Civic Intelligence

Fanny Allen Hospital Hotel Dieu

990 • Fiscal year 2019 • EIN 03-0181052

Jan 01, 2019 to Dec 31, 2019 • Filed on Nov 02, 2020

100 Ames Pond Drive No 102Tewksbury, MA 01876

(978) 654-6363

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

36th percentile

0.03x

Higher debt load relative to assets than 36% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Liabilities / Revenue

50th percentile

0.09x

Higher debt load relative to revenue than 50% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Net Margin

94th percentile

63%

Higher net margin than 94% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Top Officer Pay

99th percentile

$743,599

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 71.2% of source-year revenue.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2019

Asset Growth

78th percentile

19%

Faster asset growth than 78% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Revenue Growth

77th percentile

24%

Faster revenue growth than 77% of similar nonprofits.

2019 filings • 501(c)3 • $1M-$5M nonprofits • Annualized from 2018 to 2019

Assets

Up

$3,573,208

Up $560,372 (+19%) from 2018

Net Assets

Up

$3,480,399

Up $487,563 (+16%) from 2018

Liabilities

Up

$92,809

Up $72,809 (+364%) from 2018

Revenue

Up

$1,043,989

Up $200,315 (+24%) from 2018

Expenses

Down

$381,075

Down $258,182 (-40%) from 2018

Net Income

Up

$662,914

Up $458,497 (+224%) from 2018

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$6.0M$4.0M$2.0M$0Assets 2010: $2,317,652Liabilities 2010: $0Net Assets 2010: $2,317,6522010Assets 2011: $2,048,144Liabilities 2011: $0Net Assets 2011: $2,048,1442011Assets 2012: $1,778,636Liabilities 2012: $0Net Assets 2012: $1,778,6362012Assets 2013: $1,729,995Liabilities 2013: $84,479Net Assets 2013: $1,645,5162013Assets 2014: $2,092,734Liabilities 2014: $0Net Assets 2014: $2,092,7342014Assets 2015: $2,318,768Liabilities 2015: $25,833Net Assets 2015: $2,292,9352015Assets 2016: $2,611,882Liabilities 2016: $27,500Net Assets 2016: $2,584,3822016Assets 2017: $2,798,329Liabilities 2017: $833Net Assets 2017: $2,797,4962017Assets 2018: $3,012,836Liabilities 2018: $20,000Net Assets 2018: $2,992,8362018Assets 2019: $3,573,208Liabilities 2019: $92,809Net Assets 2019: $3,480,3992019Assets 2020: $3,901,499Liabilities 2020: $20,833Net Assets 2020: $3,880,6662020Assets 2021: $4,526,543Liabilities 2021: $20,000Net Assets 2021: $4,506,5432021Assets 2022: $4,514,774Liabilities 2022: $21,861Net Assets 2022: $4,492,9132022Assets 2023: $5,710,657Liabilities 2023: $4,283Net Assets 2023: $5,706,3742023Assets 2024: $98,686Liabilities 2024: $0Net Assets 2024: $98,6862024

Highlighted filing

2019

Assets$3,573,208
Liabilities$92,809
Net Assets$3,480,399

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$20M$15M$10M$5.0M$0-$5.0MExpenses 2010: $293,5722010Expenses 2011: $351,8782011Expenses 2012: $223,8832012Revenue 2013: $384,577Expenses 2013: $516,577Net Income 2013: -$132,0002013Revenue 2014: $820,219Expenses 2014: $382,480Net Income 2014: $437,7392014Revenue 2015: $766,438Expenses 2015: $566,237Net Income 2015: $200,2012015Revenue 2016: $852,275Expenses 2016: $560,829Net Income 2016: $291,4462016Revenue 2017: $791,335Expenses 2017: $578,221Net Income 2017: $213,1142017Revenue 2018: $843,674Expenses 2018: $639,257Net Income 2018: $204,4172018Revenue 2019: $1,043,989Expenses 2019: $381,075Net Income 2019: $662,9142019Revenue 2020: $979,130Expenses 2020: $401,640Net Income 2020: $577,4902020Revenue 2021: $1,642,187Expenses 2021: $400,933Net Income 2021: $1,241,2542021Revenue 2022: $1,031,068Expenses 2022: $415,819Net Income 2022: $615,2492022Revenue 2023: $1,191,825Expenses 2023: $450,613Net Income 2023: $741,2122023Revenue 2024: $17,696,309Expenses 2024: $432,268Net Income 2024: $17,264,0412024

Highlighted filing

2019

Revenue$1,043,989
Expenses$381,075
Net Income$662,914
Jump To
Filing Snapshot
Filing Period
Jan 1, 2019 to Dec 31, 2019
Signed
Nov 2, 2020
Return Version
2019v5.1
Gross Receipts
$1,043,989
Mission and Program Overview

Mission

Fanny allen holdings supports affiliated not for profit organizations by holding and overseeing real property and ensuring that it is used in a manner consistent with the teachings of the roman catholic church.

Supporting not-for-profit organizations by holding and overseeing real property.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$990,111$1,388,811▲ $398,700
Land, Buildings, and Equipment, Net$1,261,836$1,377,430▲ $115,594
Investments Other Securities-$805,300-
Investments in Publicly Traded Securities$760,889$0▼ $760,889
Total Assets$3,012,836$3,573,208▲ $560,372
Other Assets Total$0$1,667▲ $1,667
Liabilities
Deferred Revenue$0$72,809▲ $72,809
Other Liabilities$20,000$20,000→ $0
Total Liabilities$20,000$92,809▲ $72,809
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$2,992,836$3,480,399▲ $487,563
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$2,992,836$3,480,399▲ $487,563
Total Liabilities and Net Assets / Fund Balance$3,012,836$3,573,208▲ $560,372

Asset Categories

AssetBook ValueDepreciationBasis
Buildings$523,075$801,016$1,324,091
Land$716,386-$716,386
Equipment$137,969$299,966$437,935
Other Securities$805,300--
Compensation and Service Providers

Board Members and Trustees

NameTitle
Christine WernekeBoard Chair
John NewmanDirector
Stephen GrubbsDirector
Michael TomkowiczDirector, Clerk
Stephen W ForneyDirector, Treasurer, SVP/CFO
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,024,228
Investment Income
$19,761
Other Revenue
$0
Change in Net Assets
$662,914
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$381,075
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Expenses-$281,000-$281,000
Occupancy$66,040--$66,040
Depreciation Depletion$33,865--$33,865
Office Expenses$110--$110
Insurance$60--$60
Total Functional Expenses$100,075$281,000$0$381,075
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Rental security deposits$20,000
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Backup withholding compliance
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Section A, line 6

Covenant Health, Inc. is the sole corporate member of the Organization.

Form 990, Part VI, Section A, line 7A

As the sole corporate member of the Organization, Covenant Health, Inc. retains the ability to elect and remove the Organization's board of directors with or without cause.

Form 990, Part VI, Section A, line 7B

As the sole corporate member of the Organization, Covenant Health, Inc. has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To elect the Board of Directors or remove them with or without cause; 4. To appoint and remove the president; 5. To ratify the Board of Director's election of the Chair of the Board; 6. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 7. To approve all long-range strategic plans before implementation; 8. To approve the acquisition, sale, or encumberance of any real estate valued in excess of an amount set by the Member in writing; 9. To approve all capital budgets and non-budgeted expeness in excess of an amount set by the Member in writing; 10. To approve all debt in excess of limits set by the Member in writing; 11. To appoint the auditors; 12. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 13. To approve any reclassification or other change of any capital stock or other equity security; and, 14. To approve the issuance of, or the creation of any obligation to issue, any equity security.

Form 990, Part VI, Section B, line 11B

The Form 990 is provided to the governing body for their review and approval prior to filing.

Form 990, Part VI, Section B, line 12C

This process is the responsibility of the Compliance Officer. A conflict of interest disclosure form is submitted to all leadership, board members, board committee members, employed physicians, medical directors and certain employees in key positions annually to be completed. Reminders are sent to all persons of interest to ensure that all conflict of interest disclosure forms are completed and collected.

Form 990, Part VI, Section B, line 15

Any compensation paid to the trustees, directors, officers or key employees of the Organization is subject to the oversight and decisions of Covenant Health, a related tax-exempt organization. Every two-to-three years the Compensation Committee of the Covenant Health Board of Directors engages an external consultant to provide competitive market data from various survey sources, which is then used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable.

Form 990, Part VI, Section C, line 19

The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available on the website of its parent organization, Covenant Health, at the following web address: https://www.covenanthealth.net/financial-information/financial-information

Filing and Contact Details

Filer

Filer Name
Fanny Allen Holdings
EIN
03-0181052
Phone
9786546363
Address
100 Ames Pond Drive No 102, Tewksbury, MA 01876

Signing Officer

Name
Stephen Grubbs
Title
SVP/CFO
Phone
9786546363
Signed
2020-11-02
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Stephen W Forney
Formed
1894
Legal Domicile
Vt
Voting Board Members
5
Independent Board Members
2
Employees
0
Volunteers
0

Preparer

Firm
Baker Newman & Noyes
Address
PO Box 507, Portland, ME 04112
Preparer
Nicholas E Porto
Phone
2078792100
Supplemental Narrative

Additional Explanations

Form 990, Part XI, line 9:

Transfers to affiliates -200,000.

Form 990, Part XII, Line 2C:

The audit process has not changed from the previous year.

Financial Statement Notes

Part X, Line 2:

Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2019.

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This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleA/Form990SchAType1SuprtOrgGrp/PowerAppointMajorityDirTrstInd01
IRS990ScheduleA/Form990ScheduleAPartVIGrp/ExplanationTxt0The Organization was organized to operate exclusively for the benefit of, to perform the functions of, or to cary out the purposes of Covenant Health, Inc., other organizations within or affiliated with the Covenant Health System that are exempt as 501(c)(3) public charities under Section 501(a)(1) or 509(a)(2), and/or other organizations that are exempt as 501(c)(3) public charities under Section 501(a)(1) or 509(a)(2). But for the existence of Fanny Allen Holdings, Covenant Health, Inc. would be responsible for the activities and services performed by Fanny Allen Holdings.
IRS990ScheduleA/Form990ScheduleAPartVIGrp/FormAndLineReferenceDesc0Schedule A, Part I, Line 12g:
IRS990ScheduleA/OtherSupportSumAmt00
IRS990ScheduleA/SupportedOrganizationsCnt01
IRS990ScheduleA/SupportedOrganizationsTotalCnt01
IRS990ScheduleA/SupportedOrgInformationGrp/EIN0222484505
IRS990ScheduleA/SupportedOrgInformationGrp/GoverningDocumentListedInd01
IRS990ScheduleA/SupportedOrgInformationGrp/OrganizationTypeCd010
IRS990ScheduleA/SupportedOrgInformationGrp/OtherSupportAmt00
IRS990ScheduleA/SupportedOrgInformationGrp/SupportAmt0281000
IRS990ScheduleA/SupportedOrgInformationGrp/SupportedOrganizationName/BusinessNameLine1Txt0Covenant Health Inc
IRS990ScheduleA/SupportingOrganization509a3Ind0X
IRS990ScheduleA/SupportingOrgType1Ind0X
IRS990ScheduleA/SupportSumAmt0281000
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/BuildingsGrp/BookValueAmt0523075
IRS990ScheduleD/BuildingsGrp/DepreciationAmt0801016
IRS990ScheduleD/BuildingsGrp/OtherCostOrOtherBasisAmt01324091
IRS990ScheduleD/EquipmentGrp/BookValueAmt0137969
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0299966
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0437935
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/LandGrp/BookValueAmt0716386
IRS990ScheduleD/LandGrp/OtherCostOrOtherBasisAmt0716386
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt020000
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Rental security deposits
IRS990ScheduleD/OtherSecuritiesGrp/BookValueAmt0805300
IRS990ScheduleD/OtherSecuritiesGrp/Desc0Investment in Providentia Prima Trust
IRS990ScheduleD/OtherSecuritiesGrp/MethodValuationCd0F
IRS990ScheduleD/SupplementalInformationDetail/ExplanationTxt0Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2019.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt01377430
IRS990ScheduleD/TotalBookValueSecuritiesAmt0805300
IRS990ScheduleD/TotalLiabilityAmt020000
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00
IRS990ScheduleJ/InitialContractExceptionInd00
IRS990/ScheduleJRequiredInd01
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusFilingOrganizationAmount20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BonusRelatedOrganizationsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt0691522
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt1375944
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompensationBasedOnRltdOrgsAmt2154719
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990FilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/CompReportPrior990RltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompensationFlngOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt02800
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt12800
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/DeferredCompRltdOrgsAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt028207
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt132213
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/NontaxableBenefitsRltdOrgsAmt27108
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt021070
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt14111
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/OtherCompensationRltdOrgsAmt2482
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Stephen Grubbs
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm1John Newman
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm2Stephen W Forney
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt1Director
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt2Director, Treasurer, SVP/CFO
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt00
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt10
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt20
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt0743599
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt1415068
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationRltdOrgsAmt2162309
IRS990ScheduleJ/SeverancePaymentInd00
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt0Any 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.
IRS990ScheduleJ/SupplementalInformationDetail/ExplanationTxt1Covenant Health, Inc., a related organization and sole member of Fanny Allen Holdings, maintains a supplemental executive retirement program for certain executives under which the related organization makes a contribution for the benefit of its executive that is intended to provide a specified level of retirement benefits at a retirement age that is commensurate with the retirement benefits provided to other executives in comparable positions with similarly situated organizations. Amounts contributed to the program are held for the benefit of the executive until he or she reaches age 60, at which time the benefits are released to the executive. The full amount is taxable to the executive when so paid, and is included in the executive's reportable compensation. Mr. Stephen Grubbs participated in this program during the tax year and $19,000 has been included in Schedule J, Part II, Column B(iii) relative to this program.
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc0Part I, Line 3
IRS990ScheduleJ/SupplementalInformationDetail/FormAndLineReferenceDesc1Part I, Line 4b
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd01
IRS990/ScheduleORequiredInd01
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Covenant Health, Inc. is the sole corporate member of the Organization.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1As the sole corporate member of the Organization, Covenant Health, Inc. retains the ability to elect and remove the Organization's board of directors with or without cause.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2As the sole corporate member of the Organization, Covenant Health, Inc. has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To elect the Board of Directors or remove them with or without cause; 4. To appoint and remove the president; 5. To ratify the Board of Director's election of the Chair of the Board; 6. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 7. To approve all long-range strategic plans before implementation; 8. To approve the acquisition, sale, or encumberance of any real estate valued in excess of an amount set by the Member in writing; 9. To approve all capital budgets and non-budgeted expeness in excess of an amount set by the Member in writing; 10. To approve all debt in excess of limits set by the Member in writing; 11. To appoint the auditors; 12. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 13. To approve any reclassification or other change of any capital stock or other equity security; and, 14. To approve the issuance of, or the creation of any obligation to issue, any equity security.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3The Form 990 is provided to the governing body for their review and approval prior to filing.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt4This 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt5Any 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.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt6The Organization's Form 990, governing documents, conflict of interest policy, and financial statements are made available to the public upon request. The Organization's Form 990 is also made available on the website of its parent organization, Covenant Health, at the following web address: https://www.covenanthealth.net/financial-information/financial-information
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt7Transfers to affiliates -200,000.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt8The audit process has not changed from the previous year.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, line 6
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, line 7a
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section A, line 7b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section B, line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc5Form 990, Part VI, Section B, line 15
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc6Form 990, Part VI, Section C, line 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc7Form 990, Part XI, line 9:
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc8Form 990, Part XII, Line 2c:
IRS990ScheduleR/AssetExchangeInd00
IRS990ScheduleR/AssetPurchaseFromOtherOrgInd00
IRS990ScheduleR/AssetSaleToOtherOrgInd00
IRS990ScheduleR/DivRelatedOrganizationInd00
IRS990ScheduleR/GiftGrntCapContriFromOthOrgInd00
IRS990ScheduleR/GiftGrntOrCapContriToOthOrgInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd00
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd10
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd20
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd30
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd40
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ControlledOrganizationInd50
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd0N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd1N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd2N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd3N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd4N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/DirectControllingNACd5N/A
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN0043360127
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN1010406049
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN2020405197
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN3010391369
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN4020400550
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EIN5020522234
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt0C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt1C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt2C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt3C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt4C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/EntityTypeTxt5C
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/AddressLine1Txt0PO Box 69
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/CityNm0Grand Cayman
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/CountryCd0CJ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/ForeignAddress/ForeignPostalCd0KY1-1102
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileForeignCountryCd0CJ
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd0ME
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd1NH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd2ME
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd3NH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/LegalDomicileStateCd4NH
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt0Self-insurance company
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt1Holding company
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt2Holding company
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt3Repairs and transcriptions
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt4Real estate holding company
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/PrimaryActivitiesTxt5Physician practice
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt0Covenant Health Insurance LTD
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt1Campus Holding
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt2St Joseph Corporate Services Inc
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt3Strauss Incorporated
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt4GNM Corporation
IRS990ScheduleR/IdRelatedOrgTxblCorpTrGrp/RelatedOrganizationName/BusinessNameLine1Txt5SJ Physicians Services

Document Assets

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Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.10$0.00$0.10$17.7$0.43$17.3
2023Detailed filing. Detailed filing data is available for this year.$5.71$0.00$5.71$1.19$0.45$0.74
2022Facts available. Structured filing facts are available, but richer extracted sections are limited.$4.51$0.02$4.49$1.03$0.42$0.62
2021XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$4.53$0.02$4.51$1.64$0.40$1.24
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$3.90$0.02$3.88$0.98$0.40$0.58
2019Detailed filing. Detailed filing data is available for this year.$3.57$0.09$3.48$1.04$0.38$0.66
2018Detailed filing. Detailed filing data is available for this year.$3.01$0.02$2.99$0.84$0.64$0.20
2017Detailed filing. Detailed filing data is available for this year.$2.80$0.00$2.80$0.79$0.58$0.21
2016Detailed filing. Detailed filing data is available for this year.$2.61$0.03$2.58$0.85$0.56$0.29
2015Detailed filing. Detailed filing data is available for this year.$2.32$0.03$2.29$0.77$0.57$0.20
2014Detailed filing. Detailed filing data is available for this year.$2.09$0.00$2.09$0.82$0.38$0.44
2013Detailed filing. Detailed filing data is available for this year.$1.73$0.08$1.65$0.38$0.52$0.13
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.78$0.00$1.78$0.22
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.05$0.00$2.05$0.35
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$2.32$0.00$2.32$0.29