SOUTHERN NEW HAMPSHIRE MEDICAL CENTER: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHERN NEW HAMPSHIRE MEDICAL CENTER (EIN 02-0483054)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-04-24
- IRS object ID
- 201541149349300234
- Schema version
- 2013v4.0
- 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 | 2015-04-24T11:35:51-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 Elm Street Suite 302 | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | Nashua | City |
| State | NH | State |
| ZIP Code | 030612014 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Thomas E Wilhelmsen Jr | PersonNm |
| Person Title | President / CEO | PersonTitleTxt |
| Phone | 6035772000 | PhoneNum |
| Signature | 2015-04-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Timothy R Hepburn CPA | PreparerPersonNm |
| PTIN | P00182393 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2015-04-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-04-25 22:37:26Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Thomas E Wilhelmsen Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street PO Box 2014 | AddressLine1 |
| City | Nashua | City |
| State | NH | State |
| ZIP Code | 030612014 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $215,938,950 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.snhhs.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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1813 | TotalEmployeeCnt |
| Total Volunteers | 321 | TotalVolunteersCnt |
| Total Gross UBI | $377,260 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$15,066 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $130,903 | PYContributionsGrantsAmt |
| CY Contributions Grants | $171,063 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $198,523,922 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $204,823,470 | CYProgramServiceRevenueAmt |
| PY Investment Income | $10,221,616 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,496,444 | CYInvestmentIncomeAmt |
| PY Other Revenue | $441,578 | PYOtherRevenueAmt |
| CY Other Revenue | $447,973 | CYOtherRevenueAmt |
| PY Total Revenue | $209,318,019 | PYTotalRevenueAmt |
| CY Total Revenue | $215,938,950 | 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 | $96,542,258 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $97,414,267 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $74,401,589 | PYOtherExpensesAmt |
| CY Other Expenses | $79,720,718 | CYOtherExpensesAmt |
| PY Total Expenses | $170,943,847 | PYTotalExpensesAmt |
| CY Total Expenses | $177,134,985 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $38,374,172 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $38,803,965 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $334,813,337 | TotalAssetsBOYAmt |
| Total Assets EOY | $349,867,545 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $149,580,410 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $150,055,996 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $185,232,927 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $199,811,549 | 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 | $131,029,719 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $204,885,731 | 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 8,737 inpatient admissions, 229,141 outpatient registrations, 40,855 emergency room visits, 4,958 surgical procedures and 1,242 births. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,390,093 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Charity Care ($3,918,951) and other uncompensated care ($5,471,142) at cost. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,876,499 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $8,452 | RevenueAmt |
| Desc | Community health services and health professional education. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $142,296,311 | 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 218 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1813 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | 0 | InvestmentInJointVentureInd |
| 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 | Michael Rose | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6035772004 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street | AddressLine1 |
| City | Nashua | City |
| State | NH | State |
| ZIP Code | 030612014 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 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 | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| J Terrance Buchannan MD | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Robert B Eisenberg | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Colleen P Guiry MD | |||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| Holly J Harmon-Morse | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Clifford R Kinghorn Jr Judge | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| John M Mercier | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Martha E O'Neil Esq | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas A Pursch | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| James K Steiner | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Praveen K Sudchev MD | |||||||||
| Trustee | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | |||
| Timothy C Sullivan | |||||||||
| Chair | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Timothy J Whitaker | |||||||||
| Vice Chair | 1.00 | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| Thomas E Wilhelmsen Jr | |||||||||
| President/CEO | 40.00 | 2.00 | Yes (X) | $740,710 | $0 | $86,735 | Yes (X) | ||
| Michael S Rose | |||||||||
| Treasurer | 40.00 | 2.00 | $373,471 | $0 | $65,208 | Yes (X) | |||
| Susan Desocio | |||||||||
| President FMP | 40.00 | 2.00 | $323,959 | $0 | $43,333 | Yes (X) | |||
| Richard Duguay | |||||||||
| VP Clinical Services | 40.00 | 0.00 | $224,800 | $0 | $30,245 | Yes (X) | |||
| Colette Tilton | |||||||||
| VP PT Care Services | 40.00 | 0.00 | $237,030 | $0 | $28,326 | Yes (X) | |||
| Stephanie Wolf-Rosenblum | |||||||||
| VP Med Affairs | 40.00 | 0.00 | $311,518 | $69,491 | $6,680 | Yes (X) | |||
| Andrew Watt | |||||||||
| Assoc. VP Medical Informat | 40.00 | 0.00 | $359,384 | $0 | $30,813 | Yes (X) | |||
| Scott Westover | |||||||||
| VP Strategy | 40.00 | 0.00 | $224,518 | $0 | $35,226 | Yes (X) | |||
| Joesph M Leahy | |||||||||
| Physician | 40.00 | 0.00 | $389,038 | $0 | $41,761 | Yes (X) | |||
| Dillip Yorabothu | |||||||||
| Physician | 40.00 | 0.00 | $307,204 | $0 | $19,707 | Yes (X) | |||
| Daniel Weidner | |||||||||
| Physician | 40.00 | 0.00 | $310,614 | $0 | $44,596 | Yes (X) | |||
| Marc DeBell | |||||||||
| Physician | 40.00 | 0.00 | $308,223 | $0 | $18,997 | Yes (X) | |||
| Peter Row | |||||||||
| Physician | 40.00 | 0.00 | $306,943 | $0 | $41,960 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,417,412 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $69,491 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $493,587 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 82 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Fulcrum Associates | |||||
| 5 Tech Circle | Amherst | NH | 03031 | Construction | $3,973,670 |
| Sodexo Inc | |||||
| 9801 Washington Blvd | Gaithersburg | MD | 20878 | Food Services | $967,570 |
| Jim Allard Contracting | |||||
| 26 Cherokee Avenue | Nashua | NH | 03062 | Construction | $796,059 |
| Siemens Medical Solutions | |||||
| Dept At 40065 | Atlanta | GA | 31192 | System Support | $595,889 |
| Arup Laboratories Inc | |||||
| 500 Chipeta Way | Salt lake City | UT | 841081221 | Lab | $518,789 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| All Other Contributions | $171,063 | AllOtherContributionsAmt |
| Total Contributions | $171,063 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Hospital Services | Desc |
| Business | 621110 | BusinessCd |
| Total Revenue Column | $204,823,470 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $204,823,470 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $204,823,470 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,488,993 | TotalRevenueColumnAmt |
| Exclusion | $10,488,993 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,451 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,451 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $7,451 | TotalRevenueColumnAmt |
| Exclusion | $7,451 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Ancillary-NE Rehab Food Services | 722210 | $302,690 | $302,690 | |
| Other Revenue | 900099 | $73,593 | $2,880 | $70,713 |
| Ancillary-NE Rehab Environmental | 811000 | $71,690 | $71,690 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $447,973 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $215,938,950 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $204,894,183 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $377,260 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,496,444 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,121,956 | TotalAmt |
| Management And General | $3,121,956 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $80,169,766 | TotalAmt |
| Program Services | $63,775,671 | ProgramServicesAmt |
| Management And General | $16,394,095 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,858,276 | TotalAmt |
| Program Services | $1,478,273 | ProgramServicesAmt |
| Management And General | $380,003 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,461,572 | TotalAmt |
| Program Services | $5,140,231 | ProgramServicesAmt |
| Management And General | $1,321,341 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,802,697 | TotalAmt |
| Program Services | $4,616,091 | ProgramServicesAmt |
| Management And General | $1,186,606 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $190,148 | TotalAmt |
| Management And General | $190,148 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,522 | TotalAmt |
| Management And General | $144,522 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,195,283 | TotalAmt |
| Program Services | $8,476,454 | ProgramServicesAmt |
| Management And General | $1,718,829 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $807,796 | TotalAmt |
| Management And General | $807,796 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $739,121 | TotalAmt |
| Management And General | $739,121 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,999,051 | TotalAmt |
| Program Services | $1,590,261 | ProgramServicesAmt |
| Management And General | $408,790 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,006,145 | TotalAmt |
| Program Services | $3,982,427 | ProgramServicesAmt |
| Management And General | $1,023,718 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,891 | TotalAmt |
| Program Services | $25,369 | ProgramServicesAmt |
| Management And General | $6,522 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $311,678 | TotalAmt |
| Program Services | $247,942 | ProgramServicesAmt |
| Management And General | $63,736 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,545,372 | TotalAmt |
| Program Services | $3,615,879 | ProgramServicesAmt |
| Management And General | $929,493 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,723,219 | TotalAmt |
| Program Services | $2,723,219 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,783,612 | TotalAmt |
| Program Services | $9,373,955 | ProgramServicesAmt |
| Management And General | $2,409,657 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,260,408 | TotalAmt |
| Program Services | $1,002,664 | ProgramServicesAmt |
| Management And General | $257,744 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $22,698,875 | $20,528,074 | $2,170,801 |
| New Hampshire Medicaid | $10,349,872 | $10,349,872 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,933,725 | TotalAmt |
| Program Services | $5,369,929 | ProgramServicesAmt |
| Management And General | $1,563,796 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,134,985 | TotalAmt |
| Program Services | $142,296,311 | ProgramServicesAmt |
| Management And General | $34,838,674 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,567,157 | BOYAmt |
| EOY | $21,273,529 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,076,652 | BOYAmt |
| EOY | $23,144,260 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,174,204 | BOYAmt |
| EOY | $21,748,812 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,809,265 | BOYAmt |
| EOY | $2,878,114 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,099,955 | BOYAmt |
| EOY | $3,213,939 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $250,853,555 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $132,759,768 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $115,457,969 | BOYAmt |
| EOY | $118,093,787 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,895,550 | BOYAmt |
| EOY | $146,788,200 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,078,190 | BOYAmt |
| EOY | $4,362,986 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $630,526 | BOYAmt |
| EOY | $584,485 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,023,869 | BOYAmt |
| EOY | $7,779,433 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,813,337 | BOYAmt |
| EOY | $349,867,545 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,394,464 | BOYAmt |
| EOY | $43,563,226 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,400,213 | BOYAmt |
| EOY | $89,437,273 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $430,843 | BOYAmt |
| EOY | $168,739 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,354,890 | BOYAmt |
| EOY | $16,886,758 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $149,580,410 | BOYAmt |
| EOY | $150,055,996 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,817,632 | BOYAmt |
| EOY | $197,372,151 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,782 | BOYAmt |
| EOY | $73,884 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,355,513 | BOYAmt |
| EOY | $2,365,514 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $185,232,927 | BOYAmt |
| EOY | $199,811,549 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $334,813,337 | BOYAmt |
| EOY | $349,867,545 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $38,803,965 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$24,225,343 | 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 | $7,401 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $7,401 | 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 | 23.65% of dues to American Hospital Association are available for lobbying expenses. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $51,079,549 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,503,822 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $60,583,371 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $50,596,135 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $483,414 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $51,079,549 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $46,166,746 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $4,429,389 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $50,596,135 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.96860 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.03140 | 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 | $10,801,630 | OtherCostOrOtherBasisAmt |
| Book Value | $10,801,630 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $146,914,864 | OtherCostOrOtherBasisAmt |
| Depreciation | $69,353,137 | DepreciationAmt |
| Book Value | $77,561,727 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,554,348 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,559,988 | DepreciationAmt |
| Book Value | $994,360 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $81,031,149 | OtherCostOrOtherBasisAmt |
| Depreciation | $61,846,643 | DepreciationAmt |
| Book Value | $19,184,506 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,551,564 | OtherCostOrOtherBasisAmt |
| Book Value | $9,551,564 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $118,093,787 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| Unearned Income - MOB | $141,837 |
| Insurance Reserves | $1,929,556 |
| Other Liabilities SERP | $2,865,954 |
| Accrued Pension Expense - LT | $9,928,259 |
| 457 (B) Deferred Comp Plan | $2,021,152 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $16,886,758 | 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 donor's 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. With few exceptions, the System is no longer subject to income tax examination by the U.S. federal or state tax authorities for years before 2011. |
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 | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,918,951 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,000 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,858,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02180 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $25,740,162 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,894,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $15,845,597 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08950 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $29,659,113 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,954,565 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,704,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11130 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $162,125 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,452 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $153,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,416,601 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,416,601 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,482,578 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,364,085 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,118,493 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00630 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $19,619 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,619 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $225,937 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $225,937 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,306,860 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,372,537 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,934,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01660 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,965,973 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,327,102 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $22,638,871 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.12790 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,314 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,314 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $40,149 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,406 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,406 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,627 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,627 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,178 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,178 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $60,674 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $60,674 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $19,881,510 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $5,471,142 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $46,862,033 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $50,185,227 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,323,194 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street PO Box 2014 | AddressLine1 |
| City | Nashua | City |
| State | NH | State |
| ZIP Code | 030612014 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.snhhs.org | WebsiteAddressTxt |
| State License | 02496 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern New Hampshire Medical Center | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Include Operational Plan | Yes (X) | IncludeOperationalPlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 225.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | 0 | FPGUsedDetermEligDscntCareInd |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Attached To Invoice | Yes (X) | AttachedToInvoiceInd |
| Provided On Admission | Yes (X) | ProvidedOnAdmissionInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| 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 3: 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. Assessment teams approached 833 households in Nashua and completed 207 surveys. Respondents to the Nashua Community Health Survey identified issues considered to be major problems in their community and for families. There were also two focus groups whose members included 16 key leaders and 18 Medical Partners. KEY LEADERS: Sanders Burnstein, MD Medical Director Dartmouth-Hitchcock (Nashua); Danielle Fuller Director, Human Resources Gateways; Rolf Goodwin Vice Chair, Board of Directors United Way of Greater Nashua; Tracey Goyette, RN BSN School Nurse City of Nashua, Nashua School District; Donnalee Lozeau Mayor City of Nashua; Melinda Luther, RN Professor, Nursing Department Nashua Community College; Ann Peters CEO Lamprey Health Care Nashua Center; David Ross President & CEO St. Joseph Hospital; Melissa Sears Vice President, Strategy/Business Development St. Joseph Hospital; Jason Smith Executive Director Courville at Nashua; Susan Stearns Director, Development Greater Nashua Mental Health Center of Community Council; Anthony Storace, DMD Chairman City of Nashua, Board of Health; Dedra Twomey Business Manager Greater Nashua Dental Connection; Ronald Vaillancourt Director, Field Operations Rockingham Regional Ambulance; Scott Westover Vice President, Planning and Communication Southern New Hampshire Medical Center; Tom Wilhelmsen President & CEO Southern New Hampshire Medical Center Facilitator; Kathy Hersh, Nashua Community Development Division Director Focus Group: Albee Budnitz, MD Internal Medicine Southern New Hampshire Medical Center; Mark Conway, MD Obstetrics & Gynecology St. Joseph Hospital; Rebecca Cooper Piela, APRN Internal Medicine Southern New Hampshire Medical Center; Leslie Dionne, MD Internal Medicine Dartmouth-Hitchcock; Rob Dorf, MD Family Medicine Southern New Hampshire Medical Center; Jack Faraci, MD Obstetrics & Gynecology St. Joseph Hospital; Larry Learner, MD Pediatrics Merrimack Valley Pediatrics; Donald Levi, MD Pediatrics St. Joseph Hospital; Louise Mermer, APRN Pediatrics St. Joseph Hospital; Dana O'Shea, MD Internal Medicine Harbor Care Clinic; Mary Peterson, PA Internal Medicine St. Joseph Hospital; Joanne Pomeranz, ARPN Internal Medicine Harbor Care Clinic; Donald Reape, MD Internal Medicine St. Joseph Hospital; Chris Riccio, MD Internal Medicine/ Pediatrics Southern New Hampshire Medical Center; Ajay Sharma, MD Family Medicine City of Nashua, Board of Health; Edward Scully, MD Medical Director Lamprey Health Care Nashua Center; Jon Thyng, MD Family Medicine Dartmouth-Hitchcock; Barbara Watrous, CNM Obstetrics & Gynecology St. Joseph Hospital Facilitator; Debbie Daniels, MD, MPH, Medical Director for DPHCS |
| Southern New Hampshire Medical Center | Part V, Section B, Line 4: The hospital's Community Health Needs Assessement was a collaboration of City of Nashua Health Department and other stakeholders, including St. Joseph Hospital. The Medical Center prepared its own separate assessment, based on that information. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 11: The State of New Hampshire mandates a discount for all uninsured patients. This discount is equal to the average discount negotiated by the top (by volume) three commercial insurers. This discount for the uninsured is automatic and applied to all balances prior to sending the first billing statement to the patient. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 12i: The Medical Center's written financial assistance policy does not detail how charges are calculated, however the Medical Center provides a discount to all uninsured patients equal to the average of its three largest payors. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 18e: See response for III.C.9b above. Prior to placing accounts with collection agencies, SNHMC pulls out patients who qualify for charity based on census tract data and does not place those accounts with an agency but rather, awards charity or free care assistance for their encounter. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 20d: The State of New Hampshire mandates a discount for all uninsured patients. This discount is equal to the average discount negotiated by the top (by volume) three commercial insurers. This discount for the uninsured is automatic and applied to all balances prior to sending the first billing statement to the patient. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 22: SNHMC may charge patients who are having cosmetic or experimental, non-covered services gross charges for that encounter. |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | The Medical Center offers a discount equal to the average of their three largest payors to all self pay patients. |
| Part I, Line 7: | The costing methodolgy 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 exhange 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 activites 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: | The Medical Center's Bad Debt Expense includes accounts that have been referred to a collection agency after making reasonable efforts 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 the Medical Center's uninsured patients will be unable or unwilling to pay for the services provided. Thus, The 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: | Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectibility of accounts receivable, the System analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the System analyzes contractually due amounts and provides an allowance for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the System records a significant provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against the allowance for doubtful accounts.The System's allowance for doubtful accounts was 17% and 18% of accounts receivable as of September 30, 2014 and 2013, respectively. The System's self-pay bad debt writeoffs increased $4.7 million from $20.5 million for fiscal year 2013 to $25.2 million for fiscal year 2014. The increase in the bad debt write-offs was a result of higher patient responsible deductibles, and changes in eligibility of free care and self-pay discounts. |
| 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. The hospital must provide those services regardless of the financial shortfall. |
| Part III, Line 9b: | SNHMC 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, the 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 the Medical Center's financial assistance guidelines are awarded charity or free care assistance for their encounter. |
| Part VI, Line 2: | The Southern New Hampshire Health Systems 2012 Community Health Needs Assessment and Implementation Strategy was a collaboration with the City of Nashua and other area health partners. The 2011 Creating a Healthier Community: City of Nashua Health Assessment (the Assessment) was published by the City of Nashua Division of Public Health and Community Services on September 9,2011. The program coordinators of the Assessment were Ashley Conley, epidemiologist, and Debbie Daniels, medical director from the Nashua Department of Public Health. The assessment results include information gathered from a door-to-door survey of 833 households in Nashua conducted in October and November 2010. In conjunction with this, in March 2011, data were gathered from two focus groups, one with area key leaders, the other consisting of medical partners from the greater Nashua area. |
| Part VI, Line 3: | At each registration point, SNHMC has signage and brochures explaining our various forms of financial assistance, including charity care. Additionally, patient registrars offer the charity brochures to self pay patients. Patients who call regarding billing concerns are offered charity assistance. Additionally, verbiage regarding charity care is printed on each billing statement the patient receives. Also, charity care information is available on our hospital website. |
| Part VI, Line 4: | SNHHS's service area consists of nineteen New Hampshire and four Massachusetts towns. The service area is divided into a Primary Service Area (PSA) of twelve New Hampshire towns (Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Merrimack, Milford, Mont Vernon, Nashua, Pelham and Wilton), a Secondary Service Area (SSA) of seven New Hampshire towns (Derry, Greenville, Londonderry, New Boston, New Ipswich, Salem and Windham) and a Massachusetts Service Area (MSA) of four neighboring Massachusetts towns (Dunstable, Pepperell, Townsend and Tyngsboro). According to the 2012 needs assessment, the population of the Greater Nashua Region is growing ( 4.5% growth from 2000 to 2010), younger than the New Hampshire state average (53.5% under 40 years of age compared with 50.7% for the state) , and also more culturally diverse than the rest of the state (85.7% identified as white versus 94.8% 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 NH 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 (13 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thomas E Wilhelmsen Jr | ||||||||||||||
| President/CEO | $507,069 | $0 | $172,251 | $0 | $61,390 | $0 | $52,974 | $0 | $33,761 | $0 | $827,445 | $0 | $0 | $0 |
| Michael S Rose | ||||||||||||||
| Treasurer | $272,766 | $0 | $58,017 | $0 | $42,688 | $0 | $26,400 | $0 | $38,808 | $0 | $438,679 | $0 | $0 | $0 |
| Susan Desocio | ||||||||||||||
| President FMP | $253,735 | $0 | $51,355 | $0 | $18,869 | $0 | $26,892 | $0 | $16,441 | $0 | $367,292 | $0 | $0 | $0 |
| Richard Duguay | ||||||||||||||
| VP Clinical Services | $169,777 | $0 | $29,252 | $0 | $25,771 | $0 | $0 | $0 | $30,245 | $0 | $255,045 | $0 | $0 | $0 |
| Colette Tilton | ||||||||||||||
| VP PT Care Services | $187,476 | $0 | $23,396 | $0 | $26,158 | $0 | $0 | $0 | $28,326 | $0 | $265,356 | $0 | $0 | $0 |
| Stephanie Wolf-Rosenblum | ||||||||||||||
| VP Med Affairs | $231,372 | $69,491 | $30,000 | $0 | $50,146 | $0 | $0 | $0 | $6,680 | $0 | $318,198 | $69,491 | $0 | $0 |
| Andrew Watt | ||||||||||||||
| Assoc. VP Medical Informat | $309,741 | $0 | $39,400 | $0 | $10,243 | $0 | $0 | $0 | $30,813 | $0 | $390,197 | $0 | $0 | $0 |
| Scott Westover | ||||||||||||||
| VP Strategy | $173,382 | $0 | $35,000 | $0 | $16,136 | $0 | $0 | $0 | $35,226 | $0 | $259,744 | $0 | $0 | $0 |
| Joesph M Leahy | ||||||||||||||
| Physician | $338,828 | $0 | $31,900 | $0 | $18,310 | $0 | $0 | $0 | $41,761 | $0 | $430,799 | $0 | $0 | $0 |
| Dillip Yorabothu | ||||||||||||||
| Physician | $269,887 | $0 | $12,875 | $0 | $24,442 | $0 | $0 | $0 | $19,707 | $0 | $326,911 | $0 | $0 | $0 |
| Daniel Weidner | ||||||||||||||
| Physician | $251,827 | $0 | $12,875 | $0 | $45,912 | $0 | $0 | $0 | $44,596 | $0 | $355,210 | $0 | $0 | $0 |
| Marc DeBell | ||||||||||||||
| Physician | $286,194 | $0 | $10,875 | $0 | $11,154 | $0 | $0 | $0 | $18,997 | $0 | $327,220 | $0 | $0 | $0 |
| Peter Row | ||||||||||||||
| Physician | $249,517 | $0 | $11,875 | $0 | $45,551 | $0 | $0 | $0 | $41,960 | $0 | $348,903 | $0 | $0 | $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 the 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 SNHMC. SNHMC pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members. |
| Part I, Line 3 | 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 approved the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board. |
| Part I, Line 4b | The Medical Center provides a Supplemental Executive Retirement Plan, a 457(f) plan, to certain executives. Funding for this plan during the year was: Susan DeSocio - $26,892, Michael S. Rose - $26,400, Thomas E. Wilhelmsen, Jr. - $52,974. |
| 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. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 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 | 2010-12-15 | $5,500,000 | Equipment Purchase | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $89,836,797 | $49,731,438 | $949,525 | $39,155,834 | Yes (1) | Yes (1) | Yes (1) | Yes (1) |
| B | $5,500,000 | $25,672 | $5,474,328 | 0 | 0 | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 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 | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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 |
|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | 0 | 0 | 0 | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 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 | The 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 | The 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 11 | 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 & will abide by our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNMC 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. An annual compliance report is 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 990T 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 VIII, Line 3 | Part VIII, Line 3 reflects all investment earnings including net gains of $7,477,657, net of investment management fees. |
| Form 990, Part X, Line 2 | Part X, Line 2 beginning balance of $23,076,652 was moved to properly classify cash in interest bearing account to line 2 consistent with current year. |
| Form 990, Part X, Line 13 | Part X, line 13 beginning balance of $4,078,190 was reclassed from line 15 to properly classify Investments in Subsidiaries with current year. |
| Form 990, Part XI, line 9: | Transfers to affiliates -20,778,264. Pension Adjustment -3,447,079. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Foundation Medical Partners Inc | |||||||||||
| 8 Prospect Street | Nashua | NH | 03060 | 020456218 | Physician Services | NH | 501(c)(3) | 9 | SNHHS | 0 | |
| Southern New Hampshire Health System | |||||||||||
| 8 Prospect Street | Nashua | NH | 03060 | 020509221 | Medical Services | NH | 501(c)(3) | 11 | 0 | N/A | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Advantage Network PHO | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Prospect Street | AddressLine1 |
| City | Nashua | City |
| State | NH | State |
| ZIP Code | 03060 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020482950 | EIN |
| Primary Activities | Medical Services | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SNHMC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of Total Income | $115,970 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $56,183 | ShareOfEOYAssetsAmt |
| Ownership | 0.50000 | OwnershipPct |
| Controlled Organization | 0 | ControlledOrganizationInd |
| 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 |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Advantage Network PHO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | O | TransactionTypeTxt |
| Involved | $8,359 | InvolvedAmt |
| Method Of Amount Determination | Fair Market Value | MethodOfAmountDeterminationTxt |