections

	St Joseph Hospital
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2023

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	St Joseph Hospital
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2023

Page 8

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
St. Joseph Hospital	Part V, Section B, Line 5: St. Joseph Hospital of Bangor participated in the 2022 Maine Shared Community Health Needs Assessment Report. The primary service area for St. Joseph Hospital is Penobscot County, therefore, St. Joseph Hospital will utilize the findings from the 2022 Maine Shared Community Health Needs Assessment Report: Penobscot County. The Maine Shared CHNA is a public-private collaboration governed by a Steering Committee, which is made up of representatives of each member organization. The Steering Committee sets fiscal and operational goals that then implemented by the Maine Shared CHNA Program Manager. Input is provided by key stakeholder groups including the Metrics Committee and the Health Equity Engagement Committee. The Metrics Committee is charged with creating and reviewing a common set of population/community health indicators and measures ever three years. The Health Equity/Community Engagement Committee is charged with updating outreach methodology to ensure a collection of broad, diverse, and representative qualitative data form groups that are more likely to experience health disparities. To ensure these methods reflect the needs and cultural expectations this committee included representatives form a variety of Maine's ethnic-based can community-based organizations, along with representatives from public health and healthcare, and a variety of additional partners.The 2021-2022 Maine Shared CHNA process involved three phases.Data Analysis:The first phase of the project involved the analysis of more than 220 health indicators for the state, counties, public health districts, selected cities, and by specific demographics when available.Community Outreach and Engagement:Community outreach and engagement for the Maine Shared CHNA included the following efforts:- 17 County Forums (Maine)- 9 Community Sponsored Events- 1,000 Oral SurveysNew this cycle was an expanded effort to reach those who experience systemic disadvantages and therefore experience a greater rate of health disparities. The communities included:- Black or African American- Homeless or formerly homeless- LGBTQ+ community- Older adults- People who are deaf or hard of hearing- People who live with a disability- People with low income- People with a mental health diagnosis- YouthThese events followed the same methodology as county forums with hosts providing input on the data presentation and leading the effort to recruit participants.Communities, businesses, and individuals that were consulted during the engagement process for input. The State Report, found on the Maine Shared CHNA website, www.mainechna.org, provides a full description.
St. Joseph Hospital	Part V, Section B, Line 6a: The Maine Shared CHNA for Penobscot County was conducted with numerous healthcare organizations, care providers, community groups, professional associations, and community members. For a full list of the hospital facilities that participated in the 2022 Maine Shared CHNA for Penobscot County, please refer to the full report, which is available online at the following web-address:www.mainechna.org
St. Joseph Hospital	Part V, Section B, Line 6b: The Maine Shared CHNA for Penobscot County was conducted with numerous healthcare organizations, care providers, community groups, professional associations, and community members. For a full list of the organizations other than hospital facilities that participated in the 2022 Maine Shared CHNA for Penobscot County, please refer to the full report, which is available online at the following web-address:www.mainechna.org
St. Joseph Hospital	Part V, Section B, Line 11: St. Joseph Hospital's Implementation Strategy for 2023-2025 will focus on applying action items to support Community Health Improvement related to the following areas and implementation strategy.A. Identified Community Need: Mental Health 1. Expand access to mental health services. 2. Reduce the stigma associated with metal health. 3. Improve screening intervention for identified populations.B. Identified Community Need: Substance and Alcohol Use 1. Expand substance use disorder treatment options. 2. Participate in collaborative community initiatives focused on improving treatment access, substance use prevention and substance use education.C. Identified Community Need: Access to Care 1. Implement new care delivery models to enhance access to care. 2. Expand Same Day Care Services 3. Expand Primary Care Access (the correct level of care at the correct location of service)D. Identified Community Need: Social Determinants of Health 1. Implement programs to support food security. 2. Expand programs to support wellness services within the housing insecure population.St. Joseph Hospital will engage in specific action items associated with each identified community health need. These action items and associated measures of success will be contained within a yearly CHNA Action Plan. A CHNA Action Plan will be established for each of the associated years; 2023, 2024, 2025.
Schedule H, Part V, Section B, Line 7a & 10a:	The Hospital's most recent CHNA can be reached through the Hospital's website at:https://stjosephbangor.org/mschna/The most recent CHNA is directly available on the Hospital's website at:https://stjosephbangor.org/wp-content/uploads/2023/09/Penobscot-County-MSCHNA-Report-2022.pdfThe most recent CHNA is also available on the Maine.gov website, at:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/documents/county-reports/2022/Penobscot%20County%20MSCHNA%20Report%202022.pdfAdditionally, both the current Maine Shared CHNA for Penobscot County (to which the Hospital participates and contributes) as well as past reports can be found at:https://www.maine.gov/dhhs/mecdc/phdata/MaineCHNA/final-CHNA-reports.shtmlLastly, the Hospital's CHNA Implementation Strategy is available online at:https://stjosephbangor.org/our-mission/community-resources/A direct link to the most recent Implementation Strategy is copied below:https://stjosephbangor.org/wp-content/uploads/2023/10/2023-CHNA-Implementation-Strategy.pdf
Schedule H, Part V, Section B, Line 16a & 16b	The Hospital's Financial Assistance Policy (Benevolence Program), Financial Assistance Applications, and Plain Language Summary (PLS) can be found at:https://stjosephbangor.org/patients-visitors/billing-insurance/financial-assistance/Specifically, the entire Financial Assistance Policy may be found here:https://stjosephbangor.org/wp-content/uploads/2023/10/Convenant-Financial-Assistance-Policy.pdfAdditionally, the Free Care Guidelines may be found here:https://stjosephbangor.org/wp-content/uploads/2022/02/2022Free-Care-Guidelines-Notice-SJB-landscape.pdfBoth providers covered and providers not covered by the Financial Assistance Policy may be found here:https://stjosephbangor.org/patients-visitors/billing-insurance/financial-assistance/
Schedule H, Part V, Section B, Line 16i:	Currently, the Hospital's Financial Assistance Policy is only available online in English, as the community served by the Hospital has no LEP populations.

