SOUTHERN NEW HAMPSHIRE MEDICAL CENTER: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHERN NEW HAMPSHIRE MEDICAL CENTER (EIN 02-0483054)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-04-16
- IRS object ID
- 201811069349300411
- Schema version
- 2016v3.0
- 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 H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-04-16T09:33:26-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | 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 | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020483054 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern New Hampshire Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 6035772000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street PO Box 2014 | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612014 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Michael S Rose | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 6035772000 | PhoneNum |
| Signature | 2018-03-30 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2018-03-30 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.105.168.164 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-03-30 | IPDt |
| IP Tm | 14:35:46 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 46219B110BB01DB00818597C9DEF2B5BDD04BE5D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2CC4C4610C7CE537855CCDE76D04A8640C960E3E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Michael S Rose | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street PO Box 2014 | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612014 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $250,235,829 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.snhhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1892 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Southern New Hampshire Medical Center is committed to improving, maintaining, and preserving the overall health and well being of individuals living in the Greater Nashua area by providing information, education, and access to exceptional health and medical care services. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 1850 | TotalEmployeeCnt |
| Total Volunteers | 320 | TotalVolunteersCnt |
| Total Gross UBI | $411,335 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$32,692 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $631,273 | PYContributionsGrantsAmt |
| CY Contributions Grants | $343,654 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $216,295,203 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $234,127,511 | CYProgramServiceRevenueAmt |
| PY Investment Income | $12,705,355 | PYInvestmentIncomeAmt |
| CY Investment Income | $8,628,371 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,396,815 | PYOtherRevenueAmt |
| CY Other Revenue | $1,809,131 | CYOtherRevenueAmt |
| PY Total Revenue | $234,028,646 | PYTotalRevenueAmt |
| CY Total Revenue | $244,908,667 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $107,973,735 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $111,429,737 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $79,465,985 | PYOtherExpensesAmt |
| CY Other Expenses | $84,930,116 | CYOtherExpensesAmt |
| PY Total Expenses | $187,439,720 | PYTotalExpensesAmt |
| CY Total Expenses | $196,359,853 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $46,588,926 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $48,548,814 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $381,247,568 | TotalAssetsBOYAmt |
| Total Assets EOY | $404,931,478 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $175,961,043 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $159,273,739 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $205,286,525 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $245,657,739 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Southern New Hampshire Medical Center is committed to improving, maintaining, and preserving the overall health and well being of individuals living in the Greater Nashua area by providing information, education, and access to exceptional health and medical care services. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $152,710,538 | ExpenseAmt |
| Revenue | $237,345,804 | RevenueAmt |
| Desc | Provides acute healthcare services to a diverse population base including indigent within southern and central New Hampshire. Southern New Hampshire Medical Center is a nonprofit hospital, serving all who need care, regardless of ability to pay. Medical services provided included 9,652 inpatient admissions, 232,444 outpatient registrations, 41,053 emergency room visits, 4,873 surgical procedures, and 1,248 births. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,820,421 | ExpenseAmt |
| Desc | Charity Care ($3,008,719) and other uncompensated care ($2,811,702) at cost. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $2,865,237 | ExpenseAmt |
| Desc | Community health services and health professional education. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $161,396,196 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | 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 | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | 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 With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 222 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1850 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | 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 | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Paul Trainor | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6032819290 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03061 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (23 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Robert B Eisenberg | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Colleen P Guiry MD | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Holly J Harmon-Morse | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Mary Jordan | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Judge Clifford R Kinghorn Jr | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Martha E O'Neill Esq | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas A Pursch | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Marc Sadowsky MD | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Marlene Santiago MD | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| James K Steiner | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Charla B Stevens Esq | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Praveen K Suchdev MD | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Joseph M Leahy DO | |||||||||
