SOUTHERN NEW HAMPSHIRE MEDICAL CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHERN NEW HAMPSHIRE MEDICAL CENTER (EIN 02-0483054)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-04-12
- IRS object ID
- 201431029349300713
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-04-12T14:15:42-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020383073 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM STEELE & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 STARK STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020483054 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHERN NEW HAMPSHIRE MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 6035772000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS E WILHELMSEN | Name |
| Title | PRESIDENT / CEO | Title |
| Phone | 6035772000 | Phone |
| Date Signed | 2014-04-04 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM G STEELE JR CPA | Name |
| PTIN | P00233103 | PTIN |
| Phone | 6036228881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS E WILHELMSEN JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 209318019 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | SNHHS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1892 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1755 | TotalNbrEmployees |
| Total Nbr Volunteers | 332 | TotalNbrVolunteers |
| Total Gross UBI | 357186 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -3293 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 130522 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 130903 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 194694882 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 198523922 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 12276873 | InvestmentIncomePriorYear |
| Investment Income Current Year | 10221616 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 57038 | OtherRevenuePriorYear |
| Other Revenue Current Year | 441578 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 207159315 | TotalRevenuePriorYear |
| Total Revenue Current Year | 209318019 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 98610250 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 96542258 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 73818198 | OtherExpensePriorYear |
| Other Expenses Current Year | 74401589 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 172428448 | TotalExpensesPriorYear |
| Total Expenses Current Year | 170943847 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 34730867 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 38374172 | RevenuesLessExpensesCY |
| Total Assets BOY | 313156702 | TotalAssetsBOY |
| Total Assets EOY | 334813337 | TotalAssetsEOY |
| Total Liabilities BOY | 159975014 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 149580410 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 153181688 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 185232927 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 126024836 | Expense |
| Revenue | 198502248 | Revenue |
| Description | 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 8,830 INPATIENT ADMISSIONS, 225,127 OUTPATIENT REGISTRATIONS, 42,974 ER VISITS, 5,432 SURGICAL PROCEDURES AND 1,395 BIRTHS. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9991993 | Expense |
| Revenue | 0 | Revenue |
| Description | CHARITY CARE ($5,223,359) AND OTHER UNCOMPENSATED CARE ($4,768,634) AT COST. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 2227613 | Expense |
| Revenue | 106066 | Revenue |
| Description | COMMUNITY HEALTH SERVICES AND HEALTH PROFESSIONAL EDUCATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 138244442 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 245 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1755 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL ROSE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6035772004 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 PROSPECT STREET | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 030612014 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| PRAVEN K SUCHDEV MD | ||||||||||
| BOARD CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||||
| TIMOTHY C SULLIVAN ESQ | ||||||||||
| BOARD VICE CHAIR | 2.00 | X | X | 0 | 0 | 0 | ||||
| THOMAS E WILHELMSEN JR | ||||||||||
| PRESIDENT/CEO | 40.00 | X | X | 655478 | 0 | 750630 | ||||
| J TERRANCE BUCHANNAN MD | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| ROBERT B EISENBERG | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| COLLEEN P GUIRY MD | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| HOLLY J HARMON-MORSE | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| CLIFFORD R KINGHORN JR JUDGE | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| LORI A LIBERTY | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| JOHN M MERCIER | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| MARTHA E O'NEIL ESQ | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| THOMAS A PURSCH | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| JAMES K STEINER | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| TIMOTHY J WHITAKER | ||||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||||
| MICHAEL S ROSE | ||||||||||
| TREASURER | 40.00 | X | 333417 | 0 | 56276 | |||||
| SUSAN DESOCIO | ||||||||||
| PRESIDENT FMP | 40.00 | 288716 | 0 | 49466 | X | |||||
| RICHARD DUGUAY | ||||||||||
| VP CLINICAL SERVICES | 40.00 | 217934 | 0 | 30475 | X | |||||
| COLETTE TILTON | ||||||||||
| VP PT CARE SERVICES | 40.00 | 229206 | 0 | 25153 | X | |||||
| STEPHANIE WOLF-ROSENBLUM | ||||||||||
| VP MED AFFAIRS | 40.00 | 293772 | 68480 | 6694 | X | 8.00 | ||||
| ANDREW WATT | ||||||||||
| ASSOC. VP MEDICAL INFORMATICS | 40.00 | 331904 | 0 | 29362 | X | |||||
| JOESPH M LEAHY | ||||||||||
| PHYSICIAN | 40.00 | 374634 | 0 | 38398 | X | |||||
| ELIZABETH A KARAGOSIAN | ||||||||||
| PHYSICIAN | 40.00 | 288030 | 0 | 25377 | X | |||||
| DANIEL WEIDNER | ||||||||||
| PHYSICIAN | 40.00 | 305235 | 0 | 40314 | X | |||||
| MARC DEBELL | ||||||||||
| PHYSICIAN | 40.00 | 310929 | 0 | 18725 | X | |||||
| NORMAN P KOSSAYDA | ||||||||||
| PHYSICIAN | 40.00 | 298709 | 0 | 33967 | X | |||||
| DAVID CAWLEY | ||||||||||
| FORMER VP ADMINISTRATION | 40.00 | 385465 | 0 | 9126 | X | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4313429 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 68480 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1113963 | TotalOtherCompensation |
| Number Individuals GT100 K | 83 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| FULCRUM ASSOCIATES | |||||
| 5 TECH CIRCLE | AMHERST | NH | 03031 | CONSTRUCTION | 10562625 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| DEPT AT 40065 | ATLANTA | GA | 31192 | SYSTEM SUPPORT | 2863997 |
| QUEST DIAGNOSTICS | |||||
| 5763 COLLECTION CTR DR | CHICAGO | IL | 60693 | LAB | 1199092 |
| SODEXO INC | |||||
| 9801 WASHINGTON BLVD | GAITHERSBURG | MD | 20878 | FOOD SERVICES | 776982 |
| GE HEALTHCARE | |||||
| PO BOX 640944 | PITTSBURGH | PA | 152640944 | DIAGNOSTIC IMAGING | 402654 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 32 | NumberOfContractorsGT100K |
| All Other Contributions | 130903 | AllOtherContributions |
| Total Contributions | 130903 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HOSPITAL SERVICES | Description |
| Business Code | 621110 | BusinessCode |
| Total Revenue Column | 198523922 | TotalRevenueColumn |
| Related Or Exempt Function Income | 198523922 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 198523922 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10216766 | TotalRevenueColumn |
| Exclusion | $10,216,766 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4850 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4850 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4850 | TotalRevenueColumn |
| Exclusion | $4,850 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| ANCILLARY SERVICES (NE REHAB FOOD | 722210 | 283369 | 283369 | |
| OTHER REVENUE | 900099 | 88312 | 3920 | 84392 |
| ANCILLARY SERVICES (NE REHAB ENVI | 811000 | 69897 | 69897 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 441578 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 209318019 | TotalRevenueColumn |
| Related Or Exempt Function Income | 198608314 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 357186 | UnrelatedBusinessRevenue |
| Exclusion | $10,221,616 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3298483 | Total |
| Management And General | 3298483 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 78568960 | Total |
| Program Services | 62855168 | ProgramServices |
| Management And General | 15713792 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2324901 | Total |
| Program Services | 1859921 | ProgramServices |
| Management And General | 464980 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6814704 | Total |
| Program Services | 6210208 | ProgramServices |
| Management And General | 604496 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5535210 | Total |
| Program Services | 4428168 | ProgramServices |
| Management And General | 1107042 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 190826 | Total |
| Management And General | 190826 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 140400 | Total |
| Management And General | 140400 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 839265 | Total |
| Management And General | 839265 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 703049 | Total |
| Management And General | 703049 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2001638 | Total |
| Program Services | 1601310 | ProgramServices |
| Management And General | 400328 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4557284 | Total |
| Program Services | 3645827 | ProgramServices |
| Management And General | 911457 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51617 | Total |
| Program Services | 41294 | ProgramServices |
| Management And General | 10323 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 291651 | Total |
| Program Services | 233321 | ProgramServices |
| Management And General | 58330 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4618585 | Total |
| Program Services | 3694868 | ProgramServices |
| Management And General | 923717 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2722106 | Total |
| Program Services | 2722106 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11978759 | Total |
| Program Services | 9583007 | ProgramServices |
| Management And General | 2395752 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 296892 | Total |
| Program Services | 237514 | ProgramServices |
| Management And General | 59378 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUPPLIES | 23400050 | 21335295 | 2064755 |
| NEW HAMPSHIRE MEDICAID | 7262691 | 7262691 | |
| PURCHASE SERVICES | 5296164 | 4720377 | 575787 |
| SERVICE CONTRACTS | 3538363 | 2830690 | 707673 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6512249 | Total |
| Program Services | 4982677 | ProgramServices |
| Management And General | 1529572 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170943847 | Total |
| Program Services | 138244442 | ProgramServices |
| Management And General | 32699405 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52106037 | BOY |
| EOY | 41643809 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21136572 | BOY |
| EOY | 23174204 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2614903 | BOY |
| EOY | 2809265 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2765253 | BOY |
| EOY | 3099955 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 238734256 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 123276287 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114140395 | BOY |
| EOY | 115457969 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106523261 | BOY |
| EOY | 133895550 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 679454 | BOY |
| EOY | 630526 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13190827 | BOY |
| EOY | 14102059 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 313156702 | BOY |
| EOY | 334813337 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 37291296 | BOY |
| EOY | 40394464 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93490966 | BOY |
| EOY | 92400213 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 750094 | BOY |
| EOY | 430843 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28442658 | BOY |
| EOY | 16354890 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 159975014 | BOY |
| EOY | 149580410 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 150775973 | BOY |
| EOY | 182817632 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50202 | BOY |
| EOY | 59782 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2355513 | BOY |
| EOY | 2355513 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153181688 | BOY |
| EOY | 185232927 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 313156702 | BOY |
| EOY | 334813337 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 38374172 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -6322933 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 1 | GrantsOtherOrganizations |
| Grants Other Organizations | $12,580 | GrantsOtherOrganizationsAmount |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 12580 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | 23.76% OF DUES TO AMERICAN HOSPITAL ASSOCIATION, 22.96% OF DUES TO NEW HAMPSHIRE HOSPITAL ASSOCIATION, ALONG WITH DIRECT PAYMENTS THROUGHT NEW HAMPSHIRE HOSPITAL ASSOCIATION WERE USED FOR LOBBYING ACTIVITES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 60583371 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 7455943 | InvestmentEarningsOrLosses |
| End Of Year Balance | 68039314 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 51079549 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 9503822 | InvestmentEarningsOrLosses |
| End Of Year Balance | 60583371 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 50596135 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 483414 | InvestmentEarningsOrLosses |
| End Of Year Balance | 51079549 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 46166746 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 4429389 | InvestmentEarningsOrLosses |
| End Of Year Balance | 50596135 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 46228437 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -61691 | InvestmentEarningsOrLosses |
| End Of Year Balance | 46166746 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.96540 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.03460 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10801630 | OtherCostOrOtherBasis |
| Book Value | 10801630 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 145614182 | OtherCostOrOtherBasis |
| Depreciation | 64060177 | Depreciation |
| Book Value | 81554005 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2069933 | OtherCostOrOtherBasis |
| Depreciation | 1455125 | Depreciation |
| Book Value | 614808 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 75821946 | OtherCostOrOtherBasis |
