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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

FieldValueIRS element (for citing)
Timestamp2012-08-08T10:40:07-05:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010494526EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BAKER NEWMAN & NOYESBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1BOX 507AddressLine1
CityPORTLANDCity
StateMEState
ZIP Code04112ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020389434EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Strafford Health AllianceBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTRANameControl
Phone6037427492Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1200 Route 108 3AddressLine1
CitySomersworthCity
StateNHState
ZIP Code038781106ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDeborah ShipmanName
TitlePresidentTitle
Phone6037427492Phone
Date Signed2012-07-31DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameTIMOTHY R HEPBURN CPAName
PTINP00182393PTIN
Phone2078792100Phone
Date Prepared2012-07-30DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDeborah ShipmanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1200 Route 108 3AddressLine1
CitySomersworthCity
StateNHState
ZIP Code038781106ZIPCode
FieldValueIRS element (for citing)
Gross Receipts9640716GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionPhysical therapy, mammography, & thoracic & vascular servicesActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees98TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year8507893ProgramServiceRevenuePriorYear
Program Service Revenue CY9371086ProgramServiceRevenueCY
Investment Income Prior Year92180InvestmentIncomePriorYear
Investment Income Current Year29491InvestmentIncomeCurrentYear
Other Revenue Prior Year49507OtherRevenuePriorYear
Other Revenue Current Year19605OtherRevenueCurrentYear
Total Revenue Prior Year8649580TotalRevenuePriorYear
Total Revenue Current Year9420182TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year5833319SalariesEtcPriorYear
Salaries Etc Current Year6728500SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2902036OtherExpensePriorYear
Other Expenses Current Year2958202OtherExpensesCurrentYear
Total Expenses Prior Year8735355TotalExpensesPriorYear
Total Expenses Current Year9686702TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-85775RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-266520RevenuesLessExpensesCY
Total Assets BOY8386676TotalAssetsBOY
Total Assets EOY7718867TotalAssetsEOY
Total Liabilities BOY3955937TotalLiabilitiesBOY
Total Liabilities EOY3454648TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY4430739NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY4264219NetAssetsOrFundBalancesEOY
Mission DescriptionTo provide the highest quality, most cost-effective healthcare services to the members of our community.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7841395Expense
Revenue9419998Revenue
DescriptionProvision of physical therapy, mammography, and thoracic & vascular services to residents of southeastern New HampshireDescription
Total Program Service Expense7841395TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109617NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees98NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members8NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees0MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Vicki ParshleyBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6037427492TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1200 Route 108 3AddressLine1
CitySomersworthCity
StateNHState
ZIP Code038781106ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (14 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
DEBORAH SHIPMAN
PRESIDENT5.00X000
NOREEN BIEHL
VICE PRESIDENT0.50X000
JANET DAVIS
SECRETARY0.50X000
ALVIN FELGAR
DIRECTOR0.50X000
GREGORY WALKER
DIRECTOR0.50X000
CAROL BAILEY
DIRECTOR0.50X000
DONNA RINALDI
DIRECTOR0.50X000
GREGORY SMITH
DIRECTOR0.50X000
VICKI PARSHLEY
CONTROLLER40.0094105012968X
ROBERT HARRELL MD
PHYSICIAN40.00486329037306X
DAVID QUINT
CLINICAL DIRECTOR40.00128713027346X
BETH BEAUDIN
OPERATIONS MANAGER40.00124539020549X
ROBERT ORAM MD
PHYSICIAN40.00305587021121X
SHAWN ROUSSIN PA
PHYSICIAN ASSISTANT40.0011056201096X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1249835TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation120386TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1CompHealthBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 972651AddressLine1
CityDallasCity
StateTXState
ZIP Code75397ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesLocums for call coverageDescriptionOfServices
Compensation171262Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionNet Patient ServicesDescription
Business Code621400BusinessCode
Total Revenue Column9371086TotalRevenueColumn
Related Or Exempt Function Income9371086RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue9371086TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column184TotalRevenueColumn
Exclusion$184ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real211257Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real191652Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real19605Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column19605TotalRevenueColumn
Related Or Exempt Function Income19605RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other58189Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other28882Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other29307Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column29307TotalRevenueColumn
Related Or Exempt Function Income29307RelatedOrExemptFunctionIncome

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column9420182TotalRevenueColumn
Related Or Exempt Function Income9419998RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$184ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total107073Total
Management And General107073ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5311552Total
Program Services4855303ProgramServices
Management And General456249ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total169506Total
Program Services154521ProgramServices
Management And General14985ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total786415Total
Program Services691784ProgramServices
Management And General94631ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total353954Total
Program Services309600ProgramServices
Management And General44354ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total10008Total
Management And General10008ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total48695Total
Management And General48695ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total18931Total
Management And General18931ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total450415Total
Program Services171262ProgramServices
Management And General279153ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total95965Total
Program Services4498ProgramServices
Management And General91467ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total331187Total
Management And General331187ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total333139Total
Program Services283168ProgramServices
Management And General49971ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2079Total
Program Services2079ProgramServices

Interest Interest

FieldValueIRS element (for citing)
Total59516Total
Program Services59516ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total786597Total
Program Services668607ProgramServices
Management And General117990ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total204426Total
Program Services173762ProgramServices
Management And General30664ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
Equipment rental and ma258138258138
Bad debt expense143696143696

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total215410Total
Program Services65461ProgramServices
Management And General149949ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total9686702Total
Program Services7841395ProgramServices
Management And General1845307ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1124424BOY
EOY1000772EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY249359BOY
EOY368871EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY897455BOY
EOY887355EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY15679BOY
EOY14433EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY203805BOY
EOY118026EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis11966766LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6708029LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5837554BOY
EOY5258737EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY58400BOY
EOY70673EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY8386676BOY
EOY7718867EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY516610BOY
EOY499927EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY95642BOY
EOY106123EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3343685BOY
EOY2831602EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY16996EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3955937BOY
EOY3454648EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4430739BOY
EOY4264219EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4430739BOY
EOY4264219EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY8386676BOY
EOY7718867EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-266520ReconcilationRevenueExpenses
Reconcilation Other Changes100000ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7472808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7709015CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7978127CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8507893CurrentTaxYearMinus1Year
Current Tax Year9371086CurrentTaxYear
Total41038929Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7472808CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7709015CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years7978127CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8507893CurrentTaxYearMinus1Year
Current Tax Year9371086CurrentTaxYear
Total41038929Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50941038929PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years235491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years231758CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year246871CurrentTaxYearMinus1Year
Current Tax Year211257CurrentTaxYear
Total1130828Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years205451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years235491CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years231758CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year246871CurrentTaxYearMinus1Year
Current Tax Year211257CurrentTaxYear
Total1130828Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years7678259CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years7944506CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years8209885CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year8754764CurrentTaxYearMinus1Year
Current Tax Year9582343CurrentTaxYear
Total42169757Total
FieldValueIRS element (for citing)
Public Support Percentage5090.97320PublicSupportPercentage509
Prior Year Support Percentage0.97100PriorYearSupportPercentage
Investment Income Percentage0.02680InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.02900PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis563951OtherCostOrOtherBasis
Book Value563951BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6354887OtherCostOrOtherBasis
Depreciation3408185Depreciation
Book Value2946702BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1019084OtherCostOrOtherBasis
Depreciation836594Depreciation
Book Value182490BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3856890OtherCostOrOtherBasis
Depreciation2463250Depreciation
Book Value1393640BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis171954OtherCostOrOtherBasis
Book Value171954BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5258737TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to affiliateDescription
Amount$16,996Amount
FieldValueIRS element (for citing)
Total Of Amounts16996TotalOfAmounts
Total Revenue9420182TotalRevenue
Total Expenses9686702TotalExpenses
Excess Or Deficit For Year-266520ExcessOrDeficitForYear
Other$100,000OtherAmount
Total Adjustments100000TotalAdjustments
Excess Or Deficit Per FS-166520ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt9611834TotRevenueEtcAuditedFinclStmt
Other Revenues191652OtherRevenues
Revenue Not Rptd F990191652RevenueNotRptdF990
Revenue Subtotal9420182RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9909420182TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt9878354TotExpensesEtcAuditedFinclStmt
Other Expenses Included191652OtherExpensesIncluded
Expenses Not Rptd F990191652ExpensesNotRptdF990
Expenses Subtotal9686702ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9909686702TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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

FieldValueIRS element (for citing)
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ROBERT HARRELL MD
48632900000157040216020523635000
DAVID QUINT
1262130250000066030207430156059000
ROBERT ORAM MD
3055870000000211210326708000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 6Strafford 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 IIIThe 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 ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6Strafford 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 7aEach shareholder of Strafford Health Alliance elects three members to the Board of Directors.
Form 990, Part VI, Section A, line 8bThere are no committees empowered to act without a full Board of Directors vote.
Form 990, Part VI, Section B, line 11Each 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 12cAnnually, each board member signs a statement disclosing any conflicts of interest.
Form 990, Part VI, Section B, line 15bThe 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 19Strafford 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 2CStrafford 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 AFor 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 28Strafford 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 4In 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