| Trustee (end 1/17) | 40.00 | 2.00 | Yes (X) | $428,850 | $0 | $43,452 | |||
| Timothy C Sullivan Esq | |||||||||
| Board Chair | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Timothy J Whitaker | |||||||||
| Board Vice Chair | 2.00 | 1.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Michael S Rose | |||||||||
| Pres./CEO & Secretary | 40.00 | 2.00 | Yes (X) | $490,283 | $0 | $102,677 | Yes (X) | ||
| Paul Trainor | |||||||||
| Treasurer | 40.00 | 2.00 | $260,793 | $0 | $12,363 | Yes (X) | |||
| Bernard M Bettencourt Jr DO | |||||||||
| Physician | 40.00 | 0.00 | $365,120 | $0 | $29,327 | Yes (X) | |||
| Harold Range Hutson MD | |||||||||
| Physician | 40.00 | 0.00 | $352,725 | $0 | $23,834 | Yes (X) | |||
| Brett J Sweeney MD | |||||||||
| Physician | 40.00 | 0.00 | $344,926 | $0 | $6,564 | Yes (X) | |||
| Daniel Weidner MD | |||||||||
| Physician | 40.00 | 0.00 | $341,418 | $0 | $40,752 | Yes (X) | |||
| Andrew Watt MD | |||||||||
| VP Medical Infomatics/Physician | 40.00 | 0.00 | $380,356 | $0 | $33,035 | Yes (X) | |||
| Thomas E Wilhelmsen | |||||||||
| Pres./CEO & Secretary (thru 7.1.16) | 0.00 | 0.00 | $4,155,561 | $0 | $107,043 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $7,120,032 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $399,047 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 116 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | 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 |
|---|---|---|---|---|---|
| Fulcrum Associates | |||||
| 5 Tech Circle | Amherst | NH | 03031 | Construction | $3,673,926 |
| Cerner Corporation | |||||
| 51 Sawyer Road | Waltham | MA | 02453 | System Support | $1,502,657 |
| Weatherby Locum | |||||
| 6451 North Federal Highway Suite 8 | Fort Lauderdale | FL | 33308 | Healthcare Staffing | $1,368,191 |
| Sodexo Inc | |||||
| 9801 Washington Boulevard | Gaithersburg | MD | 20878 | Food Services | $989,263 |
| Arup Laboratory | |||||
| 500 Chipeta Way | Salt Lake City | UT | 84108 | Lab Services | $861,076 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $343,654 | AllOtherContributionsAmt |
| Total Contributions | $343,654 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Hospital Services | 621110 | $243,975,103 | $243,975,103 |
| Provision for Bad Debt | 621110 | -$9,847,592 | -$9,847,592 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $234,127,511 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,260,513 | TotalRevenueColumnAmt |
| Exclusion | $8,260,513 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,269,783 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,269,783 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,269,783 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,206,340 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $1,063,443 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,695,020 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,317,980 | SecuritiesAmt |
| Other | $9,182 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $377,040 | SecuritiesAmt |
| Other | -$9,182 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $367,858 | TotalRevenueColumnAmt |
| Exclusion | $367,858 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|
| Ancillary- NE Rehab Food Services | 722210 | $327,229 | $327,229 | |
| Ancillary- NE Rehab Environmental | 811000 | $77,866 | $77,866 | |
| Loss on Bond Refunding | 900099 | -$2,883,940 | -$2,883,940 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,193 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $11,953 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $6,240 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | -$2,460,652 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,908,667 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $237,345,804 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $411,335 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,807,874 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,338,418 | TotalAmt |
| Program Services | $472,302 | ProgramServicesAmt |
| Management And General | $866,116 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,523,765 | TotalAmt |
| Program Services | $73,951,996 | ProgramServicesAmt |
| Management And General | $19,571,769 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,605,228 | TotalAmt |
| Program Services | $2,157,967 | ProgramServicesAmt |
| Management And General | $447,261 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,514,906 | TotalAmt |
| Program Services | $6,128,634 | ProgramServicesAmt |
| Management And General | $1,386,272 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,447,420 | TotalAmt |
| Program Services | $5,340,538 | ProgramServicesAmt |
| Management And General | $1,106,882 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $565,138 | TotalAmt |
| Management And General | $565,138 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,000 | TotalAmt |
| Management And General | $150,000 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,294,498 | TotalAmt |
| Program Services | $9,849,183 | ProgramServicesAmt |
| Management And General | $1,445,315 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,070,276 | TotalAmt |
| Management And General | $1,070,276 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $716,601 | TotalAmt |
| Management And General | $716,601 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,151,984 | TotalAmt |
| Program Services | $1,782,535 | ProgramServicesAmt |
| Management And General | $369,449 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,859,578 | TotalAmt |
| Program Services | $4,025,294 | ProgramServicesAmt |
| Management And General | $834,284 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $34,831 | TotalAmt |
| Program Services | $28,851 | ProgramServicesAmt |
| Management And General | $5,980 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,107 | TotalAmt |
| Program Services | $247,757 | ProgramServicesAmt |
| Management And General | $51,350 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,633,686 | TotalAmt |
| Program Services | $3,009,861 | ProgramServicesAmt |
| Management And General | $623,825 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,762,589 | TotalAmt |
| Program Services | $4,762,589 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,747,911 | TotalAmt |
| Program Services | $9,731,049 | ProgramServicesAmt |
| Management And General | $2,016,862 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,224,127 | TotalAmt |
| Program Services | $1,013,971 | ProgramServicesAmt |
| Management And General | $210,156 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $25,155,934 | $23,041,087 | $2,114,847 |
| New Hampshire Medicaid | $11,415,308 | $11,415,308 | |
| Repairs and Maintenance | $1,729,147 | $1,432,290 | $296,857 |
| Food Services | $913,802 | $756,922 | $156,880 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,205,599 | TotalAmt |
| Program Services | $2,248,062 | ProgramServicesAmt |
| Management And General | $957,537 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,359,853 | TotalAmt |
| Program Services | $161,396,196 | ProgramServicesAmt |
| Management And General | $34,963,657 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,963,038 | BOYAmt |
| EOY | $26,894,181 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,599,176 | BOYAmt |
| EOY | $14,663,521 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,296,553 | BOYAmt |
| EOY | $24,839,833 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,455,619 | BOYAmt |
| EOY | $3,190,760 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,128,657 | BOYAmt |
| EOY | $5,739,154 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $278,023,530 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $161,519,199 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $119,690,993 | BOYAmt |
| EOY | $116,504,331 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $170,515,567 | BOYAmt |
| EOY | $199,098,734 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,018,217 | BOYAmt |
| EOY | $5,336,788 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,579,748 | BOYAmt |
| EOY | $8,664,176 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,247,568 | BOYAmt |
| EOY | $404,931,478 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,763,811 | BOYAmt |
| EOY | $46,666,467 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,845,556 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,652,708 | BOYAmt |
| EOY | $92,671,034 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,544,524 | BOYAmt |
| EOY | $18,090,682 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,961,043 | BOYAmt |
| EOY | $159,273,739 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,805,412 | BOYAmt |
| EOY | $243,062,962 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,599 | BOYAmt |
| EOY | $229,263 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,365,514 | BOYAmt |
| EOY | $2,365,514 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $205,286,525 | BOYAmt |
| EOY | $245,657,739 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,247,568 | BOYAmt |
| EOY | $404,931,478 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $48,548,814 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $7,894,852 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$16,072,452 | 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 | 0 | FederalGrantAuditRequiredInd |
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 | $23,645 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $23,645 | 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 | 21.78% of dues to American Hospital Association and 16.36% of dues to New Hampshire Hospital Association are available for lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $81,781,493 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $10,370,559 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $92,152,052 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $74,065,311 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,716,182 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $81,781,493 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $75,259,613 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$1,194,302 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $74,065,311 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $68,039,314 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,220,299 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $75,259,613 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $60,583,371 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $7,455,943 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $68,039,314 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.97430 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.02570 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | 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 | $14,725,459 | OtherCostOrOtherBasisAmt |
| Book Value | $14,725,459 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $161,612,826 | OtherCostOrOtherBasisAmt |
| Depreciation | $82,982,765 | DepreciationAmt |
| Book Value | $78,630,061 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,874,406 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,008,987 | DepreciationAmt |
| Book Value | $1,865,419 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $94,337,668 | OtherCostOrOtherBasisAmt |
| Depreciation | $76,527,447 | DepreciationAmt |
| Book Value | $17,810,221 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,473,171 | OtherCostOrOtherBasisAmt |
| Book Value | $3,473,171 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $116,504,331 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Unearned Income - MOB | $115,243 |
| Insurance Reserves | $2,980,602 |
| Other Liabilities SERP | $1,029,149 |
| Accrued Pension Expense - LT | $10,857,965 |
| 457 (B) Deferred Comp Plan | $3,107,723 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $18,090,682 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The intended uses of the Organization's endowment funds are to fulfill donors' intentions on the permanently restricted funds and for future plant replacement and technology investments from board designated funds. |
| Part X, Line 2: | The System, Medical Center and Foundation are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to the consolidated financial statements. |
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 |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| 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) |
|---|---|---|
| Total Community Benefit Expns | $3,008,719 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,008,719 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01530 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $34,173,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,185,474 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,987,788 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05600 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,181,981 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,185,474 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $13,996,507 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07130 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $151,254 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $151,254 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,851,978 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,851,978 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00940 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,366,337 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,803,427 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,562,910 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $716,078 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $716,078 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00360 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,085,647 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,803,427 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,282,220 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02180 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $43,267,628 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $24,988,901 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,278,727 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09310 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,205 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $25,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,660 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,660 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,197 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $46,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,137 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,137 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $82,199 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $82,199 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,847,592 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $2,811,702 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $49,629,924 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $54,583,192 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,953,268 | 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 |
| 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 | Southern New Hampshire Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street PO Box 2014 | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612014 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.snhhealth.org | WebsiteAddressTxt |
| State License | 02496 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern New Hampshire Medical Center | 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 |
| CHNA Conducted | 15 | 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 | www.snhhealth.org/community-health | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | www.snhhealth.org/community-health | StrategyWebsiteURLTxt |
| 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 | 225.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| 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 |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.snhealth.org/billing-and-insurance/charitable-care-policy | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.snhhealth.org/billing-and-insurance/get-help-paying-for-care | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.snhealth.org/billing-and-insurance/charitable-care-policy | 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 Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Southern New Hampshire Medical Center | Part V, Section B, Line 5: During the process of developing the Community Health Needs Assessment, Nashua residents, medical providers and key leaders in the community were asked to rank the health of the community and to prioritize the needs.The process through which this Assessment was conducted included ten focus groups with a total of 