| Depreciation | 57760985 | Depreciation |
| Book Value | 18060961 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4426565 | OtherCostOrOtherBasis |
| Book Value | 4426565 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 115457969 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| UNEARNED INCOME - MOB | $150,702 |
| INSURANCE RESERVES | $3,431,121 |
| OTHER LIABILITIES SERP | $2,635,345 |
| ACCRUED PENSION EXPENSE - LT | $8,434,031 |
| 457 (B) DEFERRED COMP PLAN | $1,703,691 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16354890 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: | 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. |
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | 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 2010. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 225.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5223359 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5223359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 21723510 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7805343 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 13918167 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08140 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26946869 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7805343 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 19141526 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11200 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 267295 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 106066 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 161229 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1610071 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1610071 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00940 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1919032 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1037037 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 881995 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00520 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24912 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24912 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 382921 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 382921 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4204231 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1143103 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3061128 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01780 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 31151100 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 8948446 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22202654 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.12980 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1861 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1861 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 36416 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 36416 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 708 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 708 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3991 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3991 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5504 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5504 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 48480 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 48480 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $6,871,885 | BadDebtExpenseAmount |
| Amount Attributable To | 4768634 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 43142077 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 47504347 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4362270 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHERN NEW HAMPSHIRE MEDICAL CENTER | BusinessNameLine1 |
Address Address
| 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 | SNHHS.ORG | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
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) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 225.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 0 | ExplainsBasis |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | 1 | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Lien On Residence | X | LienOnResidence |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 1 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (17 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| 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: 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 THIER 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 STONG 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 4: ON THE BASIS OF HISTORICAL EXPERIENCE, A SIGNIFICANT PORTION OF THE SYSTEM'S UNINSURED PATIENTS WILL BE UNABLE OR UNWILLING TO PAY FOR THE SERVICES PROVIDED. THUS, THE SYSTEM 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 OPERATING EXPENSES. THE RATIO OF COST TO CHARGE METHODOLOGY WAS USED TO DETERMINE COST 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. | ||
| 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 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 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. | SOUTHERN NEW HAMPSHIRE MEDICAL CENTER | |
| PART VI, LINE 2: THE SOUTHERN NEW HAMPSHIRE HEALTH SYSTEMS 2013 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 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. | ||
| NH | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| THOMAS E WILHELMSEN JR | ||||||||||||||
| PRESIDENT/CEO | 486610 | 0 | 107049 | 0 | 61819 | 0 | 718802 | 0 | 31828 | 0 | 1406108 | 0 | 0 | 0 |
| MICHAEL S ROSE | ||||||||||||||
| TREASURER | 246369 | 0 | 45500 | 0 | 41548 | 0 | 22792 | 0 | 33484 | 0 | 389693 | 0 | 0 | 0 |
| SUSAN DESOCIO | ||||||||||||||
| PRESIDENT FMP | 237309 | 0 | 33324 | 0 | 18083 | 0 | 11768 | 0 | 37698 | 0 | 338182 | 0 | 0 | 0 |
| RICHARD DUGUAY | ||||||||||||||
| VP CLINICAL SERVICES | 168833 | 0 | 23900 | 0 | 25201 | 0 | 0 | 0 | 30475 | 0 | 248409 | 0 | 0 | 0 |
| COLETTE TILTON | ||||||||||||||
| VP PT CARE SERVICES | 167673 | 0 | 18189 | 0 | 43344 | 0 | 0 | 0 | 25153 | 0 | 254359 | 0 | 0 | 0 |
| STEPHANIE WOLF-ROSENBLUM | ||||||||||||||
| VP MED AFFAIRS | 224820 | 68480 | 26656 | 0 | 42296 | 0 | 0 | 0 | 6694 | 0 | 300466 | 68480 | 0 | 0 |
| ANDREW WATT | ||||||||||||||
| ASSOC. VP MEDICAL INFORMATICS | 296009 | 0 | 26114 | 0 | 9781 | 0 | 0 | 0 | 29362 | 0 | 361266 | 0 | 0 | 0 |
| JOESPH M LEAHY | ||||||||||||||
| PHYSICIAN | 335135 | 0 | 21639 | 0 | 17860 | 0 | 0 | 0 | 38398 | 0 | 413032 | 0 | 0 | 0 |
| ELIZABETH A KARAGOSIAN | ||||||||||||||
| PHYSICIAN | 264741 | 0 | 5749 | 0 | 17540 | 0 | 0 | 0 | 25377 | 0 | 313407 | 0 | 0 | 0 |
| DANIEL WEIDNER | ||||||||||||||
| PHYSICIAN | 271952 | 0 | 5841 | 0 | 27442 | 0 | 0 | 0 | 40314 | 0 | 345549 | 0 | 0 | 0 |
| MARC DEBELL | ||||||||||||||
| PHYSICIAN | 286947 | 0 | 5730 | 0 | 18252 | 0 | 0 | 0 | 18725 | 0 | 329654 | 0 | 0 | 0 |
| NORMAN P KOSSAYDA | ||||||||||||||
| PHYSICIAN | 291483 | 0 | 5642 | 0 | 1584 | 0 | 0 | 0 | 33967 | 0 | 332676 | 0 | 0 | 0 |
| DAVID CAWLEY | ||||||||||||||
| FORMER VP ADMINISTRATION | 357106 | 0 | 0 | 0 | 28359 | 0 | 0 | 0 | 9126 | 0 | 394591 | 0 | 207882 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 | FUNDING FOR SUPPLEMENTAL EMPLOYEE RETIREMENT PLAN- SUSAN DESOCIO -$11,768.00, MICHAEL S. ROSE -$22,792.00,AND THOMAS E. WILHELMSEN, JR. -$718,802.00. IN 2010, AN ERROR WAS DISCOVERED IN THE FORMULA USED TO CALCULATE MR. WILHELMSEN'S SERP CONTRIBUTION. AS A RESULT, A ONE-TIME CATCH-UP CONTRIBUTION OF $629,109 WAS MADE IN 2013 THAT COVERS 2002 - 2013 AND IS INCLUDED IN MR. WILHELMSEN'S TOTAL. |
| 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
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| NHHEF AUTHORITY | ||||||||
| A | 020279866 | 644614SWO | 2007-08-30 | 89836797 | REFUNDING AND NEW CONSTRUCTION | 1 | 0 | 0 |
| NHHEF AUTHORITY | ||||||||
| B | 020279866 | 2010-12-15 | 5500000 | EQUIPMENT PURCHASE | 0 | 0 | 0 | |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| A | 89836797 | 49731438 | 949525 | 39155834 | 1 | 1 | 1 | 1 |
| B | 5500000 | 25672 | 5474328 | 0 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|
| A | 1 | 0 | 0 | 0 | 0 | 0 |
| B | 1 | 0 | 0 | 0 | 0 | 0 |
Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 APPROVED 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 AND PROVIDES AN ANNUAL REPORT THAT IS AVAILABLE ON ITS WEBSITE. 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. | |
| SECTION A COLUMN B | THE AVERAGE HOURS PER WEEK DEVOTED TO THE FOUNDATION MEDICAL PARTNERS, A RELATED ORGANIZATION BY KEY EMPLOYEE STEPHANIE WOLF-ROSENBLUM, VP OF MEDICAL AFFAIRS, IS 8 HOURS. | |
| FORM 990, PART XI, LINE 9: | TRANSFERS TO AFFILIATES -17,083,130. PENSION ADJUSTMENT 10,735,197. NET ASSETS RELEASED FROM RESTRICTION 25,000. | CHANGES IN NET ASSETS OR FUND BALANCES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg | Direct Controlling Entity NADirectControllingEntityNA |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE NETWORK PHO | |||||||||||
| 10 PROSPECT STREET | NASHUA | NH | 03060 | 020482950 | MEDICAL SERVICES | NH | C | 22529 | 64135 | 0.50000 | 0 |
| SOUTHERN NH HEALTH VENTURES INC | |||||||||||
| 8 PROSPECT STREET | NASHUA | NH | 03060 | 020499623 | MEDICAL SERVICES | NH | C | 1.00000 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| FOUNDATION MEDICAL PARTNERS INC | ||
| D | 600868 | FAIR MARKET VALUE |
| FOUNDATION MEDICAL PARTNERS INC | ||
| J | 2378353 | FAIR MARKET VALUE |
| FOUNDATION MEDICAL PARTNERS INC | ||
| K | 171105 | FAIR MARKET VALUE |
| FOUNDATION MEDICAL PARTNERS INC | ||
| L | 4857582 | COST |
| FOUNDATION MEDICAL PARTNERS INC | ||
| M | 849297 | COST |
| FOUNDATION MEDICAL PARTNERS INC | ||
| O | 110249 | COST |
| FOUNDATION MEDICAL PARTNERS INC | ||
| P | 21163933 | COST |
| FOUNDATION MEDICAL PARTNERS INC | ||
| Q | 2561120 | COST |
| FOUNDATION MEDICAL PARTNERS INC | ||
| R | 17083130 | FAIR MARKET VALUE |