SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
St Joseph Hospital
 
Employer identification number

02-0222215
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
(1) SJH Surgicenter LLC
172 Kinsley Street
Nashua,NH030612013
20-4181845 		Inactive Outpatient Surgery NH 0 0 St Joseph Hospital
 










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?
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)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
(3)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
(4)Community Clinical Services
PO Box 7291

Lewiston,ME04243
01-0409788 		Physician practice ME 501(c)(3) Line 10 St Mary's Health System
 
 
No
(5)Covenant Health Foundation Inc
100 Ames Pond Drive

Tewksbury,MA01876
80-0199674 		Charitable foundation MA 501(c)(3) Line 12a, I Covenant Health Inc
 
 
No
(6)Covenant Health Investment Trust
420 Bedford Street

Lexington,MA02420
04-6835128 		Investment trust MA 501(c)(3) Line 12a, I Covenant Health Inc
 
 
No
(7)Covenant Health Inc
100 Ames Pond Drive

Tewksbury,MA01876
22-2484505 		Health care management and resource organization MA 501(c)(3) Line 10 N/A
 
No
(8)Fanny Allen Corporation Inc
790 College Parkway

Colchester,VT05446
22-2495808 		Charitable foundation VT 501(c)(3) Line 12a, I Covenant Health Inc
 
 
No
(9)Fanny Allen Holdings Inc
790 College Parkway

Colchester,VT05446
03-0181052 		Real estate holding company VT 501(c)(3) Line 12a, I Covenant Health Inc
 
 
No
(10)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
(11)M & J Company
360 Broadway

Bangor,ME04402
22-2480150 		Lease holding company ME 501(c)(2)   St Joseph Healthcare Foundation
 
 
No
(12)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
(13)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
(14)MI Management Inc
172 Lawrence Street

Lawrence,MA01841
04-2857794 		Assisted living services MA 501(c)(3) Line 12a, I Covenant Health Inc
 
 
No
(15)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
(16)MI Residential Community II Inc
189 Maple Street

Lawrence,MA01841
04-2679954 		HUD low income housing MA 501(c)(3) Line 10 Covenant Health Inc
 
 
No
(17)MI Residential Community III Inc
189 Maple Street

Lawrence,MA01841
04-2186043 		HUD low income housing MA 501(c)(3) Line 10 Covenant Health Inc
 
 
No
(18)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
(19)MI Transportation Inc
189 Maple Street

Lawrence,MA01841
04-2921889 		Elderly transportation services MA 501(c)(3) Line 10 Covenant Health Inc
 
 
No
(20)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
(21)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
(22)Penacook Place Inc
150 Water Street

Haverhill,MA01830
23-7090088 		Nursing home MA 501(c)(3) Line 10 Covenant Health Inc
 
 
No
(23)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
 
Yes
 
(24)St Joseph Ambulatory Care Inc
360 Broadway

Bangor,ME04402
22-2480373 		Physician practice ME 501(c)(3) Line 10 St Joseph Healthcare Foundation
 
 
No
(25)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
(26)St Joseph Healthcare Foundation
360 Broadway

Bangor,ME04402
22-2480149 		Healthcare foundation ME 501(c)(3) Line 10 Covenant Health Inc
 
 
No
(27)St Joseph Hospital
360 Broadway

Bangor,ME04402
01-0212435 		Hospital and health care facility ME 501(c)(3) Line 3 St Joseph Healthcare Foundation
 
 
No
(28)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
(29)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
(30)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
(31)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
(32)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
(33)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
(34)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
 
Yes
 
(35)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
(36)Youville House Inc
1573 Cambridge Street

Cambridge,MA02138
04-3239593 		Assisted living services MA 501(c)(3) Line 10 Youville Lifecare Inc
 
 
No
(37)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
(38)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) 2021
Page 2
Schedule R (Form 990) 2021
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



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(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
Yes No Yes No












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?
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) First Choice PHO

172 Kinsley Street
Nashua,NH03060
02-0461536 		Physician hospital organization NH St Joseph Hospital of Nashua
  		C 45,226 694,627 50.000 % Yes  
(4) GNM Corporation

172 Kinsley Street
Nashua,NH03060
02-0400550 		Real estate holding company NH N/A
 C         No
(5) SJ Physicians Services

172 Kinsley Street
Nashua,NH03060
02-0522234 		Physician practice NH N/A
 C         No
(6) St Joseph Hospital Corporate Services

172 Kinsley Street
Nashua,NH030612013
02-0405197 		Holding company NH St Joseph Hospital of Nashua
  		C 1,896,847 29,339,552 100.000 % Yes  
(7) Strauss Incorporated

360 Broadway
Bangor,ME04402
01-0391369 		Repairs and transcriptions ME N/A
 C         No
Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
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
No
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 .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
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
(1) St Joseph Corporate Services

 R 80,000 Cash
(2) Souhegan Nursing Association

 R 24,000 Cash
(3) GNM Corporation

 K 1,201,000 Cash
(4) SJ Physicians Services

 P 3,787,000 Cash
(5) St Joseph Corporate Services

 E 15,350,000 Cash
(6) SJ Physicians Services

 E 6,120,000 Cash
Schedule R (Form 990) 2021
Page 4
Schedule R (Form 990) 2021
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) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(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
Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Page 5
Schedule R (Form 990) 2021
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) 2021

Additional Data


Software ID:  
Software Version: