ST JOSEPH HOSPITAL OF NASHUA NH: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HOSPITAL OF NASHUA NH (EIN 02-0222215)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-29
- IRS object ID
- 201312419349300021
- Schema version
- 2012v2.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-29T11:32:31-07:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM STEELE& ASSOCIATES | 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 | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222215 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STJO | NameControl |
| Phone | 6038823000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 030612013 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | RICHARD BOEHLER | Name |
| Title | CEO | Title |
| Phone | 6038823000 | Phone |
| Date Signed | 2013-08-14 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | WILLIAM G M STEELE JR CPSA ASSOCIAT | Name |
| Phone | 6036228881 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID ROSS | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 030612013 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 188232641 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Group Exemption Number | 0928 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | stjosephospital.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1943 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | healthcare services to anyone needing care | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1606 | TotalNbrEmployees |
| Total Nbr Volunteers | 350 | TotalNbrVolunteers |
| Total Gross UBI | 107472 | TotalGrossUBI |
| Contributions Grants Prior Year | 669121 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 194262473 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 188125169 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 2260394 | InvestmentIncomePriorYear |
| Investment Income Current Year | 0 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -26497 | OtherRevenuePriorYear |
| Other Revenue Current Year | 107472 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 197165491 | TotalRevenuePriorYear |
| Total Revenue Current Year | 188232641 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 81831327 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 84055965 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 90347984 | OtherExpensePriorYear |
| Other Expenses Current Year | 86313425 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 172179311 | TotalExpensesPriorYear |
| Total Expenses Current Year | 170369390 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 24986180 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 17863251 | RevenuesLessExpensesCY |
| Total Assets BOY | 223191366 | TotalAssetsBOY |
| Total Assets EOY | 258203971 | TotalAssetsEOY |
| Total Liabilities BOY | 115700175 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 134757618 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 107491191 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 123446353 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | healthcare services to anyone needing care | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 40223633 | Expense |
| Revenue | 59430497 | Revenue |
| Description | INPATIENT MEDICAL, SURGICAL AND MENTAL HEALTH SERVICES TO ANYONE NEEDING CARE IN THE GREATER NASHUA AREA. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 40223633 | Expense |
| Revenue | 59430497 | Revenue |
| Description | OUTPATIENT SERVICES INCLUDING SURGERY, RADIOLOGY, LABORATORY, REHABILITATIVE, CARDIOVASCULAR, BREAST HEALTH, ADULT DAY CARE, CARDIAC REHAB, AND MENTAL HEALTH TO ANYONE NEEDING SERVICES IN THE GREATER NASHUA AREA. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 83541393 | Expense |
| Revenue | 123432570 | Revenue |
| Description | EACH YEAR ST. JOSEPH HOSPITAL PROVIDES MILLIONS OF DOLLARS WORTH OF CHARITY CARE AND COMMUNITY SERVICES REFLECTING OUR HEALING MISSION AND OUR VALUES. ST. JOSEPH HOSPITAL FOLLOWS THE METHODOLOGY RECOMMENDED BY THE CATHOLIC HEALTH ASSOCIATION FOR CALCULATING THE COST OF CHARITY CARE AND COMMUNITY BENEFITS. COMMUNITY BENEFIT REPORT FOR 2011 IS THE BASIS FOR THE EXPENSES ASSOCIATED WITH THESE ACTIVITIES. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 25808346 | Expense |
| Description | School of nursing, LNA and other health professionals provided to the community in its mission of providing healthcare to the community in its mission of providing healthcare to the | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 25808346 | TotalOfOtherProgramServiceExp |
| Total Program Service Expense | 129291634 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | true | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1606 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RICHARD PLAMONDON | NamePerson |
| Telephone Number | 6038823000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 030612013 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| JIM HAMILL | ||||||||
| President/CEO | 40.00 | X | X | 160553 | 0 | 889 | ||
| RICHARD PLAMONDON | ||||||||
| Vice President Finance | 40.00 | X | 286455 | 0 | 49899 | |||
| PAM DUCHENE | ||||||||
| VP Patient Care Svcs | 40.00 | 268726 | 0 | 39827 | X | |||
| KEITH CHOINKA | ||||||||
| VP Information Technology | 40.00 | 243770 | 0 | 21040 | X | |||
| BEVERLY ROBINSON | ||||||||
| VP Quality & Regulatory | 40.00 | 190431 | 0 | 33901 | X | |||
| JAMES MCKENNA | ||||||||
| VP Ambulatory Svcs. | 40.00 | 220145 | 0 | 31201 | X | |||
| JACQUI WOOLLEY | ||||||||
| VP Human Resources | 40.00 | 196578 | 0 | 35553 | X | |||
| GREG ZUERCHER MD | ||||||||
| Physician | 40.00 | 325071 | 0 | 40487 | X | |||
| MICHAEL MCGEE MD | ||||||||
| Physician | 40.00 | 270405 | 0 | 44427 | X | |||
| ROBERT DEMERS | ||||||||
| Director of Operations | 40.00 | 168457 | 0 | 38588 | X | |||
| - | ||||||||
| W STEWART BLACKWOODMD | ||||||||
| physician | 1.00 | X | 0 | 292205 | 27907 | |||
| LINDA SHELDON | ||||||||
| physician | 1.00 | X | 0 | 182215 | 26040 | |||
| LOUISE TROTTIER | ||||||||
| Chair | 3.00 | X | X | 0 | 0 | 0 | ||
| SRSUZANNE FORGET | ||||||||
| Secretary | 1 | X | X | |||||
| DALE GILPIN | ||||||||
| Immediate Past Chair | 1 | X | ||||||
| MSGRJOHN PQUINN | ||||||||
| Director | 1 | X | ||||||
| ALLISE MDESMET | ||||||||
| Director | 1 | X | ||||||
| LORI KLAMBERT | ||||||||
| Director | 1 | X | ||||||
| STEVEN BEAUDETTE MD | ||||||||
| Director | 1 | X | ||||||
| SHARON TAMPOSI | ||||||||
| Director | 1 | X | ||||||
| CHARLES SMITH | ||||||||
| Director | 1 | X | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2330591 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 474420 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 389759 | TotalOtherCompensation |
| Number Individuals GT100 K | 10 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| COVENANT HEALTH SYS | |||||
| 100 AMES POND RD | TEWKSBURY | MA | 01876 | Managment & other svcs. | 3198178 |
| MMAYO MEDICL LAB | |||||
| BOX9146 | MINNEAPLIS | MN | 55480 | laboratory services | 1179636 |
| COVENANT HEALTH SYSTEMS INSURANCE | |||||
| BOX 69 | CAYMAN IS CJ | DE | 00000 | insurance | 3587871 |
| HOSPITAL MEDICINE ASSOCIATES | |||||
| BOX 1953962 | CINCINNATI | OH | 452634850 | physician services | 1919738 |
| ALLIANCE HEALTHCARE SERVICES | |||||
| BOX 96485 | CHICAGO | IL | 60693 | Imaging services | 1447527 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn |
|---|---|---|
| Patient services | 622110 | 182863067 |
| School of nursing | 622110 | 1272660 |
| cafeteria | 622110 | 993111 |
| Program fees | 622110 | 124848 |
| Thrift/gift shop | 622110 | 216743 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2654740 | TotalRevenueColumn |
| Exclusion | $2,362,747 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 188125169 | TotalProgramServiceRevenue |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|
| housekeeping svc | 721100 | 21045 | 21045 |
| laundry svc | 812300 | 6576 | 6576 |
| answering svc | 561100 | 79851 | 79851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 107472 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 188232641 | TotalRevenueColumn |
| Related Or Exempt Function Income | 185762422 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 107472 | UnrelatedBusinessRevenue |
| Exclusion | $2,362,747 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1012766 | Total |
| Program Services | 447936 | ProgramServices |
| Management And General | 564830 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67815199 | Total |
| Program Services | 50861399 | ProgramServices |
| Management And General | 16953800 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2248929 | Total |
| Program Services | 1686697 | ProgramServices |
| Management And General | 562232 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8139276 | Total |
| Program Services | 6104457 | ProgramServices |
| Management And General | 2034819 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4839795 | Total |
| Program Services | 3629846 | ProgramServices |
| Management And General | 1209949 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3112797 | Total |
| Program Services | 2334598 | ProgramServices |
| Management And General | 778199 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200363 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 200363 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115278 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 115278 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Fundraising | 0 | Fundraising |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3112797 | Total |
| Program Services | 2334598 | ProgramServices |
| Management And General | 778199 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 880673 | Total |
| Program Services | 660505 | ProgramServices |
| Management And General | 220168 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4059953 | Total |
| Program Services | 3044965 | ProgramServices |
| Management And General | 1014988 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3839408 | Total |
| Program Services | 2879531 | ProgramServices |
| Management And General | 959877 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3184768 | Total |
| Program Services | 2388576 | ProgramServices |
| Management And General | 796192 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20765 | Total |
| Program Services | 15574 | ProgramServices |
| Management And General | 5191 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 130966 | Total |
| Program Services | 98225 | ProgramServices |
| Management And General | 32741 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3107347 | Total |
| Program Services | 2330510 | ProgramServices |
| Management And General | 776837 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2719728 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2719728 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8850578 | Total |
| Program Services | 6637934 | ProgramServices |
| Management And General | 2212644 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2403855 | Total |
| Program Services | 1802891 | ProgramServices |
| Management And General | 600964 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| bad debts | 9630494 | 9630494 | 0 | 0 |
| Medicaid tax | 6058364 | 6058364 | 0 | 0 |
| purchased/contract svc | 6400651 | 4800488 | 1600163 | 0 |
| repairs/PM contracts | 5303408 | 3977556 | 1325852 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23181232 | Total |
| Program Services | 17566490 | ProgramServices |
| Management And General | 5614742 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170369390 | Total |
| Program Services | 129291634 | ProgramServices |
| Management And General | 41077756 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1012221 | BOY |
| EOY | 3284367 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15940927 | BOY |
| EOY | 35924945 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110 | BOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16474727 | BOY |
| EOY | 13572730 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2521163 | BOY |
| EOY | 2720864 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1698199 | BOY |
| EOY | 1802794 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4416557 | BOY |
| EOY | 6081076 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 169786923 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 109138204 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62487122 | BOY |
| EOY | 60648719 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50608381 | BOY |
| EOY | 49972067 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28522646 | BOY |
| EOY | 48971581 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18887752 | BOY |
| EOY | 11784466 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20621561 | BOY |
| EOY | 23440362 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 223191366 | BOY |
| EOY | 258203971 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16772058 | BOY |
| EOY | 18948557 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 142528 | BOY |
| EOY | 97239 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72213230 | BOY |
| EOY | 97838826 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26572359 | BOY |
| EOY | 17872996 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 115700175 | BOY |
| EOY | 134757618 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 106520097 | BOY |
| EOY | 122390841 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 606885 | BOY |
| EOY | 691267 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 364209 | BOY |
| EOY | 364245 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 107491191 | BOY |
| EOY | 123446353 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 223191366 | BOY |
| EOY | 258203971 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 17863251 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -5158623 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | true | FederalGrantAuditRequired |
| Federal Grant Audit Performed | true | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
| Public Support Total170 | 0 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Pertcentage170 | 0 | PublicSupportPertcentage170 |
| Public Support Total509 | 0 | PublicSupportTotal509 |
| Public Support Percentage509 | 0 | PublicSupportPercentage509 |
| Investment Income Percentage | 0 | InvestmentIncomePercentage |
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
Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt II-B Line 1i | A portion of the dues paid to the NH Hospital Association, |
| CATHOLIC HEALTH ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Agent Trustee Etc | false | AgentTrusteeEtc |
| Included On FS | true | IncludedOnFS |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 971094 | BeginningOfYearBalance |
| End Of Year Balance | 971094 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1064132 | BeginningOfYearBalance |
| Contributions | 246999 | Contributions |
| Investment Earnings Or Losses | 243 | InvestmentEarningsOrLosses |
| Other Expenditures | 340280 | OtherExpenditures |
| End Of Year Balance | 971094 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1124772 | BeginningOfYearBalance |
| Contributions | 301910 | Contributions |
| Investment Earnings Or Losses | 284 | InvestmentEarningsOrLosses |
| Other Expenditures | 362834 | OtherExpenditures |
| End Of Year Balance | 1064132 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1421717 | BeginningOfYearBalance |
| Contributions | 397836 | Contributions |
| Investment Earnings Or Losses | 142 | InvestmentEarningsOrLosses |
| Other Expenditures | 694923 | OtherExpenditures |
| End Of Year Balance | 1124772 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1901086 | BeginningOfYearBalance |
| Contributions | 329950 | Contributions |
| Investment Earnings Or Losses | 15853 | InvestmentEarningsOrLosses |
| Other Expenditures | 825172 | OtherExpenditures |
| End Of Year Balance | 1421717 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3586823 | OtherCostOrOtherBasis |
| Book Value | 3586823 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 93355728 | OtherCostOrOtherBasis |
| Depreciation | 48029869 | Depreciation |
| Book Value | 45325859 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1688633 | OtherCostOrOtherBasis |
| Depreciation | 1231561 | Depreciation |
| Book Value | 457072 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69512778 | OtherCostOrOtherBasis |
| Depreciation | 59876774 | Depreciation |
| Book Value | 9636004 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1642961 | OtherCostOrOtherBasis |
| Book Value | 1642961 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 60648719 | TotalOfBookValueLandBuildings |
Closely Held Equity Interests CloselyHeldEquityInterests
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 48971581 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 48971581 | TotalOfBookValueSecurities |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Investment in subsidiaries | Description |
| Book Value | 11784466 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 11784466 | TotalOfBookValueProgramRelated |
Other Assets OtherAssets (7 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| unamortized bond expense | 1441130 |
| other accounts receivable | 1858508 |
| due from affiliate | 15981520 |
| due from other funds | 123346 |
| Nashua Regional Cancer Center | 2227653 |
| other equity investments | 558205 |
| Surgery Center of greater Nashua | 1250000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 23440362 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Due to third party payors | $937,121 |
| Other | $1,095,855 |
| malpractice tail liability | $1,076,304 |
| environmental liability | $6,335,106 |
| pension liability | $6,714,332 |
| due to affiliate for bond redistribution | $1,136,994 |
| lease payable | $577,284 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 17872996 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt XI Line 4b | .... |
| Pt IV Line 2b | .. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 5351 | PersonsServed |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 8798 | PersonsServed |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14149 | PersonsServed |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 14149 | PersonsServed |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
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 | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FIRST CHOICE PHO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Ent Primary Activity | Physician hospital organization | DescriptionEntPrimaryActivity |
| Organization Profit Or Ownership | 0.50000 | OrganizationProfitOrOwnership |
| Officers Etc Profit Or Ownership | 0.00000 | OfficersEtcProfitOrOwnership |
| Physicans Profit Or Ownership | 0.50000 | PhysicansProfitOrOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | ST JOSEPH HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 030612013 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
| Er Other | X | ErOther |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 222300 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Other Actions | X | PermitOtherActions |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (49 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt III Line 4 | Adjusted based on cost to charge ratio |
| Pt III Line 9b | Every statement sent to patients indicates that financial assistance |
| is available, phone number and email contact. All customer service | |
| personnel are attuned to asking patients if they need assistance. | |
| Pt VI Line 2 | The needs assessment was conducted as a collaborative effort between |
| St. Joseph Hospital and several other healthcare institutions, civic | |
| agencies and other non profit entities from throughout Greater Nashua. | |
| The assessment included a telephone survey of over 500 households, | |
| two focus groups of patients and key leaders representing city/town | |
| government, education, healthcare, businesses and non profit | |
| institutions. | |
| Pt VI Line 3 | Signage and brochures are at every point of registration, which |
| explain our charity care and financial assistance policies. We have | |
| dedicated financial counselors who meet in person or on the telephone | |
| assisting patients and families needing financial assistance. Information | |
| can also be found on the hospital web site, as well as in hospital | |
| community newsletters/quarterly publications. All customer service and | |
| registraton personnel are trained to ask patients and families if | |
| they need financial assistance. | |
| Pt VI Line 4 | St.Joseph Hospital serves people of all ages, race,gender,religion, |
| ethnicity regardless of their ability to pay. The hospital's primary | |
| and secondary service areas consist of 17 cities and towns referred to | |
| as the Greater Nashua Area and consist of:Amherst,Brookline,Hudson | |
| Hollis,Litchfield,Merrimack,Milford,Nashua,Wilton,Greenville, | |
| Dunstable(MA),Londonderry,Lyndeborough,Mont Vernon,Pelham,Pepperell(MA, | |
| and Windham. | |
| Pt VI Line 5 | The hospital maintains an open medical staff, representing over |
| forty different specialties and treats all patients regardless of | |
| their ability to pay. The Board of Directors is made up of community | |
| members with varied backgrounds and industries. The hospital utilizes | |
| any surplus funds to further its mission by providing free and low | |
| cost healthcare services, educational offerings, free screenings, | |
| support groups, and works collaboratively with other healthcare | |
| agencies to meet the identified healthcare needs of our community. | |
| Pt VI Line 5 | St.Joseph Hospital is an affiliate of Covenant Health Systems, |
| Tewksbury, MA. It is the responsibility of the entire staff of | |
| St.Joseph Hospital to serve and promote the health of the Greater | |
| Nashua Community. | |
| Pt III Line 4 | Text of the footnote in financial statement-"The allowance |
| for doubtful accounts is provided based on an analysis by | |
| management of the collectibility of outstanding balances. | |
| Management considers the age of the outstanding balances and | |
| past collection efforts in determing the reserve for doubtful | |
| accounts. Accounts deemed uncollectible are charged off | |
| against the established reserve". Bad debts are reported | |
| as charges. | |
| Pt V Sec B 15e | Extensive efforts are made to determine eligibility for free |
| care, before any credit reporting, liens or lawsuits are filed. | |
| Pt VI Line 7 | NH |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|
| JIM HAMILL | ||||||||||
| 138053 | 22500 | 889 | 161442 | |||||||
| RICHARD PLAMONDON | ||||||||||
| 240482 | 24976 | 25446 | 336354 | 20997 | 24453 | |||||
| PAM DUCHENE | ||||||||||
| 212052 | 21503 | 32477 | 308553 | 35171 | 7350 | |||||
| KEITH CHOINKA | ||||||||||
| 191788 | 25512 | 13668 | 264810 | 26470 | 7372 | |||||
| BEVERLY ROBINSON | ||||||||||
| 165298 | 25133 | 26534 | 224332 | 7367 | ||||||
| JAMES MCKENNA | ||||||||||
| 188441 | 19432 | 24621 | 251346 | 12272 | 6580 | |||||
| JACQUI WOOLLEY | ||||||||||
| 178537 | 4081 | 34221 | 232131 | 13960 | 1332 | |||||
| GREG ZUERCHER MD | ||||||||||
| 276614 | 17973 | 33137 | 365558 | 30484 | 7350 | |||||
| MICHAEL MCGEE MD | ||||||||||
| 246527 | 23878 | 37074 | 314832 | 7353 | ||||||
| ROBERT DEMERS | ||||||||||
| 138151 | 23905 | 33462 | 207045 | 6401 | 5126 | |||||
| W STEWART BLACKWOODMD | ||||||||||
| 237389 | 25000 | 29816 | 27907 | 320112 | ||||||
| LINDA SHELDON | ||||||||||
| 157553 | 10640 | 14022 | 26040 | 208255 | ||||||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt I Line 1b | These benefits are included in taxable income and are part of the analysis of the overall reasonableness of the executive compensation. |
| Pt I Line 4b | Supplemental employee retirement plan- Richard Plamondon $16,500 |
| Pt I Line 7 | "cash in" of earned time |
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 |
|---|---|---|---|---|---|---|---|---|
| NH HEALTH & EDUCATION FACILITIES AUTHORITY | ||||||||
| A | 020279866 | 644614KA6 | 2004-05-13 | 21173782 | Renovations&improvements | false | false | true |
| NH HEALTH & EDUCATION FACILITIES AUTHORITY | ||||||||
| B | 020279866 | 644614UG2 | 2007-10-30 | 53869522 | Renovations&equipment | false | false | true |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| A | 21173782 | 1507744 | 423476 | 2004 | false | true | true | true |
| B | 53680000 | 4911229 | 681812 | 2008 | false | true | false | true |
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 | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
| B | false | false | false | false | 0.00000 | 0.00000 | 0.00000 | true |
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 |
|---|---|---|---|---|---|
| A | true | false | false | false | false |
| B | true | false | false | false | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (42 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI, Line 7a | St.Joseph Hospital is a subsidiary of Covenant Health Systems, and as |
| Pt VI, Line 7b | such, all decisions are subject to its review. |
| Pt VI, Line 8a | All meetings of the Board and Committees have minutes taken at |
| Pt VI, Line 8b | the time of the meeting and readily available for review. |
| Pt VI, Line 11a | 990's are reviewed by independent tax accountant, and then reviewed |
| at the Finance Committee and Board level. | |
| Pt VI, Line 12c | Each year, St.Joseph Hospital conducts a survey of Board members |
| and key members of management to determine whether there are | |
| conflicts of interest(actual or potential). An annual report is presented | |
| to the Board. Board members and key managers have a continuing | |
| obligation to report any proposed transaction which may be | |
| perceived as a conflict of interest. | |
| Pt XII, Line 2c | The Finance Committee meets with the independent auditors to review audited |
| financial statements, and they are reviewed at Covenant Health Systems. | |
| Pt VI, Line 15 | Every 2-3 years, the Compensation Committee of Covenant Health System's |
| Board of Directors engages an external consultant to provide competitive | |
| market data from various survey sources, which is used to develop | |
| recommendations for changes to the compensation program. Since 2003 | |
| the Committee has engaged Mercer Human Resources Consulting to | |
| conduct this analysis. Objectives of the analysis are to: assess | |
| the compositeness of the current total cash compensation levels for | |
| the senior management team, develop market based competitive salary | |
| ranges for all executive positions, and ensure that the annual incentive | |
| opportunities, if any, are competitive and reasonable. | |
| Pt VI, Line 19 | Upon request the organization will make available corporate documents |
| and financial statements. | |
| Form 990, Part III, Line 4d | SCHOOL OF NURSING, LNA AND OTHER HEALTH PROFESSIONALS PROVIDED TO THE 25808346. 0. 0. |
| Form 990, Part IX, Line 24f | PHYSICIAN FEES MEDICAL SUPPLIES FOOD SUPPLIES MISCELLANEOUS |
| Pt VI, Line 6 | Covenant Health System is the sole member of St.Joseph Hospital. |
| Pt VI, Line 11b | 990's are reviewed by an independent tax accountant and |
| Pt VI, Line 11b | then reviewed by the finance committee and Board |
| Pt VI, Line 15a | Every 2-3 years the Compensation Committee of Covenant Health System's |
| Pt VI, Line 15a | Board of Directors engages an external consultant to ptovide competitive |
| Pt VI, Line 15a | market data from various survey sources, which is used to develop |
| Pt VI, Line 15a | recommendations fo changes to the compensation program. Since 2003 |
| Pt VI, Line 15a | the Committee has engaged Mercer Resources Consulting to |
| Pt VI, Line 15a | ensure that the annual incentive opportunities, if any, are competitive and reasonable. conduct this analysis. Objectives of the analysis are to: access the competitiveness of the current compensation levelsfor the senior management team, develop market based competitive salary ranges for executive positions and |
| Pt VI, Line 15b | see 15A |
| Pt XI,Line 5 | Pension adjustment (5,721,371),loss on subsidiaries (13,466,622) |
| donated capital 246,999, unrealized losses (1,645,621), discontinued | |
| operations (2,533,273) and fund activity at other entities for pension and | |
| and unrealized losses (498,842). |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJH SURGICENTER LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 030612013 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204181845 | EIN |
| Primary Activities | OUTPATIENT SURGERY | PrimaryActivities |
| Legal Domicile State | NH | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HOSPITAL | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (4 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 |
|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH SYSTEMS | |||||||||
| 420 BEDFORD ST | LEXINGTON | MA | 024201502 | 222484505 | HEALTHCARE | MA | 501(c)(3) | 509(a)(2) | |
| SOUHEGAN NURSING ASSOCIATION | |||||||||
| 24 NORTH RIVER RD | MILFORD | NH | 03055 | 020222795 | HOME HEALTH&HOSPICE | NH | 501(c)(3) | 509(a)(1) | STJOSEPH HOSPITAL |
| THE SURGICENTER AT STJOSEPH HOSPITAL INC | |||||||||
| 172 KINSLEY ST | NASHUA | NH | 030612013 | 020222215 | HEALTHCARE | NH | 501(c)(3) | 509(a)(1) | STJOSEPH HOSPITAL |
| DH FAMILY MEDICINE OF NASHUA | |||||||||
| 172 KINSLEY ST | NASHUA | NH | 030612013 | 208404257 | PHYSICIAN SERVICES | NH | 501(c)(3) | 509(a)(2) | STJOSEPH HOSPITAL |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|
| STJOSEPH HOSPITAL CORPORATE SERVICES | |||||||||
| 172 KINSLEY ST | NASHUA | NH | 030612013 | 020405197 | HOLDING COMPANY | NH | STJOSEPH HOSPITAL | C | 1.00000 |
| FIRST CHOICE PHO | |||||||||
| 172 KINSLEY ST | NASHUA | NH | 03060 | 020461536 | physician hospital organization | NH | STJOSEPH HOSPITAL | C | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (11 entries)
| Transaction TypeTransactionType | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|
| STJOSEPH CORPORATE SERVICES | |
| i | cash |
| STJOSEPH CORPORATE SERVICES | |
| j | cash |
| STJOSEPH CORPORATE SERVICES | |
| n | cash |
| SOUHEGAN NURSING ASSOCIATION | |
| n | cash |
| STJOSEPH CORPORATE SERVICES | |
| p | cash |
| SOUHEGAN NURSING ASSOCIATION | |
| p | |
| STJOSEPH CORPORATE SERVICES | |
| q | |
| DH FAMILY MEDICINE OF NASHUA | |
| q | |
| SOUHEGAN NURSING ASSOCIATION | |
| r | |
| SURGICENTER AT ST JOSEPH HOSPITAL | |
| r | |
| COVENANT HEALTH SYSTEMS | |
| o | |