104 participants. The focus groups were comprised of a broad and diverse cross-section of the community and included residents key leaders, and healthcare providers. The focus groups were assigned with the task of evaluating the health of the community and ranking and prioritizing identified needs. Of the 10 focus groups, three were topic-specific focus groups with professionals and 7 were geographically organized with a combination of residents, key leaders, and healthcare providers. Below is a listing of the Focus Groups that were conducted, along with the number of participants: Oral Health Professionals, 8; Aging Population Professionals, 14; YouthBehavioral Health Professionals, 10; Milford Combined Group, 12; Milford Healthcare Professionals & Key Leaders, 12; Merrimack Combined Group #1, 15; Merrimack Combined Group #2, 12; Hudson Combined Group, 2; Nashua Residents-South, 16; Nashua Residents-North, 3 |
| Southern New Hampshire Medical Center | Part V, Section B, Line 6a: Southern New Hampshire Medical Center's Community Health Needs Assessment was a collaboration of City of Nashua Health Department and other stakeholders, including St. Joseph Hospital. Southern New Hampshire Medical Center prepared its own separate assessment, based on that information. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 6b: The Hospital's Community Health Needs Assessment was a collaboration of City of Nashua Health Department and other stakeholders, including St. Joseph Hospital. Southern New Hampshire Medical Center prepared its own separate assessment, based on that information. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 11: The top needs that were identified in the Community Health Needs Assessment were Mental Health/Substance Abuse, Access to and Coordination of Care, Opportunities for Healthy Living/Obesity. Southern New Hampshire Medical Center has addressed these needs in the following manner:Mental Health/Substance Abuse - Southern New Hampshire Health expanded our inpatient behavioral health unit from 12 to 18 beds. We also expanded our Partial Hospital Program and opened an Intensive Outpatient Addiction program to address substance misuse in the community. Our Acute Community Crisis Evaluation System is available 24/7 to assist in assessment and triage of patients in crisis. There are staffed psychiatrists that assist with treatment and evaluation of patients that are inappropriate for the voluntary unit. Southern New Hampshire Health is helping drive the transformation of our care delivery system by acting as the lead organization for the DSRIP Grant in the Greater Nashua Region, which focuses on behavioral health and substance uses disorders (SUD). Also hired a SUD Case Manager in the Emergency Department. Also, increased office based capacity for Medication management and Therapy services.Access to and Coordination of Care - Southern New Hampshire Health established multiple Immediate Care Locations within our service area to enhance access to timely care. Southern New Hampshire Health recently opened new locations in Pepperrell, MA and Amherst, NH. There is staff available on site at the hospital to assist with Medicaid & Expanded Medicaid applications. We actively participate in Medicaid Exchange programs and a Prescription Assistance Program to help those withFinancial needs. Southern New Hampshire Health has partnered withMassachusetts General Hospital to provide local access to over 35 Boston area specialists. Our OB/GYN Residency program expands access to Woman's Health for low income patients in collaboration with Lamprey. We also have Interpreter Services available 24/7 for those who need it. Opportunities for Health Living/Obesity - Southern New Hampshire Health supports a variety of health programs in the community, such as Granite State Fit Kids, Prescribe the "Y and Fitness 4 Everybody. All Pediatric practices record weight and there is a protocol in the ED to record weight on all patients < 18 years old. Various health and fitness classes are offered to the public at our facility during the course of the year. Our Primary Care practices are providing community based programs and have partnered with Massachusetts General Hospital on a pediatric obesity project. For more information on how Southern New Hampshire Medical Center is addressing the needs identified in the CHNA, our Implementation Strategy is available on our website at www.snhhealth.org/community-health |
| Southern New Hampshire Medical Center | Part V, Section B, Line 13b: Southern New Hampshire Medical Center offers a discount equal to theaverage of their three largest payors plus Medicare to all self pay patients. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 20e: See response for Part III, Section C, Line 9babove. Prior to placing accounts with collection agencies, Southern NewHampshire Medical Center pulls out patients who qualify for charity basedon census tract data and does not place those accounts with an agency butrather awards charity or free care assistance for their encounter. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 24: Southern New Hampshire Medical Center may charge patients who are having cosmetic or experimental, non-covered services gross charges for that encounter. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Southern New Hampshire Rehab - Hudson | ||||
| 300 Derry Road | Hudson | NH | 03051 | Rehab |
| 2 - Southern NH Rehabilitation Services | ||||
| 696 Daniel Webster Highway | Merrimack | NH | 03054 | Rehab |
| 3 - Southern New Hampshire Rehab - Milford | ||||
| 10 Jones Road | Milford | NH | 03055 | Rehab |
| 4 - Southern NH Rehabilitation Center | ||||
| 460 Amherst Street | Nashua | NH | 03063 | Rehab |
| 5 - Southern NH Rehabilitation Center | ||||
| 17 Prospect Street | Nashua | NH | 03060 | Rehab |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Southern New Hampshire Medical Center offers a discount equal to theaverage of their three largest payors plus Medicare to all self pay patients. |
| Part I, Line 7: | The costing methodology used was the ratio of cost to charge as outlined in Worksheet 2 of the instructions. The only exception to this was for subsidized service area where the cost structure was specific to that service area. For those areas, our Cost Accounting system was used. |
| Part II, Community Building Activities: | Southern New Hampshire Medical Center is committed to improving the health and well-being of the Greater Nashua area and our community building activities help us achieve this goal. Through our involvement in the Rotary Club and Nashua Chamber of Commerce, along with other community organizations, we are able to exchange ideas with area leaders concerning health care issues and make informative decisions that best address the health needs of our community. We provide Medicare Counseling to area senior citizens giving them the guidance they need to make informed decisions about their healthcare coverage. Our support of the United Way's Day of Caring has resulted in a growing number of our employees going out into the area and helping members of the community with healthcare and other needs. We are strong in our commitment to the Greater Nashua area and plan to continue to support and grow community building activities that improve the overall health of the area. A majority of the organization's Board of Trustees is comprised of persons who reside in the Primary Service Area (PSA) who otherwise have no relationship with the organization. Many members of the organization volunteer their time to other community agencies in the PSA. |
| Part III, Line 2: | Southern New Hampshire Medical Center's Bad Debt Expense includes accounts that have been referred to a collection agency after making reasonable attempts to determine eligibility under the financial assistance policy, along with estimates of current accounts receivable based in historical experience. |
| Part III, Line 3: | A significant portion of Southern New Hampshire Medical Center's uninsured patients will be unable or unwilling to pay for the services provided. Thus, Southern New Hampshire Medical Center records a significant provision for bad debts related to uninsured patients in the period the services are provided. The FASB issued an accounting standards update that states that a health care entity that recognizes significant amounts of patient service revenue at the time services are rendered, even though it does not assess the patient's ability to pay, must present bad debts as a reduction of net patient revenue and not as a separate item in the operating expense. The ratio of cost to charge methodology was used to determine costs of these services as outlined in worksheet 2 of the instructions. Consistent with the accounting treatment mentioned above, since the system does not assess the patient's ability to pay, the cost of bad debt for those patients without any form of insurance should be classified as community benefit, consistent with charity care. |
| Part III, Line 4: | See page 8 of the attached audited financial statements. |
| Part III, Line 8: | The ratio of cost to charge methodology was used to determine cost as outlined in Worksheet 2 of the instructions. There are service areas where government programs such as Medicare and Medicaid do not reimburse the organization adequate amounts to cover the costs to provide those services. Southern New Hampshire Medical Center must provide those services regardless of the financial shortfall. |
| Part III, Line 9b: | Southern New Hampshire Medical Center recognizes that not all patients who qualify for financial assistance will follow through with an application for financial assistance. Prior to placing any account with a collection agency, Southern New Hampshire Medical Center uses a financial assistance qualification service to categorize patients based primarily on income and assets estimated from census tract data. Those patients whose estimated income/assets fall within Southern New Hampshire Medical Center's financial assistance guidelines are awarded charity or free care assistance for their encounter. |
| Part VI, Line 2: | Southern New Hampshire Health's 2015 Community Health Needs Assessment andImplementation Strategy was a collaboration with the City of Nashua andother area health partners. The 2014 Working Together to Build aHealthier Greater Nashua - Community Health Assessment was published bythe City of Nashua Division of Public Health and Community Services inOctober, 2014. The sponsors of the Needs Assessment were the City ofNashua, Southern New Hampshire Medical Center, and St. Joseph Hospital.The assessment results include information gathered from 10 focus groupsconsisting of 104 participants that represented a broad cross-section ofthe community. In conjunction with this, data was gathered from localagencies in Nashua including The Department of Health and Human Servicesand Environmental Services and national organizations such as the Centersfor Disease Control. |
| Part VI, Line 3: | At each registration point, Southern New Hampshire Medical Center hassignage and brochures explaining our various forms of financialassistance, including charity care. Additionally, patient registrarsoffer the charity brochures to self pay patients. Patients who callregarding billing concerns are offered charity assistance. Additionally,verbiage regarding charity care is printed on each billing statement thepatient receives. Also, charity care information is available on our hospital website. There is staff available on site at the hospital to assist with financial assistance, Medicaid, and Expanded Medicaid applications. We actively participate in Medicaid Exchange programs and a Prescription Assistance Program to help those with financial needs. |
