STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

SOUTHERN NEW HAMPSHIRE MEDICAL CENTER: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
SOUTHERN NEW HAMPSHIRE MEDICAL CENTER (EIN 02-0483054)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-03-11
IRS object ID
202200709349301850
Schema version
2020v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-03-11T15:45:50-06:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1650 Elm Street Suite 302AddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03101ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020483054EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Southern New Hampshire Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSOUTBusinessNameControlTxt
Phone6035772000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 Prospect Street PO Box 2014AddressLine1Txt
CityNashuaCityNm
State AbbreviationNHStateAbbreviationCd
ZIP030612014ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas E Wilhelmsen JrPersonNm
Person TitleInterim PresidentPersonTitleTxt
Phone6035772000PhoneNum
Signature2022-02-07SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstThomasPersonFirstNm
Person LastWilhelmsen JrPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonConnor SmartPreparerPersonNm
PTINP02285543PTIN
Phone6036262200PhoneNum
Preparation2022-02-07PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerThomas E Wilhelmsen JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 Prospect Street PO Box 2014AddressLine1Txt
CityNashuaCityNm
State AbbreviationNHStateAbbreviationCd
ZIP030612014ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$289,875,408GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.snhhealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1892FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionSouthern New Hampshire Medical Center is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee2025TotalEmployeeCnt
Total Volunteers107TotalVolunteersCnt
Total Gross UBI$456,114TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,029,325PYContributionsGrantsAmt
CY Contributions Grants$8,982,470CYContributionsGrantsAmt
PY Program Service Revenue$243,976,402PYProgramServiceRevenueAmt
CY Program Service Revenue$256,455,749CYProgramServiceRevenueAmt
PY Investment Income$11,437,603PYInvestmentIncomeAmt
CY Investment Income$15,700,424CYInvestmentIncomeAmt
PY Other Revenue$4,964,411PYOtherRevenueAmt
CY Other Revenue$4,245,484CYOtherRevenueAmt
PY Total Revenue$262,407,741PYTotalRevenueAmt
CY Total Revenue$285,384,127CYTotalRevenueAmt
PY Grants And Similar Paid$71,121PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,454CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$124,423,050PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$118,905,689CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$98,362,960PYOtherExpensesAmt
CY Other Expenses$127,701,608CYOtherExpensesAmt
PY Total Expenses$222,857,131PYTotalExpensesAmt
CY Total Expenses$246,609,751CYTotalExpensesAmt
PY Revenues Less Expenses$39,550,610PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$38,774,376CYRevenuesLessExpensesAmt
Total Assets BOY$464,724,660TotalAssetsBOYAmt
Total Assets EOY$499,808,183TotalAssetsEOYAmt
Total Liabilities BOY$204,427,922TotalLiabilitiesBOYAmt
Total Liabilities EOY$183,654,903TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$260,296,738NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$316,153,280NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSouthern New Hampshire Medical Center is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. Southern New Hampshire Medical Center is a provider of choice, delivering convenient access to high value, quality care in an environment that embraces dignity, compassion and service to the people of our community.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$202,145,017ExpenseAmt
Grant$2,454GrantAmt
Revenue$260,025,709RevenueAmt
DescProvides acute healthcare services to a diverse population base including indigent within southern and central New Hampshire. Southern New Hampshire Medical Center is a nonprofit hospital, serving all who need care, regardless of ability to pay. Medical services provided included 9,365 inpatient admissions, 227,703 outpatient registrations, 32,701 emergency room visits, 4,983 surgical procedures, and 1,282 births.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,295,356ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescCharity Care ($2,565,979) and other uncompensated care ($2,729,377) at cost.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,824,444ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescCommunity health services and health professional education.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$209,264,817TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document223IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2025EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Paul TrainorBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6032819290PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 Prospect StreetAddressLine1Txt
CityNashuaCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03061ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Marc Sadowsky MD
Trustee8.003.00Yes (X)$39,400$0$0
Scott A Wolf DO
President/CEO & Secretary40.003.00Yes (X)$28,936$0$35Yes (X)
Colin T McHugh
Interim President (end 12/2020)42.003.00Yes (X)$131,144$228,114$27,547Yes (X)
Melliyal Annamalai
Trustee2.003.00Yes (X)$0$0$0
Bobbie D Bagley MSMPHRNCPH
Trustee2.003.00Yes (X)$0$0$0
Sister Paula Marie Buley
Trustee2.003.00Yes (X)$0$0$0
Michael Gonzales
Trustee2.003.00Yes (X)$0$0$0
Colleen P Guiry MD
Trustee (end 12/2020)2.000.00Yes (X)$0$0$0
Mary Jordan
Trustee2.003.00Yes (X)$0$0$0
Joseph N Laplante
Trustee2.003.00Yes (X)$0$0$0
Karen Maynard MD
Trustee2.0043.00Yes (X)$0$669,666$48,983
Marlene Santiago MD
Trustee2.003.00Yes (X)$0$0$0
John J Sullivan
Trustee2.003.00Yes (X)$0$0$0
Phillip Sullivan MD
Trustee2.002.00Yes (X)$0$0$0
Timothy C Sullivan Esq
Trustee2.003.00Yes (X)$0$0$0
Rachel Rowe
Board Chair2.003.00Yes (X)$0$0$0Yes (X)
Timothy J Whitaker
Board Chair (end 6/2021)2.003.00Yes (X)$0$0$0Yes (X)
Thomas A Pursch
Board Vice Chair (end 12/2020)2.003.00Yes (X)$0$0$0Yes (X)
Charla B Stevens Esq
Board Vice Chair2.003.00Yes (X)$0$0$0Yes (X)
Paul Trainor
Senior VP & CFO, Treasurer42.003.00$513,456$0$51,251Yes (X)
Joseph M Leahy MD
Physician40.000.00$475,482$0$44,419Yes (X)
Robert Dorf DO EO
Pres. Foundation Medical Ptrs.42.002.00$0$440,201$44,324Yes (X)
Andrew Watt MD
Assoc. VP Med. Info./Physician40.000.00$418,126$0$40,336Yes (X)
Dilip Yarabothu MD
Physician40.000.00$384,162$0$15,675Yes (X)
Brett Sweeney MD
Physician40.000.00$366,329$0$16,089Yes (X)
Michael S Rose
Former Tres./Pres. & Sec.0.000.00$959,179$0$108,033Yes (X)
Susan Desocio
Former Pres. Fnd Medical Ptrs.0.000.00$395,394$0$8,906Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,711,608TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,337,981TotReportableCompRltdOrgAmt
Total Other Compensation$405,598TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K145IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Fulcrum Associates
5 Tech CircleAmherstNH03031Construction$2,093,830
Cerner Corporation
51 Sawyer RoadWalthamMA02453System support$994,459
Janitech Inc
60 Pine Street DMethuenMA01844Janitorial Services$769,256
Sodexo Inc
9801 Washington BoulevardGaithersburgMD20878Food services$729,108
Baxter Healthcare Corp
One Baxter ParkwayDeerfieldIL60015Medical Equipment$660,711
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K15CntrctRcvdGreaterThan100KCnt
Government Grants$7,370,838GovernmentGrantsAmt
All Other Contributions$1,611,632AllOtherContributionsAmt
Noncash Contributions$10,094NoncashContributionsAmt
Total Contributions$8,982,470TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Hospital services621110$270,964,264$270,964,264
Provision for bad debts621110-$14,508,515-$14,508,515
FieldValueIRS element (for citing)
Total Program Service Revenue$256,455,749TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,210,564TotalRevenueColumnAmt
Exclusion$13,210,564ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$3,784,382RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$3,784,382RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,784,382TotalRevenueColumnAmt
Related Or Exempt Func Income$3,564,972RelatedOrExemptFuncIncomeAmt
Exclusion$219,410ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,981,141SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$4,491,281SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,489,860SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,489,860TotalRevenueColumnAmt
Exclusion$2,489,860ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Ancillary- NE Rehab Food Services722210$365,528$365,528
Ancillary- NE Rehab Environmental811000$87,226$87,226

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,348TotalRevenueColumnAmt
Related Or Exempt Func Income$4,988RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,360UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$461,102OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$285,384,127TotalRevenueColumnAmt
Related Or Exempt Func Income$260,025,709RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$456,114UnrelatedBusinessRevenueAmt
Exclusion$15,919,834ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,454TotalAmt
Program Services$2,454ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$778,302TotalAmt
Management And General$778,302ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$99,598,667TotalAmt
Program Services$80,442,533ProgramServicesAmt
Management And General$19,156,134ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,183,361TotalAmt
Program Services$2,632,291ProgramServicesAmt
Management And General$551,070ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,643,639TotalAmt
Program Services$7,737,982ProgramServicesAmt
Management And General$1,905,657ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$5,701,720TotalAmt
Program Services$4,643,696ProgramServicesAmt
Management And General$1,058,024ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$104,447TotalAmt
Management And General$104,447ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$150,000TotalAmt
Management And General$150,000ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$136,045TotalAmt
Management And General$136,045ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$43,634,349TotalAmt
Program Services$42,827,362ProgramServicesAmt
Management And General$806,987ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$172,329TotalAmt
Management And General$172,329ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$402,388TotalAmt
Management And General$402,388ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,785,090TotalAmt
Program Services$1,453,845ProgramServicesAmt
Management And General$331,245ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,257,933TotalAmt
Program Services$4,282,259ProgramServicesAmt
Management And General$975,674ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$13,121TotalAmt
Program Services$10,686ProgramServicesAmt
Management And General$2,435ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$134,221TotalAmt
Program Services$109,315ProgramServicesAmt
Management And General$24,906ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,594,862TotalAmt
Program Services$2,113,354ProgramServicesAmt
Management And General$481,508ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$5,777,157TotalAmt
Program Services$5,777,157ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$13,537,511TotalAmt
Program Services$11,025,460ProgramServicesAmt
Management And General$2,512,051ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$2,400,661TotalAmt
Program Services$1,955,189ProgramServicesAmt
Management And General$445,472ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Supplies$33,506,070$27,288,609$6,217,461
NH MET$11,993,183$11,993,183
Repairs and maintenance$2,264,414$1,844,224$420,190
Food services$577,468$470,312$107,156

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,260,359TotalAmt
Program Services$2,654,906ProgramServicesAmt
Management And General$605,453ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$246,609,751TotalAmt
Program Services$209,264,817ProgramServicesAmt
Management And General$37,344,934ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$58,214,326BOYAmt
EOY$34,847,906EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,093,493BOYAmt
EOY$6,850,798EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$23,346,056BOYAmt
EOY$30,347,389EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,389,498BOYAmt
EOY$5,080,977EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,079,713BOYAmt
EOY$2,267,496EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$346,808,978LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$207,709,474LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$130,873,541BOYAmt
EOY$139,099,504EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$216,200,886BOYAmt
EOY$269,036,069EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,417,895BOYAmt
EOY$2,618,852EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,109,252BOYAmt
EOY$9,659,192EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$464,724,660BOYAmt
EOY$499,808,183EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$78,417,927BOYAmt
EOY$76,558,299EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,277,096BOYAmt
EOY$559,414EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,007,681BOYAmt
EOY$79,396,614EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,725,218BOYAmt
EOY$27,140,576EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$204,427,922BOYAmt
EOY$183,654,903EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$256,129,172BOYAmt
EOY$310,528,837EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,167,566BOYAmt
EOY$5,624,443EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$260,296,738BOYAmt
EOY$316,153,280EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$464,724,660BOYAmt
EOY$499,808,183EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$38,774,376ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$37,171,765NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$20,089,599OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$32,928GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$32,928TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationPart II-B, Line 1f: Southern New Hampshire Medical Center partners with various like-minded trade associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. To maintain these partnerships, Southern New Hampshire Medical Center is required to pay membership dues back to these various trade associations. A portion of the dues paid to these associations has been designated as available for lobbying expenditures. Any lobbying expenditures paid by the associations are incurred in order to help track and discuss legislation affecting health care policy. The specific dues paid by Southern New Hampshire Medical Center to the trade associations in this fiscal year, as well as the portion of the dues that were available for lobbying expenditures, are detailed below: New Hampshire Hospital Association - Total 2020 dues: $109,971 - Portion of dues available for lobbying: $23,853 American Hospital Association - Total 2020 dues: $35,507 - Portion of dues available for lobbying: $9,075ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$107,270,588BeginningYearBalanceAmt
Investment Earnings Or Losses$33,620,596InvestmentEarningsOrLossesAmt
End Year Balance$140,891,184EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$103,449,323BeginningYearBalanceAmt
Investment Earnings Or Losses$3,821,265InvestmentEarningsOrLossesAmt
End Year Balance$107,270,588EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$101,098,156BeginningYearBalanceAmt
Investment Earnings Or Losses$2,351,167InvestmentEarningsOrLossesAmt
End Year Balance$103,449,323EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$92,152,052BeginningYearBalanceAmt
Investment Earnings Or Losses$8,946,104InvestmentEarningsOrLossesAmt
End Year Balance$101,098,156EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$81,781,493BeginningYearBalanceAmt
Investment Earnings Or Losses$10,370,559InvestmentEarningsOrLossesAmt
End Year Balance$92,152,052EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.98320BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.01680PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$15,332,049OtherCostOrOtherBasisAmt
Book Value$15,332,049BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$169,744,121OtherCostOrOtherBasisAmt
Depreciation$104,067,086DepreciationAmt
Book Value$65,677,035BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,988,894OtherCostOrOtherBasisAmt
Depreciation$2,983,950DepreciationAmt
Book Value$2,004,944BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$150,137,218OtherCostOrOtherBasisAmt
Depreciation$100,658,438DepreciationAmt
Book Value$49,478,780BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,606,696OtherCostOrOtherBasisAmt
Book Value$6,606,696BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$139,099,504TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Unearned income - MOB$81,999
Insurance reserves$6,266,584
Accrued SERP obligations$2,152,253
Long-term accrued pension expense$9,517,341
457 (B) deferred comp plan obligations$3,769,042
Employer social security liabilities$3,459,259
Equipment capital leases$1,894,098
FieldValueIRS element (for citing)
Total Liability$27,140,576TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The intended uses of the Organization's endowment funds are to fulfill donors' intentions on the permanently restricted funds and for future plant replacement and technology investments from board designated funds.
Part X, Line 2:The System, Medical Center, Surgery Center, Legacy Trust and Foundation are 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. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and has taken no uncertain tax positions that require adjustment to the consolidated financial statements.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other225.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,588,357TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,588,357NetCommunityBenefitExpnsAmt
Total Expense0.01050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,876,359TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,929,205DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,947,154NetCommunityBenefitExpnsAmt
Total Expense0.07680TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,464,716TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$21,929,205DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,535,511NetCommunityBenefitExpnsAmt
Total Expense0.08730TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$137,032TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$137,032NetCommunityBenefitExpnsAmt
Total Expense0.00060TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$913,210TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$913,210NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,960,573TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,431,363DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,529,210NetCommunityBenefitExpnsAmt
Total Expense0.00620TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$41,402TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$41,402NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$590,710TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$590,710NetCommunityBenefitExpnsAmt
Total Expense0.00240TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,642,927TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,431,363DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,211,564NetCommunityBenefitExpnsAmt
Total Expense0.01310TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$48,107,643TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,360,568DirectOffsettingRevenueAmt
Net Community Benefit Expns$24,747,075NetCommunityBenefitExpnsAmt
Total Expense0.10040TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$220,184TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$220,184NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,312TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,312NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,085TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,085NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$228,581TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$228,581NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$14,508,515BadDebtExpenseAmt
Bad Debt Expense Attributable$2,752,785BadDebtExpenseAttributableAmt
Reimbursed By Medicare$53,192,696ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$72,938,917CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$19,746,221MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Southern New Hampshire Medical CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18 Prospect Street PO Box 2014AddressLine1Txt
CityNashuaCityNm
State AbbreviationNHStateAbbreviationCd
ZIP030612014ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.snhhealth.orgWebsiteAddressTxt
State License02496StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Southern New Hampshire Medical CenterBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSee Part V, Section COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSee Part V, Section COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLSee Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care225.000000000000FPGFamilyIncmLmtFreeCarePct
Income Level CriteriaYes (X)IncomeLevelCriteriaInd
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLPlease see Part VFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLPlease see Part VFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLPlease see Part VFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross ChargesYes (1)GrossChargesInd

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Southern New Hampshire Medical CenterPart V, Section B, Line 5: Southern New Hampshire Medical Center worked with officials from the City of Nashua Division of Public Health and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the community health assessment.The 2020 CHA employed numerous research methods to gather input from the community, including online surveys, in-person interviews, and data analysis. The CHA utilized these methods separately and decisively for each of its identified community health needs.The City of Nashua Division of Public Health and Community Services (DPHCS) conducted a community-based survey in 2020 and invited Greater Nashua residents help determine what the biggest health priorities were in their communities, and to share their COVID-19 experiences. Online surveys were distributed widely throughout the Greater Nashua community via social media, community networks, and physical posted flyers. The surveys were available in both English and Spanish. Specifically designed surveys were administered to evaluate each of the community's various health needs. For example, different surveys were used to gather community-data regarding substance abuse, access to care, mental and behavioral health, chronic disease, environmental health, and child and maternal health. Community input through these surveys allowed the collaborative report to better evaluate unique health risks and concerns within various social groups and communities.The research was originally designed as a series of in-person, focus group sessions to be held across the Greater Nashua region throughout the summer of 2020. Research design began in January, 2020, but when the COVID-19 pandemic called for social distancing, research design had to be adjusted to accommodate online data collection. With the switch to an online survey based design, research questions were modified from a semi-structured interview design to a survey design.
Southern New Hampshire Medical CenterPart V, Section B, Line 6a: Southern New Hampshire Medical Center took part in the 2020 Greater Nashua Community Health Assessment for its most recent CHNA. This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of over 33 organizations, programs, and City departments serving the GNPHR. A full list of the hospital facilities that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment
Southern New Hampshire Medical CenterPart V, Section B, Line 6b: Southern New Hampshire Medical Center took part in the 2020 Greater Nashua Community Health Assessment for its most recent CHNA. This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of over 33 organizations, programs, and City departments serving the GNPHR. A full list of the facilities other than hospitals that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment
Southern New Hampshire Medical CenterPart V, Section B, Line 11: Southern New Hampshire Medical Center (SNHMC) participated and contributed to the Southern New Hampshire Health Implementation Strategy for its fiscal year ending in 2021. The Strategy identified a series of Priority 1 and Priority 2 health needs and programs. Identified Priority 1 health needs included: - Behavioral and mental health, substance misuse, and suicide prevention- Obesity, weight management, exercise, and nutrition- Access to care, coverage, and insuranceIdentified Priority 2 health needs included:- Healthcare for women, mothers, and babies- Environment health- Chronic disease and cancer- Communicable disease- Public health emergency preparedness- Social determinants of health- General safetyWhile each of the identified priority health needs demand their own unique approach and solutions, there are some common programs and initiatives that Southern NH Medical Center has undertaken which address the significant health needs of its community as a whole. For example, SNHMC continues to focus on training and retaining a highly skilled and professional staff of care providers across all spectrums of the health industry. SNHMC also places great value on community outreach and engagement, including collaboration with community groups and partners. Additionally, through improved information technology, patient records, patient advocacy, and health care education and literacy, SNHMC is able to provide more personalized, direct care to its community in order to address the identified health priorities. As an example, SNHMC screens all patients for food insecurity and nutrition, to ensure that patients have adequate access to healthy food sources. SNHMC offers multiple care locations and scheduling opportunities to ensure that patient needs are being met, that access to care is available and convenient, and that the health and wellness concerns of SNHMC's community are being addressed.For more information on how Southern New Hampshire Medical Center is addressing the needs identified in the CHNA, our Implementation Strategy is available on our website at: https://www.snhhealth.org/community-health.
Southern New Hampshire Medical CenterPart V, Section B, Line 13b: Southern New Hampshire Medical Center offers a discount equal to the average of their three largest payors plus Medicare to all self pay patients. Discounted care is provided to all uninsured and underinsured patients.
Southern New Hampshire Medical CenterPart V, Section B, Line 20e: See response for Part III, Section C, Line 9b above.Prior to placing accounts with collection agencies, Southern New Hampshire Medical Center pulls out patients who qualify for charity based on census tract data and does not place those accounts with an agency but rather awards charity or free care assistance for their encounter.
Southern New Hampshire Medical CenterPart V, Section B, Line 24: Southern New Hampshire Medical Center may charge patients who are having cosmetic or experimental, non-covered services gross charges for that encounter.
Schedule H, Part V-B, Line 16a:Southern New Hampshire Medical Center's Financial Assistance Policy is available on their website at: English: https://www.snhhealth.org/SNHH/media/Documents/CharitableCare-eff-04012019-final-english-version-for-posting-update-062_1.pdfSpanish: https://www.snhhealth.org/SNHH/media/Documents/CharitableCare-eff-04012019-final-spanish-vesion-update-062020_1.pdf
Schedule H, Part V-B, Line 16b:Southern New Hampshire Medical Center's FAP Application is available on their website at:English: https://www.snhhealth.org/SNHH/media/Documents/Charitable-Care-Financial-Assistance-Application-and-Cover-Letter-ENGLISH-050321.pdfSpanish: https://www.snhhealth.org/SNHH/media/Documents/Charitable-Care-Financial-Assistance-Application-and-Cover-Letter-SPANISH-050321.pdf
Schedule H, Part V-B, Line 16c:Southern New Hampshire Medical Center's FAP Plain Language Summary is available on their website at:https://www.snhhealth.org/billing-and-insurance/charitable-care-policy
Schedule H, Part V, Section B, Line 7:Access to Southern New Hampshire Medical Center's past CHNA reports can be found at the following web-address:https://www.snhhealth.org/community-healthAdditionally, the collaborative Greater Nashua CHA, to which Southern New Hampshire Medical Center proudly contributed, can be found at the following web-address:https://www.nashuanh.gov/560/Community-Health-Assessment
Schedule H, Part V, Section B, Line 10:Southern New Hampshire Health is dedicated to meeting the health needs of the communities it serves. We take a number of steps to fulfill this mission; we work collaboratively with the city of Nashua and other social service agencies to identify the health concerns and needs in the city and the greater Nashua region. However, Southern NH Health also completes its own community health needs assessment, building on the city's vital work. We support the city's action plan and broaden our assessment to define and address the unmet health needs in all of the 32 communities we serve. More information about these efforts can be found at the following web address:https://www.snhhealth.org/community-health
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Southern NH Rehabilitation Center
17 Prospect StreetNashuaNH03060Rehab
2 - Southern New Hampshire Rehab - Milford
10 Jones RoadMilfordNH03055Rehab
3 - Southern NH Rehabilitation Services
696 Daniel Webster HighwayMerrimackNH03054Rehab
4 - Cardiac & Pulmonary Rehab -West Campus
29 Northwest BoulevardNashuaNH03063Rehab
5 - Pediatric Rehab Center
5 George StreetHudsonNH03051Rehab
6 - Southern NH Rehabilitation Center
460 Amherst StreetNashuaNH03063Rehab
7 - Southern New Hampshire Rehab - Hudson
300 Derry RoadHudsonNH03051Rehab
8 - Southern New Hampshire Lab Services
112A Spit Brook RoadNashuaNH03063Lab
9 - Southern New Hampshire Lab Services
33 Windham RoadPelhamNH03076Lab
10 - Southern New Hampshire Lab Services
280 Main Street 1st FloorNashuaNH03060Lab

Supplemental Information Detail SupplementalInformationDetail (14 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Southern New Hampshire Medical Center offers a discount equal to the average of their three largest payors plus Medicare to all self pay patients. Discounted care is provided to all uninsured and underinsured patients.
Part I, Line 7:The costing methodology used was the ratio of cost to charge as outlined in Worksheet 2 of the instructions. The only exception to this was for subsidized service area where the cost structure was specific to that service area. For those areas, our Cost Accounting system was used.
Part II, Community Building Activities:Southern New Hampshire Medical Center is committed to improving the health and well-being of the Greater Nashua area and our community building activities help us achieve this goal. Through our involvement in the Rotary Club and Nashua Chamber of Commerce, along with other community organizations, we are able to exchange ideas with area leaders concerning health care issues and make informative decisions that best address the health needs of our community. We provide Medicare Counseling to area senior citizens giving them the guidance they need to make informed decisions about their healthcare coverage. Our support of the United Way's Day of Caring has resulted in a growing number of our employees going out into the area and helping members of the community with healthcare and other needs. We are strong in our commitment to the Greater Nashua area and plan to continue to support and grow community building activities that improve the overall health of the area. A majority of the organization's Board of Trustees is comprised of persons who reside in the Primary Service Area (PSA) who otherwise have no relationship with the organization. Many members of the organization volunteer their time to other community agencies in the PSA.
Part III, Line 2:Southern New Hampshire Medical Center's Bad Debt Expense includes accounts that have been referred to a collection agency after making reasonable attempts to determine eligibility under the financial assistance policy, along with estimates of current accounts receivable based in historical experience.
Part III, Line 3:A significant portion of Southern New Hampshire Medical Center's uninsured patients will be unable or unwilling to pay for the services provided. Thus, Southern New Hampshire Medical Center records a significant provision for bad debts related to uninsured patients in the period the services are provided. The FASB issued an accounting standards update that states that a health care entity that recognizes significant amounts of patient service revenue at the time services are rendered, even though it does not assess the patient's ability to pay, must present bad debts as a reduction of net patient revenue and not as a separate item in the operating expense. The ratio of cost to charge methodology was used to determine costs of these services as outlined in worksheet 2 of the instructions. Consistent with the accounting treatment mentioned above, since the system does not assess the patient's ability to pay, the cost of bad debt for those patients without any form of insurance should be classified as community benefit, consistent with charity care.
Part III, Line 4:See page nine of the attached audited financial statements.
Part III, Line 8:The ratio of cost to charge methodology was used to determine cost as outlined in Worksheet 2 of the instructions. There are service areas where government programs such as Medicare and Medicaid do not reimburse the organization adequate amounts to cover the costs to provide those services. Southern New Hampshire Medical Center must provide those services regardless of the financial shortfall.
Part III, Line 9b:Southern New Hampshire Medical Center recognizes that not all patients who qualify for financial assistance will follow through with an application for financial assistance. Prior to placing any account with a collection agency, Southern New Hampshire Medical Center uses a financial assistance qualification service to categorize patients based primarily on income and assets estimated from census tract data. Those patients whose estimated income/assets fall within Southern New Hampshire Medical Center's financial assistance guidelines are awarded charity or free care assistance for their encounter.
Part VI, Line 2:Southern New Hampshire Medical Center worked with the City of Nashua Division of Public Health officials and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the Community Health Needs Assessment (CHNA).A Community Health Assessment (CHA) is a collaborative process that identifies key health needs and issues through systematic, comprehensive data collection and analysis. CHAs provide information on a variety of health topics and help identify resources which assist with policy formulation, program implementation, and evaluation. CHAs are also a crucial component of accreditation as they help measure how well a public health system is fulfilling the assurance function, one of the three fundamental purposes of public health. The Greater Nashua CHA is part of an ongoing comprehensive community health improvement process. The purpose of the CHA is to identify vulnerable populations using comparable data within the Greater Nashua Public Health Region (GNPHR) and to subsequently identify trends in health issues, environmental health hazards, and social and economic factors that affect the different populations' health. Collected and analyzed data will be used to identify priority issues within the Greater Nashua Region, and to develop strategies for further actions; these actions are outlined in the form of a Community Health Improvement Plan (CHIP). The CHIP creates a foundation for a work plan to improve the health of the community over the course of three years' time. One of the main objectives of the most recent Community Needs Assessment's research was to determine the biggest health concerns in the community in order to determine community health priorities. The research for this report indicated that most people in the Greater Nashua Region are concerned about behavioral health (including substance use, mental health, and suicide), affordable and accessible healthcare, and outbreaks of communicable disease (40%, 30%, and 26% of respondents, respectively). In regards to upcoming concerns for the next three years, most people are concerned about behavioral health (including substance use, mental health, and suicide), affordable and accessible healthcare, and outbreaks of communicable disease (38.6%, 36.1%, and 25.4% of respondents, respectively).
Part VI, Line 3:Southern New Hampshire Medical Center complies with the Southern New Hampshire Health financial assistance policy. Southern NH Health is committed to providing charitable care to persons who have health care needs and are uninsured, underinsured, and ineligible for governmental programs and are otherwise unable to pay for medically necessary care based on their individual financial situations. Southern NH Health strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. Charitable care is not considered to be a substitute for personal responsibility and patients are expected to cooperate with Southern NH Health's policies and procedures for obtaining charitable care and to contribute to the cost of their care based on their individual ability to pay. Patients with the financial capacity to purchase health insurance shall be encouraged to do so, as a means of access to health care services, for their overall personal health and protection of their individual assets. Since July 2010, the State of New Hampshire has mandated that any uninsured patient who receives nonelective, medically necessary hospital services are billed an amount no greater than the amount generally received from patients covered by insurance. Additionally, the 2015 Federal 501(r) regulations further require that when calculating this discount, Medicare reimbursement must be included. Therefore, Southern NH Medical Center reduces the amounts owed by uninsured patients by the uninsured discount prior to the patients receiving their first statements of balances due. These discounted balances, and not gross charges, are the balances upon which financial assistance is based, granted and classified for reporting purposes. The Patient Protection and Affordable Care Act of 2010 (PPACA) mandates insurance coverage for individuals starting on January 1, 2014. Additionally, it expands Medicaid coverage to all individuals at or below 100% of the Federal Poverty Level (FPL). The New Hampshire Legislature approved Medicaid expansion effective August 15, 2014. The Granite Advantage Health Care Program (GAHCP) extends NH Medicaid eligibility to all individuals at or below 138% of the Federal Poverty Level. The granting of charitable care shall be based on an individualized determination of financial need, and shall not take into account age, gender, race, social or immigrant status, sexual orientation or religious affiliation.At each registration point, Southern New Hampshire Medical Center has signage and brochures explaining our various forms of financial assistance, including charity care. Additionally, patient registrars offer the charity brochures to self pay patients. Patients who call regarding billing concerns are offered charity assistance. Additionally, verbiage regarding charity care is printed on each billing statement the patient receives. Also, charity care information is available on our hospital website. There is staff available on site at the hospital to assist with financial assistance, Medicaid, and Expanded Medicaid applications. We actively participate in Medicaid Exchange programs and a Prescription Assistance Program to help those with financial needs.Additional information regarding Southern New Hampshire Medical Center's financial assistance policies can be found on the Southern New Hampshire Health website, as provided on this Schedule H.
Part VI, Line 4:Southern New Hampshire Medical Center serves people of all ages, race, gender, religion, ethnicity regardless of their ability to pay. Southern New Hampshire Health's service area consists of nineteen New Hampshire and four Massachusetts towns. The service area is divided into a Primary Service Area (PSA) of twelve New Hampshire towns (Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Merrimack, Milford, Mont Vernon, Nashua, Pelham, and Wilton), a Secondary Service Area (SSA) of seven New Hampshire towns (Derry, Greenville, Londonderry, New Boston, New Ipswich, Salem, and Windham) and a Massachusetts Service Area (MSA) of four neighboring Massachusetts towns (Dunstable, Pepperell, Townsend, and Tyngsboro).For its 2020 tax year, Southern New Hampshire Medical Center collaborated with the City of Nashua in developing the Greater Nashua Community Health Assessment. The four geographies mentioned most often throughout this report are the City of Nashua, the Greater Nashua Public Health Region, Hillsborough County, and the State of New Hampshire (NH). Throughout the State of NH, there are 13 public health regions. The Greater Nashua Region is composed of the City of Nashua and its 12 surrounding towns which include Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Mason, Merrimack, Milford, Mont Vernon, Pelham, and Wilton.As of 2019, the combined population of the Greater Nashua Region was estimated to be about 88,000 individuals. To gauge the demographics of this region, the CHA used a variety of survey and online-polling tools. The majority of survey respondents were Nashua residents (73.6%), but the remaining 26% of respondents were distributed throughout the Greater Nashua region. About 18% of respondents identify within the constructs of racial or ethnic diversity, and the remaining 82% of participants identified as white or Caucasian. 27.1% of respondents were between the ages of 50 and 59; approximately 80% of all respondents were aged 59 or younger. The majority of respondents were at least partially college-educated, with approximately 85% of respondents having completed some college, or having completed an Associate's, Bachelor's, or Graduate degree.
Part VI, Line 5:Southern New Hampshire Medical Center provides a variety of services that promote the health of the greater Nashua community. Throughout the year we hold Community Medical Education seminars that offer area residents an opportunity to look behind the scenes of medicine and learn more about the latest medical technology, research and advances. We also perform free public health screenings, such as impact testing for sports teams at local schools, and balance and hearing screenings for the elderly. Our commitment to community health is also evident in the time our leadership spends on the boards of several local health organizations to help improve and promote health services available to area residents.Through the past fiscal year, Southern New Hampshire Medical Center has worked in collaboration with various other government agencies and care providers to address the COVID-19 Pandemic. From the outset of the Pandemic, Southern New Hampshire Health's Incident Command team quickly went to work preparing to care for COVID-19 patients. At that time, the Medical Center activated the Incident Command team whose attention quickly turned to PPE. Nation-wide shortages of surgical masks, N95 masks, gowns, face shields, and cleaning supplies dominated the headlines. Inconsistent images of protective practices at different hospitals and in different countries became another source of concern. A plan to manage PPE was devised and put into place. At the height of the pandemic, rounds were conducted multiple times a day to answer questions and provide the most up-to-date information. All essential workers coming to work at Southern New Hampshire Health rose to the challenges imposed by the Pandemic. In order to meet the potential for increasing demand, clinical areas were re-purposed and some staff were re-assigned to expand critical care capabilities. Teams also came together and collaborated in new and creative ways, such as using tablets for virtual family visits and continuous monitoring of patients. What was unexpected was the outpouring of caring and compassion from the community to our staff in the form of care packages, food, home-made masks, and notes of thanks and encouragement. All of this has been greatly appreciated by our staff and it has helped to keep them going during this uncertain time.While the COVID-19 Pandemic naturally came to the forefront of Southern New Hampshire Medical Center's community health and care programs, Southern New Hampshire Medical Center continued to engage its community and to promote the wellbeing of its fellow citizens throughout the year on a variety of levels. For example, Southern New Hampshire Medical Center continued to focus its attention on educating, maintaining, and supporting a highly educated and competent workforce. Additionally, Southern New Hampshire Medical Center continued to advocate for community safety, nutrition, and personal wellness.
Part VI, Line 6:Southern New Hampshire Health System, Inc. is a not-for-profit entity organized to support Southern NH Medical Center and Foundation Medical Partners, Inc. Both Southern New Hampshire Medical Center and Foundation are not-for-profit entities, established to provide medical services to the people of the greater Nashua area.On April 30, 2018 Southern New Hampshire Health System became part of the new non-profit healthcare organization named SolutionHealth. This new non-profit healthcare entity is the combination of two New Hampshire non-profit health care organizations, Elliot Health System (EHS) and Southern New Hampshire Health System (SNHHS), combining together to protect the future sustainability of accessible, comprehensive, value-based clinical care. SolutionHealth is a regional healthcare system with a governing body with members from both EHS and SNHHS. This new organization services over 400,000 community members, is located in the two largest and most diverse cities in New Hampshire and employs over 700 physicians and advanced practice providers in New Hampshire.Additionally, Southern New Hampshire Medical Center frequently and actively collaborates with the City of Nashua Division of Public Health and Community Services as well as other similarly geographically located institutions to enhance the quality and availability of care throughout New Hampshire.
Part VI, Line 7, Reports Filed With StatesNH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Michael S Rose
Former Tres./Pres. & Sec.$422,499$0$165,307$0$371,373$0$92,263$0$15,770$0$1,067,212$0$0$0
Karen Maynard MD
Trustee$0$665,557$0$1,867$0$2,242$0$15,304$0$33,679$0$718,649$0$0
Paul Trainor
Senior VP & CFO, Treasurer$368,206$0$109,561$0$35,689$0$48,674$0$2,577$0$564,707$0$0$0
Joseph M Leahy MD
Physician$440,302$0$33,938$0$1,242$0$11,200$0$33,219$0$519,901$0$0$0
Robert Dorf DO EO
Pres. Foundation Medical Ptrs.$0$381,825$0$57,566$0$810$0$11,200$0$33,124$0$484,525$0$0
Andrew Watt MD
Assoc. VP Med. Info./Physician$370,378$0$33,938$0$13,810$0$11,200$0$29,136$0$458,462$0$0$0
Susan Desocio
Former Pres. Fnd Medical Ptrs.$0$0$0$0$395,394$0$8,906$0$0$0$404,300$0$0$0
Dilip Yarabothu MD
Physician$369,501$0$14,175$0$486$0$11,200$0$4,475$0$399,837$0$0$0
Colin T McHugh
Interim President (end 12/2020)$131,144$209,722$0$17,719$0$673$0$0$14,080$13,467$145,224$241,581$0$0
Brett Sweeney MD
Physician$330,612$0$15,750$0$19,967$0$11,200$0$4,889$0$382,418$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aSouthern New Hampshire Medical Center uses the facilities at the Nashua Country Club for meetings and other business related purposes. The Club does not have a corporate membership; therefore, an individual associated with Southern New Hampshire Medical Center must be a member of the Club. The membership is titled in the CEO's name and invoices are addressed to the CEO, not Southern New Hampshire Medical Center. Southern New Hampshire Medical Center pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members.
Part I, Lines 4a-bSchedule J, Part 1, Line 4a: Both Michael Rose and Susan DeSocio, who served SNHMC as its President & CEO and FMP as its President, respectively, left the organizations during the previous tax year. Both individuals began receiving severance payments from SNHMC during the 2020 calendar year. Michael Rose's severance agreement entitled him to receive bi-weekly severance payments of normal base compensation. A portion of his severance payments were made to him during the 2020 calendar year, and were included in his 2020 Form W-2 wages. Accordingly, these payments are reflected in Rose's compensation as reported on Schedule J, Part II, Column B(iii). Susan DeSocio also received bi-weekly severance payments of normal base compensation during the 2020 calendar year, and were also included in her 2020 Form W-2 wages. Accordingly, these payments are reflected in DeSocio's compensation as reported on Schedule J, Part II, Column B(iii). Both Michael Rose and Susan DeSocio are listed as "former" officers and employees on Southern New Hampshire Medical Center's Form 990, Part VII and Schedule J, in accordance with IRS Instructions. Schedule J, Part I, Line 4b: Southern New Hampshire Medical Center provides a Supplemental Executive Retirement Plan to certain executives. Funding for this plan during the year was provided as follows: Michael S. Rose - $81,063; Paul Trainor - $37,474; and Susan Desocio - $8,906.
Part I, Line 7There is an additional compensation plan available to managers, directors and senior management that is part of their annual performance plan. The plan takes into consideration quality measures, patient satisfaction, individual goals, budget adherence and overall organizational performance. The range and overall pool is reviewed and approved by the Board of Trustees. The amount designated for the CEO and CFO are considered in the compensation consultant's analysis of executive compensation reported on the 990 Part VI section B Line 15b.
Unrelated Organization CompensationMarc Sadowsky, is also the Medical Director of the Medical Center's Electro Convulsive Therapy (ECT) unit. During Calendar year 2020 the Medical Center paid New England Neurological Association $12,600 for ECT and $26,800 for weekend coverage provided by Dr.Sadowsky to Southern New Hampshire Health System.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
NHHEF Authority
A0202798662016-06-07$10,500,000Equipment purchase000
NHHEF Authority
B0202798662016-11-01$59,345,000Refunding0006446147E3
NHHEF Authority
C0202798662019-08-30$24,500,000Equipment purchase000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdTotal ProceedsTotalProceedsAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndRefunding EscrowRefundingEscrowAmt
A$10,500,000$25,802$10,474,19800Yes (1)Yes (1)
B$199,985$59,145,0150Yes (1)Yes (1)Yes (1)$59,345,000
C$24,500,000$37,729$24,462,27100Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A00000.000000.000000.0000000Yes (1)
B00000.000000.000000.0000000Yes (1)
C00000.000000.000000.0000000Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueInd
AYes (1)0000Yes (1)
B00000Yes (1)Yes (1)00
CYes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3In June of 2020, at the end of the Organization's previous fiscal year covered by this tax filing period, Michael S. Rose, the President and CEO of the Organization, resigned from his position with the Organization. Colin McHugh, who is the VP of Value Innovation at SolutionHealth, a related tax-exempt entity, was hired to serve the Organization as an Interim President until such time as a permanent replacement for Mr. Rose could be found; McHugh began spending a portion of his working time with the Organization in October of 2019, and McHugh ended his term as the Interim President in December, 2020. While Mr. McHugh served the Organization as its Interim President, a portion of Mr. McHugh's SolutionHealth compensation was charged to Southern New Hampshire Health System as a management fee. For the calendar year ending December 31, 2020, SolutionHealth charged SNHMC a total of $145,224 ($131,144 to cover McHugh's salary and wages and $14,080 for nontaxable benefits) for his services to Southern New Hampshire Health System. The management fee was paid directly by Southern New Hampshire Medical Center back to SolutionHealth. Accordingly, McHugh's compensation, as paid by SNHMC, has been reflected on the Organization's Form 990, Part VII, and is included in Part IX, Line 5.
Form 990, Part VI, Section A, line 6Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center (SNHMC) and the two (2) organizations have identical boards with the exception of one (1) additional member, who is a physician, serving solely on the SNHMC board.
Form 990, Part VI, Section A, line 7aSouthern New Hampshire Medical Center is governed by the Board of Trustees, who are elected by the Trustees of its sole member Southern New Hampshire Health System, Inc.
Form 990, Part VI, Section A, line 7bThe sole Member, Southern New Hampshire Health System, Inc. (SNHHS), may consider any issue that may properly come before any meeting of Southern New Hampshire Medical Center (the Medical Center). In addition to any rights and powers conferred on SNHHS by law or these bylaws, The Medical Center, and in the bylaws of SNHHS, SNHHS shall, after due consultation with the Board of Trustees of the Medical Center: (a) appoint and remove, with or without cause, the President/Chief Executive Officer of the Medical Center, subject to ratification of the Board of Trustees of the Medical Center; (b) conduct system-wide strategic planning encompassing all corporations, including the Medical Center, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise a system-wide strategic plan that, among other things, established strategic priorities for the Medical Center; (c) conduct system-wide financial and capital planning encompassing all corporations, including the Medical Center, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise system-wide financial plans and operating and capital improvements budget that, among other things, establish financial and budgetary priorities of the Medical Center; (d) periodically conduct by appropriate means an evaluation of the performance of each member of a board of trustees of all corporations, including the Medical Center, of which SNHHS is the sole corporate member, the results of which shall be used by the SNHHS Governance Committee to determine the Trustee's continued service on such board of trustees. The business and affairs of the Medical Center shall be managed by its board of trustees. The Medical Center's board, however, shall not, without approval of SNHHS: (a) elect or appoint the members of the Medical Center's Board of Trustees or remove such person serving from time to time in that capacity; (b) adopt or amend the Medical Center's Mission Statement; (c) adopt, amend or waive any material provision of the Medical Center's strategic plan or any annual operating or capital improvements plan or budget; (d) incur indebtedness for borrowed money or enter into any capital lease obligation, in either case, that has not been specifically set forth in a written operating budget approved previously by the Member where the amount of the obligation exceeds $1,000,000 in amount; (e) enter into, agree to enter into or otherwise approve of any transaction including an incorporation, merger, consolidation, affiliation, dissolution, liquidation or sale of substantially all of the assets of the Corporation; (f) authorize expenditures contained in a capital and operating budget, even if previously approved by the Board of Trustees of the Medical Center; (g) approve, adopt or enter into a professional or general service contract where the annual expense to the Medical Center exceeds $1,000,000 and that has not been previously approved in SNHMC's annual budget; (h) amend the Articles of Agreement or these Bylaws; (i) acquire or agree to acquire by merging, consolidating with or by purchasing substantially all of the assets of any business or corporation, partnership, joint venture, association, business organization or division thereof; and (j) elect or remove officers of the Medical Center.
Form 990, Part VI, Section B, line 11bA copy of the 990 was presented to the full Board and approved by the Finance Committee of the Board of Trustees prior to submission.
Form 990, Part VI, Section B, line 12cThe organization requires all its personnel, including Leaders, to formally acknowledge that they have read and will abide by our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNHMC monitors compliance of its conflict of interest process, which requires completion of disclosure forms by all Leaders on an annual basis or on a reappointment basis (every two years) for medical/allied staff, to ensure full compliance. Interim disclosures are also required and reviewed should a subsequent conflict arise. Any related party disclosures require review and approval by a designated committee. Compliance reports are provided to SNHHS/SNHMC's compliance committee and Board of Trustees.
Form 990, Part VI, Section B, line 15The compensation of the CEO and CFO is evaluated by an outside consultant. The compensation of the CEO is approved by the Executive Compensation Committee of the Board and the Board of Trustees. A market analysis is performed for all key employees on an annual basis. Once the CEO and CFO approve the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board.
Form 990, Part VI, Section C, line 19The organization makes its 990 and 990-T available for inspection upon request. The Code of Conduct is also available on the organization's website. The Code of Conduct addresses certain corporate policies including confidentiality, conflict of interest, patient rights and other governing documents. The organization also makes all relevant documents available to the public upon request.
Form 990, Part IX, line 11gCorporate allocation: Program service expenses 39,285,476. Management and general expenses 0. Fundraising expenses 0. Total expenses 39,285,476. Service contracts: Program service expenses 1,791,193. Management and general expenses 408,107. Fundraising expenses 0. Total expenses 2,199,300. Contracted medical services: Program service expenses 1,750,693. Management and general expenses 398,880. Fundraising expenses 0. Total expenses 2,149,573.
Form 990, Part XI, line 9:Pension adjustment 15,823,201. Transfers to affiliates -33,062,499. Transfer to SolutionHealth, Inc. -2,850,301.
Form 990, Part XII, Line 2c:The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Foundation Medical Partners Inc
8 Prospect StreetNashuaNH03060020456218Physician ServicesNH501(c)(3)Line 10SNHHS0
Southern New Hampshire Health System
8 Prospect StreetNashuaNH03060020509221Medical ServicesNH501(c)(3)Line 12b, IISolutionHealth0
SolutionHealth
360 Route 101 Unit 8ManchesterNH03110830741190Supporting OrganizationNH501(c)(3)Line 12a, I0N/A
Elliot Health System
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020509911ManagementNH501(c)(3)Line 12b, IISolutionHealth0
Elliot Health System Professional & General LIT
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109016217452Insurance TrustNH501(c)(3)Line 12a, IElliot Hospital0
Elliot Hospital
One Elliot WayManchesterNH03103020232673Medical ServicesNH501(c)(3)Line 3Elliot Health System0
Elliot Physician Network
10 Prospect StreetManchesterNH03109020509589Physician ServicesNH501(c)(3)Line 3Elliot Hospital0
Elliot Professional Services Network Inc
10 Prospect StreetManchesterNH03109331003630Physician ServicesNH501(c)(3)Line 10Elliot Hospital0
Everwell Inc
1 Medical Center DriveLebanonNH03756352506275Supporting OrganizationNH501(c)(3)Line 12a, I0N/A
Mary and John Elliot Charitable Foundation
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020512229FundraisingNH501(c)(3)Line 7Elliot Health System0
VNA Community Services Inc
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020396549Nursing ServicesNH501(c)(3)Line 7Elliot Health System0
VNA Home Health and Hospice Services Inc
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020222241Home Care and HospiceNH501(c)(3)Line 10Elliot Health System0
VNA of Manchester & Southern NH Inc
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020395296VNA Holding CompanyNH501(c)(3)Line 12b, IIElliot Health System0
VNA Personal Services Inc
1070 Holt Avenue Unit 1 Suite 2100ManchesterNH03109020395295Private Health and Homemaker ServicesNH501(c)(3)Line 10Elliot Health System0
Legacy Trust of Southern New Hampshire Health Inc
8 Prospect StreetNashuaNH03060844779887FundraisingNH501(c)(3)Line 7SNHHS0
The Surgery Center of Greater Nashua
10 Prospect StreetNashuaNH03060461084049Medical ServicesNH501(c)(3)Line 3SNHHS0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Elliot Common Trust Fund LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Elliot WayAddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03103ZIPCd
FieldValueIRS element (for citing)
EIN203653624EIN
Primary ActivitiesInvestmentsPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Elliot Health System Holdings & SubsidiariesBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11070 Holt Avenue Unit 1 Suite 2100AddressLine1Txt
CityManchesterCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03109ZIPCd
FieldValueIRS element (for citing)
EIN020512224EIN
Primary ActivitiesManagementPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd