Strafford Health Alliance: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- Strafford Health Alliance (EIN 02-0389434)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-08-08
- IRS object ID
- 201232219349300743
- Schema version
- 2011v1.2
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-08T10:40:07-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010494526 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 507 | AddressLine1 |
| City | PORTLAND | City |
| State | ME | State |
| ZIP Code | 04112 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020389434 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Strafford Health Alliance | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | STRA | NameControl |
| Phone | 6037427492 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Route 108 3 | AddressLine1 |
| City | Somersworth | City |
| State | NH | State |
| ZIP Code | 038781106 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Deborah Shipman | Name |
| Title | President | Title |
| Phone | 6037427492 | Phone |
| Date Signed | 2012-07-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIMOTHY R HEPBURN CPA | Name |
| PTIN | P00182393 | PTIN |
| Phone | 2078792100 | Phone |
| Date Prepared | 2012-07-30 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Deborah Shipman | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Route 108 3 | AddressLine1 |
| City | Somersworth | City |
| State | NH | State |
| ZIP Code | 038781106 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 9640716 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1985 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | Physical therapy, mammography, & thoracic & vascular services | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 98 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 8507893 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 9371086 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 92180 | InvestmentIncomePriorYear |
| Investment Income Current Year | 29491 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 49507 | OtherRevenuePriorYear |
| Other Revenue Current Year | 19605 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 8649580 | TotalRevenuePriorYear |
| Total Revenue Current Year | 9420182 | 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 | 5833319 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 6728500 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 2902036 | OtherExpensePriorYear |
| Other Expenses Current Year | 2958202 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 8735355 | TotalExpensesPriorYear |
| Total Expenses Current Year | 9686702 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -85775 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -266520 | RevenuesLessExpensesCY |
| Total Assets BOY | 8386676 | TotalAssetsBOY |
| Total Assets EOY | 7718867 | TotalAssetsEOY |
| Total Liabilities BOY | 3955937 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3454648 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 4430739 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4264219 | NetAssetsOrFundBalancesEOY |
| Mission Description | To provide the highest quality, most cost-effective healthcare services to the members of our community. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 7841395 | Expense |
| Revenue | 9419998 | Revenue |
| Description | Provision of physical therapy, mammography, and thoracic & vascular services to residents of southeastern New Hampshire | Description |
| Total Program Service Expense | 7841395 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | 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 | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 17 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 98 | 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 | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | 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 | 0 | 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 | Vicki Parshley | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6037427492 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 Route 108 3 | AddressLine1 |
| City | Somersworth | City |
| State | NH | State |
| ZIP Code | 038781106 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DEBORAH SHIPMAN | |||||||
| PRESIDENT | 5.00 | X | 0 | 0 | 0 | ||
| NOREEN BIEHL | |||||||
| VICE PRESIDENT | 0.50 | X | 0 | 0 | 0 | ||
| JANET DAVIS | |||||||
| SECRETARY | 0.50 | X | 0 | 0 | 0 | ||
| ALVIN FELGAR | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| GREGORY WALKER | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| CAROL BAILEY | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| DONNA RINALDI | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| GREGORY SMITH | |||||||
| DIRECTOR | 0.50 | X | 0 | 0 | 0 | ||
| VICKI PARSHLEY | |||||||
| CONTROLLER | 40.00 | 94105 | 0 | 12968 | X | ||
| ROBERT HARRELL MD | |||||||
| PHYSICIAN | 40.00 | 486329 | 0 | 37306 | X | ||
| DAVID QUINT | |||||||
| CLINICAL DIRECTOR | 40.00 | 128713 | 0 | 27346 | X | ||
| BETH BEAUDIN | |||||||
| OPERATIONS MANAGER | 40.00 | 124539 | 0 | 20549 | X | ||
| ROBERT ORAM MD | |||||||
| PHYSICIAN | 40.00 | 305587 | 0 | 21121 | X | ||
| SHAWN ROUSSIN PA | |||||||
| PHYSICIAN ASSISTANT | 40.00 | 110562 | 0 | 1096 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1249835 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 120386 | TotalOtherCompensation |
| Number Individuals GT100 K | 5 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CompHealth | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 972651 | AddressLine1 |
| City | Dallas | City |
| State | TX | State |
| ZIP Code | 75397 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Locums for call coverage | DescriptionOfServices |
| Compensation | 171262 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Net Patient Services | Description |
| Business Code | 621400 | BusinessCode |
| Total Revenue Column | 9371086 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9371086 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 9371086 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 184 | TotalRevenueColumn |
| Exclusion | $184 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 211257 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 191652 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 19605 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19605 | TotalRevenueColumn |
| Related Or Exempt Function Income | 19605 | RelatedOrExemptFunctionIncome |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 58189 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 28882 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 29307 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 29307 | TotalRevenueColumn |
| Related Or Exempt Function Income | 29307 | RelatedOrExemptFunctionIncome |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9420182 | TotalRevenueColumn |
| Related Or Exempt Function Income | 9419998 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $184 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107073 | Total |
| Management And General | 107073 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5311552 | Total |
| Program Services | 4855303 | ProgramServices |
| Management And General | 456249 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169506 | Total |
| Program Services | 154521 | ProgramServices |
| Management And General | 14985 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 786415 | Total |
| Program Services | 691784 | ProgramServices |
| Management And General | 94631 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 353954 | Total |
| Program Services | 309600 | ProgramServices |
| Management And General | 44354 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10008 | Total |
| Management And General | 10008 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48695 | Total |
| Management And General | 48695 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18931 | Total |
| Management And General | 18931 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 450415 | Total |
| Program Services | 171262 | ProgramServices |
| Management And General | 279153 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 95965 | Total |
| Program Services | 4498 | ProgramServices |
| Management And General | 91467 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 331187 | Total |
| Management And General | 331187 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 333139 | Total |
| Program Services | 283168 | ProgramServices |
| Management And General | 49971 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2079 | Total |
| Program Services | 2079 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59516 | Total |
| Program Services | 59516 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 786597 | Total |
| Program Services | 668607 | ProgramServices |
| Management And General | 117990 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 204426 | Total |
| Program Services | 173762 | ProgramServices |
| Management And General | 30664 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Equipment rental and ma | 258138 | 258138 |
| Bad debt expense | 143696 | 143696 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 215410 | Total |
| Program Services | 65461 | ProgramServices |
| Management And General | 149949 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9686702 | Total |
| Program Services | 7841395 | ProgramServices |
| Management And General | 1845307 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1124424 | BOY |
| EOY | 1000772 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 249359 | BOY |
| EOY | 368871 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 897455 | BOY |
| EOY | 887355 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15679 | BOY |
| EOY | 14433 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 203805 | BOY |
| EOY | 118026 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 11966766 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6708029 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5837554 | BOY |
| EOY | 5258737 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 58400 | BOY |
| EOY | 70673 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8386676 | BOY |
| EOY | 7718867 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 516610 | BOY |
| EOY | 499927 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 95642 | BOY |
| EOY | 106123 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3343685 | BOY |
| EOY | 2831602 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 16996 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3955937 | BOY |
| EOY | 3454648 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4430739 | BOY |
| EOY | 4264219 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4430739 | BOY |
| EOY | 4264219 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8386676 | BOY |
| EOY | 7718867 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -266520 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 100000 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7472808 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7709015 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7978127 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8507893 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9371086 | CurrentTaxYear |
| Total | 41038929 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7472808 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7709015 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 7978127 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8507893 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9371086 | CurrentTaxYear |
| Total | 41038929 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 41038929 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 205451 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 235491 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 231758 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 246871 | CurrentTaxYearMinus1Year |
| Current Tax Year | 211257 | CurrentTaxYear |
| Total | 1130828 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 205451 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 235491 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 231758 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 246871 | CurrentTaxYearMinus1Year |
| Current Tax Year | 211257 | CurrentTaxYear |
| Total | 1130828 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7678259 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 7944506 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8209885 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8754764 | CurrentTaxYearMinus1Year |
| Current Tax Year | 9582343 | CurrentTaxYear |
| Total | 42169757 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.97320 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.97100 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.02680 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02900 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 563951 | OtherCostOrOtherBasis |
| Book Value | 563951 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6354887 | OtherCostOrOtherBasis |
| Depreciation | 3408185 | Depreciation |
| Book Value | 2946702 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1019084 | OtherCostOrOtherBasis |
| Depreciation | 836594 | Depreciation |
| Book Value | 182490 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3856890 | OtherCostOrOtherBasis |
| Depreciation | 2463250 | Depreciation |
| Book Value | 1393640 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 171954 | OtherCostOrOtherBasis |
| Book Value | 171954 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 5258737 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Due to affiliate | Description |
| Amount | $16,996 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 16996 | TotalOfAmounts |
| Total Revenue | 9420182 | TotalRevenue |
| Total Expenses | 9686702 | TotalExpenses |
| Excess Or Deficit For Year | -266520 | ExcessOrDeficitForYear |
| Other | $100,000 | OtherAmount |
| Total Adjustments | 100000 | TotalAdjustments |
| Excess Or Deficit Per FS | -166520 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 9611834 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 191652 | OtherRevenues |
| Revenue Not Rptd F990 | 191652 | RevenueNotRptdF990 |
| Revenue Subtotal | 9420182 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 9420182 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 9878354 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 191652 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 191652 | ExpensesNotRptdF990 |
| Expenses Subtotal | 9686702 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 9686702 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Uncertain Tax Positions Under FIN 48: | Part X: | The audited 2011 financial statements state the following regarding uncertain tax positions under FIN 48: The Alliance is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes pursuant to Section 501(a) of the Code. Management has determined that it has not taken, nor does it expect to take, any uncertain tax positions in any tax return. Tax years 2008 through 2011 are open for Internal Revenue Service or state examination. |
| Part XI, Line 8 - Other Adjustments: | Capital contributions 100,000. | |
| Rental income net of expenses of $191,652 is reported in Part I. Financial statements include rental expenses of $191,652 that are netted against income in Part I. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | 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 | 1 | 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 (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ROBERT HARRELL MD | |||||||||||||
| 486329 | 0 | 0 | 0 | 0 | 0 | 15704 | 0 | 21602 | 0 | 523635 | 0 | 0 | 0 |
| DAVID QUINT | |||||||||||||
| 126213 | 0 | 2500 | 0 | 0 | 0 | 6603 | 0 | 20743 | 0 | 156059 | 0 | 0 | 0 |
| ROBERT ORAM MD | |||||||||||||
| 305587 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 21121 | 0 | 326708 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 6 | Strafford Health Alliance utilizes an annual management bonus program. The respective program establishes, in advance, both qualitative and financial goals. Based on the performance of each division, the respective management personnel can earn a bonus up to but not exceeding 8% of total salary. | |
| Part III | The President of the Board of Directors of Strafford Health Alliance (Deborah Shipman) is an employee of Frisbie Memorial Hospital (FMH). The Vice President of the Board of Directors (Noreen Biehl) is an employee of Wentworth-Douglass Hospital (WDH). FMH and WDH are each 50 percent stockholders in Strafford Health Alliance. Compensation data for these board officers may be found in the respective IRS Forms 990 for FMH and WDH. | Supplemental Information |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | Strafford Health Alliance has authorized 300 shares of no par value common stock, with 100 shares issued and outstanding, equally divided between Wentworth-Douglass Hospital and Frisbie Memorial Hospital. | |
| Form 990, Part VI, Section A, line 7a | Each shareholder of Strafford Health Alliance elects three members to the Board of Directors. | |
| Form 990, Part VI, Section A, line 8b | There are no committees empowered to act without a full Board of Directors vote. | |
| Form 990, Part VI, Section B, line 11 | Each board member receives a complete copy of Form 990 and is requested to review it and vote to allow its timely filing with the IRS. | |
| Form 990, Part VI, Section B, line 12c | Annually, each board member signs a statement disclosing any conflicts of interest. | |
| Form 990, Part VI, Section B, line 15b | The board directors and officers do not receive any compensation from Strafford Health Alliance (SHA). Further, there are no SHA employees who meet the IRS definition of "key employee" for Form 990 reporting purposes. The President of SHA (Deborah Shipman) is an employee of Frisbie Memorial Hospital (FMH). The Vice President of SHA (Noreen Biehl) is an employee of Wentworth-Douglass Hospital (WDH). FMH and WDH are each 50 percent stockholders in SHA. Compensation of all employees is based on performance, salary ranges and market competitive data that is also within Board approved budgetary guidelines. Compensation raises are determined annually by the President for the Division Managers and by the Division Managers for all other employees. | |
| Form 990, Part VI, Section C, line 19 | Strafford Health Alliance (SHA) files audited financial statements annually with the New Hampshire Attorney General's Charitable Trust Unit and informs the Director of Charitable Trusts of any pecuniary benefit transactions that have occurred between SHA and a board member or officer. Notices of such transactions, if any, exceeding $5,000 or more are also published in the local newspaper in accordance with NH RSA 7:19-A, II(D). Current copies of SHA'S Form 990 are on file with the Charitable Trust Unit. | |
| Form 990, Part XI, line 5: | Capital contributions 100,000. Total to Form 990, Part XI, Line 5: 100,000. | Changes in Net Assets or Fund Balances: |
| FORM 990, PART XI, LINE 2C | Strafford Health Alliance's Board of Directors reviews the financial statement audit annually and oversees the selection of the independent accounting firm. The audit process did not change from the prior year. | RESPONSIBILITY FOR OVERSIGHT OF THE FINANCIAL AUDIT |
| FORM 990, PART VII, SECTION A | For Form 990 compensation reporting purposes, Vicki Parshely (Controller) has been deemed to be the "top financial official" who has the ultimate responsibility for managing the organization's finances. | TOP FINANCIAL OFFICIAL |
| FORM 990, PART IV, LINE 28 | Strafford Health Alliance (SHA) has directors who are also officers, directors and/or employees of its two stockholders, Wentworth-Douglass Hospital (WDH) and Frisbee Memorial Hospital (FMH). Both WDH and FMH are 501(c)(3) organizations. In 2011, SHA purchased from/reimbursed its stockholders for various administrative and management services. In addition, SHA also leased program and administrative office space from a tax-exempt affiliate of one of its stockholders. | PURCHASED SERVICES FROM STOCKHOLDERS |
| FORM 990, PART III, LINE 4 | In December 2011, a provider employed by the Alliance left the practice to become an employee of one of the stockholders. One of the two remaining providers, Dr. Harrell, has an employment contract with SHA that terminates June 30, 2012. SHA does not intend to extend the contract and has voted to discontinue the Alliance's thoracic and vascular practices as of June 30, 2012. The 2011 audited financial statements report the income and expenses for the discontinued thoracic and vascular operations separately from the rest of the operating income and expenses, as a net loss of $1,297,125. However, to conform with IRS Form 990 reporting requirements, income and expense amounts for the respective operating and discontinued activities have been combined and reported on the required lines in Parts VIII and IX. | CHANGE IN ACTIVITIES |