ST JOSEPH HOSPITAL OF NASHUA NH: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HOSPITAL OF NASHUA NH (EIN 02-0222215)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-11-10
- IRS object ID
- 202113149349305506
- Schema version
- 2020v4.1
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-11-10T14:10:57-06:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 ELM STREET SUITE 302 | AddressLine1Txt |
| City | MANCHESTER | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222215 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 6038823000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 Kinsley Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | John Jurczyk | PersonNm |
| Person Title | SVP and President | PersonTitleTxt |
| Phone | 6038823000 | PhoneNum |
| Signature | 2021-10-28 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | John | PersonFirstNm |
| Person Last | Jurczyk | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2021-10-28 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | John Jurczyk | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 Kinsley Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $275,487,103 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | stjosephhospital.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1943 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Healthcare services to anyone needing care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 10 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 1786 | TotalEmployeeCnt |
| Total Volunteers | 193 | TotalVolunteersCnt |
| Total Gross UBI | $56,960 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $461,378 | PYContributionsGrantsAmt |
| CY Contributions Grants | $25,627,494 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $230,267,456 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $210,489,849 | CYProgramServiceRevenueAmt |
| PY Investment Income | $11,464,275 | PYInvestmentIncomeAmt |
| CY Investment Income | $7,206,655 | CYInvestmentIncomeAmt |
| PY Other Revenue | $10,740 | PYOtherRevenueAmt |
| CY Other Revenue | -$83,627 | CYOtherRevenueAmt |
| PY Total Revenue | $242,203,849 | PYTotalRevenueAmt |
| CY Total Revenue | $243,240,371 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $35,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $99,824 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $112,589,791 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $106,083,582 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $123,212,497 | PYOtherExpensesAmt |
| CY Other Expenses | $126,211,943 | CYOtherExpensesAmt |
| PY Total Expenses | $235,837,288 | PYTotalExpensesAmt |
| CY Total Expenses | $232,395,349 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $6,366,561 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $10,845,022 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $273,734,500 | TotalAssetsBOYAmt |
| Total Assets EOY | $311,096,199 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $134,907,189 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $163,212,512 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $138,827,311 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $147,883,687 | NetAssetsOrFundBalancesEOYAmt |
| Mission | We are a Catholic health ministry, providing healing and care for the whole person, in service to all in our communities. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $40,169,780 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $55,848,373 | RevenueAmt |
| Desc | Inpatient medical, surgical and rehabilitative services to anyone needing care In the greater Nashua area. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $85,190,347 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $150,997,454 | RevenueAmt |
| Desc | Outpatient services including surgery, radiology, laboratory, rehabilitative, cardiovascular, breast health, cardiac rehab, and mental health to anyone needing services in the greater Nashua area. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $55,268,264 | ExpenseAmt |
| Grant | $99,824 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Each year St. Joseph Hospital provides millions of dollars worth of charity care and community services reflecting our healing mission and our values. St. Joseph Hospital follows the methodology recommended by the Catholic Health Assocation for calculating the cost of charity care and community benefits. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,238,332 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $3,644,022 | RevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $2,238,332 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $3,644,022 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $182,866,723 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (1) | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 120 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1786 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 10 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Richard Plamondon VP Finance | PersonNm |
| Phone | 6038823000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 Kinsley Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Albert Tom | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $1,061,271 | $0 | $45,070 | |||
| Prasanna Gulur | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $731,984 | $0 | $49,063 | |||
| Michael Remar | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $569,755 | $0 | $51,038 | |||
| Yong Hwa Lee | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $560,425 | $0 | $21,479 | |||
| John A Jurczyk | |||||||||
| SVP & President | 38.00 | 2.00 | $0 | $477,005 | $32,700 | Yes (X) | Yes (X) | ||
| Peter Gould | |||||||||
| Physician | 40.00 | 0.00 | Yes (X) | $448,208 | $0 | $48,805 | |||
| Deepak Vatti | |||||||||
| Medical Director | 40.00 | 0.00 | $361,142 | $0 | $37,080 | Yes (X) | |||
| Alison Madden | |||||||||
| VP Medical Affairs | 40.00 | 0.00 | $356,566 | $0 | $32,247 | Yes (X) | |||
| Richard Plamondon | |||||||||
| Treasurer / VP Finance | 38.00 | 2.00 | $0 | $353,710 | $30,707 | Yes (X) | |||
| Judith Dunbar | |||||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Ralph Jenkins | |||||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Donnalee Lozeau | |||||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Joseph J Porcello | |||||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Daniel M Weeks | |||||||||
| Director | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | |||
| Louise Trottier | |||||||||
| Chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Maurice Arel | |||||||||
| Immediate Past Chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| John Parolin | |||||||||
| Vice Chair | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Arthur Urschel | |||||||||
| Secretary | 1.00 | 0.00 | $0 | $0 | $0 | Yes (X) | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,089,351 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $830,715 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $348,189 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 269 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Harvey Construction Corp | |||||
| 10 Harvey Road | Bedford | NH | 031106805 | Construction and renovation | $3,406,697 |
| Hospital Medicine Associates LLC | |||||
| PO Box 634850 | Cincinnati | OH | 452634850 | Locum and staffing | $2,429,077 |
| Mayo Collaborative Service | |||||
| PO Box 9146 | Minneapolis | MN | 554809146 | Laboratory testing | $1,802,821 |
| Northeastern Surgical Specialist | |||||
| 520 8th Street NE | Hickory | NC | 28601 | Surgical services | $1,408,665 |
| The ROI Companies | |||||
| 5555 Glenridge Connector Suite 200 | Atlanta | GA | 30342 | Healthcare solutions | $933,539 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 46 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $51,320 | FundraisingAmt |
| Related Organizations | $9,942 | RelatedOrganizationsAmt |
| Government Grants | $25,173,441 | GovernmentGrantsAmt |
| All Other Contributions | $392,791 | AllOtherContributionsAmt |
| Noncash Contributions | $53,904 | NoncashContributionsAmt |
| Total Contributions | $25,627,494 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient services | 622110 | $207,138,562 | $207,138,562 |
| Tuition, education, and seminars | 611600 | $1,376,108 | $1,376,108 |
| Other program fees | 622110 | $1,338,912 | $1,338,912 |
| Cafeteria | 722514 | $530,824 | $530,824 |
| Thrift/gift shop and boutique | 453220 | $105,443 | $105,443 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $210,489,849 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,656,160 | TotalRevenueColumnAmt |
| Exclusion | $5,656,160 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $118,762 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $259,480 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$140,718 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$140,718 | TotalRevenueColumnAmt |
| Exclusion | -$140,718 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $33,425,320 | SecuritiesAmt |
| Other | $86,898 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $31,957,613 | SecuritiesAmt |
| Other | $4,110 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,467,707 | SecuritiesAmt |
| Other | $82,788 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,550,495 | TotalRevenueColumnAmt |
| Exclusion | $1,550,495 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $25,660 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $51,320 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $25,529 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $131 | TotalRevenueColumnAmt |
| Exclusion | $131 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|
| Answering services | 517000 | $36,660 | $36,660 |
| Housekeeping services | 812900 | $20,300 | $20,300 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $56,960 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $243,240,371 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $210,489,849 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $56,960 | UnrelatedBusinessRevenueAmt |
| Exclusion | $7,066,068 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $69,402 | TotalAmt |
| Program Services | $69,402 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,422 | TotalAmt |
| Program Services | $30,422 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $787,035 | TotalAmt |
| Program Services | $768,682 | ProgramServicesAmt |
| Management And General | $18,353 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,222,718 | TotalAmt |
| Program Services | $84,212,098 | ProgramServicesAmt |
| Management And General | $2,010,620 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,110,901 | TotalAmt |
| Program Services | $1,084,996 | ProgramServicesAmt |
| Management And General | $25,905 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,229,835 | TotalAmt |
| Program Services | $11,944,648 | ProgramServicesAmt |
| Management And General | $285,187 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,733,093 | TotalAmt |
| Program Services | $5,569,951 | ProgramServicesAmt |
| Management And General | $163,142 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,053 | TotalAmt |
| Management And General | $427,053 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,593 | TotalAmt |
| Management And General | $54,593 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,260 | TotalAmt |
| Management And General | $99,260 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,116,920 | TotalAmt |
| Program Services | $14,996,250 | ProgramServicesAmt |
| Management And General | $14,120,670 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,586 | TotalAmt |
| Program Services | $81,677 | ProgramServicesAmt |
| Management And General | $76,909 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,232,431 | TotalAmt |
| Program Services | $1,664,817 | ProgramServicesAmt |
| Management And General | $1,567,614 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,366,719 | TotalAmt |
| Program Services | $703,909 | ProgramServicesAmt |
| Management And General | $662,810 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,320,503 | TotalAmt |
| Program Services | $2,225,213 | ProgramServicesAmt |
| Management And General | $2,095,290 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $97,671 | TotalAmt |
| Program Services | $50,304 | ProgramServicesAmt |
| Management And General | $47,367 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,557 | TotalAmt |
| Program Services | $69,302 | ProgramServicesAmt |
| Management And General | $65,255 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,652,114 | TotalAmt |
| Program Services | $2,652,114 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,965,862 | TotalAmt |
| Management And General | $22,965,862 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,168,254 | TotalAmt |
| Program Services | $7,168,254 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,969,760 | TotalAmt |
| Program Services | $1,529,532 | ProgramServicesAmt |
| Management And General | $1,440,228 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Patient-billed supplies | $22,285,423 | $22,285,423 | |
| Provision for bad debts | $12,331,963 | $12,331,963 | |
| Medicaid tax | $9,814,278 | $9,814,278 | |
| Repair/PM contracts | $3,747,880 | $1,930,292 | $1,817,588 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,268,116 | TotalAmt |
| Program Services | $1,683,196 | ProgramServicesAmt |
| Management And General | $1,584,920 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,395,349 | TotalAmt |
| Program Services | $182,866,723 | ProgramServicesAmt |
| Management And General | $49,528,626 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,784,987 | BOYAmt |
| EOY | $3,125,514 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,276,093 | BOYAmt |
| EOY | $8,916,538 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,685,821 | BOYAmt |
| EOY | $41,274,435 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,204,278 | BOYAmt |
| EOY | $14,174,572 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,453,670 | BOYAmt |
| EOY | $3,336,735 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $998,274 | BOYAmt |
| EOY | $1,107,387 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $186,377,959 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $125,515,269 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,151,115 | BOYAmt |
| EOY | $60,862,690 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $71,277,915 | BOYAmt |
| EOY | $16,471,372 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,511,238 | BOYAmt |
| EOY | $135,029,140 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,226,076 | BOYAmt |
| EOY | $18,314,876 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,165,033 | BOYAmt |
| EOY | $8,482,940 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,734,500 | BOYAmt |
| EOY | $311,096,199 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,046,093 | BOYAmt |
| EOY | $30,151,973 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,021 | BOYAmt |
| EOY | $117,296 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,976,690 | BOYAmt |
| EOY | $83,232,648 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,839,385 | BOYAmt |
| EOY | $49,710,595 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $134,907,189 | BOYAmt |
| EOY | $163,212,512 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $136,726,651 | BOYAmt |
| EOY | $145,789,809 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,100,660 | BOYAmt |
| EOY | $2,093,878 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,827,311 | BOYAmt |
| EOY | $147,883,687 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,734,500 | BOYAmt |
| EOY | $311,096,199 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $10,845,022 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$113,000 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,675,646 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $15,940 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $15,940 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | St. Joseph's Hospital of Nashua is a member of the New Hampshire Hospital Association (NHHA). A portion of the dues paid to the association in the year ending December 31, 2020 were available for lobbying expenditures on behalf of the Hospital in furtherance of their exempt purposes. The amount reported on the Hospital's 2020 Form 990, Schedule C, Part II-B, Line 1g represents the amount of dues paid by the Hospital that were available for lobbying purposes. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,100,660 | BeginningYearBalanceAmt |
| Contributions | $395,764 | ContributionsAmt |
| Investment Earnings Or Losses | $41,894 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $444,439 | OtherExpendituresAmt |
| End Year Balance | $2,093,879 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,784,834 | BeginningYearBalanceAmt |
| Contributions | $301,225 | ContributionsAmt |
| Investment Earnings Or Losses | $137,394 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $122,793 | OtherExpendituresAmt |
| End Year Balance | $2,100,660 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,415,041 | BeginningYearBalanceAmt |
| Contributions | $561,381 | ContributionsAmt |
| Investment Earnings Or Losses | -$54,863 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $136,725 | OtherExpendituresAmt |
| End Year Balance | $1,784,834 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,113,776 | BeginningYearBalanceAmt |
| Contributions | $894,143 | ContributionsAmt |
| Investment Earnings Or Losses | $31,108 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $623,986 | OtherExpendituresAmt |
| End Year Balance | $1,415,041 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,092,933 | BeginningYearBalanceAmt |
| Contributions | $445,602 | ContributionsAmt |
| Investment Earnings Or Losses | $49 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $424,808 | OtherExpendituresAmt |
| End Year Balance | $1,113,776 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.50160 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.49840 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,783,337 | OtherCostOrOtherBasisAmt |
| Book Value | $3,783,337 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $104,382,331 | OtherCostOrOtherBasisAmt |
| Depreciation | $65,604,484 | DepreciationAmt |
| Book Value | $38,777,847 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,284,065 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,231,017 | DepreciationAmt |
| Book Value | $53,048 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $64,336,420 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,409,931 | DepreciationAmt |
| Book Value | $7,926,489 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,591,806 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,269,837 | DepreciationAmt |
| Book Value | $10,321,969 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $60,862,690 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $135,029,140 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $135,029,140 | TotalBookValueSecuritiesAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Investment in Corporate Services | $14,720,312 | C |
| Investment in Souhegan Nursing | $855,877 | C |
| Investment in Nashua Regional Cancer Center | $2,126,645 | C |
| Investment in NH Imaging | $10,089 | C |
| Investment in First Choice PHO | $601,953 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $18,314,876 | TotalBookValueProgramRltdAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)
| DescDesc | AmtAmt |
|---|---|
| Medicaid settlement obligations | $22,287,847 |
| Third party payor settlements | $6,510,661 |
| Environmental liability | $6,326,526 |
| Due to affiliates | $5,859,819 |
| Capital lease obligations | $2,811,780 |
| Deferred executive compensation | $2,339,759 |
| Loss in investment | $1,559,704 |
| Malpractice tail liability | $1,227,905 |
| Redistribution liabilities | $835,989 |
| Security deposits | $2,336 |
| Pension obligations | -$51,731 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $49,710,595 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Funds to be used to assist the needy through education and/or projects for the poor as determined and approved by the board. |
| Part X, Line 2: | Covenant and its member organizations are considered not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code, except as noted below. St. Joseph Hospital Corporate Services, Inc., a wholly-owned subsidiary of Nashua, is a for-profit organization, which is subject to federal and state income taxes. St. Joseph Hospital Corporate Services, Inc. has net operating loss (NOL) carryforwards for tax purposes. The NOLs are not anticipated to be utilized so the amounts have been fully offset with a reserve. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The System has evaluated the position taken on its filed tax returns. The System has concluded no uncertain income tax positions exist at December 31, 2020. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Golf Tournament | Event1Nm |
| Gross Receipts Event1 | $76,980 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $51,320 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $25,660 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $500 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $9,323 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $9,323 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $0 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $6,383 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $76,980 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $51,320 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $25,660 | GrossRevenueTotalEventsAmt |
| Cash Prizes Total Events | $500 | CashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $9,323 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $9,323 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $6,383 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $25,529 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $131 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4335 | PersonsServedCnt |
| Total Community Benefit Expns | $473,881 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $473,881 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00220 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12452 | PersonsServedCnt |
| Total Community Benefit Expns | $19,200,984 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,042,841 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,158,143 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04620 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16787 | PersonsServedCnt |
| Total Community Benefit Expns | $19,674,865 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,042,841 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,632,024 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04840 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,138,313 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,138,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,138,313 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,138,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00520 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16787 | PersonsServedCnt |
| Total Community Benefit Expns | $20,813,178 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,042,841 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,770,337 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05360 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,331,963 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $61,766,572 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $104,969,729 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$43,203,157 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 First Choice PHO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Physician Hospital Organization | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 Kinsley Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 00023 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 20 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V, Section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 18 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Strategy Attached | Yes (1) | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| St. Joseph Hospital | Part V, Section B, Line 5: St. Joseph Hospital 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 needs assessment (CHNA).The 2020 CHNA employed numerous research methods to gather input from the community, including online surveys, in-person interviews, and data analysis. The CHNA 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. |
| St. Joseph Hospital | Part V, Section B, Line 6a: St. Joseph Hospital 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 |
| St. Joseph Hospital | Part V, Section B, Line 6b: St. Joseph Hospital 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 |
| St. Joseph Hospital | Part V, Section B, Line 11: For the years covering 2018-2021, St. Joseph Hospital has committed to collaborating with numerous other healthcare and public service organizations in the Greater Nashua Community Health Improvement Plan (CHIP). The 2018-2021 CHIP was informed by the analysis of data contained from the 2017 Greater Nashua Community Health Assessment (CHA), the third comprehensive CHA conducted for the region. The 2018-2021 CHIP was developed through a collaborative process conducted by DPHCS and the Greater Nashua Public Health Advisory Council (PHAC), which is the network of regional stakeholders supporting all public health efforts in the Greater Nashua Region.As part of the ongoing process of community health improvement, every three years the City of Nashua, DPHCS, in collaboration with more than 20 partner organizations within the Greater Nashua Public Health Region (GNPHR), conducts a comprehensive Community Health Assessment (CHA). The CHA is a process of identifying, collecting, analyzing and disseminating data and other information about the community's assets, strengths, resources, and needs to be able to provide community members information about the health concerns and needs of the community.Through the evaluation of health data and issues identified in the CHA, the Greater Nashua CHIP process prioritizes health topics and creates an action plan to address those issues over the following three years. Community engagement is key to the CHIP process so that the resulting plan reflects not only the shared commitment to priority issues, but also considers the full community's assets, strengths, resources and needs for bringing about positive change. In order to maximize health impact and gain widespread support for improvement, Greater Nashua CHIP initiatives are carried out in coordination with state level partners whenever possible.The top five public health priority issues, listed in the order determined by the Greater Nashua Public Health Advisory Council Executive Committee, include:1. Behavioral Health (Suicide, Mental Health, and Substance Use)2. Chronic Disease (Heart Disease/ Stroke, Diabetes, and Asthma)3. Weight Management, Physical Activity, and Nutrition4. Maternal and Child Health5. Public Health Emergency PreparednessThe Hospital, along with the other care providers included in the 2018-2021 CHIP, are addressing these needs through a coordinated effort to provide and improve upon the following: access to care; community resources; health and nutrition education and literacy; access to child care; access to medical transportation; access to mental and behavioral health resources; improved medical coverage; personal fitness and exercise; and professional training, education, and research for health and care providers.The collaborative CHIP predicts that efforts to meet these goals and improve upon these services will address the most significant needs identified in the Greater Nashua Needs Assessment.The 2020 Greater Nashua CHNA will be used to inform the 2021-2024 CHIP. Using evidence-based strategies, the 2021-2024 CHIP will develop plans to address issues related to behavioral health, chronic diseases, communicable diseases, maternal and child health, and public health emergencies. At the time of this return's filing, the 2021-2024 CHIP has not yet been issued. Accordingly, this Schedule H references and disclosures information only from the published and available 2018-2021 Greater Nashua CHIP. |
| Schedule H, Part V, Section B, Line 7: | Access to the Hospital's past and present CHNA reports can be found at the following web-address:https://www.stjosephhospital.com/community-health/community-benefits-reportAdditionally, the collaborative Greater Nashua CHA, to which St. Joseph Hospital 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: | The Hospital collaborated with the City of Nashua Division of Public Health to develop the Greater Nashua Community Health Improvement Plan (CHIP).Both past and present copies of the Greater Nashua CHIP can be found through the City of Nashua website, at: https://www.nashuanh.gov/564/Community-Health-Improvement-Plan-CHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Milford Urgent Care | ||||
| 442 Nashua Street | Milford | NH | 03055 | Urgent care, PT, OT, radiology, mammography, and physician services |
| 2 - S Nashua Radiology & Physician Offices | ||||
| 172 Daniel Webster Highway | Nashua | NH | 03060 | Radiology and physician practice |
| 3 - Nashua Pediatrics - Physician Practice | ||||
| 155 Kinsley Street | Nashua | NH | 03060 | Physician practice |
| 4 - Amherst Street PT & OT | ||||
| 460 Amherst Street | Nashua | NH | 03060 | Physical and Occupational Therapy |
| 5 - Merrimack PT | ||||
| 382 Daniel Webster Highway | Merrimack | NH | 03054 | Physicial therapy |
| 6 - Hudson PT OT and Radiology | ||||
| 208 Robinson Road | Hudson | NH | 03051 | Physical and Occupational Therapy, Radiology |
| 7 - NE Boulevard PT & OT | ||||
| 75 Northeastern Boulevard | Nashua | NH | 03060 | Physical and Occupational Therapy |
| 8 - Dartmouth Exit 8 PT & OT | ||||
| 2300 Southwood Drive | Nashua | NH | 03063 | Physical and Occupational Therapy |
| 9 - Neurology - Physician Practice | ||||
| 171 Kinsley Street | Nashua | NH | 03060 | Physician practice |
| 10 - OBGYN - Physician Practice | ||||
| Harris Pond | Merrimack | NH | 03054 | Physician practice |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | Costing methodology is an overall cost-to-charge ratio based on operating expenses as a percent of gross revenue applied to the related gross charges. Line 7a is based on gross charges written off as charity care times the overall cost-to-charge ratio. Line 7b is based on gross charges of patients with a primary payor of Traditional Medicaid or Medicaid Manage Care times the overall cost-to-charge ratio. Line 7e uses various methods to aggregate costs including but not limited to - actual expenditures for staff, supplies, and hospital space usage by community groups and cash donations. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 12,331,963. |
| Part II, Community Building Activities: | The Hospital maintains an open medical staff, representing over forty different specialties and treats all patients regardless of their ability to pay. The board of directors is made up of community members with varied backgrounds and industries. The Hospital utilizes any surplus funds to further its mission by providing free and low cost healthcare services, educations offerings, free screenings, support groups, and works collaboratively with other healthcare agencies to meet the identified healthcare needs of our community. St. Joseph Hospital is an affiliate of Covenant Health Inc. of Tewksbury, MA. It is the responsbility of the entire staff of St. Joseph Hospital to serve and promote the health of the greater Nashua community.Additionally, St. Joseph Hospital strives to improve the health of its community through community-based partnerships and initiatives, some of which are detailed below: The Greater Nashua Healthy Community Collaborative:The Greater Nashua Healthy Community Collaborative is working to increase awareness and education about the importance of preventive medicine and health screenings, particularly for heart disease and peripheral vascular disease (PVD). Screening can help identify potential problems early, such as high cholesterol or high blood sugar (diabetes), so they can be treated before they become more serious and potentially lead to a heart attack, stroke or other traumatic event. The Collaborative has also helped to establish a prescription assistance program to help their clients to obtain prescription medications. Collaborative members include healthcare organizations, human service providers, and public agencies that come together on a regular basis to address needs that have been identified by the Community Health Assessment of Greater Nashua.Milette Manor Parish Nurse Center for Wellness:The Parish Nurse Center for Wellness at Milette Manor is a collaborative effort between Neighborhood Housing Services of Greater Nashua, St. Louis DeGonzague Parish, and the St. Joseph Hospital Parish Nurse Program. The Center serves as a focal point for grassroots efforts toward community education and outreach about health and wellness. Milette Manor, located at 72 Vine Street, provides low-income housing for elderly residents who have access to the Center for Wellness programs, screenings, and equipment.Screenings and Planning:The Hospital frequently makes available free blood pressure screenings and free breast and cervical cancer screenings. The Hospital aloso provides access to advanced care plans that provide comfort and peace-of-mind for end of life care and transititons.These efforts, combined with the Hospital's general operations and commitment to high-quality care, continually and significantly build and improve the communities which the Hospital serves. |
| Part III, Line 2: | Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the system analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts, adjusted based on cost to charge ratio. The allowance for doubtful accounts is provided based on an analysis by management of the collectability of outstanding balances. Management considers the age of the outstanding balances and past collection efforts in determing the reserve for doubtful accounts. Accounts deemed uncollectible are charged off against the established reserve. Bad debts are reported as charged. |
| Part III, Line 3: | Patients deemed eligible for financial assistance follow the Hospital's financial assistance policies. Therefore, no bad debt expense related to patients eligible under the Hospital's financial assistance policy is included as a community benefit. |
| Part III, Line 4: | St. Joseph Hospital adopted the new accounting standards as issued by the FASB in May 2014, effective January 1, 2018, where the provision for bad debt is no longer presented as a separate line item and net patient service revenue is presented net of estimated implicit price concession revenue deductions. The adoption of the new standard did not have an impact on the recognition of revenues for any periods prior to adoption. The adoption of this accounting standard is detailed in the Hospital's audited financial statements, pages 15-18, Footnote 3, Patient Service Revenues. The Hospital continues to operate under this adopted standard. |
| Part III, Line 8: | None were reported as a community benefit. Costing methodology is an overall cost-to-charge ratio based on operating expenses as a percent of gross revenue applied to the gross charges of patients with a primary payor of traditional Medicare or Medicare Advantage. |
| Part III, Line 9b: | Every statement sent to patients indicates that financial assistance is available and provides a phone number and email contact. All customer service personnel are attuned to asking patients if they need assistance.The financial assistance application is also available on-line by visiting the facility's website. |
| Part VI, Line 2: | St. Joseph Hospital 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: | Signage and brochures are at every point of registration, which explain the free-care and financial assistance policies. There are dedicated financial counselors who meet in person or over the telephone to provide guidance and support to patients and families who require financial assistance. Information can also be found on the hospital web site, As well as in the Hospital's community newsletters/quarterly publications. All customer service and registration personnel are trained to ask patients and families if they need financial assistance.Free Care is available for patients who qualify. If a patient's or their family's income is 200% or less of the Federal Poverty Guidelines, the patient may qualify for assistance for their self-pay balance. Patients may inquire about this program before arriving for care or at the time of registration or check-in. Patients may also inquire about Free Care after receiving their billing-statements. Additionally, the Hospital makes available financial representatives to answer all billing and payment questions. Representatives are available to assist with questions regarding insurance benefits, hospital charges, payment options, and the applications for financial assistance. |
| Part VI, Line 4: | St. Joseph Hospital serves people of all ages, race, gender, religion, ethnicity regardless of their ability to pay. The Hospital's service area is all of New Hampshire.For its 2020 tax year, the Hospital 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 guage 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: | The Hospital maintains an open medical staff, representing over forty different specialties and treats all patients regardless of their ability to pay. The board of directors is made up of community members with varied backgrounds and industries. The Hospital utilizes any surplus funds to further its mission by providing free and low cost healthcare services, educations offerings, free screenings, support groups, and works collaboratively with other healthcare agencies to meet the identified healthcare needs of our community. It is the responsbility of the entire staff of St. Joseph Hospital to serve and promote the health of the greater Nashua community.Additionally, St. Joseph Hospital provides a variety of programs and initatives to improve the general wellbeing and to promote the health of its community. For example, the Hospital is proud the maintain the following community outreach programs:- Community Health Education: the Hospital reguarly hosts a wide variety of seminars and workshop activities to promote wellness and healthy living. - Empty Cradle Support Group: a bereavement support-resource for families coping with the loss of a child. - The Marguerite d'Youville Fund for the Poor: a Fund to provide medicine and medical care for the poor and uninsured members of its community.- Palliative Care: a comprehensive support network for the terminally ill and community education regarding all aspects of "end of life" planning.- School of Nursing and Scholarship Fund: academic instruction in the scientific, technical, spiritual, and social aspects of nursing, with training programs in several healthcare occupations. Scholarship support is provided to students based on financial need and desire to pursue a career in healthcare. |
| Part VI, Line 6: | St. Joseph Hospital of Nashua is a member and related organization to the Covenant Health System; Covenant Health Inc. is the sole corporate member of the Hospital. Covenant Health is an innovative, Catholic regional health delivery network and a leader in values-based, not-for-profit health and elder care. Covenant consists of hospitals, skilled nursing and rehabilitation centers, assisted living residences, and community-based health and elder care organizations throughout New England. Through its partnership and membership with Covenant Health, the Hospital is able to better navigate the increasingly complex and competetive healthcare marketplace while improving its ability to offer high-quality patient service. Access to Covenant Health resources allows the Hospital to compete on cost and quality of care; to maintain financial strength while fulfiling its care-oriented missions; to enhance the skills of its staff and leadership; and to strengthen the Hospital's ability to serve its community. Through the Covenant Health System, the Hospital can access and utilize funds and resources that allow it to better serve its priority communities and their specific health care needs.Additionally, the Hospital 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: | New Hampshire |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Southern New Hampshire Medical Center | |||||||
| PO Box 2014 | Nashua | NH | 030612014 | 020483054 | 501(c)(3) | $25,096 | Prescription Assistance |
| Roman Catholic Bishop of Manchester | |||||||
| 153 Ash Street | Manchester | NH | 03104 | 026004670 | 501(c)(3) | $16,000 | General support and funding for the Bishop Assistance program |
| United Way of Greater Nashua | |||||||
| 20 Broad Street Suite 1 | Nashua | NH | 03064 | 026015642 | 501(c)(3) | $11,250 | General operating support |
| Marguerite's Place Inc | |||||||
| 87 Palm Street | Nashua | NH | 030603828 | 020466392 | 501(c)(3) | $5,000 | Continued Support of Mother and Children in need |
| City of Nashua | |||||||
| 229 Main Street | Nashua | NH | 03060 | 020170100 | GOV | $5,000 | General operating support |
| St Joseph Community Service Inc | |||||||
| PO Box 910 | Merrimack | NH | 03054 | 020335003 | 501(c)(3) | $5,000 | General operating support |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Employee Emergency Assistance and Financial Support Funds | GrantTypeTxt |
| Recipient | 55 | RecipientCnt |
| Cash Grant | $30,422 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | All accounting is managed through Covenant Health's Accounts Payable (St. Joseph Hospital's (SJH) parent corporation) and SJH's Finance Department. Specific procedures and management protocols have been established for tracking grant awards. St. Joseph's has a Foundation which houses a Grants Associate that is overseen by Covenant Health's Director of Grants Administration. The Director's background over the last 30 years in the nonprofit sector has focused, in part, on financial management and grants contracts, reporting, and oversight. The Grants Associate is responsible for building and maintaining the Foundations grants research, writing, and reporting program. St. Joseph's grants management systems are also monitored by St. Joseph's Executive Director of Philanthropy to ensure redundant mechanisms of oversight. St. Joseph's Finance Department monitors and maintains a list of all contracts through a contract database. The database provides designated individuals with access to the actual contract. Finance and the Foundation review all contracts to ensure that any payments or financial reporting requirements are met. All grant expenditures are assigned to specific grants and require authorization from the departmental director requesting the expense, the Grants Associate or the Director of Grants Administration, and the Executive Director of Philanthropy. Additionally, during 2020, the Organization created an Employee Emergency Assistance Program to solicit donor contributions and to provide financial assistance to employees who meet qualifications as needy or who are experiencing financial hardship. Generally, to be considered needy or experiencing financial hardship, an employee's prior year and projected current year household income must be below 200% of the federal poverty guideline and the employee must be experiencing housing instability, including imminent risk of homelessness. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Albert Tom | ||||||||||||||
| Physician | $1,059,869 | $0 | $0 | $0 | $1,402 | $0 | $0 | $0 | $45,070 | $0 | $1,106,341 | $0 | $0 | $0 |
| Prasanna Gulur | ||||||||||||||
| Physician | $730,582 | $0 | $0 | $0 | $1,402 | $0 | $5,350 | $0 | $43,713 | $0 | $781,047 | $0 | $0 | $0 |
| Michael Remar | ||||||||||||||
| Physician | $565,053 | $0 | $0 | $0 | $4,702 | $0 | $5,403 | $0 | $45,635 | $0 | $620,793 | $0 | $0 | $0 |
| Yong Hwa Lee | ||||||||||||||
| Physician | $556,831 | $0 | $0 | $0 | $3,594 | $0 | $5,498 | $0 | $15,981 | $0 | $581,904 | $0 | $0 | $0 |
| John A Jurczyk | ||||||||||||||
| SVP & President | $0 | $453,981 | $0 | $18,000 | $0 | $5,024 | $0 | $5,700 | $0 | $27,000 | $0 | $509,705 | $0 | $0 |
| Peter Gould | ||||||||||||||
| Physician | $445,296 | $0 | $0 | $0 | $2,912 | $0 | $5,215 | $0 | $43,590 | $0 | $497,013 | $0 | $0 | $0 |
| Deepak Vatti | ||||||||||||||
| Medical Director | $341,374 | $0 | $0 | $0 | $19,768 | $0 | $5,552 | $0 | $31,528 | $0 | $398,222 | $0 | $0 | $0 |
| Alison Madden | ||||||||||||||
| VP Medical Affairs | $350,715 | $0 | $4,375 | $0 | $1,476 | $0 | $5,523 | $0 | $26,724 | $0 | $388,813 | $0 | $0 | $0 |
| Richard Plamondon | ||||||||||||||
| Treasurer / VP Finance | $0 | $342,675 | $0 | $7,500 | $0 | $3,535 | $0 | $5,192 | $0 | $25,515 | $0 | $384,417 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3 | All compensation paid to the Hospital's SVP and President is established, reviewed, and approved by Covenant Health, the Hospital's sole corporate member. Covenant Health utilizes a compensation committee, independent compensation consultants, and compensation surveys and studies of similarly experienced executives employed by comparable organizations to determine a reasonable and appropriate compensation package for the Hospital's SVP and President. The compensation plan is subject to the approval of the Compensation Committee of Covenant Health's Board of Directors. |
| Part I, Line 7 | "Cash in" of earned time. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NH Health & Education Facilities Authority | ||||||||
| A | 020279866 | 644614UG2 | 2007-10-30 | $53,869,522 | Renovations & Equipment | 0 | 0 | Yes (1) |
| NH Health & Education Facilities Authority | ||||||||
| B | 042456011 | 575840QA4 | 2012-06-27 | $27,000,000 | Renovations & Improvements | Yes (1) | 0 | 0 |
| NH Health & Education Facilities Authority | ||||||||
| C | 042456011 | 2014-07-17 | $16,900,000 | Refunding Issue | 0 | 0 | 0 | |
| NH Health & Education Facilities Authority | ||||||||
| D | 042456011 | 2017-03-21 | $7,960,000 | Renovations & Equipment | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $53,869,522 | $4,911,229 | $681,812 | 2008 | 0 | Yes (1) | Yes (1) | Yes (1) | |
| B | $27,000,000 | $572,615 | 0 | Yes (1) | 0 | Yes (1) | $21,991,329 | ||
| C | $16,900,000 | $260,000 | 2014 | 0 | Yes (1) | Yes (1) | Yes (1) | ||
| D | $7,960,000 | $159,200 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 0 | Yes (1) |
| D | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | 0 | |||
| B | Yes (1) | 0 | 0 | 0 | 0 | 0 | |||
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 |
| D | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
| D | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K, Part III, Line 9; Part IV, Line 7, & Part V: | FormAndLineReferenceDesc |
| Explanation | All bonds are carefully and consistently monitored for potential violations of Federal tax requirements. However, the monitoring procedures were not written as of the end of the year covered by this tax return. The Organization is considering adopting formal policies that would set forth the Organization's methodology for ensuring post-issuance compliance with IRS requirements pertaining to tax-exempt debt. Such policies would also contain specific language regarding organizational responsibility, record retention, private business use, arbitrage rebate, and remedial actions as applicable to the Organization's tax-exempt debts. Although formal policies are not in place in regards to the remediation of the Organization's bonds, the Organization does maintain compliance checks to ensure that the monitoring requirements of Section 148 are maintained, and that procedures are in place to ensure that any violations are identified and corrected in a timely manner. | ExplanationTxt |
Schedule M IRS990ScheduleM
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $500 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Gift Date FMV | MethodOfDeterminingRevenuesTxt |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Med. Supplies | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $53,404 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Gift Date FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 32b: | FormAndLineReferenceDesc |
| Explanation | St. Joseph Hospital of Nashua operates in conformity with the Covenant Health Charitable Gift Acceptance Policy. Additionally, it is with the assistance and faciliation by the Covenant Health System that the Hospital is able to solicit, process, utilize, or dispose of non-cash gifts. The Policy outlines the following processes and procedures for non-cash contributions: - Real Property: An interest in real property may be accepted only with approval of the Covenant Health Foundation President, after review by legal counsel and the Chief Financial Officer of Covenant Health Gifts. - In-Kind Gifts and Gifts of Tangible Personal Property: Covenant Health and its members may accept in-kind gifts of goods or services, or gifts of tangible personal property, including but not limited to medical equipment, works of art, furniture, boats, motor vehicles, computer hardware, and jewelry, only after a thorough review indicates that the goods, services or property are: (i) readily marketable, or (ii) needed by Covenant Health and its members for use in a manner which is related to one of the charitable purposes of the system. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Covenant Health, Inc. is the sole member of St. Joseph Hospital. |
| Form 990, Part VI, Section A, line 7a | As the sole member of St. Joseph Hospital, Covenant Health, Inc. retains the ability to elect and remove the Organization's board of directors with or without cause. |
| Form 990, Part VI, Section A, line 7b | As the sole corporate member of the Organization, Covenant Health, Inc. has the following powers and rights over the Organization and its subsidiaries as outlined in the Organization's bylaws: 1. To approve any change in the written statements of philosophy and mission; 2. To amend and to repeal the organizing and governing documents; 3. To elect the Board of Directors or remove them with or without cause; 4. To appoint and remove the president; 5. To approve all plans of merger, consolidation, reorganization, dissolution, or the sale, lease assignment, or transfer of substantially all of the assets, or the purchase or acquisition of an interest in any corporation, partnership, joint venture, or other entity; 6. To approve the acquisition, sale, or encumberance of any real estate valued in excess of an amount set by the Member in writing; 7. To approve the sale, assignment, or transfer of any equity interest or membership interest in any subsidiary; 8. To approve any reclassification or other change of any capital stock or other equity security; and, 9. To approve the issuance of, or the creation of any obligation to issue, any equity security. |
| Form 990, Part VI, Section B, line 11b | The Forms 990 are prepared by an independent tax accountant, and are then reviewed by the St. Joseph Hospital Finance Committee and board of directors prior to filing. |
| Form 990, Part VI, Section B, line 12c | Each year, St. Joseph Hospital conducts a survey of the board members and key management members to determine whether there are conflicts of interest (be they actual or potential). Board members and key employees have a continuing obligation to report any proposed transactions which may be perceived as a conflict of interest. |
| Form 990, Part VI, Section B, line 15 | The compensation of officers and key employees is subject to the oversight and decisions of Covenant Health, a related entity and the sole member of the Center. Every two-to-three years the Compensation Committee of the Covenant Health board of directors engages an external consultant to provide competitive market data from various survey sources, which is used to develop recommendations for changes to the compensation program. Since 2003, the Compensation Committee has engaged a human resources consultant to conduct this analysis. Objectives of the analysis are to assess the compositeness of the total cash compensation levels of the senior leadership team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if there are any, are competitive and reasonable. |
| Form 990, Part VI, Section C, line 19 | The Hospital will make its corporate and governing documents and its financial available upon request. |
| Form 990, Part IX, line 11g | Purchased/contract services: Program service expenses 9,329,272. Management and general expenses 8,784,567. Fundraising expenses 0. Total expenses 18,113,839. Physician contract services: Program service expenses 5,648,162. Management and general expenses 5,318,385. Fundraising expenses 0. Total expenses 10,966,547. Transcription services: Program service expenses 18,816. Management and general expenses 17,718. Fundraising expenses 0. Total expenses 36,534. |
| Form 990, Part XI, line 9: | Net assets released from restrictions 276,021. Net long term pension adjustment -932,798. Transfers to affiliates -1,018,869. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the previous year. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJH Surgicenter LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 Kinsley Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204181845 | EIN |
| Primary Activities | Inactive Outpatient Surgery | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Total Income | $0 | TotalIncomeAmt |
| End Of Year Assets | $0 | EndOfYearAssetsAmt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | St Joseph Hospital | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (38 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Youville Lifecare Inc | |||||||||||
| 1575 Cambridge Street | Cambridge | MA | 02138 | 042103582 | Hospital and health care facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Joseph Manor Health Care | |||||||||||
| 215 Thatcher Street | Brockton | MA | 02302 | 042565937 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Mary's Health system | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 222504349 | Hospital and health care facility | ME | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Youville Place | |||||||||||
| 10 Pelham Road | Lexington | MA | 02421 | 043297834 | Assisted living services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Mary's Villa Nursing Home Inc | |||||||||||
| 675 St Marys Villa Road | Moscow | PA | 18444 | 232057177 | Nursing home and restorative facility | PA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| CHS of Waltham Inc dba Maristhill Nursing & Rehab Center | |||||||||||
| 66 Newton Street | Waltham | MA | 02453 | 043333609 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| CHS of Worcester Inc dba St Mary Care Center | |||||||||||
| 39 Queen Street | Worchester | MA | 01610 | 043419625 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Fanny Allen Holdings Inc | |||||||||||
| 790 College Parkway | Colchester | VT | 05446 | 030181052 | Real estate holding company | VT | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| St Andre Health Care | |||||||||||
| 407 Pool Street | Biddeford | ME | 04005 | 010342399 | Nursing home and restorative facility | ME | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Nursing Restorative Center Inc | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 042104851 | Nursing home and restorative facility | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Helping Hands of St Marguerite Inc | |||||||||||
| 799 Concord Avenue | Cambridge | MA | 02138 | 800199674 | Private home-care health services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Covenant Health Investment Trust | |||||||||||
| 420 Bedford Street | Lexington | MA | 02420 | 046835128 | Investment trust | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Fanny Allen Corporation Inc | |||||||||||
| 790 College Parkway | Colchester | VT | 05446 | 222495808 | Charitable foundation | VT | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| Youville House Inc | |||||||||||
| 1573 Cambridge Street | Cambridge | MA | 02138 | 043239593 | Assisted living services | MA | 501(c)(3) | Line 10 | Youville Lifecare Inc | 0 | |
| Youville Hospital and Rehabilitation Center Inc | |||||||||||
| 1575 Cambridge Street | Cambridge | MA | 02138 | 043239563 | Hospital and health care facility | MA | 501(c)(3) | Line 10 | Youville Lifecare Inc | 0 | |
| St Mary's Regional Medical Center | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010211551 | Hospital and health care facility | ME | 501(c)(3) | Line 3 | St Mary's Health System | 0 | |
| Community Clinical Services | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010409788 | Physician practice | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| St Mary's D'Youville Pavilion | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010211558 | Nursing home and restorative facility | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| St Mary's Residences | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 222504356 | Low income housing | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| Neighborhood Housing Initiative | |||||||||||
| PO Box 7291 | Lewiston | ME | 04243 | 010539730 | Affordable housing services | ME | 501(c)(3) | Line 10 | St Mary's Health System | 0 | |
| Souhegan Nursing Association | |||||||||||
| 24 North River Road | Milford | NH | 03055 | 020222795 | Home health and hospice | NH | 501(c)(3) | Line 10 | St Joseph Hospital of Nashua NH Inc | Yes (1) | |
| The Surgicenter at St Joseph Hospital Inc | |||||||||||
| 172 Kinsley Street | Nashua | NH | 03061 | 020222215 | Healthcare and surgery center | NH | 501(c)(3) | Line 10 | St Joseph Hospital of Nashua NH Inc | Yes (1) | |
| MI Management Inc | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 042857794 | Assisted living services | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| MI Adult Day Health Care Center Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042921888 | Adult day care services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Residential Community Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042647207 | HUD low income housing | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Residential Community II Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042679954 | HUD low income housing | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Residential Community III Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042186043 | HUD low income housing | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| MI Transportation Inc | |||||||||||
| 189 Maple Street | Lawrence | MA | 01841 | 042921889 | Elderly transportation services | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Mary Immaculate Guild Inc | |||||||||||
| 172 Lawrence Street | Lawrence | MA | 01841 | 463073987 | Supporting grants and donations | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
| St Joseph Healthcare Foundation | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480149 | Healthcare foundation | ME | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| St Joseph Hospital | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010212435 | Hospital and health care facility | ME | 501(c)(3) | Line 3 | St Joseph Healthcare Foundation | 0 | |
| M & J Company | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480150 | Lease holding company | ME | 501(c)(2) | St Joseph Healthcare Foundation | 0 | ||
| St Joseph Ambulatory Care Inc | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 222480373 | Physician practice | ME | 501(c)(3) | Line 10 | St Joseph Healthcare Foundation | 0 | |
| Alternative Health Services | |||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010422885 | Home health and hospice | ME | 501(c)(3) | Line 10 | St Joseph Healthcare Foundation | 0 | |
| Mount St Rita Health Centre | |||||||||||
| 15 Sumner Brown Road | Cumberland | RI | 02864 | 050342330 | Nursing home | RI | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Penacook Place Inc | |||||||||||
| 150 Water Street | Haverhill | MA | 01830 | 237090088 | Nursing home | MA | 501(c)(3) | Line 10 | Covenant Health Inc | 0 | |
| Covenant Health Inc | |||||||||||
| 100 Ames Pond Drive | Tewksbury | MA | 01876 | 222484505 | Health care management and resource organization | MA | 501(c)(3) | Line 10 | 0 | N/A | |
| Covenant Health Foundation Inc | |||||||||||
| 100 Ames Pond Drive | Tewksbury | MA | 01876 | 800199674 | Charitable foundation | MA | 501(c)(3) | Line 12a, I | Covenant Health Inc | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| St Joseph Hospital Corporate Services | ||||||||||||||||||
| 172 Kinsley Street | Nashua | NH | 030612013 | 020405197 | Holding company | NH | St Joseph Hospital of Nashua | C | $3,732,467 | $28,333,356 | 1.00000 | Yes (1) | ||||||
| First Choice PHO | ||||||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020461536 | Physician hospital organization | NH | St Joseph Hospital of Nashua | C | $41,203 | $662,218 | 0.50000 | Yes (1) | ||||||
| Covenant Health Insurance LTD | ||||||||||||||||||
| 043360127 | Self-insurance company | C | 0 | PO Box 69 | Grand Cayman | CJ | KY1-1102 | CJ | N/A | |||||||||
| Campus Holding | ||||||||||||||||||
| PO Box 7291 | Lewiston | ME | 04240 | 010406049 | Holding company | ME | C | 0 | N/A | |||||||||
| Strauss Incorporated | ||||||||||||||||||
| 360 Broadway | Bangor | ME | 04402 | 010391369 | Repairs and transcriptions | ME | C | 0 | N/A | |||||||||
| GNM Corporation | ||||||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020400550 | Real estate holding company | NH | C | 0 | N/A | |||||||||
| SJ Physicians Services | ||||||||||||||||||
| 172 Kinsley Street | Nashua | NH | 03060 | 020522234 | Physician practice | NH | C | 0 | N/A | |||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| St Joseph Corporate Services | ||
| K | $1,263,982 | Cash |
| St Joseph Corporate Services | ||
| O | $3,825 | Cash |
| St Joseph Corporate Services | ||
| P | $3,585,000 | Cash |
| St Joseph Corporate Services | ||
| R | $90,000 | Cash |
| Souhegan Nursing Association | ||
| R | $15,000 | Cash |