Schedule H (Form 990) 2023

Page 9

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?16
Name and address		Type of Facility (describe)
1	1 - Regional Breast Care CenterBone Density 900 Broadway Bangor,ME04401	Women's Health Clinic
2	2 - St Joseph Diabetes and Nutrition Center 900 Broadway Bangor,ME04401	OP Clinic
3	3 - St Joseph Endocrinology 900 Broadway Bangor,ME04401	Physician Specialty Practice
4	4 - St Joseph Internal Medicine 900 Broadway Bangor,ME04401	Physician Specialty Practice
5	5 - St Joseph Rheumatology 900 Broadway Bangor,ME04401	Physician Specialty Practice
6	6 - St Joseph Family Medicine 900 Broadway Bangor,ME04401	Physician Family Medicine Practice
7	7 - St Joseph Workwell-Occupational Health 900 Broadway Bangor,ME04401	Occupational Health Clinic
8	8 - St Joseph Hospital Center for Sleep 268 Central Street Bangor,ME04401	Sleep Lab
9	9 - St Joseph Cardiology 360 Broadway Suite 202 Bangor,ME04401	Physician Specialty Practice
10	10 - St Joseph Family Medicine-MT Hope 700 Mount Hope Avenue Bangor,ME04401	Physician Family Medicine Practice
11	11 - St Joseph Family Medicine-Brewer 329 Wilson Street Brewer,ME04412	Physician Family Medicine Practice
12	12 - St Joseph Family Medicine-Hampden 21 Western Avenue Hampden,ME04444	Physician Family Medicine Practice
13	13 - St Joseph Hospitalists Service 360 Broadway Bangor,ME04401	Outpatient Clinic
14	14 - St Joseph General Surgery 360 Broadway Suite 207 Bangor,ME04401	Physician Specialty Practice
15	15 - St Joseph Gastroenterology 360 Broadway Suite 100 Bangor,ME04401	Physician Specialty Practice
16	16 - St Joseph Respiratory Care 360 Broadway Suite 202 Bangor,ME04401	Physician Specialty Practice

Schedule H (Form 990) 2023

Page 10

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
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.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 7,888,571.
Part II, Community Building Activities:	With a calling from God and the vision of Blessed Mary Angela, the Felician Sisters extended their ministry of care to St. Joseph Hospital, Bangor, Maine in 1947. To all those in need, we provide compassionate, high quality holistic healthcare. We pledge to continue our mission as the leader of compassionate service, remaining a pillar of healing, while responding to the ever-changing needs of our communities.Our Mission: "we are a Catholic Health Ministry, providing healing and care for the whole person, in service to all in our communities." These are 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.The community building activities conducted specifically in response to the COVID-19 Pandemic and that continue through the 2023 tax year included the following:1. Telehealth Services: The Hospital expanded its telehealth services in 2020 and continued through 2023, which improved its community's access to care and medical resources. Virtual appointments with over two hundred providers across our system, allowed us to continue to offer patients high quality care and offer patients a terrific alternative to in-office visits. In addition to concerns around COVID-19, the Hospital has also moved to this model to ensure its patients benefit from a continuity of care. Telehealth is a safe way for patients to stay connected with their doctor and can be evaluated for mild and most moderate illnesses, including concerns about COVID-19.2. Public Health Initiatives: The Hospital issued public health guidance on proper mask use, sanitation, and social distancing. The Hospital also administered COVID-19 tests and vaccinations, contributing significantly to the community's COVID-19 response. In addition to these aforementioned efforts, during 2022 St. Joseph Hospital continued to show its commitment to the community through its initiatives, leadership, and through both cash and in-kind donations. Initiatives included:- S.A.F.E. Nurses Program: St. Joe's is incredibly proud of its S.A.F.E. (Sexual Assault Forensic Examiner) nurses' program, which is composed of a team of nurses who have been specially trained to provide comprehensive medical care to patients affected by sexual assault, domestic violence or even sexual exploitation or trafficking.- Commit to Get Fit: Since lack of physical activity and obesity are significant health challenges in the community, St. Joseph's has dedicated fundraising efforts similar to our sister hospital, to create a community event to encourage physical activity. The Commit to Get Fit Challenge is focused on encouraging individuals of all levels of physical activity to engage in the event. We welcome and support the person who is committed to running their first 5K with as much enthusiasm as the person who is putting all their effort into walking our 3K. Our success can be seen on the faces of the walkers and runners as they cross the finish line.- Mother Mary Angela Fund: The MMA Fund is an employee and donation subsidized fund used to meet the critical and emergent needs of patients, employees, and volunteers. Resources from this fund can used to pay medication co-pays, non-covered supplies for home care patients, and rent payments for those experiencing tough times.- Healing Arts: musicians put on a performance at St. Joseph Healthcare. The program focuses entirely on enhancing the hospital's environment through the arts.- St. Joseph's Closet: The organization purchases clothing for patients that come to the hospital and who might need them.- Bangor Area Homeless Shelter: Monthly meals served by employees of the organization. - Kingman School Backpack Program: distinct departments within the Hospital collaboratively support a child for the school year by providing child-friendly food, ensuring that the child will have food over the weekend. - Employee Food Pantry: Donated items are given to patients with food insecurity.- Hope House: The SJB Dietary Department prepares meals to serve at the at the Hope House, supporting adults with development disabilities.- Casual for a Cause: Donations to the Mother Mary Angela Fund from wearing jeans.- Bangor Area Homeless Shelter: The SJB Dietary Department prepares meals to serve at the local homeless shelter.- Bangor Area homeless Shelter: St. Joseph's laundry washes the linens of the homeless shelter. The total per month wash-load is in excess of 1,100 pounds of laundry.- Salvation Army Soup Kitchen: the SJB Dietary Department prepares and provides a luncheon meal to serve at the Dorothy Day Soup Kitchen.- Maine Multicultural Center: St. Joseph Hospital leaders participate in The Maine Multicultural Center, a community-driven group representing Bangor-area businesses as well as cultural and educational organizations. The Hospital promotes community enrichment and economic growth by attracting, retaining, supporting, and integrating people of diverse cultures and backgrounds into greater Bangor.
Part III, Line 2:	Estimated cost of bad debt expense reported is derived from the accounting system using cost-to-charge ratios from the as-filed Medicare cost report. The calculated cost-to-charge ratio for the year was determined to be 31.78%. Therefore, it is estimated the organization's bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15 was $2,506,988 for the 2023 tax year.
Part III, Line 3:	The Hospital does not estimate any amount of bad debt expense that is attributable to patients eligible under the Hospital's financial assistance policy. Accordingly, no amount has been included on Schedule H, Part III, Line 3.
Part III, Line 4:	Footnotes to the Organization's financial statements that describe bad debt expense are located in Footnote 2, Page 11, of the Organization's consolidated financial statements.
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 in Part I, line 7.
Part III, Line 9b:	Our collection policy 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 VI, Line 2:	In 1947, when the Felician Sisters bought the Paine Private Hospital, renamed it St. Joseph Healthcare, and began their ministry in this community, it was a long-time commitment they were offering the residents of the greater Bangor area. This commitment was not only to care for the sick in this community, but also to keep the community healthy and provide care for people who are poor and vulnerable. When the ownership of this faith-based community hospital was transferred to Covenant Health, this commitment was renewed with even more passion and striving for excellence. Covenant Health's four values (compassion, integrity, collaboration, and excellence) are reflected through our daily business, which has made this organization a beacon of hope and a place of healing and compassion.Honoring the legacy of this organization, St. Joseph Healthcare continues to care for the poor and vulnerable in our society. We have been proactive and creative in providing appropriate assistance where needed. Currently, this commitment to caring for the whole person manifests itself through community outreach programs, activities and services designed to support community members' health and wellness needs. It also supports the growth and sustainability of a healthy and productive community. By partnering with and supporting agencies with a similar mission and goals, St. Joseph Healthcare is able to provide persons and communities with a higher level of service, while also addressing social issues facing us today.
Part VI, Line 3:	St. Joseph Hospital of Bangor operates in conformity with the Financial Assistance Policy as defined and mandated within the Covenant Health System. Consistent with its mission to provide high quality health and wellness services for the community, it is the Hospital's policy that an individual meeting qualified income guidelines may receive financial assistance in paying medically necessary self-pay bills, without discrimination due to race, gender, age, sexual orientation, religious affiliation, social or immigrant status, or health insurance status. In accordance with the Affordable Care Act (ACA), any patient eligible for financial assistance will not be charged more for emergency or medically necessary care than the amount billed (AGB) to insured patients. Covenant Health follows all EMTALA regulations, and no patient will be denied emergency services.Each inpatient receives a packet upon admission that includes a description of the Hospital's Benevolence (Free Care and Cost Share) Policy. If an inpatient has any questions during their 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 billing-statement is a notification that free care and cost share is available, the poverty guidelines, and a telephone number for assistance.In accordance with 22 M.R.S.A. Section 1716 and the State of Maine Department of Human Services and Bureau of Medical Services Chapter 150, Agency 10-144, the hospital provides Free Care to residents of Maine, whose income fall below certain thresholds.
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. 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 population of Penobscot County is 151,774 and 29.4% of the population is 65 years of age or older and living alone. The population is white (94.5%); 2.0% are two or more races, American Indian/Alaskan Native 1.3%, and 1.0% are Asian. The median household income is $50,808. The high school graduation rate (86.2%) and the percent of the population with an associate degree or higher (38.3%) is lower than state average.
Part VI, Line 5:	St. Joseph Hospital utilized the 2022 Maine Shared Community Health Needs Assessment (Maine CHNA)-Penobscot County to craft an informed implementation strategy and yearly action plan to address community health needs within the primary service area for St. Joseph Hospital. The Maine CHNA-Penobscot County is intended for collaborative utilization to fulfill the Internal Revenue Service (IRS) requirements for non-profit hospitals. The health priorities for Penobscot County as outlined in the Maine CHNA are as follows (listed in order of identified highest priority):- Mental Health- Social Determinants of Health- Substance Use- Access to CareSt. Joseph Hospital will be addressing each of these priorities relative to the organization's:- Mission- Scope of services - Areas of expertise- Collaborative efforts and integration with fellow community organizations Mental Health:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County mental health quantitative and qualitative data as well as identified gaps/needs in relation to St. Joseph Hospital's scope of services and areas of expertise to craft an informed implementation strategy.Associated data demonstrates that:- The percentage of adults with current symptoms of depression was higher than the state overall- The percentage of youth that experience suicidal ideation and feeling sad and hopeless, 32.5% for high school students and 21.1% of middle school students.Identified gaps/needs included:- Collaboration-Providers, not enough and lack of skills and education to address mental health needs.- Barriers to Treatment, long waitlists, lack of inpatient beds and poor access to outpatient services- Stress/IsolationDuring the period of years 2023-2025, St. Joseph Hospital will focus on improving this community health need by:1. Expanding access to mental health services 2. Reducing the stigma associated with mental health3. Improving screening intervention for identified populationsSocial Determinants of Health:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County social determinants of health quantitative and qualitative data as well as identified gaps/needs in relation to St. Joseph Hospital's scope of services and areas of expertise to craft an informed implementation strategy.Associated data demonstrates that:- The unemployment rate was similar to the state overall- The percentage of individuals living in poverty was higher than the state overall- The percentage of children living in poverty was similar to the state overall- Median household income was lower than the state overallIdentified gaps/needs included:- Barriers to Care- Poverty, low median income- Equity, inequitable access for minorities and immigrants- Housing- Transportation- Physical Activity During the period of years 2023-2025, St. Joseph Hospital will focus on improving this community health need by:1. Implementing programs to support food security 2. Implementing programs to support the integration of wellness services within housing insecure population3. Implementing financial management educational program4. Actively participating with collaborative community initiatives focused on improving social determinants of health-with intent to participate in and integrate programs within St. Joseph Hospital. Substance & Alcohol Use:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County substance use quantitative and qualitative data as well as identified gaps/needs in relation to St. Joseph Hospital's scope of services and areas of expertise to craft an informed implementation strategy.Associated data demonstrates that:- Overdose deaths were significantly higher than the state overall, both for Drug-induced as well as Alcohol-induced.- Drug-affected infants were significantly higher that the state overall.- Hospital utilization for opiate poisoning was higher than the state overall.Identified gaps/needs included:- Treatment- Recovery- Funding/Resources- Harm Reduction- Ease of access substances- Equity- StigmaDuring the period of years 2023-2025, St. Joseph Hospital will focus on improving this community health need by:1. Actively participating with collaborative community initiatives focused on improving access to Naloxone, substance use prevention, substance use education2. Expanding substance use disorder treatment options3. Improving screening intervention vaping and alcohol consumption4. Expanding relapse prevention servicesAccess to Care:St. Joseph Hospital reviewed the Maine CHNA-Penobscot County access to care quantitative and qualitative data as well as identified gaps/needs in relation to St. Joseph Hospital's scope of services and areas of expertise to craft an informed implementation strategy.Associated data demonstrates that:- The percentage of the population that is uninsured was higher than the state overall- The percentage who reported an inability to access healthcare due to cost was higher than the state overall- The ratio of primary care physicians to 100,000 population was lower than the state overallIdentified gaps/needs included:- Providers - Costs- Barriers to care- TransportationDuring the period of years 2023-2025, St. Joseph Hospital will focus on improving this community health need by:1. Implementing new care delivery models which align with provider practice preference in an effort to improve provider satisfaction and enhance access (consistency in provider staffing)2. Expanding same day care services3. Expanding primary care access (correct level of care at the correct location of service)
Part VI, Line 6:	St. Joseph Healthcare is comprised of St. Joseph Hospital (an acute care hospital), St. Joseph Ambulatory Care, Inc., (Infusion Therapy services and employer health services), and Alternative Health Services, Inc. (which provides home health and hospice services). By joining Covenant Health, Inc., St. Joseph Healthcare is aligned with two other acute care hospitals and multiple skilled nursing and assisted living facilities.
Part VI, Line 7, Reports Filed With States	ME

Schedule H (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization
St Joseph Hospital

Employer identification number
01-0212435

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of noncash assistance	(h) Purpose of grant or assistance
(1) Bangor Region YMCA 17 Second Street Bangor,ME04401	01-0211485	501(c)(3)	6,000	0			Community building and sponsorship; general operating support

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2023

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance

(1) Community benefits, cash and in-kind gifts to others	1441	44,485
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference

Explanation

Part I, Line 2:

All accounting is managed through Covenant Health's Accounts Payable (St. Joseph Hospital's (SJH) parent corporation) and SJH's Finance Department. Specific procedures and management protocols have been established for tracking grant awards. St. Joseph's grants management systems are also monitored by appropriate personnel to ensure redundant mechanisms of oversight. St. Joseph's Finance Department monitors and maintains a list of all contracts through a contract database. The database provides designated individuals with access to the actual contract. The Hospital's Finance Department reviews all contracts to ensure that any payments or financial reporting requirements are met. All grant expenditures are assigned to specific grants and require authorization from the departmental director requesting the expense. In furtherance of its exempt mission, the Hospital may from time-to-time and as finances allow provide grants and sponsorships to other charitable organizations when such gifts are deemed to advance the Hospital's mission and to improve the wellbeing of the Hospital's community. Additionally, as part of the Hospital's efforts to support and advance the public health and benefits of its community, the Hospital provides cash gifts and gifts-in-kind to people in need. Such gifts can take many forms, either as food relief, medical assistance, transit vouchers, shelter and housing assistance, and other similar causes.

Schedule I (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

St Joseph Hospital

Employer identification number

01-0212435

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Yes

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2023

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Ganesha Santhyadka MD Physician	(i) (ii)	790,324 ------------- 0	0 ------------- 0	26,032 ------------- 0	9,900 ------------- 0	35,493 ------------- 0	861,749 ------------- 0	0 ------------- 0
2Stephen Grubbs Trustee; CEO of Covenant Health	(i) (ii)	0 ------------- 773,120	0 ------------- 0	0 ------------- 29,982	0 ------------- 9,900	0 ------------- 28,704	0 ------------- 841,706	0 ------------- 0
3Michael Sighinolfi MD Physician	(i) (ii)	678,136 ------------- 0	0 ------------- 0	23,523 ------------- 0	8,438 ------------- 0	17,306 ------------- 0	727,403 ------------- 0	0 ------------- 0
4Joseph Gallagher MD Physician	(i) (ii)	641,264 ------------- 0	0 ------------- 0	25,119 ------------- 0	9,900 ------------- 0	35,444 ------------- 0	711,727 ------------- 0	0 ------------- 0
5John Vanadia MD Physician	(i) (ii)	600,788 ------------- 0	0 ------------- 0	6,090 ------------- 0	9,900 ------------- 0	37,641 ------------- 0	654,419 ------------- 0	0 ------------- 0
6Michael Starks MD Physician	(i) (ii)	570,129 ------------- 0	0 ------------- 0	24,771 ------------- 0	9,035 ------------- 0	24,869 ------------- 0	628,804 ------------- 0	0 ------------- 0
7Jims Jean Jacques MD Physician	(i) (ii)	576,902 ------------- 0	0 ------------- 0	1,343 ------------- 0	9,900 ------------- 0	35,880 ------------- 0	624,025 ------------- 0	0 ------------- 0
8Mary Prybylo ex-officio President	(i) (ii)	0 ------------- 399,313	0 ------------- 0	0 ------------- 9,388	0 ------------- 9,900	0 ------------- 30,715	0 ------------- 449,316	0 ------------- 0
9Michael Hendrix Treasurer/VP Finance	(i) (ii)	294,112 ------------- 0	0 ------------- 0	2,105 ------------- 0	8,716 ------------- 0	36,032 ------------- 0	340,965 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2023

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

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.

Part I, Line 7

A Compensation Committee recommends the variable pay award that may be issued to qualifying employees and officers. The payment of the award is discretionary and is subject to meeting the pre-determined goals of the Organization.

Schedule J (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2023

Open to Public
Inspection

Name of the organization

St Joseph Hospital

Employer identification number

01-0212435

Return Reference	Explanation
Form 990, Part III, line 2	St. Joseph Ambulatory Care ("ACI") and St. Joseph Hospital of Bangor (the "Hospital") are both related organizations to each other and are both part of the Covenant Health System. For several years, ACI independently and separately from the Hospital operated an Infusion Clinic, servicing Infusion patients who were commerical or self-pay. Historically, those patients' needs in this particular area were best served through an outpatient clinic rather than at the central Hospital facilities. However, in an effort to improve economies of scale and to improve patient services and the overall patient experience, Infusion services previously conducted by ACI were rolled into and merged with Infusion services performed by the Hospital, at Hospital facilities. This allows the Hospital to provide commercial or self-pay Infusion care simultaneously and along with Medicare and Medicaid patients. The transition to move the Infusion services from ACI to the Hospital occurred in June 2023. Through this transition, the Infusion services themselves never stopped - rather, the only change was which entity and at which location such services were conducted. As of the end of 2023, all Infusion service patients were transitioned to the Hosptial. Additionally, in an effort to continually improve on its ability to offer patients increased access to care and services, the Hospital added an inpatient dialysis service line in late 2023. While this expansion of service was new in 2023 and did not see substantial activity by year-end, the Hospital anticipates this new service to significantly improve its patients and community's access to care and personal wellbeing in the years ahead.
Form 990, Part VI, Section A, line 6	St. Joseph Healthcare Foundation 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. Joseph Healthcare Foundation 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, St. Joseph Healthcare Foundation 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 appoint the auditors; 9. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 10. To approve any reclassification or other change of any capital stock or other equity security; 11. To approve the issuance of, or the creation of any obligation to issue, an equity security; and, 12. To evaluate the performance of the Medical Center in preserving, furthering, and promoting the purposes of the Medical Center.
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, Inc., at the following web address: https://covenanthealth.net/financials/
Form 990, Part IX, line 11g	Contracted medical professionals: Program service expenses 15,252,040. Management and general expenses 782,368. Fundraising expenses 0. Total expenses 16,034,408. Administrative and maintenance: Program service expenses 0. Management and general expenses 5,668,458. Fundraising expenses 0. Total expenses 5,668,458. Consulting and advisory services: Program service expenses 0. Management and general expenses 571,114. Fundraising expenses 0. Total expenses 571,114.
Form 990, Part XI, line 9:	Net assets released from restrictions used in Operations 644,266. Net transfers from/(to) related organizations -86,811.
Form 990, Part XII, Line 2c:	The audit process has not changed from the prior year.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990) 2023

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2023

Open to Public Inspection

Name of the organization

St Joseph Hospital

Employer identification number

01-0212435

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Alternative Health Services 360 Broadway Bangor,ME04402 01-0422885	Home health and hospice	ME	501(c)(3)	Line 10	St Joseph Healthcare Foundation		No
(2)Bangor Nursing and Rehabilitation Center 103 Texas Avenue Bangor,ME04401 01-0538534	Long-term care nursing facility	ME	501(c)(3)	Line 10	Covenant Health Inc		No
(3)CHS of Waltham Inc dba Maristhill Nursing & Rehab Center 66 Newton Street Waltham,MA02453 04-3333609	Nursing home and restorative facility	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(4)CHS of Worcester Inc dba St Mary Care Center 39 Queen Street Worchester,MA01610 04-3419625	Nursing home and restorative facility	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(5)Community Clinical Services PO Box 7291 Lewiston,ME04243 01-0409788	Physician practice	ME	501(c)(3)	Line 10	St Mary's Health System		No
(6)Covenant Health Foundation Inc 40 Shattuck Road 317 Andover,MA01810 80-0199674	Charitable foundation	MA	501(c)(3)	Line 12a, I	Covenant Health Inc		No
(7)Covenant Health Investment Trust 40 Shattuck Road 317 Andover,MA01810 04-6835128	Investment trust	MA	501(c)(3)	Line 12a, I	Covenant Health Inc		No
(8)Covenant Health Inc 40 Shattuck Road 317 Andover,MA01810 22-2484505	Health care management and resource organization	MA	501(c)(3)	Line 10	N/A		No
(9)Fanny Allen Corporation Inc 40 Shattuck Road 317 Andover,MA01810 22-2495808	Charitable foundation	VT	501(c)(3)	Line 12a, I	Covenant Health Inc		No
(10)Fanny Allen Holdings Inc 40 Shattuck Road 317 Andover,MA01810 03-0181052	Real estate holding company	VT	501(c)(3)	Line 12a, I	Covenant Health Inc		No
(11)Helping Hands of St Marguerite Inc 799 Concord Avenue Cambridge,MA02138 80-0199674	Private home-care health services	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(12)M & J Company 360 Broadway Bangor,ME04402 22-2480150	Lease holding company	ME	501(c)(2)		St Joseph Healthcare Foundation		No
(13)Mary Immaculate Guild Inc 172 Lawrence Street Lawrence,MA01841 46-3073987	Supporting grants and donations	MA	501(c)(3)	Line 12a, I	Covenant Health Inc		No
(14)MI Adult Day Health Care Center Inc 189 Maple Street Lawrence,MA01841 04-2921888	Adult day care services	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(15)MI Management Inc 172 Lawrence Street Lawrence,MA01841 04-2857794	Assisted living services	MA	501(c)(3)	Line 12a, I	Covenant Health Inc		No
(16)MI Nursing Restorative Center Inc 172 Lawrence Street Lawrence,MA01841 04-2104851	Nursing home and restorative facility	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(17)MI Residential Community Inc 189 Maple Street Lawrence,MA01841 04-2647207	HUD low income housing	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(18)MI Transportation Inc 189 Maple Street Lawrence,MA01841 04-2921889	Elderly transportation services	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(19)Mount St Rita Health Centre 15 Sumner Brown Road Cumberland,RI02864 05-0342330	Nursing home	RI	501(c)(3)	Line 10	Covenant Health Inc		No
(20)Neighborhood Housing Initiative PO Box 7291 Lewiston,ME04243 01-0539730	Affordable housing services	ME	501(c)(3)	Line 10	St Mary's Health System		No
(21)Penacook Place Inc 150 Water Street Haverhill,MA01830 23-7090088	Nursing home	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(22)Souhegan Nursing Association 24 North River Road Milford,NH03055 02-0222795	Home health and hospice	NH	501(c)(3)	Line 10	St Joseph Hospital of Nashua NH Inc		No
(23)St Joseph Ambulatory Care Inc 360 Broadway Bangor,ME04402 22-2480373	Physician practice	ME	501(c)(3)	Line 3	St Joseph Healthcare Foundation		No
(24)St Andre Health Care 407 Pool Street Biddeford,ME04005 01-0342399	Nursing home and restorative facility	ME	501(c)(3)	Line 10	Covenant Health Inc		No
(25)St Joseph Healthcare Foundation 360 Broadway Bangor,ME04402 22-2480149	Healthcare foundation	ME	501(c)(3)	Line 7	Covenant Health Inc		No
(26)St Joseph Manor Health Care 215 Thatcher Street Brockton,MA02302 04-2565937	Nursing home and restorative facility	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(27)St Joseph's Hospital of Nashua NH Inc 172 Kinsley Street Nashua,NH03061 02-0222215	Hospital and health care facility	NH	501(c)(3)	Line 3	Covenant Health Inc		No
(28)St Mary's D'Youville Pavilion PO Box 7291 Lewiston,ME04243 01-0211558	Nursing home and restorative facility	ME	501(c)(3)	Line 10	St Mary's Health System		No
(29)St Mary's Health System PO Box 7291 Lewiston,ME04243 22-2504349	Hospital and health care facility	ME	501(c)(3)	Line 12a, I	Covenant Health Inc		No
(30)St Mary's Regional Medical Center PO Box 7291 Lewiston,ME04243 01-0211551	Hospital and health care facility	ME	501(c)(3)	Line 3	St Mary's Health System		No
(31)St Mary's Residences PO Box 7291 Lewiston,ME04243 22-2504356	Low income housing	ME	501(c)(3)	Line 10	St Mary's Health System		No
(32)St Mary's Villa Nursing Home Inc 675 St Marys Villa Road Moscow,PA18444 23-2057177	Nursing home and restorative facility	PA	501(c)(3)	Line 10	Covenant Health Inc		No
(33)The Surgicenter at St Joseph Hospital Inc 172 Kinsley Street Nashua,NH03061 02-0222215	Healthcare and surgery center	NH	501(c)(3)	Line 10	St Joseph Hospital of Nashua NH Inc		No
(34)Youville Hospital and Rehabilitation Center Inc 1575 Cambridge Street Cambridge,MA02138 04-3239563	Hospital and health care facility	MA	501(c)(3)	Line 10	Youville Lifecare Inc		No
(35)Youville House Inc 1573 Cambridge Street Cambridge,MA02138 04-3239593	Assisted living services	MA	501(c)(3)	Line 10	Youville Lifecare Inc		No
(36)Youville Lifecare Inc 1575 Cambridge Street Cambridge,MA02138 04-2103582	Hospital and health care facility	MA	501(c)(3)	Line 10	Covenant Health Inc		No
(37)Youville Place 10 Pelham Road Lexington,MA02421 04-3297834	Assisted living services	MA	501(c)(3)	Line 10	Covenant Health Inc		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2023

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) Campus Holding PO Box 7291 Lewiston,ME04240 01-0406049	Holding company	ME	N/A	C					No
(2) Covenant Health Insurance LTD PO Box 69 Grand Cayman KY1-1102 CJ 04-3360127	Self-insurance company	CJ	N/A	C					No
(3) GNM Corporation 172 Kinsley Street Nashua,NH03060 02-0400550	Real estate holding company	NH	N/A	C					No
(4) SJ Physicians Services 172 Kinsley Street Nashua,NH03060 02-0522234	Physician practice	NH	N/A	C					No
(5) St Joseph Corporate Services Inc 172 Kinsley Street Nashua,NH03060 02-0405197	Holding company	NH	N/A	C					No
(6) Strauss Incorporated 360 Broadway Bangor,ME04402 01-0391369	Repairs and transcriptions	ME	N/A	C					No

Schedule R (Form 990) 2023

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2023

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2023

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation

Schedule R (Form 990) 2023

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: Community hospital committed to wellness promotion, holistic healing and healthcare services.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2023 (Part V, line 2a) ......	5	1,508
6	Total number of volunteers (estimate if necessary) .............	6	30
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	766,029	855,991
9	Program service revenue (Part VIII, line 2g) .........	189,544,669	206,440,299
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	738,707	256,409
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	0	816,263
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	191,049,405	208,368,962
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	250	59,885
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	94,466,933	102,855,125
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	106,491,274	103,398,355
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	200,958,457	206,313,365
19	Revenue less expenses. Subtract line 18 from line 12.......	-9,909,052	2,055,597
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	66,202,016	72,102,182
21	Total liabilities (Part X, line 26).............	43,944,021	46,443,503
22	Net assets or fund balances. Subtract line 21 from line 20.....	22,257,995	25,658,679

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 158,503,638 including grants of $ 59,885 ) (Revenue $ 206,440,299 )
	St. Joseph Hospital provides quality medical healthcare for all people through direct patient care at various hospital and clinical locations. Although reimbursement for services rendered is critical to the operation and stability of the 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 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. (Continued on Schedule O)Charity care is also provided through many reduced price services and free 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 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) 907-1720.

4b	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses158,503,638

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) Ganesha Santhyadka MD........................................................................ Physician	40.00 .......................0.40	X	816,356	0	45,393
(19) Michael Sighinolfi MD........................................................................ Physician	40.00 .......................0.00	X	701,659	0	25,744
(20) Joseph Gallagher MD........................................................................ Physician	40.00 .......................0.00	X	666,383	0	45,344
(21) John Vanadia MD........................................................................ Physician	40.00 .......................0.00	X	606,878	0	47,541
(22) Michael Starks MD........................................................................ Physician	40.00 .......................0.00	X	594,900	0	33,904

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	4,431,365	1,211,803	410,288

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e	834,975

f	All other contributions, gifts, grants, and similar amounts not included above		1f	21,016

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		855,991

		Business Code
2a	Patient services	621110	201,253,561	201,253,561
b	ACO management fees	541610	1,538,429	1,538,429
c	Administrative/affiliate services	561000	1,359,707	1,359,707
d	Medical/laboratory	621990	1,339,450	1,339,450
e	Nutrition and cafeterias	722514	949,152	949,152
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		206,440,299

3 Investment income (including dividends, interest, and othersimilar amounts) ......			329,792			329,792
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	1,110	15,595
b	Less: cost or other basis and sales expenses	7b	90,088	0
c	Gain or (loss)	7c	-88,978	15,595
d	Net gain or (loss).........			-73,383			-73,383
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..

Business Code
11a	Gain on debt extinguishment		525990	816,263			816,263
b
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			816,263
12	Total revenue. See instructions.....			208,368,962	206,440,299	0	1,072,672

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	15,400	15,400
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	44,485	44,485
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	554,306	511,766	42,540
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	84,949,731	78,423,789	6,525,942
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,265,460	1,168,855	96,605
9	Other employee benefits .......	10,518,295	9,715,329	802,966
10	Payroll taxes ...........	5,567,333	5,139,644	427,689
11	Fees for services (non-employees):
a	Management ......	29,058,267		29,058,267
b	Legal .........	136,084		136,084
c	Accounting ...........	68,256		68,256
d	Lobbying ...........	7,324		7,324
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	73,490		73,490
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	22,273,980	15,252,040	7,021,940
12	Advertising and promotion ....	83,187	56,962	26,225
13	Office expenses .......	2,688,986	1,841,275	847,711
14	Information technology ......	406,866	278,600	128,266
15	Royalties ..
16	Occupancy ...........	2,759,550	1,889,593	869,957
17	Travel ............	111,289	76,205	35,084
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	193,941	132,801	61,140
20	Interest ...........	593,608	593,608
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,579,333	2,579,333
23	Insurance ...	2,953,728	2,022,556	931,172
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Drugs/medical supplies	26,840,635	26,840,635
b	Provision for bad debt	7,888,571	7,888,571
c	Service provider tax	3,040,315	3,040,315
d	Dietary and nutrition	991,876	991,876
e	All other expenses	649,069		649,069
25	Total functional expenses. Add lines 1 through 24e	206,313,365	158,503,638	47,809,727	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			2,296,172	1	1,093,619
2	Savings and temporary cash investments .........			65,285	2	60,571
3	Pledges and grants receivable, net ......			717,815	3	37,704
4	Accounts receivable, net .............			18,823,614	4	23,129,013
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........				7
8	Inventories for sale or use ............			3,257,694	8	3,233,544
9	Prepaid expenses and deferred charges ......			561,799	9	566,323
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	89,322,227
b	Less: accumulated depreciation	10b	59,373,378	29,206,019	10c	29,948,849
11	Investments—publicly traded securities .			2,312,180	11	2,605,001
12	Investments—other securities. See Part IV, line 11 .....			2,725,576	12	2,979,460
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			6,235,862	15	8,448,098
16	Total assets. Add lines 1 through 15 (must equal line 33)...			66,202,016	16	72,102,182

17	Accounts payable and accrued expenses .....	11,092,770	17	12,875,741
18	Grants payable ...		18
19	Deferred revenue .........	570,741	19	257,254
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	32,280,510	25	33,310,508
26	Total liabilities. Add lines 17 through 25..	43,944,021	26	46,443,503

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	19,820,471	27	22,926,830
28	Net assets with donor restrictions ...........	2,437,524	28	2,731,849
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	22,257,995	32	25,658,679
33	Total liabilities and net assets/fund balances ........	66,202,016	33	72,102,182