2025-08-08T07:54:57-05:00 2024-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-10-01 020223332 Huggins Hospital HUGG 6035697571 PO Box 912 Wolfeboro NH 03894 Joshua Upham CFO 6035697571 2025-08-05 1 1 Melissa Magoon CPA P01712842 2077752387 2025-08-05 2023 2025-03-06 01:10:19Z Jeremy Roberge PO Box 912 Wolfeboro NH 03894 127769109 0 X www.hugginshospital.org X 1907 NH Critical Access Hospital 15 11 612 33 0 0 2068553 1224607 99086681 103575865 3186872 4047487 106797 95954 104448903 108943913 289538 58192 0 0 52494303 54653386 0 0 284655 45364258 45464508 98148099 100176086 6300804 8767827 156750032 172070699 58769620 54307518 97980412 117763181 Huggins Hospital's mission is to empower the fulfillment of life through better health. 0 0 80780302 58192 103575865 Huggins Hospital is a non-profit Critical Access Hospital that provides medical services to the region's year-round population of 30,000 residents and approximately 120,000 seasonal residents and visitors. Our services include primary care, inpatient care, intensive care, surgery, medical imaging and diagnostics, gynecology, orthopedics, pediatrics, cardiology, infusion services, respiratory therapy, speech therapy, nutrition services, cardiac and physical rehabilitation, social services and emergency services. 80780302 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 56 0 1 612 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Joshua Upham 6035697590 PO Box 912 Wolfeboro NH 03894 Corrine Smith RN Chairman 2.00 0.00 X X 0 0 0 Michael L'Ecuyer Vice Chairman 2.00 0.00 X X 0 0 0 Susan John Assistant Treasurer 2.00 0.00 X X 0 0 0 James Cubeddu PA-C Secretary 40.00 0.00 X X 149722 0 20839 Kathy Barnard Trustee 2.00 0.00 X 0 0 0 Cecile Chase Trustee 2.00 0.00 X 0 0 0 Jamison Costello DO Trustee/Med. Staff President 40.00 0.00 X 221107 0 47445 Christian Coulter Trustee 2.00 0.00 X 0 0 0 Michael Gallup Trustee 2.00 0.00 X 0 0 0 Les MacLeod Trustee 2.00 0.00 X 0 0 0 Diana Scott Trustee 2.00 0.00 X 0 0 0 Don Smith Trustee 2.00 0.00 X 0 0 0 Alex Walker Esq Trustee 1.00 40.00 X 0 717525 351171 Howie Knight Past Treasurer 2.00 0.00 X X 0 0 0 Jeremy Roberge President & CEO 40.00 1.00 X X 406600 0 37533 Joshua Upham CFO 40.00 1.00 X 264122 0 20893 Barry Gendron Chief Medical Officer 40.00 0.00 X 364568 0 18036 Stacey Savage Chief Nursing Officer 40.00 0.00 X 216076 0 6218 Monica O'Clair Chief Strategy Officer 40.00 0.00 X 201493 0 35480 Joseph Mann VP Information Technology 40.00 0.00 X 192305 0 43469 Brent Richardson Surgeon 40.00 0.00 X 290436 0 20097 Jeremy Paul Hogan Surgeon 40.00 0.00 X 488084 0 48728 Thomas Varney Surgeon 40.00 0.00 X 506818 0 51362 Eric Lewis Physician 40.00 0.00 X 290013 0 42628 Joel Huleatt Surgeon 40.00 0.00 X 477798 0 55784 John S Boornazian Former Chief Medical Officer 24.00 0.00 X 160360 0 8015 4229502 717525 807698 82 1 1 0 Emergency Physician Associates Inc 307 So Evergreen Woodbury NJ 08096 ER and Hospitalist Service Management 2372430 Weatherby Locums Inc PO BOX 972633 Dallas TX 75397 Locums and Outside Labor 2066844 Collaborative Anesthesia Partners PO Box 160 Plymouth NH 03264 Anesthesia Service Management 1630586 Barton Heathcare Staffing LLC PO Box 412801 Boston MA 02241 Healthcare Staffing 1619384 CHG Medical Staffing Inc PO Box 974088 Dallas TX 75397 Healthcare Staffing 1174896 10 37525 1187082 1224607 Patient Service Revenue 621400 207743604 207743604 Miscellaneous 621400 3189713 1786516 1403197 Contractual/Char. Adj. 621400 -107357452 -107357452 103575865 3331629 3331629 177422 71815 105607 105607 105607 19190911 265000 18506524 233529 684387 31471 715858 715858 3675 37525 13328 -9653 -9653 108943913 102172668 0 5546638 X 58192 58192 2245908 459696 1786212 41081344 34771494 6200229 109621 1016433 864331 149373 2729 7777978 6455957 1301796 20225 2531723 2066867 458416 6440 1921599 1921599 281174 281174 248680 248680 15120675 11556668 3433838 130169 9324 4952 4372 911079 721014 186646 3419 634900 337407 297493 2254226 1197312 1056914 89086 47313 41773 1085612 1013962 71650 5934283 5542621 391662 989391 291863 697528 Medical Supplies 9619181 9080587 538594 Medicaid Provider Tax 4620283 4620283 Miscellaneous 1745015 1689783 43180 12052 100176086 80780302 19111129 284655 X 2458 2408 22447125 20051852 10664238 12126893 769390 721680 758983 1024588 108187515 61115690 46475984 47071825 69012332 83964095 6619522 7107358 156750032 172070699 9823613 10647911 22866175 22244753 26079832 21414854 58769620 54307518 X 79819323 97820447 18161089 19942734 97980412 117763181 156750032 172070699 X 8767827 11024458 -9516 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 18605 18605 0 Part II-B, Line 1: Huggins Hospital is a member of the NH Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of Huggins Hospital and other organizations in furtherance of their exempt purposes. Huggins Hospital does not directly perform any lobbying activities. 11425935 2665236 600000 13491171 10721737 1312198 608000 11425935 13732733 -2347996 663000 10721737 11962767 2333966 564000 13732733 11594957 931810 564000 11962767 0.00000 0.26017 0.73983 0 0 937667 937667 51319337 39905645 11413692 46140735 18027907 28112828 9789776 3182138 6607638 47071825 Interest Rate Swap 1019503 Finance Lease Payable 202304 Estimated Third-Party Payor Settlements 20030645 Due to Related Parties 162402 21414854 Part V, Line 4: The intended use of the endowment fund is to support health care services including indigent care, health education, as well as capital improvements and acquisitions. Golf Event 41200 37525 3675 1075 10843 1410 41200 37525 3675 1075 10843 1410 13328 -9653 1 1 1 X 125.000000000000 1 X 1 1 0 1 1 779666 433735 345931 0.00350 10100440 9138021 962419 0.00960 10880106 9571756 1308350 0.01310 233925 233925 0.00230 410209 410209 0.00410 22185837 14827315 7358522 0.07350 129622 129622 0.00130 22959593 14827315 8132278 0.08120 33839699 24399071 9440628 0.09430 15512 15512 0.00020 15512 15512 0.00020 18494876 18446522 48354 X 1 1 1 1 Huggins Hospital PO Box 912 Wolfeboro NH 03894 www.hugginshospital.org 120420900 X X X X Huggins Hospital 1 0 0 1 X X X X X X X X X 21 1 0 0 1 X www.hugginshospital.org/about/community-health-needs-assessment X 1 22 1 www.hugginshospital.org/about/community-health-needs-assessment 0 1 X 125.000000000000 200.000000000000 X 1 1 X X X X 1 X www.hugginshospital.org/resources/financial-assistance-and-billing X www.hugginshospital.org/resources/financial-assistance-and-billing X www.hugginshospital.org/resources/financial-assistance-and-billing/ X X X X X 1 X 0 X X X X 1 X 0 0 Huggins Hospital Part V, Section B, Line 5: In 2022, multiple organizations, along with community members, collaborated to build a comprehensive Community Health Needs Assessment identifying and defining significant health needs, issues, and concerns of Carroll County and other communities served by Huggins Hospital. The process included in-person focus groups as well as community surveys. The process centered on gathering and analyzing data as well as receiving input from persons who represented the broad interests of the community to provide direction for creating a plan to improve the health of local communities. Many of the community's social support service organizations and other healthcare agencies participated. Alongwith the direct feedback from community members, these organizations provided input through a viewpoint of the clients they represent. Many of the organizations who participated in Huggins Hospital's Community Health Needs Assessment employ people with special knowledge and expertise in public health issues. Huggins Hospital Part V, Section B, Line 11: Huggins Hospital's most recent Community Health Needs Assessment and Implementation Plan was completed in 2022. The Implementation Plan includes strategies to address Access to Care, Access to Mental Health Services and Social Determinants of Health Improvement. Huggins Hospital, along with its partners in the Huggins Community Health Network - a network of healthcare and social service organizations in southern Carroll County - work together to identify the gaps and barriers that exist to improving the overall health and wellbeing of the community. The group also improves connections, navigation and referral to all resources in the community. Part I, Line 7: Financial Assistance and Means-Tested Government Programs: The amounts reported on Lines 7a & 7b were computed using a cost-to-charge ratio. Part II, Community Building Activities: Huggins Hospital provides Community Building Activities to strengthen the community's capacity to promote the health and well-being of its residents. Community building activities include expenditures and in-kind donations for the development of programs, policies and partnerships intended to address physical and social economic determinants of health.Economic Development: Huggins Hospital is one of the New Hampshire Eastern Lakes Region's primary economic drivers as a large regional employer. The Hospital provides assurance to year-round and seasonal residents and visitors that 24/7 access to health care is available every day of the year. The economic health and quality of life hinges on the financial strength and the ability of the Hospital to provide healthcare in the region. Multiple Leadership Team members sit on local boards and assist with economic development initiatives with groups such as the Wolfeboro Chamber, the Wolfeboro Economic Development Corporation and the Eastern Lakes Region Housing Coalition. The Hospital also supports these agencies with cash and in-kind donations listed in the hospital's Community Benefits Report.Community Support: Huggins Hospital works collaboratively with local resources to build and maintain a healthy community. The Hospital maintains relationships with many organizations to promote and create better community health including Governor Wentworth Regional School District, Starting Point, Carroll County Coalition for Public Health, Central NH VNA & Hospice, Northern Human Services, local summer camps and many more. Huggins Hospital provides direct in-kind and cash donations to organizations who also strive to support a healthy community that you can find listed in the Financial Contributions section of the Community Benefits Report. As part of our community support, Huggins Hospital also provides paramedic-level services out in the community through the Paramedic Intercept Program. This program allows for a faster connection to a higher level of care that many rural areas do not have available. These quick connections to this high-level emergency care helps save lives and get people the care they need sooner. This program is counted on the Community Benefits Report under Community-Based Clinical Services.Coalition Building: Huggins Hospital staff members sit on multiple public health and regional health network groups to address healthcare concerns in multiple areas including chronic disease, substance misuse, mental health, behavioral health, elderly health, healthy childhood development and more.Community Health Improvement Advocacy: Huggins Hospital develops its Community Health Needs Assessment through comprehensive community outreach and involvement that creates a natural path to health improvement advocacy in our community. As mentioned before, employees at Huggins Hospital are involved in many community groups dedicated to the health of our community. Our employees are professionals in health care and are passionate about what they do. Not only do the employees sit on numerous health advocacy committees and boards, they also volunteer at other local healthcare organizations and support community healthcare initiatives. Emergency medical professionals at Huggins Hospital train local EMS for emergency preparedness and strive to improve the quality of emergency care. Huggins Hospital supports other local non-profits that provide needed support outside the Hospital's scope-of-care including mental health agencies and agencies for domestic violence support. The support for these initiatives is represented in multiple categories of the Community Benefits Report. Workforce Development: As a rural hospital with rural primary care locations, Huggins Hospital needs extra support in finding healthcare providers to maintain local services. Huggins Hospital uses a support system to help recruit qualified providers to the Eastern Lakes Region community in order to provide the healthcare services the community needs. Part III, Line 4: Please refer to pages 11 - 15 of the attached audited financial statements. Part III, Line 8: The Organization used a cost-to-charge ratio as its costing methodology to determine the amount of Medicare allowable costs. Part III, Line 9b: As a not-for-profit, tax-exempt, and charitable organization, Huggins Hospital serves all in medical need regardless of ability to pay. The Organization is governed by a volunteer Board of Trustees committed to balancing community needs with our available resources to meet those needs. As a hospital-employed medical staff, all twelve physician practices accept patients regardless of ability to pay. Part VI, Line 2: Please see Part V, Section B. The Huggins Hospital Community Health Needs Assessment and Implementation Plan can also be found online at: https://www.hugginshospital.org/assets/pdf/CHNA_and_Implementation_Plan_2022.pdf. Part VI, Line 3: Huggins Hospital provides a notice to all patients both in the hospital and its physician practices of the financial assistance programs available to them. There is a staff of financial counselors who work with the uninsured and underinsured to assist in qualifying for Charity Care or a sliding fee schedule depending on the family income. Financial counselors also assist those uninsured in applying for and receiving assistance through the Medicaid program. Information about our financial assistance programs can be found on our website and in print or in person at all of our locations. Part VI, Line 4: Huggins Hospital is a non-profit, rural, Critical Access Hospital. Our community's year-round population is approximately 33,000 citizens which expands in the tourist season to about 120,000 residents. Huggins Hospital is the largest employer in Wolfeboro. The primary service area for Huggins Hospital includes: Alton, Brookfield, Effingham, Freedom, Ossipee, Tamworth, Tuftonboro, Wakefield and Wolfeboro. Secondary service areas include parts of Barnstead, Gilford, Moultonborough and New Durham. These towns are located in Carroll, Belknap and Strafford Counties. Part VI, Line 5: Huggins Hospital has played an important role in the Eastern Lakes Region of New Hampshire for more than 100 years, enabling unwavering support to patients and their families, community members and employees. Gifts made to the Hospital's annual giving program and special initiatives support programs that are important to the region. Part VI, Line 6: Huggins Hospital has officially ended its affiliation with GraniteOne Health, a partnership that included Catholic Medical Center and Monadnock Community Hospital. Huggins Hospital has chosen to remain an independent non-profit, charitable organization dedicated to enhancing the health and well-being of its communities. This decision allows the hospital to preserve its unique identity while continuing to provide strong support and care at the local level. Part VI, Line 7, Reports Filed With States NH 1 Foundation for Healthy Communities 125 Airport Road Concord NH 03301 020275078 501(c)(3) 58192 0 Contribution required under legislation to reauthorize Medicaid Expansion to support the Governor's Commission on Alcohol & Other Drugs. 1 0 Part I, Line 2: Amounts paid to Organizations were required by the State of NH in order to support Medicaid Expansion under the Governor's Commission on Alcohol & Other Drugs. Therefore, additional monitoring of funds was not deemed necessary. X X X 0 1 0 0 0 0 0 1 0 Alex Walker Esq Trustee 0 649285 0 0 0 68240 0 270586 0 80585 0 1068696 0 0 Thomas Varney Surgeon 494058 0 12700 0 60 0 9308 0 42054 0 558180 0 0 0 Jeremy Paul Hogan Surgeon 467431 0 20600 0 53 0 9900 0 38828 0 536812 0 0 0 Joel Huleatt Surgeon 461565 0 16100 0 133 0 9337 0 46447 0 533582 0 0 0 Jeremy Roberge President & CEO 345000 0 61600 0 0 0 11250 0 26283 0 444133 0 0 0 Barry Gendron Chief Medical Officer 364568 0 0 0 0 0 9640 0 8396 0 382604 0 0 0 Eric Lewis Physician 248616 0 41230 0 167 0 10008 0 32620 0 332641 0 0 0 Brent Richardson Surgeon 272636 0 17800 0 0 0 0 0 20097 0 310533 0 0 0 Joshua Upham CFO 232622 0 31500 0 0 0 7055 0 13838 0 285015 0 0 0 Jamison Costello DO Trustee/Med. Staff President 212674 0 8300 0 133 0 6849 0 40596 0 268552 0 0 0 Monica O'Clair Chief Strategy Officer 176993 0 24500 0 0 0 6235 0 29245 0 236973 0 0 0 Joseph Mann VP Information Technology 182305 0 10000 0 0 0 3508 0 39961 0 235774 0 0 0 Stacey Savage Chief Nursing Officer 193876 0 22200 0 0 0 5804 0 414 0 222294 0 0 0 James Cubeddu PA-C Secretary 137069 0 12600 0 53 0 6104 0 14735 0 170561 0 0 0 John S Boornazian Former Chief Medical Officer 130307 0 30000 0 53 0 8015 0 0 0 168375 0 0 0 Part I, Line 4b Alex Walker, Esq., a Trustee on the Huggins Hospital board, is the Executive Vice President & Chief Operating Officer of Catholic Medical Center, a related organization and is compensated by Catholic Medical Center (CMC). As part of Mr. Walker's compensation package with CMC, he participates in a supplemental non-qualified retirement plan as described in Internal Revenue Code Section 457(f). During calendar 2023, $258,386 was deferred into the plan for Mr. Walker. Part I, Line 7 Bonuses paid to Surgeons were based off of performance metrics relating to increased service access. The Bonuses for Senior Leadership are currently driven off of organizational goals as well as individual goals. Part II: Alex Walker, Esq., a Trustee on the Huggins Hospital board, is the Executive Vice President & Chief Operating Officer of Catholic Medical Center, a related organization and is compensated by Catholic Medical Center. A New Hampshire Health & Education Facilities Authority Series 2017A 020279866 2017-06-30 14380488 Refinance of Series 2009 State of New Hampshire Bond 0 0 0 B New Hampshire Health & Education Facilities Authority Series 2017B 020279866 2017-06-30 14160667 Refinance of Series 2007 State of New Hampshire Bond 0 0 0 A 2453201 14380488 184943 14195545 2017 0 1 1 1 B 2017667 14160667 117813 14042854 2017 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 Deutsche Bank AG 35.000000000000 0 0 0 0 1 A 0 B 0 Date Rebate Computation Performed Issuer Name: New Hampshire Health & Education Facilities Authority Series 2 Date the Rebate Computation was Performed: 06/23/2023 Issuer Name: New Hampshire Health & Education Facilities Authority Series 2 Date the Rebate Computation was Performed: 06/23/2023 Form 990, Part VI, Section B, line 11b A designated officer or management official meets with the preparer to discuss a draft of the Form 990 in detail. Once any necessary revisions are made, this draft is then submitted to the Finance & Budget Committee for further review. Afterwards, a copy of the public inspection copy of Form 990 is made available to the full board for their general review and comment prior to filing the return. A designated officer then signs the return after considering board comments. Form 990, Part VI, Section B, line 12c A copy of the conflict of interest policy is given to every officer, board member, and key employee on an annual basis, along with an annual disclosure statement. Each person is asked to complete, date and sign the disclosure statement, listing any known financial interest that the individual, or a member of the individual's family, has in any business entity that transacts business with the Organization. The Chairman of the board then reviews and maintains the disclosure statements for future reference. If a conflict arises, the board member will recuse themselves from participation in the deliberations and decisions relating to that conflict. Form 990, Part VI, Section B, line 15 The Hospital relies on externally available market data to determine the appropriate salary and any incentive compensation for the President as well as other officers and key employees of the organization. Each year, the President provides the Board with a listing of the five highest paid senior staff. Base salary and incentive compensation provided to the President is determined by three members of the Executive Committee of the Board as part of an annual performance review and their recommendation is shared with the full Board for final approval. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are made available to the public upon request for inspection in the President's office. Form 990, Part IX, line 11g Physician Fees: Program service expenses 7,899,039. Management and general expenses 0. Fundraising expenses 0. Total expenses 7,899,039. Contracted Services: Program service expenses 2,568,422. Management and general expenses 2,468,124. Fundraising expenses 9,291. Total expenses 5,045,837. Other Professional Services: Program service expenses 831,098. Management and general expenses 737,827. Fundraising expenses 120,878. Total expenses 1,689,803. Collection Fees: Program service expenses 80,042. Management and general expenses 70,670. Fundraising expenses 0. Total expenses 150,712. Consulting Fees: Program service expenses 178,067. Management and general expenses 157,217. Fundraising expenses 0. Total expenses 335,284. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Huggins Hospital PO Box 912 Wolfeboro, NH 03894 EIN 02-0223332 Section 1.263(a)-3(n) Election: Huggins Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Value of Interest Rate Swap -497,352. Change in Beneficial interest in Perpetual Trust 487,836. Hospital and Community Aid Association Inc PO Box 1377 Wolfeboro NH 03894 026008048 Purchases equipment for the benefit of Huggins Hospital and its' patients. NH 501(c)(3) Line 12b, II 0 Alliance Ambulatory Services 100 McGregor Street Manchester NH 03102 020519436 Ambulatory Surgical Center NH 501(c)(3) Line 10 CMC Healthcare System 0 Alliance Health Services 100 McGregor Street Manchester NH 03102 611508839 Practices NH 501(c)(3) Line 10 CMC Healthcare System 0 Alliance Resources Incorporated 100 McGregor Street Manchester NH 03102 020398138 Real Estate NH 501(c)(3) Line 12b, II CMC Healthcare System 0 Catholic Medical Center 100 McGregor Street Manchester NH 03102 020315693 Hospital NH 501(c)(3) Line 3 GraniteOne Health 0 CMC Healthcare System 100 McGregor Street Manchester NH 03102 010568516 Management NH 501(c)(3) Line 12b, II N/A 0 Catholic Medical Ctr Physicans Practice Assoc 100 McGregor Street Manchester NH 03102 020460245 Practices NH 501(c)(3) Line 10 CMC Healthcare System 0 Monadnock Community Hospital 452 Old Street Road Peterborough NH 03458 020222157 Hospital NH 501(c)(3) Line 3 GraniteOne Health 0 Monadnock Health Services 452 Old Street Road Peterborough NH 03102 020420789 Inactive NH 501(c)(3) Line 12a, I Monadnock Community Hospital 0 St Peters Home 100 McGregor Street Manchester NH 03102 020222228 Day Care Services NH 501(c)(3) Line 10 CMC Healthcare System 0 GraniteOne Health 100 McGregor Street Manchester NH 03102 814663563 Supporting Organization NH 501(c)(3) Line 12a, I N/A 0 Bedford Ambulatory Surgical Center 11 Washington Place Bedford NH 03110 020519727 Surgical Center NH N/A 0 0 McGregor Street MOB LLC 100 McGregor Street Manchester NH 03110 134347316 Medical Office Building NH N/A 0 0 Huggins Senior Housing PO Box 912 Wolfeboro NH 03894 020490445 Elderly Housing NH Huggins Hospital C 93 676284 1.00000 1 Alliance Enterprises 100 McGregor Street Manchester NH 03102 020386795 Real Estate NH N/A C 0 Doctor's Medical Association 100 McGregor Street Manchester NH 03102 020340690 Medical Office Building NH N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0