2023-07-28T13:15:08-05:00 2022-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2021-10-01 020223332 Huggins Hospital HUGG 6035697571 PO Box 912 Wolfeboro NH 03894 Joshua Upham VP of Finance 6035697571 2023-07-21 1 Joshua Upham 999009999 Barbara J McGuan CPA P00219457 2077752387 2023-07-21 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z Jeremy Roberge PO Box 912 Wolfeboro NH 03894 127350413 0 X www.hugginshospital.org X 1907 NH Critical Access Hospital 15 11 698 20 0 0 9614716 2763257 77419625 88614005 5062594 5348058 69473 113418 92166408 96838738 198281 229925 0 0 44130731 51005101 0 0 254232 35536172 42407253 79865184 93642279 12301224 3196459 178261759 150852808 77443811 63796561 100817948 87056247 Huggins Hospital's mission is to empower the fulfillment of life through better health. 0 0 71772713 229925 88614005 Huggins Hospital is a non-profit Critical Access Hospital that provides medical services to the region's year-round population of 30,000 residents and approximately 120,000 seasonal residents and visitors. Our services include primary care, inpatient care, intensive care, surgery, medical imaging and diagnostics, gynecology, orthopedics, pediatrics, cardiology, infusion services, respiratory therapy, speech therapy, nutrition services, cardiac and physical rehabilitation, social services and emergency services. 71772713 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 76 0 1 698 1 0 0 0 0 0 0 0 0 0 0 0 0 X 15 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Joshua Upham 6035697590 PO Box 912 Wolfeboro NH 03894 Howie Knight Chairman 2.00 0.00 X X 0 0 0 Corrine Smith RN Vice Chairman 2.00 0.00 X X 0 0 0 Michael L'Ecuyer Treasurer 2.00 0.00 X X 0 0 0 Stephen Wainwright Assistant Treasurer 2.00 0.00 X X 0 0 0 Kathy Barnard Secretary 2.00 0.00 X X 0 0 0 David Booth Trustee 2.00 0.00 X 0 0 0 Judith Cole APRN Trustee 2.00 0.00 X 0 0 0 Jamison Costello DO Trustee 40.00 0.00 X 238448 0 18320 James Cubeddu PA-C Trustee 40.00 0.00 X 156482 0 16443 Michael Gallup Trustee 2.00 0.00 X 0 0 0 Susan John Trustee 2.00 0.00 X 0 0 0 Leslie MacLeod Trustee 2.00 0.00 X 0 0 0 William Marsh MD Trustee 2.00 0.00 X 0 0 0 Joseph Pepe MD Past Trustee 1.00 40.00 X 0 1046725 639851 Alex Walker Esq Trustee 1.00 40.00 X 0 809150 370512 Jeremy Roberge President & CEO 50.00 1.00 X X 373930 0 8368 Joshua Upham VP of Finance 50.00 1.00 X 213798 0 7585 John S Boornazian Chief Medical Officer 40.00 0.00 X 264764 0 34555 Matthew Jones Surgeon 40.00 0.00 X 448090 0 31871 Michael Giovan Surgeon 40.00 0.00 X 403570 0 27135 Brent Richardson Surgeon 40.00 0.00 X 402597 0 32674 George Costello Surgeon 40.00 0.00 X 361656 0 41716 Jeremy Paul Hogan Surgeon 40.00 0.00 X 358732 0 25838 3222067 1855875 1254868 63 0 1 0 Emergency Physician Associates Inc 307 So Evergreen Ave Woodbury NJ 08096 Contract Employment 2702946 Reverb Parent Inc (DBA Medical Solution 1010 N 102nd St 300 Omaha NE 68114 Contract Employment 2290386 CompHealth Associates Inc PO Box 972651 Dallas TX 75397 Contract Employment 1439756 NCM Management Inc 6 Lily Pond Rd Gilford NH 03249 Construction 1401735 Collaborative Anesthesia Partners PO Box 160 Plymouth NH 03264 Contract Employment 1116470 31 1663358 1099899 5481 2763257 Patient Service Revenue 622100 180796860 180796860 Miscellaneous 622100 2340269 781110 1559159 Contractual/Char. Adj. 622100 -94523124 -94523124 88614005 1342692 1342692 80765 0 80765 80765 80765 34486823 15500 30496957 0 3989866 15500 4005366 4005366 47371 14718 32653 32653 96838738 87054846 0 7020635 X 229925 229925 1332694 256497 1076197 39810601 32727560 6994782 88259 968785 799936 166689 2160 6487729 5239348 1234329 14052 2405292 1931336 468786 5170 1829541 1829541 98861 98861 197124 197124 13645491 10627919 2895076 122496 330119 207832 122287 1738566 1094545 636685 7336 163885 103177 60708 1598510 1006370 592140 93529 58883 34646 853262 800360 52902 5597524 5250478 347046 918808 471823 446985 Medical Supplies 9761004 6145213 3615791 Medicaid Provider Tax 3530734 3530734 Miscellaneous 2050295 1290777 744759 14759 93642279 71772713 21615334 254232 X 10544357 4867113 23584533 18268998 14879856 11367539 649290 703934 304700 705098 110009690 60135996 50505126 49873694 70323253 58469110 7470644 6597322 178261759 150852808 10523484 10586677 24035320 23456311 42885007 29753573 77443811 63796561 X 79903352 70737354 20914596 16318893 100817948 87056247 178261759 150852808 X 3196459 -17517317 559157 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 13102 13102 0 Part II-B, Line 1: Huggins Hospital is a member of the NH Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of Huggins Hospital and other organizations in furtherance of their exempt purposes. Huggins Hospital does not directly perform any lobbying activities. 13732733 -2347996 663000 10721737 11962767 2333966 564000 13732733 11594957 931810 564000 11962767 11989038 169919 564000 11594957 11550011 1003027 564000 11989038 0.00000 0.32737 0.67263 0 0 1171195 1171195 53014361 35598827 17415534 47295907 20507300 26788607 8528227 4029869 4498358 49873694 Interest Rate Swap 1107739 Estimated Third-Party Payor Settlements 28315759 Capital Leases 330075 29753573 Part V, Line 4: The intended use of the endowment fund is to support health care services including indigent care, health education, as well as capital improvements and acquisitions. Golf Event 47371 47371 8806 5912 47371 47371 8806 5912 14718 32653 1 1 1 X 125.000000000000 1 X 1 1 0 1 1 531711 222278 309433 0.00330 11549587 4828220 6721367 0.07180 12081298 5050498 7030800 0.07510 1166197 1166197 0.01250 423528 423528 0.00450 18198767 12355470 5843297 0.06240 19788492 12355470 7433022 0.07940 31869790 17405968 14463822 0.15450 21096 21096 0.00020 21096 21096 0.00020 X 1 1 1 1 Huggins Hospital PO Box 912 Wolfeboro NH 03894 www.hugginshospital.org 120420900 X X X X Huggins Hospital 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X www.hugginshospital.org/about/community-health-needs-assessment X 1 19 1 www.hugginshospital.org/about/community-health-needs-assessment 0 1 X 125.000000000000 200.000000000000 X 1 1 X X X X 1 X www.hugginshospital.org/resources/financial-assistance-and-billing X www.hugginshospital.org/resources/financial-assistance-and-billing X www.hugginshospital.org/resources/financial-assistance-and-billing/ X X X X X 1 X 0 X X X X 1 X 0 0 Huggins Hospital Part V, Section B, Line 5: In 2022, multiple organizations, along with community members, collaborated to build a comprehensive Community Health Needs Assessment identifying and defining significant health needs, issues, and concerns of Carroll County and other communities served by Huggins Hospital. The process included in-person focus groups as well as community surveys. The process centered on gathering and analyzing data as well as receiving input from persons who represented the broad interests of the community to provide direction for creating a plan to improve the health of local communities. Many of the community's social support service organizations and other healthcare agencies participated. Along with the direct feedback from community members, these organizations provided input through a viewpoint of the clients they represent. Many of the organizations who participated in Huggins Hospital's Community Health Needs Assessment employ people with special knowledge and expertise in public health issues. Huggins Hospital Part V, Section B, Line 11: Huggins Hospital's most recent Community Health Needs Assessment and Implementation Plan was completed in 2022. The Implementation Plan includes strategies to address Access to Care, Access to Mental Health Services and Social Determinants of Health Improvement. Huggins Hospital, along with its partners in the Huggins Community Health Network - a network of healthcare and social service organizations in southern Carroll County - work together to identify the gaps and barriers that exist to improving the overall health and wellbeing of the community. The group also improves connections, navigation and referral to all resources in the community. Part I, Line 7: Financial Assistance and Means-Tested Government Programs: The amounts reported on Lines 7a & 7b were computed using a cost-to-charge ratio. Part II, Community Building Activities: Huggins Hospital provides Community Building Activities to strengthen the community's capacity to promote the health and well-being of its residents. Community building activities include expenditures and in-kind donations for the development of programs, policies and partnerships intended to address physical and social economic determinants of health.Economic Development: Huggins Hospital is one of the New Hampshire Eastern Lakes Region's primary economic drivers as a large regional employer. The hospital provides assurance to year-round and seasonal residents and visitors that 24/7 access to health care is available every day of the year. The economic health and quality of life hinges on the financial strength and the ability of the hospital to provide healthcare in the region. Multiple Leadership Team members sit on local boards and assist with economic development initiatives with groups such as the Wolfeboro Chamber, the Wolfeboro Economic Development Corporation and the Eastern Lakes Region Housing Coalition. The hospital also supports these agencies with cash and in-kind donations listed in the hospital's Community Benefits Report.Community Support: Huggins Hospital works collaboratively with local resources to build and maintain a healthy community. The hospital maintains relationships with many organizations to promote and create better community health including Governor Wentworth Regional School District, Starting Point, Carroll County Coalition for Public Health, Central NH VNA & Hospice, Northern Human Services, local summer camps and many more. Huggins Hospital provides direct in-kind and cash donations to organizations who also strive to support a healthy community that you can find listed in the Financial Contributions section of the Community Benefits Report. As part of our community support, Huggins Hospital also provides paramedic-level services out in the community through the Paramedic Intercept Program. This program allows for a faster connection to a higher level of care that many rural areas do not have available. These quick connections to this high-level emergency care helps save lives and get people the care they need sooner. This program is counted on the Community Benefits Report under Community-Based Clinical Services.Coalition Building: Huggins Hospital staff members sit on multiple public health and regional health network groups to address healthcare concerns in multiple areas including chronic disease, substance misuse, mental health, behavioral health, elderly health, healthy childhood development and more.Community Health Improvement Advocacy: Huggins Hospital develops its Community Health Needs Assessment through comprehensive community outreach and involvement that creates a natural path to health improvement advocacy in our community. As mentioned before, employees at Huggins Hospital are involved in many community groups dedicated to the health of our community. Our employees are professionals in health care and are passionate about what they do. Not only do the employees sit on numerous health advocacy committees and boards, they also volunteer at other local healthcare organizations and support community healthcare initiatives. Emergency medical professionals at Huggins Hospital train local EMS for emergency preparedness and strive to improve the quality of emergency care. Huggins Hospital supports other local non-profits that provide needed support outside the hospital's scope-of-care including mental health agencies and agencies for domestic violence support. The support for these initiatives is represented in multiple categories of the Community Benefits Report. Workforce Development: As a rural hospital with rural primary care locations, Huggins Hospital needs extra support in finding healthcare providers to maintain local services. Huggins Hospital uses a support system to help recruit qualified providers to the Eastern Lakes Region community in order to provide the healthcare services the community needs. Part III, Line 4: During 2020, the Hospital adopted FASB issued ASU No. 2014-09 and ASU No. 2016-08, Revenue from Contracts with Customers (Topic 606) and Revenue from Contracts with Customers: Principal versus Agent Considerations, respectively, and related guidance, which provide guidance for revenue recognition. The standard's core principle is that a company will recognize revenue when it transfers promised goods or services to customers in an amount that reflects the consideration to which the company expects to be entitled in exchange for those goods or services. The most significant change from the adoption of the new standard relates to the estimation for the allowance for doubtful accounts. Under the previous standards, the estimate for amounts not expected to be collected based upon historical experience, were reflected as provision for doubtful accounts, and included within net revenue. Under the new standard, the estimate for amounts not expected to be collected based on historical experience will continue to be recognized as a reduction to net revenue; however, it is not reflected separately as provision for doubtful accounts. Under the new standard, subsequent changes in estimate of collectability due to a change in the financial status of a payer, for example a bankruptcy, will be recognized as bad debt expense in expenses. The adoption of this ASU in fiscal year 2020, and amounts recognized as bad debt expense and included in other expenses, did not have a material impact on the consolidated financial statements. As a result of the adoption of the rules described above, the Hospital is recording $0 of bad debt expense for fiscal year ended September 30, 2022. Part III, Line 8: The Organization used a cost-to-charge ratio as its costing methodology to determine the amount of Medicare allowable costs. Part III, Line 9b: As a not-for-profit, tax-exempt, and charitable organization, Huggins Hospital serves all in medical need regardless of ability to pay. The organization is governed by a volunteer Board of Trustees committed to balancing community needs with our available resources to meet those needs. As a hospital-employed medical staff, all twelve physician practices accept patients regardless of ability to pay. Part VI, Line 2: Please see Part V, Section B. The Huggins Hospital Community Health Needs Assessment and Implementation Plan can also be found online at: https://www.hugginshospital.org/assets/pdf/CHNA_and_Implementation_Plan_2022.pdf. Part VI, Line 3: Huggins Hospital provides a notice to all patients both in the hospital and its physician practices of the financial assistance programs available to them. There is a staff of financial counselors who work with the uninsured and underinsured to assist in qualifying for Charity Care or a sliding fee schedule depending on the family income. Financial counselors also assist those uninsured in applying for and receiving assistance through the Medicaid program. Information about our financial assistance programs can be found on our website and in print or in person at all of our locations. Part VI, Line 4: Huggins Hospital is a non-profit, rural, Critical Access Hospital. Our community's year-round population is approximately 33,000 citizens which expands in the tourist season to about 120,000 residents. Huggins Hospital is the largest employer in Wolfeboro. The primary service area for Huggins Hospital includes: Alton, Brookfield, Effingham, Freedom, Ossipee, Tamworth, Tuftonboro, Wakefield and Wolfeboro. Secondary service areas include parts of Barnstead, Gilford, Moultonborough and New Durham. These towns are located in Carroll, Belknap and Strafford Counties. Part VI, Line 5: Huggins Hospital has played an important role in the Eastern Lakes Region of New Hampshire for more than 100 years, enabling unwavering support to patients and their families, community members and employees. Gifts made to the hospital's annual giving program and special initiatives support programs that are important to the region. Part VI, Line 6: Huggins Hospital is part of GraniteOne Health, an affiliation with Catholic Medical Center and Monadnock Community Hospital. All three organizations are non-profit, charitable organizations focused on improving the health of their respective communities as well as all the communities served by all of GraniteOne Health organizations. The affiliation is collaborative, allowing the three organizations to maintain their own identities and strategies while offering support to one another to improve on community health initiatives already in place. Part VI, Line 7, Reports Filed With States NH 1 Foundation for Healthy Communities 125 Airport Road Concord NH 03301 020275078 501(c)(3) 229925 0 To support NH Alcohol 1 0 Part I, Line 2: Amounts paid to Organizations were required by the State of NH in order to support Medicaid expansion. Therefore, additional monitoring of funds was not deemed to be necessary. X X X 1 1 0 0 0 0 0 1 0 Joseph Pepe MD Past Trustee 0 568983 0 121817 0 355925 0 622599 0 17252 0 1686576 0 0 Alex Walker Esq Trustee 0 598666 0 157597 0 52887 0 300538 0 69974 0 1179662 0 0 Matthew Jones Surgeon 259994 0 3000 0 185096 0 7643 0 24228 0 479961 0 0 0 Brent Richardson Surgeon 343318 0 59196 0 83 0 8298 0 24376 0 435271 0 0 0 Michael Giovan Surgeon 345224 0 58250 0 96 0 7383 0 19752 0 430705 0 0 0 George Costello Surgeon 345460 0 16100 0 96 0 8699 0 33017 0 403372 0 0 0 Jeremy Paul Hogan Surgeon 323036 0 35600 0 96 0 5458 0 20380 0 384570 0 0 0 Jeremy Roberge President & CEO 325180 0 48750 0 0 0 8188 0 180 0 382298 0 0 0 John S Boornazian Chief Medical Officer 235433 0 20100 0 9231 0 10206 0 24349 0 299319 0 0 0 Jamison Costello DO Trustee 202081 0 36271 0 96 0 7288 0 11032 0 256768 0 0 0 Joshua Upham VP of Finance 182836 0 20000 0 10962 0 7441 0 144 0 221383 0 0 0 James Cubeddu PA-C Trustee 117442 0 38944 0 96 0 2992 0 13451 0 172925 0 0 0 Part I, Lines 4a-b During 2021, Matthew S. Jones received a severance payment of $185,096 from Huggins Hospital per his contract termination. During 2021, Joseph Pepe MD, President/CEO of Catholic Medical Center (CMC), a related organization, received a severance payment of $338,462 paid by CMC. Joseph Pepe MD, President/CEO of CMC and Alex Walker Esq., Executive Vice President & Chief Operating Officer of CMC, participate in a supplemental non-qualified retirement plan as described in Internal Revenue Code Section 457(f). During calendar 2021 $608,099, and $288,938 was deferred into the plan for Mr. Pepe, and Mr. Walker respectively. Part I, Line 7 Bonuses paid to Surgeons were based off of performance metrics relating to increased service access. The Bonuses for Senior Leadership are currently driven off of organizational goals as well as individual goals. Sign on Bonus was paid to Jeremy Hogan Retention Bonus paid to Michael Giovan Student Loan Bonus paid to Brent Richardson Part II Joseph Pepe MD, a Trustee on the Huggins Hospital board, is the President/CEO of Catholic Medical Center, a related organization and is compensated by Catholic Medical Center. Alex Walker, Esq., a Trustee on the Huggins Hospital board, is the Executive Vice President & Chief Operating Officer of Catholic Medical Center, a related organization and is compensated by Catholic Medical Center. A New Hampshire Health & Education Facilities Authority Series 2017A 020279866 2017-06-30 14380488 Refinance of Series 2009 State of New Hampshire Bond 0 0 0 B New Hampshire Health & Education Facilities Authority Series 2017B 020279866 2017-06-30 14160667 Refinance of Series 2007 State of New Hampshire Bond 0 0 0 A 1713284 14380488 184943 14195545 2017 0 1 1 1 B 1385539 14160667 117813 14042854 2017 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 Deutsche Bank AG 35.000000000000 0 0 0 0 1 A 0 B 0 Form 990, Part VI, Section B, line 11b A designated officer or management official meets with the preparer to discuss a draft of the Form 990 in detail. Once any necessary revisions are made, this draft is then submitted to the Finance & Budget Committee for further review. Afterwards, a copy of the public inspection copy of Form 990 is made available to the full board for their general review and comment prior to filing the return. A designated officer then signs the return after considering board comments. Form 990, Part VI, Section B, line 12c A copy of the conflict of interest policy is given to every officer, board member, and key employee on an annual basis, along with an annual disclosure statement. Each person is asked to complete, date and sign the disclosure statement, listing any known financial interest that the individual, or a member of the individual's family, has in any business entity that transacts business with the Organization. The Chairman of the board then reviews and maintains the disclosure statements for future reference. If a conflict arises, the board member will recuse themselves from participation in the deliberations and decisions relating to that conflict. Form 990, Part VI, Section B, line 15 The Hospital relies on externally available market data to determine the appropriate salary and any incentive compensation for the President as well as other officers and key employees of the organization. Each year, the President provides the Board with a listing of the five highest paid senior staff. Base salary and incentive compensation provided to the President is determined by three members of the Executive Committee of the Board as part of an annual performance review and their recommendation is shared with the full Board for final approval. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are made available to the public upon request for inspection in the President's office. Form 990, Part IX, line 11g Other Professional Fees: Program service expenses 10,627,919. Management and general expenses 2,895,076. Fundraising expenses 122,496. Total expenses 13,645,491. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Huggins Hospital PO Box 912 Wolfeboro, NH 03894 EIN 02-0223332 Section 1.263(a)-3(n) Election: Huggins Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Value of Interest Rate Swap 1,745,424. Change in Beneficial interest in Perpetual Trust -820,956. Affiliation Costs -365,311. Hospital and Community Aid Association Inc PO Box 1377 Wolfeboro NH 03894 026008048 Purchases equipment for the benefit of Huggins Hospital and its' patients. NH 501(c)(3) Line 12b, II 0 GraniteOne Health 100 McGregor Street Manchester NH 03102 814663563 Supporting Organization NH 501(c)(3) Line 12a, I N/A 0 Alliance Ambulatory Services 100 McGregor Street Manchester NH 03102 020519436 Ambulatory Surgical Center NH 501(c)(3) Line 10 CMC Healthcare System 0 Alliance Health Services 100 McGregor Street Manchester NH 03102 611508839 Practices NH 501(c)(3) Line 10 CMC Healthcare System 0 Alliance Resources Incorporated 100 McGregor Street Manchester NH 03102 020398138 Real Estate NH 501(c)(3) Line 12b, II CMC Healthcare System 0 Catholic Medical Center 100 McGregor Street Manchester NH 03102 020315693 Hospital NH 501(c)(3) Line 3 GraniteOne Health 0 CMC Healthcare System 100 McGregor Street Manchester NH 03102 010568516 Management NH 501(c)(3) Line 12b, II N/A 0 Catholic Medical Ctr Physicans Practice Assoc 100 McGregor Street Manchester NH 03102 020460245 Practices NH 501(c)(3) Line 10 CMC Healthcare System 0 Monadnock Community Hospital 452 Old Street Road Peterborough NH 03458 020222157 Hospital NH 501(c)(3) Line 3 GraniteOne Health 0 Monadnock Health Services 452 Old Street Road Peterborough NH 03102 020420789 Inactive NH 501(c)(3) Line 12a, I Monadnock Community Hospital 0 St Peters Home 100 McGregor Street Manchester NH 03102 020222228 Day Care Services NH 501(c)(3) Line 10 CMC Healthcare System 0 Bedford Ambulatory Surgical Center 11 Washington Place Bedford NH 03110 020519727 Surgical Center NH N/A 0 0 McGregor Street MOB LLC 100 McGregor Street Manchester NH 03110 134347316 Medical Office Building NH N/A 0 0 Huggins Senior Housing PO Box 912 Wolfeboro NH 03894 020490445 Elderly Housing NH N/A C -45304 677731 1.00000 1 Alliance Enterprises 100 McGregor Street Manchester NH 03102 020386795 Real Estate NH N/A C 0 Doctor's Medical Association 100 McGregor Street Manchester NH 03102 020340690 Medical Office Building NH N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0