| Part VI, Line 4: | Southern New Hampshire Health's service area consists of nineteen NewHampshire and four Massachusetts towns. The service area is divided intoa Primary Service Area (PSA) of thirteen New Hampshire towns (Amherst,Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Mason, Merrimack,Milford, Mont Vernon, Nashua, Pelham and Wilton), a Secondary Service Area(SSA) of seven New Hampshire towns (Derry, Greenville, Londonderry, NewBoston, New Ipswich, Salem and Windham) and a Massachusetts Service Area(MSA) of four neighboring Massachusetts towns (Dunstable, Pepperell,Townsend and Tyngsboro). The 2014 Assessment refers to the Greater NashuaPublic Health Region which includes Amherst, Brookline, Hollis, Hudson,Litchfield, Lyndeborough, Mason, Merrimack, Milford, Mont Vernon, Nashua,Pelham, and Wilton, towns that are included in Southern New HampshireHealth's PSA and reflect the communities that make up the PSA, SSA andMSA. The population of the Greater Nashua Region consists of 205,845residents that are younger than the New Hampshire state average (52.5%under 40 years of age compared with 48.4% for the state), and also moreculturally diverse than the rest of the state (85.7% identified as whiteversus 94.2% for the state). |
| Part VI, Line 5: | Southern New Hampshire Medical Center provides a variety of services that promote the health of the greater Nashua community. Throughout the year we hold Community Medical Education seminars that offer area residents an opportunity to look behind the scenes of medicine and learn more about the latest medical technology, research and advances. We also perform free public health screenings, such as impact testing for sports teams at local schools, and balance and hearing screenings for the elderly. Our commitment to community health is also evident in the time our leadership spends on the boards of several local health organizations to help improve and promote health services available to area residents. |
| Part VI, Line 6: | Southern New Hampshire Health System, Inc. is a not-for-profit entity organized to support Southern NH Medical Center and Foundation Medical Partners, Inc. Both the Medical Center and Foundation are not-for-profit entities, established to provide medical services to the people of the greater Nashua area. |
| Part VI, Line 7, Reports Filed With States | NH |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph M Leahy DO | ||||||||||||||
| Trustee (end 1/17) | $389,183 | $0 | $38,425 | $0 | $1,242 | $0 | $10,600 | $0 | $32,852 | $0 | $472,302 | $0 | $0 | $0 |
| Michael S Rose | ||||||||||||||
| Pres./CEO & Secretary | $394,816 | $0 | $70,562 | $0 | $24,905 | $0 | $74,060 | $0 | $28,617 | $0 | $592,960 | $0 | $0 | $0 |
| Paul Trainor | ||||||||||||||
| Treasurer | $205,500 | $0 | $26,000 | $0 | $29,293 | $0 | $7,412 | $0 | $4,951 | $0 | $273,156 | $0 | $0 | $0 |
| Bernard M Bettencourt Jr DO | ||||||||||||||
| Physician | $345,765 | $0 | $18,113 | $0 | $1,242 | $0 | $0 | $0 | $29,327 | $0 | $394,447 | $0 | $0 | $0 |
| Harold Range Hutson MD | ||||||||||||||
| Physician | $328,409 | $0 | $20,125 | $0 | $4,191 | $0 | $10,600 | $0 | $13,234 | $0 | $376,559 | $0 | $0 | $0 |
| Brett J Sweeney MD | ||||||||||||||
| Physician | $312,519 | $0 | $22,375 | $0 | $10,032 | $0 | $0 | $0 | $6,564 | $0 | $351,490 | $0 | $0 | $0 |
| Daniel Weidner MD | ||||||||||||||
| Physician | $303,203 | $0 | $20,125 | $0 | $18,090 | $0 | $10,600 | $0 | $30,152 | $0 | $382,170 | $0 | $0 | $0 |
| Andrew Watt MD | ||||||||||||||
| VP Medical Infomatics/Physician | $337,066 | $0 | $42,750 | $0 | $540 | $0 | $9,605 | $0 | $23,430 | $0 | $413,391 | $0 | $0 | $0 |
| Thomas E Wilhelmsen | ||||||||||||||
| Pres./CEO & Secretary (thru 7.1.16) | $298,265 | $0 | $201,464 | $0 | $3,655,832 | $0 | $96,540 | $0 | $10,503 | $0 | $4,262,604 | $0 | $3,619,326 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Southern New Hampshire Medical Center uses the facilities at the Nashua Country Club for meetings and other business related purposes. The Club does not have a corporate membership, therefore, an individual associated with Southern New Hampshire Medical Center must be a member of the Club. The membership is titled in the CEO's name and invoices are addressed to the CEO, not Southern New Hampshire Medical Center. Southern New Hampshire Medical Center pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members. |
| Part I, Line 4b | Southern New Hampshire Medical Center provides a Supplemental Executive Retirement Plan, a 457(f) plan, to certain executives. Funding for this plan during the year was provided as follows: Michael S. Rose - $63,460, Thomas E. Wilhelmsen, Jr. - $85,940. Effective July 1, 2016 Thomas E. Wilhelmsen retired as President/CEO of the Health System. With his retirement, he received $3,619,326 in payouts from his Supplemental Executive Retirement Plan. This amount was reported as part of his taxable wages on his 2016 Form W-2 and are included in the amounts reported in Schedule J, Part II, Column B(iii). The contributions to this plan were reported in Schedule J, Part II, Schedule D as deferred compensation when paid. As contributions to this plan were reported as part of his total compensation on previously filed Form 990s, they have been further shown in Schedule J, Part II, Column F in accordance with IRS instructions. The Supplemental Executive Retirement Plan is provided to certain employees of the Health System to recognize many years of distinguished service to the organization. |
| Part I, Line 7 | There is an additional compensation plan available to managers, directors and senior management that is part of their annual performance plan. The plan takes into consideration quality measures, patient satisfaction, individual goals, budget adherence and overall organizational performance. The range and overall pool is reviewed and approved by the Board of Trustees' Executive Compensation Committee. The amount designated for the CEO and CFO are considered in the compensation consultant's analysis of executive compensation reported on the 990 Part VI section B Line 15b. |
| Unrelated Organization Compensation | Marc Sadowsky, is also the Medical Director of the Medical Center's Electro Convulsive Therapy (ECT) unit. Mr. Sadowsky receives a stipend from New England Neurological Association of $12,000 per year by ECT for his services to Southern New Hampshire Health System. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NHHEF Authority | ||||||||
| A | 020279866 | 644614SWO | 2007-08-30 | $89,836,797 | Refunding and New Construction | Yes (1) | 0 | 0 |
| NHHEF Authority | ||||||||
| B | 020279866 | 2016-06-07 | $10,500,000 | Equipment Purchase | 0 | 0 | 0 | |
| NHHEF Authority | ||||||||
| C | 020279866 | 6446147E3 | 2016-11-01 | $59,345,000 | Refunding | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|
| A | $61,300,000 | $89,836,797 | $49,731,438 | $949,525 | $39,155,834 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $10,500,000 | $25,802 | $10,474,198 | 0 | 0 | 0 | Yes (1) | ||
| C | $59,345,000 | $199,985 | $59,145,015 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 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 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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 | Yes (1) | |||
| B | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| C | 0 | 0 | 0 | 0 | 0 | Yes (1) | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center (SNHMC) and the two (2) organizations have identical boards with the exception of two (2) additional members serving solely on the SNHMC board. These include a physician member and the current SNHMC chief of staff who is an ex-officio member. |
| Form 990, Part VI, Section A, line 7a | Southern New Hampshire Medical Center is governed by the Board of Trustees, who are elected by the Trustees of its sole member Southern New Hampshire Health System, Inc. |
| Form 990, Part VI, Section A, line 7b | Southern New Hampshire Medical Center is governed by the Board of Trustees, who are elected by the Trustees of its sole member Southern New Hampshire Health System, Inc. |
| Form 990, Part VI, Section B, line 11b | A copy of the 990 was presented to the full Board and approved by the Finance Committee of the Board of Trustees prior to submission. |
| Form 990, Part VI, Section B, line 12c | The organization requires all its personnel, including Leaders, to formally acknowledge that they have read and will abide by our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNHMC monitors compliance of its conflict of interest process, which requires completion of disclosure forms by all Leaders on an annual basis or on a reappointment basis (every two years) for medical/allied staff, to ensure full compliance. Interim disclosures are also required and reviewed should a subsequent conflict arise. Any related party disclosures require review and approval by a designated committee. Compliance reports are provided to SNHHS/SNHMC's compliance committee and Board of Trustees. |
| Form 990, Part VI, Section B, line 15 | The compensation of the CEO and CFO is evaluated by an outside consultant. The compensation of the CEO is approved by the Executive Compensation Committee of the Board and the Board of Trustees. A market analysis is performed for all key employees on an annual basis. Once the CEO and CFO approve the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board. |
| Form 990, Part VI, Section C, line 19 | The organization makes its 990 and 990-T available for inspection upon request. The Code of Conduct is also available on the organization's website. The Code of Conduct addresses certain corporate policies including confidentiality, conflict of interest, patient rights and other governing documents. The organization also makes all relevant documents available to the public upon request. |
| Form 990, Part VII: | Effective July 1, 2016, the organization's President and CEO, Thomas E. Wilhelmsen, Jr. retired. Michael S. Rose, who had previously served as Senior Vice President and Chief Financial Officer of the organization, assumed the role of President and CEO. Paul Trainor, who had previously served as Vice President of Finance, assumed the role of Senior Vice President and Chief Financial Officer. IRS instructions stipulate that compensation be reported in Form 990, Part VII and Schedule J, Part II based on the calendar year ending within the reporting entity's current tax year. Thomas E. Wilhelmsen received compensation from the Hospital in 2016 up until his retirement in July though he did not serve in his capacity as an officer of the Health System during the fiscal year covered by this Form 990 return filing. In accordance with IRS instructions, Mr. Wilhelmsen has been listed in Form 990, Part VII as a former officer and his 2016 compensation has been further disclosed in Schedule J, Part II. |
| Form 990, Part XI, line 9: | Transfers to affiliates -28,495,572. Pension Adjustment 12,423,120. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
| Form 990: | On October 30, 2017, the system signed a combination agreement with Elliot Health System to form a new company, Solution Health, which would become the sole member of the two healthcare systems. As of the filing date of this return, the combination agreement is pending approval by the State of New Hampshire Attorney General's office. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Foundation Medical Partners Inc | |||||||||||
| 8 Prospect Street | Nashua | NH | 03060 | 020456218 | Physician Services | NH | 501(c)(3) | Line 10 | SNHHS | 0 | |
| Southern New Hampshire Health System | |||||||||||
| 8 Prospect Street | Nashua | NH | 03060 | 020509221 | Medical Service | NH | 501(c)(3) | Line 12a, I | 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 | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | 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 | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |