Civic Intelligence

St Joseph Ambulatory Care Inc

EIN 22-2480373 • 501(c)3 • Bangor, ME

Profile

Employee safety and health services

360 Broadway PO Box 403Bangor, ME 04402-0403

n/A

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

100th percentile

11.23x

Higher debt load relative to assets than 100% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Liabilities / Revenue

93rd percentile

2.22x

Higher debt load relative to revenue than 93% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Net Margin

19th percentile

-13%

Higher net margin than 19% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Top Officer Pay

99th percentile

$1,276,101

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 78.2% of source-year revenue.

501(c)3 • $1M-$5M nonprofits • Source year 2024

Asset Growth

95th percentile

113%

Faster asset growth than 95% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Revenue Growth

42nd percentile

2.9%

Faster revenue growth than 42% of similar nonprofits.

501(c)3 • $1M-$5M nonprofits • Annualized from 2023 to 2024

Assets

Up

$322,046

Up $170,712 (+113%) from 2023

Liabilities

Up

$3,618,171

Up $387,470 (+12%) from 2023

Net Assets

Down

-$3,296,125

Down $216,758 (-7.0%) from 2023

Revenue

Up

$1,632,428

Up $45,574 (+2.9%) from 2023

Expenses

Down

$1,849,186

Down $1,243,878 (-40%) from 2023

Net Income

Up

-$216,758

Up $1,289,452 (+86%) from 2023

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$4.0M$2.0M$0-$2.0M-$4.0MAssets 2010: $704,591Liabilities 2010: $793,067Net Assets 2010: -$88,4762010Assets 2011: $1,030,387Liabilities 2011: $838,990Net Assets 2011: $191,3972011Assets 2012: $1,850,982Liabilities 2012: $1,300,137Net Assets 2012: $550,8452012Assets 2013: $2,452,791Liabilities 2013: $2,843,839Net Assets 2013: -$391,0482013Assets 2014: $2,811,942Liabilities 2014: $3,132,887Net Assets 2014: -$320,9452014Assets 2015: $1,401,747Liabilities 2015: $2,409,016Net Assets 2015: -$1,007,2692015Assets 2016: $1,055,273Liabilities 2016: $2,281,059Net Assets 2016: -$1,225,7862016Assets 2017: $1,100,771Liabilities 2017: $80,074Net Assets 2017: $1,020,6972017Assets 2018: $967,428Liabilities 2018: $743,349Net Assets 2018: $224,0792018Assets 2019: $1,539,807Liabilities 2019: $1,905,179Net Assets 2019: -$365,3722019Assets 2020: $1,610,054Liabilities 2020: $2,132,517Net Assets 2020: -$522,4632020Assets 2021: $1,733,914Liabilities 2021: $2,670,911Net Assets 2021: -$936,9972021Assets 2022: $2,337,436Liabilities 2022: $3,941,292Net Assets 2022: -$1,603,8562022Assets 2023: $151,334Liabilities 2023: $3,230,701Net Assets 2023: -$3,079,3672023Assets 2024: $322,046Liabilities 2024: $3,618,171Net Assets 2024: -$3,296,1252024

Highlighted filing

2024

Assets$322,046
Liabilities$3,618,171
Net Assets-$3,296,125

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$30M$20M$10M$0-$10MExpenses 2010: $12,995,9242010Revenue 2011: $8,834,690Expenses 2011: $15,061,224Net Income 2011: -$6,226,5342011Revenue 2012: $9,630,950Expenses 2012: $15,949,397Net Income 2012: -$6,318,4472012Revenue 2013: $10,710,563Expenses 2013: $18,272,781Net Income 2013: -$7,562,2182013Revenue 2014: $13,534,642Expenses 2014: $22,038,382Net Income 2014: -$8,503,7402014Revenue 2015: $10,940,394Expenses 2015: $16,775,677Net Income 2015: -$5,835,2832015Revenue 2016: $5,278,760Expenses 2016: $6,464,606Net Income 2016: -$1,185,8462016Revenue 2017: $4,180,803Expenses 2017: $4,397,040Net Income 2017: -$216,2372017Revenue 2018: $2,925,864Expenses 2018: $3,329,190Net Income 2018: -$403,3262018Revenue 2019: $5,069,055Expenses 2019: $5,679,439Net Income 2019: -$610,3842019Revenue 2020: $4,164,413Expenses 2020: $4,343,915Net Income 2020: -$179,5022020Revenue 2021: $4,080,957Expenses 2021: $4,475,703Net Income 2021: -$394,7462021Revenue 2022: $4,376,647Expenses 2022: $5,018,744Net Income 2022: -$642,0972022Revenue 2023: $1,586,854Expenses 2023: $3,093,064Net Income 2023: -$1,506,2102023Revenue 2024: $1,632,428Expenses 2024: $1,849,186Net Income 2024: -$216,7582024

Highlighted filing

2024

Revenue$1,632,428
Expenses$1,849,186
Net Income-$216,758

Filings

Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2024Detailed filing. Detailed filing data is available for this year.$0.32$3.62$3.30$1.63$1.85$0.22
2023Detailed filing. Detailed filing data is available for this year.$0.15$3.23$3.08$1.59$3.09$1.51
2022Detailed filing. Detailed filing data is available for this year.$2.34$3.94$1.60$4.38$5.02$0.64
2021Detailed filing. Detailed filing data is available for this year.$1.73$2.67$0.94$4.08$4.48$0.39
2020Detailed filing. Detailed filing data is available for this year.$1.61$2.13$0.52$4.16$4.34$0.18
2019Detailed filing. Detailed filing data is available for this year.$1.54$1.91$0.37$5.07$5.68$0.61
2018Detailed filing. Detailed filing data is available for this year.$0.97$0.74$0.22$2.93$3.33$0.40
2017Detailed filing. Detailed filing data is available for this year.$1.10$0.08$1.02$4.18$4.40$0.22
2016Detailed filing. Detailed filing data is available for this year.$1.06$2.28$1.23$5.28$6.46$1.19
2015Detailed filing. Detailed filing data is available for this year.$1.40$2.41$1.01$10.9$16.8$5.84
2014Detailed filing. Detailed filing data is available for this year.$2.81$3.13$0.32$13.5$22.0$8.50
2013Detailed filing. Detailed filing data is available for this year.$2.45$2.84$0.39$10.7$18.3$7.56
2012Summary only. Only limited summary data is available for this year.$1.85$1.30$0.55$9.63$15.9$6.32
2011Summary only. Only limited summary data is available for this year.$1.03$0.84$0.19$8.83$15.1$6.23
2010Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.70$0.79$0.09$13.0
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jan 1, 2024 to Dec 31, 2024
Signed
Nov 3, 2025
Return Version
2024v5.2
Gross Receipts
$1,632,428
Mission and Program Overview

Mission

Various physician practices

Employee safety and health services

Balance Sheet Detail
LineBeginningEndChange
Assets
Accounts Receivable$110,972$204,774▲ $93,802
Cash and Non-Interest-Bearing Accounts$19,551$25,632▲ $6,081
Land, Buildings, and Equipment, Net$20,362$16,922▼ $3,440
Prepaid Expenses and Deferred Charges$449$449→ $0
Total Assets$151,334$322,046▲ $170,712
Other Assets Total$0$74,269▲ $74,269
Liabilities
Other Liabilities$3,141,124$3,517,113▲ $375,989
Accounts Payable and Accrued Expenses$89,577$101,058▲ $11,481
Total Liabilities$3,230,701$3,618,171▲ $387,470
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$-3,079,367$-3,296,125▼ $216,758
Total Net Assets Fund Balance$-3,079,367$-3,296,125▼ $216,758
Total Liabilities and Net Assets / Fund Balance$151,334$322,046▲ $170,712

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$16,922$742,366$759,288
Other Assets Org$74,269--
Compensation and Service Providers

Employees

NameTitleFull / Part TimeBaseOtherTotal
Poonam Khadka MDPhysicianFT$246,991$38,333$285,324
Sanjay Pandey MDPhysicianFT$228,375$55,116$283,491
Jamie PerryNurse PractionerFT$182,366$6,339$188,705
Marcella KennyOccupational NureFT$100,350$22,066$122,416
Donna BerrySecretary--$120,688$120,688
Lauren JellisonNurse PractionerFT$100,832$4,264$105,096
William Wood MDTrustee--$30,392$30,392

Board Members and Trustees

NameTitle
Robert ClarkChairman
Mary PrybyloPresident & CEO, Trustee Ex-Officio
Rebecca Cyr WhitmoreVice Chairman
Anita HaskellTrustee
Bradley RyderTrustee
Curtis Kimball EsqTrustee
Judith Josiah MartinTrustee
Lori VarneyTrustee
Rosalind Prince Gilman EsqTrustee
William BuckleyTrustee
Joanmarie Pellegrini MDTrustee/Physician (Start 1/2024)
Stephen GrubbsTrustee; CEO of Covenant Health
Jims Jean Jacques MDPhysician
Michael HendrixTreasurer/VP Finance

Highest Paid Contractors

ContractorServicesLocationCompensation
St Joseph HospitalIntercompany lab services360 Broadway PO Box 403, Bangor, ME 04402$100,634
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,632,428
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-216,758
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$1,497,348
Other Expenses$351,838
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$1,252,341$52,181-$1,304,522
Fees for Services Other$163,828$12,331-$176,159
Occupancy$84,827$6,385-$91,212
Other Employee Benefits$87,598$2,709-$90,307
Payroll Taxes$81,980$2,535-$84,515
Pension Plan Contributions$17,464$540-$18,004
Office Expenses$9,243$696-$9,939
Conferences and Meetings$4,475$337-$4,812
Depreciation Depletion$3,440--$3,440
Travel$1,228$92-$1,320
Other Expenses$607--$607
Total Functional Expenses$1,771,380$77,806$0$1,849,186
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
Due to affiliates$3,517,113
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

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, at the following web address: https://covenanthealth.net/financials/

Filing and Contact Details

Filer

Filer Name
St Joseph Ambulatory Care Inc
EIN
22-2480373
Phone
2079071233
Address
360 Broadway PO Box 403, Bangor, ME 04402-0403

Signing Officer

Name
Michael Hendrix
Title
CFO
Phone
2079071233
Signed
2025-11-03
Discuss with paid preparer
Yes

Organization Details

Principal Officer
Mary Prybylo MSN
Formed
1983
Legal Domicile
Me
Voting Board Members
13
Independent Board Members
9
Employees
12
Volunteers
9

Preparer

Firm
Baker Newman & Noyes
Address
PO Box 507, Portland, ME 04112
Preparer
Connor Smart
Phone
2078792100
Supplemental Narrative

Additional Explanations

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. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2024.

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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt50
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt60
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt70
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt80
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt90
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt100
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt110
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt120
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1339574
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1445792
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1529005
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1614959
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1731547
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt186162
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt1922066
IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt204264
IRS990/Form990PartVIISectionAGrp/PersonNm0Stephen Grubbs
IRS990/Form990PartVIISectionAGrp/PersonNm1Jims Jean Jacques MD
IRS990/Form990PartVIISectionAGrp/PersonNm2Joanmarie Pellegrini MD
IRS990/Form990PartVIISectionAGrp/PersonNm3William Wood MD
IRS990/Form990PartVIISectionAGrp/PersonNm4William Buckley
IRS990/Form990PartVIISectionAGrp/PersonNm5Anita Haskell
IRS990/Form990PartVIISectionAGrp/PersonNm6Rosalind Prince Gilman Esq
IRS990/Form990PartVIISectionAGrp/PersonNm7Curtis Kimball Esq
IRS990/Form990PartVIISectionAGrp/PersonNm8Judith Josiah Martin
IRS990/Form990PartVIISectionAGrp/PersonNm9Bradley Ryder
IRS990/Form990PartVIISectionAGrp/PersonNm10Lori Varney
IRS990/Form990PartVIISectionAGrp/PersonNm11Robert Clark
IRS990/Form990PartVIISectionAGrp/PersonNm12Rebecca Cyr Whitmore
IRS990/Form990PartVIISectionAGrp/PersonNm13Mary Prybylo
IRS990/Form990PartVIISectionAGrp/PersonNm14Michael Hendrix
IRS990/Form990PartVIISectionAGrp/PersonNm15Donna Berry
IRS990/Form990PartVIISectionAGrp/PersonNm16Poonam Khadka MD
IRS990/Form990PartVIISectionAGrp/PersonNm17Sanjay Pandey MD
IRS990/Form990PartVIISectionAGrp/PersonNm18Jamie Perry
IRS990/Form990PartVIISectionAGrp/PersonNm19Marcella Kenny
IRS990/Form990PartVIISectionAGrp/PersonNm20Lauren Jellison
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt00
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt10
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt30
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt130
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt140
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt150
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt16270365
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt17251944
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt18182543
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt19100350
IRS990/Form990PartVIISectionAGrp/ReportableCompFromOrgAmt20100832
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt01235937
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1580804
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt2323732
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt330392
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt40
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt50
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt60
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt70
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt80
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt90
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt100
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt110
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt120
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt13536374
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt14365231
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt1591683
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt160
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt170
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt180
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt190
IRS990/Form990PartVIISectionAGrp/ReportableCompFromRltdOrgAmt200
IRS990/Form990PartVIISectionAGrp/TitleTxt0Trustee; CEO of Covenant Health
IRS990/Form990PartVIISectionAGrp/TitleTxt1Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt2Trustee/Physician (Start 1/2024)
IRS990/Form990PartVIISectionAGrp/TitleTxt3Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt4Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt5Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt6Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt7Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt8Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt9Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt10Trustee
IRS990/Form990PartVIISectionAGrp/TitleTxt11Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt12Vice Chairman
IRS990/Form990PartVIISectionAGrp/TitleTxt13President & CEO, Trustee Ex-Officio
IRS990/Form990PartVIISectionAGrp/TitleTxt14Treasurer/VP Finance
IRS990/Form990PartVIISectionAGrp/TitleTxt15Secretary
IRS990/Form990PartVIISectionAGrp/TitleTxt16Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt17Physician
IRS990/Form990PartVIISectionAGrp/TitleTxt18Nurse Practioner
IRS990/Form990PartVIISectionAGrp/TitleTxt19Occupational Nure
IRS990/Form990PartVIISectionAGrp/TitleTxt20Nurse Practioner
IRS990/Form990ProvidedToGvrnBodyInd00
IRS990/FormationYr01983
IRS990/FormerOfcrEmployeesListedInd00
IRS990/FSAuditedBasisGrp/ConsolidatedBasisFinclStmtInd0X
IRS990/FSAuditedInd01
IRS990/FundraisingActivitiesInd00
IRS990/GamingActivitiesInd00
IRS990/GoverningBodyVotingMembersCnt013
IRS990/GrantAmt00
IRS990/GrantsToIndividualsInd00
IRS990/GrantsToOrganizationsInd00
IRS990/GrantToRelatedPersonInd00
IRS990/GrossReceiptsAmt01632428
IRS990/GroupReturnForAffiliatesInd00
IRS990/IncludeFIN48FootnoteInd01
IRS990/IndependentAuditFinclStmtInd00
IRS990/IndependentVotingMemberCnt09
IRS990/IndivRcvdGreaterThan100KCnt05
IRS990/IndoorTanningServicesInd00
IRS990/InfoInScheduleOPartVIInd0X
IRS990/InfoInScheduleOPartXIIInd0X
IRS990/InvestmentInJointVentureInd00
IRS990/IRPDocumentCnt02
IRS990/IRPDocumentW2GCnt00
IRS990/LandBldgEquipAccumDeprecAmt0742366
IRS990/LandBldgEquipBasisNetGrp/BOYAmt020362
IRS990/LandBldgEquipBasisNetGrp/EOYAmt016922
IRS990/LandBldgEquipCostOrOtherBssAmt0759288
IRS990/LegalDomicileStateCd0ME
IRS990/LoanOutstandingInd00
IRS990/LobbyingActivitiesInd00
IRS990/LocalChaptersInd00
IRS990/MaterialDiversionOrMisuseInd00
IRS990/MembersOrStockholdersInd01
IRS990/MethodOfAccountingAccrualInd0X
IRS990/MinutesOfCommitteesInd01
IRS990/MinutesOfGoverningBodyInd01
IRS990/MissionDesc0Employee safety and health services
IRS990/MoreThan5000KToIndividualsInd00
IRS990/MoreThan5000KToOrgInd00
IRS990/NetAssetsOrFundBalancesBOYAmt0-3079367
IRS990/NetAssetsOrFundBalancesEOYAmt0-3296125
IRS990/NetUnrelatedBusTxblIncmAmt00
IRS990/NoDonorRestrictionNetAssetsGrp/BOYAmt0-3079367
IRS990/NoDonorRestrictionNetAssetsGrp/EOYAmt0-3296125
IRS990/NondeductibleContributionsInd00
IRS990/OccupancyGrp/ManagementAndGeneralAmt06385
IRS990/OccupancyGrp/ProgramServicesAmt084827
IRS990/OccupancyGrp/TotalAmt091212
IRS990/OfficeExpensesGrp/ManagementAndGeneralAmt0696
IRS990/OfficeExpensesGrp/ProgramServicesAmt09243
IRS990/OfficeExpensesGrp/TotalAmt09939
IRS990/OfficerMailingAddressInd00
IRS990/OperateHospitalInd00
IRS990/Organization501c3Ind0X
IRS990/OrganizationFollowsFASB117Ind0X
IRS990/OtherAssetsTotalGrp/BOYAmt00
IRS990/OtherAssetsTotalGrp/EOYAmt074269
IRS990/OtherChangesInNetAssetsAmt00
IRS990/OtherEmployeeBenefitsGrp/ManagementAndGeneralAmt02709
IRS990/OtherEmployeeBenefitsGrp/ProgramServicesAmt087598
IRS990/OtherEmployeeBenefitsGrp/TotalAmt090307
IRS990/OtherExpensesGrp/Desc0Drugs/medical supplies
IRS990/OtherExpensesGrp/Desc1Minor equipment
IRS990/OtherExpensesGrp/Desc2Food and nutrition
IRS990/OtherExpensesGrp/ProgramServicesAmt063652
IRS990/OtherExpensesGrp/ProgramServicesAmt1697
IRS990/OtherExpensesGrp/ProgramServicesAmt2607
IRS990/OtherExpensesGrp/TotalAmt063652
IRS990/OtherExpensesGrp/TotalAmt1697
IRS990/OtherExpensesGrp/TotalAmt2607
IRS990/OtherLiabilitiesGrp/BOYAmt03141124
IRS990/OtherLiabilitiesGrp/EOYAmt03517113
IRS990/OtherSalariesAndWagesGrp/ManagementAndGeneralAmt052181
IRS990/OtherSalariesAndWagesGrp/ProgramServicesAmt01252341
IRS990/OtherSalariesAndWagesGrp/TotalAmt01304522
IRS990/OtherWebsiteInd0X
IRS990/PartialLiquidationInd00
IRS990/PayPremiumsPrsnlBnftCntrctInd00
IRS990/PayrollTaxesGrp/ManagementAndGeneralAmt02535
IRS990/PayrollTaxesGrp/ProgramServicesAmt081980
IRS990/PayrollTaxesGrp/TotalAmt084515
IRS990/PensionPlanContributionsGrp/ManagementAndGeneralAmt0540
IRS990/PensionPlanContributionsGrp/ProgramServicesAmt017464
IRS990/PensionPlanContributionsGrp/TotalAmt018004
IRS990/PoliticalCampaignActyInd00
IRS990/PrepaidExpensesDefrdChargesGrp/BOYAmt0449
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt0449
IRS990/PrincipalOfficerNm0Mary Prybylo MSN
IRS990/ProfessionalFundraisingInd00
IRS990/ProgramServiceRevenueGrp/BusinessCd0624310
IRS990/ProgramServiceRevenueGrp/BusinessCd1621400
IRS990/ProgramServiceRevenueGrp/BusinessCd2621990
IRS990/ProgramServiceRevenueGrp/Desc0Occupational health
IRS990/ProgramServiceRevenueGrp/Desc1Clinical care
IRS990/ProgramServiceRevenueGrp/Desc2Patient service
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt01073927
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt1542527
IRS990/ProgramServiceRevenueGrp/RelatedOrExemptFuncIncomeAmt215974
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt01073927
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt1542527
IRS990/ProgramServiceRevenueGrp/TotalRevenueColumnAmt215974
IRS990/ProhibitedTaxShelterTransInd00
IRS990/PYBenefitsPaidToMembersAmt00
IRS990/PYContributionsGrantsAmt00
IRS990/PYExcessBenefitTransInd00
IRS990/PYGrantsAndSimilarPaidAmt00
IRS990/PYInvestmentIncomeAmt0-11934
IRS990/PYOtherExpensesAmt01538071
IRS990/PYOtherRevenueAmt00
IRS990/PYProgramServiceRevenueAmt01598788
IRS990/PYRevenuesLessExpensesAmt0-1506210
IRS990/PYSalariesCompEmpBnftPaidAmt01554993
IRS990/PYTotalExpensesAmt03093064
IRS990/PYTotalProfFndrsngExpnsAmt00
IRS990/PYTotalRevenueAmt01586854
IRS990/QuidProQuoContributionsInd00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd00
IRS990/ReconcilationRevenueExpnssAmt0-216758
IRS990/RegularMonitoringEnfrcInd01
IRS990/RelatedEntityInd01
IRS990/RelatedOrganizationCtrlEntInd00
IRS990/ReportInvestmentsOtherSecInd00
IRS990/ReportLandBuildingEquipmentInd01
IRS990/ReportOtherAssetsInd00
IRS990/ReportOtherLiabilitiesInd01
IRS990/ReportProgramRelatedInvstInd00
IRS990/RevenueAmt01632428
IRS990ScheduleA/HospitalInd0X
IRS990/ScheduleBRequiredInd00
IRS990ScheduleD/EquipmentGrp/BookValueAmt016922
IRS990ScheduleD/EquipmentGrp/DepreciationAmt0742366
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt0759288
IRS990ScheduleD/FootnoteTextInd0X
IRS990ScheduleD/OtherAssetsOrgGrp/BookValueAmt074269
IRS990ScheduleD/OtherAssetsOrgGrp/Desc0Due from affilates
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Amt03517113
IRS990ScheduleD/OtherLiabilitiesOrgGrp/Desc0Due to affiliates
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. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2024.
IRS990ScheduleD/SupplementalInformationDetail/FormAndLineReferenceDesc0Part X, Line 2:
IRS990ScheduleD/TotalBookValueLandBuildingsAmt016922
IRS990ScheduleD/TotalBookValueOtherAssetsAmt074269
IRS990ScheduleD/TotalLiabilityAmt03517113
IRS990ScheduleJ/AnyNonFixedPaymentsInd00
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd00
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd00
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd00
IRS990ScheduleJ/EquityBasedCompArrngmInd00

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