HUGGINS HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- HUGGINS HOSPITAL (EIN 02-0223332)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-14
- IRS object ID
- 201312269349303186
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-14T14:45:51-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010523282 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020223332 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huggins Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HUGG | NameControl |
| Phone | 6035697500 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 912 | AddressLine1 |
| City | Wolfeboro | City |
| State | NH | State |
| ZIP Code | 03894 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jeremy Roberge | Name |
| Title | CFO | Title |
| Phone | 6035697500 | Phone |
| Date Signed | 2013-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | Phone |
| Date Prepared | 2013-08-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Michael Connelly | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 912 | AddressLine1 |
| City | Wolfeboro | City |
| State | NH | State |
| ZIP Code | 03894 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 78234509 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.hugginshospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1907 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | Critical Access Hospital | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 595 | TotalNbrEmployees |
| Total Nbr Volunteers | 250 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1369621 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1000616 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 57156419 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 51475090 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 557662 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1566768 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 149235 | OtherRevenuePriorYear |
| Other Revenue Current Year | 149312 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 59232937 | TotalRevenuePriorYear |
| Total Revenue Current Year | 54191786 | 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 | 27289323 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 29247467 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 36982 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 34906882 | OtherExpensePriorYear |
| Other Expenses Current Year | 24889279 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 62196205 | TotalExpensesPriorYear |
| Total Expenses Current Year | 54136746 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -2963268 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 55040 | RevenuesLessExpensesCY |
| Total Assets BOY | 100110442 | TotalAssetsBOY |
| Total Assets EOY | 104651750 | TotalAssetsEOY |
| Total Liabilities BOY | 38518622 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 42002816 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 61591820 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 62648934 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | It is the mission of Huggins Hospital to provide quality health care services and to promote well being in the communities we serve. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 46741671 | Expense |
| Revenue | 50751645 | Revenue |
| Description | Huggins Hospital is a 25 bed critical access hospital that provides acute care and primary health care from emergency services to family medical practice care, along with essential wellness and prevention services to the residents of the Eastern Lakes Region of NH (lower Carroll County and North/Northeastern Belknap County). A significant portion of the hospital's service area is uninsured, underinsured and/or dependent on Medicaid/Medicare benefits. Carroll County has one of the largest elderly populations in the state, and also has a significant number of rural, low-income families.Physician Practices. The hospital is committed to providing primary care services throughout our service area. Huggins Hospital has 133 credentialed providers. 21 provide primary care including pediatrics, and 53 are specialists covering general surgery, anesthesiology, orthopedics, emergency medicine, and hospitalists. | Description |
| Total Program Service Expense | 46741671 | 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 | 0 | 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 | 1 | 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 | 1 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 1 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | 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 | 91 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 595 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 17 | 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 | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | 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 | Jeremy Roberge | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6035697510 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 912 | AddressLine1 |
| City | Wolfeboro | City |
| State | NH | State |
| ZIP Code | 03894 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (27 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|
| Stephen Wainwright | ||||||||
| Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| Cecile M Chase | ||||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | ||
| William M Marsh MD | ||||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| Timothy Sullivan | ||||||||
| Vice Chairman | 1.00 | X | X | 0 | 0 | 0 | ||
| David Booth | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Gerard Bozuwa MD | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Judith Cole APRN | ||||||||
| Trustee | 60.00 | X | 62583 | 0 | 18943 | |||
| James Cubeddu PA | ||||||||
| Trustee | 40.00 | X | 107973 | 0 | 9021 | |||
| Gregory A Eldridge | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Brad Hayes | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| James Rines | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| George Walker | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Kathy Barnard | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| J Pierre Lamy | ||||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Reuben Wentworth | ||||||||
| Past Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Vlasta Zdrnja MD | ||||||||
| Past Trustee | 1.00 | X | 0 | 0 | 0 | |||
| Michael Connelly | ||||||||
| President | 40.00 | X | X | 100800 | 0 | 0 | ||
| Timothy Pinard | ||||||||
| Trustee | 40.00 | X | 196655 | 0 | 22551 | |||
| John J Daigneault CPA CVA | ||||||||
| Assistant Treasurer | 1.00 | X | X | 0 | 0 | 0 | ||
| Leslie MacLeod | ||||||||
| Past President | 40.00 | X | 114194 | 0 | 0 | |||
| Jeremy Roberge | ||||||||
| CFO | 40.00 | X | 0 | 0 | 0 | |||
| George Costello | ||||||||
| Surgeon | 30.00 | 329761 | 0 | 22551 | X | |||
| Thomas Barton | ||||||||
| Physician | 30.00 | 305369 | 0 | 27366 | X | |||
| Dennis Badman | ||||||||
| Physician | 40.00 | 292756 | 0 | 22551 | X | |||
| William Barton | ||||||||
| Surgeon | 40.00 | 277427 | 0 | 0 | X | |||
| Eric Lewis | ||||||||
| Physician | 40.00 | 246152 | 0 | 22988 | X | |||
| David W Tower FACHE | ||||||||
| Former President | 40.00 | 434317 | 0 | 10000 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2467987 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 155971 | TotalOtherCompensation |
| Number Individuals GT100 K | 31 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Central NH ER Associates | |||||
| 6 Pickett Fence Road | Meredith | NH | 03253 | ER Physicians | 1478573 |
| Bauen Corp | |||||
| PO Box 16211 | Meredith | NH | 03253 | Construction | 432520 |
| Francis J Tranfa | |||||
| PO Box 306 | Melvin Village | NH | 03850 | Anesthesiologist | 240000 |
| Dan Balser | |||||
| 24 Brice Drive | Brookfield | NH | 03872 | CRNA Services | 220753 |
| Weatherby Locums Inc | |||||
| PO Box 972633 | Dallas | TX | 75397 | Hospitalist | 201587 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 14 | NumberOfContractorsGT100K |
| All Other Contributions | 1000616 | AllOtherContributions |
| Noncash Contributions | 353249 | NoncashContributions |
| Total Contributions | 1000616 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| Patient Service Fees | 621990 | 87673740 | 87673740 | |
| Medicaid Tax Revenue | 621990 | 4082346 | 4082346 | |
| Miscellaneous | 621990 | 1753021 | 1029576 | $723,445 |
| Provision for Bad Debt | 621990 | -6146912 | -6146912 | |
| Contractual/Char. Adj. | 621990 | -35887105 | -35887105 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 51475090 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 397475 | TotalRevenueColumn |
| Exclusion | $397,475 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 119230 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 119230 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 119230 | TotalRevenueColumn |
| Exclusion | $119,230 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 25185763 | Securities |
| Other | 12880 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24021504 | Securities |
| Other | 7846 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1164259 | Securities |
| Other | 5034 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1169293 | TotalRevenueColumn |
| Exclusion | $1,169,293 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 43455 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 13373 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 30082 | TotalRevenueColumn |
| Exclusion | $30,082 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 54191786 | TotalRevenueColumn |
| Related Or Exempt Function Income | 50751645 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $2,439,525 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 632720 | Total |
| Program Services | 417726 | ProgramServices |
| Management And General | 214994 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22079563 | Total |
| Program Services | 19379972 | ProgramServices |
| Management And General | 2686107 | ManagementAndGeneral |
| Fundraising | 13484 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1300791 | Total |
| Program Services | 1133493 | ProgramServices |
| Management And General | 166524 | ManagementAndGeneral |
| Fundraising | 774 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3682073 | Total |
| Program Services | 3293753 | ProgramServices |
| Management And General | 388042 | ManagementAndGeneral |
| Fundraising | 278 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1552320 | Total |
| Program Services | 1345383 | ProgramServices |
| Management And General | 205906 | ManagementAndGeneral |
| Fundraising | 1031 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120940 | Total |
| Management And General | 120940 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111900 | Total |
| Management And General | 111900 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3816 | Total |
| Management And General | 3816 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6404983 | Total |
| Program Services | 5002276 | ProgramServices |
| Management And General | 1390614 | ManagementAndGeneral |
| Fundraising | 12093 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 99003 | Total |
| Program Services | 97867 | ProgramServices |
| Management And General | 905 | ManagementAndGeneral |
| Fundraising | 231 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 688486 | Total |
| Program Services | 416543 | ProgramServices |
| Management And General | 263486 | ManagementAndGeneral |
| Fundraising | 8457 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 117542 | Total |
| Program Services | 60595 | ProgramServices |
| Management And General | 56947 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3855636 | Total |
| Program Services | 3668415 | ProgramServices |
| Management And General | 187177 | ManagementAndGeneral |
| Fundraising | 44 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1498096 | Total |
| Program Services | 1498096 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4926276 | Total |
| Program Services | 4080931 | ProgramServices |
| Management And General | 845345 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 626075 | Total |
| Management And General | 626075 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Medical Supplies | 4082338 | 4082338 | 0 | 0 |
| Medicaid Provider Tax | 2169324 | 2169324 | ||
| Miscellaneous | 184864 | 94959 | 89315 | 590 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54136746 | Total |
| Program Services | 46741671 | ProgramServices |
| Management And General | 7358093 | ManagementAndGeneral |
| Fundraising | 36982 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1239618 | BOY |
| EOY | 3146538 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8801780 | BOY |
| EOY | 11459987 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 728796 | BOY |
| EOY | 339213 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7011612 | BOY |
| EOY | 6376157 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 595582 | BOY |
| EOY | 637547 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 91415755 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 31421038 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63748345 | BOY |
| EOY | 59994717 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14682022 | BOY |
| EOY | 18842696 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 908800 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 581895 | BOY |
| EOY | 561961 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2720792 | BOY |
| EOY | 2384134 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100110442 | BOY |
| EOY | 104651750 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9487194 | BOY |
| EOY | 8681763 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25000000 | BOY |
| EOY | 24890000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 868570 | BOY |
| EOY | 715599 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3162858 | BOY |
| EOY | 7715454 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38518622 | BOY |
| EOY | 42002816 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51204545 | BOY |
| EOY | 49826839 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6903187 | BOY |
| EOY | 9330188 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3484088 | BOY |
| EOY | 3491907 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61591820 | BOY |
| EOY | 62648934 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 100110442 | BOY |
| EOY | 104651750 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 55040 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1002074 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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 | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $11,297 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11297 | 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 | The Organization pays dues to various associations, a portion of which are attributable to lobbying expenses. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9500670 | BeginningOfYearBalance |
| Contributions | 7819 | Contributions |
| Investment Earnings Or Losses | 1570384 | InvestmentEarningsOrLosses |
| Other Expenditures | 152411 | OtherExpenditures |
| End Of Year Balance | 10926462 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9918249 | BeginningOfYearBalance |
| Contributions | 9152 | Contributions |
| Investment Earnings Or Losses | -307873 | InvestmentEarningsOrLosses |
| Other Expenditures | 118858 | OtherExpenditures |
| End Of Year Balance | 9500670 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9805179 | BeginningOfYearBalance |
| Contributions | 5125 | Contributions |
| Investment Earnings Or Losses | 376905 | InvestmentEarningsOrLosses |
| Other Expenditures | 268960 | OtherExpenditures |
| End Of Year Balance | 9918249 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9684899 | BeginningOfYearBalance |
| Contributions | 246777 | Contributions |
| Investment Earnings Or Losses | -112132 | InvestmentEarningsOrLosses |
| Administrative Expenses | 14365 | AdministrativeExpenses |
| End Of Year Balance | 9805179 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.31960 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.68040 | TermEndowmentEOYBalance |
| 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 | 1638475 | OtherCostOrOtherBasis |
| Book Value | 1638475 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 54738432 | OtherCostOrOtherBasis |
| Depreciation | 10587875 | Depreciation |
| Book Value | 44150557 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 28692527 | OtherCostOrOtherBasis |
| Depreciation | 19231060 | Depreciation |
| Book Value | 9461467 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6346321 | OtherCostOrOtherBasis |
| Depreciation | 1602103 | Depreciation |
| Book Value | 4744218 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 59994717 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Interest Rate Swap | $3,296,889 |
| Estimated Third-Party Payor Settlements | $4,418,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 7715454 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | The intended use of the endowment fund is to support health care services including indigent care, health education, adult daycare as well as capital improvements and acquisitions. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | 2012 Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 43455 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 43455 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 2630 | NonCashPrizesEvent1 |
| Food And Beverage Event1 | 4950 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 5793 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 43455 | GrossReceiptsTotal |
| Gross Revenue Total Events | 43455 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 2630 | NonCashPrizesTotalEvents |
| Food And Beverage Total Events | 4950 | FoodAndBeverageTotalEvents |
| Other Direct Expenses Total Events | 5793 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 13373 | DirectExpenseSummaryEvents |
| Net Income Summary | 30082 | NetIncomeSummary |
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 | 125.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent200 D | X | Pcent200D |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| 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 | 4264214 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1804456 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2459758 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04540 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2481018 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2392414 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 88604 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6745232 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4196870 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2548362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04700 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6745232 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4196870 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2548362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04700 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,342,622 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 17087809 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 17087809 | CostOfCareReimbursedByMedicare |
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 | Huggins Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 912 | AddressLine1 |
| City | Wolfeboro | City |
| State | NH | State |
| ZIP Code | 03894 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| 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 | Huggins Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 125.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 200.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (9 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7: The amounts reported on Lines 7a & 7b were computed using a cost-to-charge ratio. | ||
| Part II: Community Building Activities: Community-building activities include cash, in-kind donations, and budgeted expenditures by the Trust for the development of programs and partnerships intended to address social and economic determinants of health. Sub-categories in this area include:Physical Improvements/Housing: Community improvement and revitalization projects; housing rehabilitation; public works; contribution to community-based assisted living, senior and low income housing projects, home safety assessment and installation.Economic Development: Small business development, participation in economic development council, chamber of commerce: - Gene Goodwin is a member on the WEDCO Board and its mission is to promote and support businesses and the creation of employment opportunities by providing development assistance and financing. - Gene Goodwin is a member on the Hearth Stone Homes of Wolfeboro Board of Directors which is two low income housing developments that assists people for placement within these two developments. - Mike Connelly, President and CEO of the Hospital sits on the Wolfeboro Area Chamber of Commerce and the Town Economic Development Committee.Support Systems Enhancements: Adopt-a-school efforts, childcare for community residents with qualified need; mentoring programs; youth development initiatives, including categories of caring adults, safe places, emergency preparedness; community disease surveillance and reporting infrastructure, cost of stockpiling, medical, surgical, and pharmaceutical supplies, including barriers, respirators, clothing, IV pumps and poles, IV fluids, suction machines, stretchers, wheelchairs, linens, bandages, and dressings, personal protective equipment; costs associated with training, community partnership, and outreach planning. - We have several employees that are specially trained as part of the Carroll County Emergency Preparedness team for the State of New Hampshire. As being designated as part of that team our employees must attend specialized training and perform drills that stretch across Carroll County. In addition our employee Ms. Janet Williamson is the Chair of our Emergency Preparedness Committee and the Hospital's EMS Interceptor. She is qualified to provide continued education to our local EMS providers which she does several times a year. As part of our Emergency Preparedness team we also provide flu clinics for all of our surrounding EMS providers. - The Hospital has seen an increase in patients having mental health issues and the Hospital is having to hold patients for several days before beds become available. Meetings were established with the State of New Hampshire Hospital, County Jail, and Northern Human Services and local police chiefs to evaluate and assess the process to ensure the agencies are working together to address the lack of mental health services in NH.Environmental Improvements: Efforts to reduce environmental hazards in the air, water and ground including lead detection and remediation; radon detection and remediation; community waste reduction and sharps disposal programs; health care facility waste and mercury reduction.Coalition Building: Organizational representation on community coalitions; collaborative partnerships with community groups to improve community health; community coalition meeting costs, visioning, sessions, task force meetings, etc. and costs for task-force specific project initiatives. - Hospital employees sit on the Carroll County Coalition which provides training and development of teen initiatives to promote healthy life style choices and opportunities for the children in the community to participate in. - Each quarter the Hospital publishes articles on various health topics for all of our service areas. Our physicians contribute wellness information and other classes and programs that are being offered at Huggins.Community Health Improvement Advocacy: Local, state, and/or national advocacy for community members and groups relative to policies and funding to improve community and public health including the social and economic determinants of health. - Mike Connelly sits on the Rural Health Coalition, which is made up of the 13 NH Critical Access Hospitals which specifically addresses issues and concerns relative to critical access hospitals.Workforce Enhancement: Recruitment of physicians and other health professionals for government-designated medically underserved areas; recruitment of underrepresented minorities; job creation and training programs; participation in community workforce boards, workforce partnerships, and welfare-to-work initiatives; partnerships to address the health care workforce shortage; school and community-based programs on health care careers. - The Hospital is actively recruiting for several providers. Due to our Hospital location it is extremely difficult to recruit physicians to a rural area and with many physicians moving towards specialized medicine it is difficult to recruit MD, DO and staff to this area without having specialized care options available to treat critically ill patients, which many graduates are familiar with. | ||
| Part III, Line 4: Patient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historical adjustments. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable.The Hospital used a cost-to-charge ratio as its costing methodology for amounts reported in Part III, Section A. | ||
| Part III, Line 8: The Organization used a cost-to-charge ratio as its costing methodology to determine the amount of Medicare allowable costs. | ||
| Part III, Line 9b: As a not-for-profit, tax-exempt, and charitable organization, Huggins Hospital serves all in medical need regardless of ability to pay. The Organization is governed by a volunteer Board of Trustees committed to balancing community needs with our available resourses to meet those needs. As a hospital-employed medical staff, all twelve physican practices accept patients regardless of ability to pay. | ||
| Part VI, Line 2: In 2009 as part of an every three-year process, the Hospital in collaboration with the VNA of Southern Carroll County & Vicinity, Inc completed a Community Needs Assessment for the purpose of assessing the region's most prevalent medical conditions. The assessment was done through interviews and surveys of key community leaders, local and area selectmen, School Administrative Unit #49 teachers and staff including letters and surveys to all families in the district. Heart disease, cancer, stroke, respiratory illness, trauma, and diabetes make up much of the medical care needs of the area we serve. Many of the services we provide are inadequately reimbursed by both government and private insurers. Through the Community Needs Assessment, we have established programs that are designed to meet the needs of special populations such as at-risk youth, the elderly, the impoverished, and those with disabilities, chronic and terminal illnesses. | ||
| Part VI, Line 3: Huggins Hospital provides a notice to all patients both in the hospital and its physician practices of the financial assistance programs available to them. There is a staff of three financial councilors who work with the uninsured and underinsured to assist in qualifying for Charity Care or a sliding fee schedule depending on the family income. Financial councilors also assist those uninsured in applying for and receiving assistance through the Medicaid program. | ||
| Part VI, Line 4: The population served by Huggins Hospital consists of those towns that have been designated by the New Hampshire Department of Health and Human Services as being located in the Wolfeboro Hospital Service Area. The primary service area includes: Alton, Brookfield, Effingham, Freedom, Ossipee, Tamworth, Tuftonboro, Wakefield, and Wolfeboro. Secondary service areas are parts of Gilford, Moultonborough, New Durham and Barnstead and are also considered a part of the Huggins Hospital service area. These towns are located in Carroll County, Belknap County, and Strafford County. Our community is rural in nature and is a section of the State that has seasonal population changes. Our year round population base of approximately 33,000 citizens expands in the tourist season to about 90,000 residents. | ||
| NH | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | 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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Timothy Pinard | |||||||||||||
| 192779 | 0 | 3846 | 0 | 30 | 0 | 0 | 0 | 22551 | 0 | 219206 | 0 | 0 | 0 |
| George Costello | |||||||||||||
| 316613 | 0 | 13019 | 0 | 129 | 0 | 0 | 0 | 22551 | 0 | 352312 | 0 | 0 | 0 |
| Thomas Barton | |||||||||||||
| 291976 | 0 | 13264 | 0 | 129 | 0 | 0 | 0 | 27366 | 0 | 332735 | 0 | 0 | 0 |
| Dennis Badman | |||||||||||||
| 244691 | 0 | 47936 | 0 | 129 | 0 | 0 | 0 | 22551 | 0 | 315307 | 0 | 0 | 0 |
| William Barton | |||||||||||||
| 266526 | 0 | 10772 | 0 | 129 | 0 | 0 | 0 | 0 | 0 | 277427 | 0 | 0 | 0 |
| Eric Lewis | |||||||||||||
| 192435 | 0 | 53648 | 0 | 69 | 0 | 0 | 0 | 22988 | 0 | 269140 | 0 | 0 | 0 |
| David W Tower FACHE | |||||||||||||
| 242166 | 0 | 0 | 0 | 192151 | 0 | 10000 | 0 | 0 | 0 | 444317 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Lines 4a-b | Leslie MacLeod participates in a split-dollar life insurance plan related to his prior employment with the Organization several years ago. The applicable amounts are not readily determinable. David Tower received a severance payment from the organization in the amount of $81,415 during calendar year 2011. | |
| Part III | Form 990, Part VII, Section A, Line 5 Michael Connelly received compensation from Leaders for Today (an unrelated third party) for services rendered to the Organization in calendar year 2011. His compensation was as follows: Compensation: $100,800. | Supplemental Information |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| Business Finance Authority of the State of New Hampshire | |||||||
| 521304598 | 64448KBF2 | 2007-11-15 | 10000000 | Financing of Construction Project | 0 | 0 | 0 |
| Business Finance Authority of the State of New Hampshire | |||||||
| 521304598 | 64468KBM7 | 2009-10-06 | 15000000 | Financing of Construction Project | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Amount RetiredAmountRetired | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Amount In Reserve FundAmountInReserveFund |
|---|---|---|---|---|---|---|---|---|---|
| 110000 | 10000000 | 187687 | 9812313 | 2010 | 0 | 0 | 1 | 1 | |
| 15000000 | 188500 | 13490234 | 2010 | 0 | 0 | 1 | 1 | 1209938 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Paul E DeMasi DO | NamePerson |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $161,019 | OriginalPrincipalAmount |
| Balance Due | 57821 | BalanceDue |
| Default | 1 | Default |
| Approved By Board | 1 | ApprovedByBoard |
| Written Agreement | 1 | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 57821 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Jodi C Balint | |||
| Family member of James Cubeddu, current trustee | 127146 | Employment | 0 |
| Richard Tower | |||
| Family member of David Tower, Former President | 66019 | Employment (compensation & benefits) | 0 |
| Jennifer Pinard | |||
| Family member of Timothy Pinard, current trustee | 33872 | Employment | 0 |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 11 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 353249 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Fair Market Value | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 0 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Third Party Use: | Identifier |
| Return Reference | Part I, Line 32b: | ReturnReference |
| Explanation | Contributions of securities are sold through an investment broker. All gifts of securities are sold as soon as administratively possible. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | A designated officer or management official meets with the preparer to discuss a draft of the Form 990 in detail. Once any necessary revisions are made, this draft is then submitted to the Finance & Budget Committee for further review. Afterwards, a copy of the public inspection copy of Form 990 is made available to the full board for their general review and comment prior to filing the return. A designated officer then signs the return after considering board comments. | |
| Form 990, Part VI, Section B, line 12c | A copy of the conflict of interest policy is given to every officer, board member, and key employee on an annual basis, along with an annual disclosure statement. Each person is asked to complete, date and sign the disclosure statement, listing any known financial interest that the individual, or a member of the individual's family, has in any business entity that transacts business with the Organization. The Chairman of the board then reviews and maintains the disclosure statements for future reference. If a conflict arises, the board member will recuse themselves from participation in the deliberations and decisions relating to that conflict. | |
| Form 990, Part VI, Section B, line 15 | The Hospital relies on externally available market data to determine the appropriate salary and any incentive compensation for the President as well as other officers and key employees of the organization. Each year, the President provides the Board with a listing of the five highest paid senior staff. Base salary and incentive compensation provided to the President is determined by three members of the Executive Committee of the Board as part of an annual performance review and their recommendation is shared with the full Board for final approval. | |
| Form 990, Part VI, Section C, line 19 | The governing documents, conflict of interest policy, and financial statements are made available to the public upon request for inspection in the President's office. | |
| Form 990, Part VII | David W. Tower, FACHE - 82 Kent Locke Circle, Alton, NH 03809. | Contact Addresses for Officers, Directors, Etc |
| Form 990, Part XI, line 5: | Net unrealized gains on investments: 558,639. Pension Liability Adjustment -331,334. Change in Value of Interest Rate Swap -134,031. Beneficial Interest in Charitable Remainder Trust 908,800. Total to Form 990, Part XI, Line 5: 1,002,074. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huggins Senior Housing | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 912 | AddressLine1 |
| City | Wolfeboro | City |
| State | NH | State |
| ZIP Code | 03894 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020490445 | EIN |
| Primary Activity | Elderly Housing | PrimaryActivity |
| Legal Domicile State | NH | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | 670770 | ShareOfTotalIncome |
| Share Of EOY Assets | 637245 | ShareOfEOYAssets |
| Percentage Ownership | 1.00000 | PercentageOwnership |
| 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 |
| 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 | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Huggins Senior Housing | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionType |
| Amount Involved | 1090565 | AmountInvolved |
| Method Of Amt Determination | Fair Market Value | MethodOfAmtDetermination |