SOUTHERN NEW HAMPSHIRE MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHERN NEW HAMPSHIRE MEDICAL CENTER (EIN 02-0483054)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-05-11
- IRS object ID
- 201101319349300440
- Schema version
- 2009v1.3
- 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 | 2011-05-11T06:59:35-07:00 | Timestamp |
| Tax Period End Date | 2010-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILLIAM STEELE & ASSOCIATES PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 40 STARK STREET | AddressLine1 |
| City | MANCHESTER | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020483054 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHERN NEW HAMPSHIRE MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SOUT | NameControl |
| Phone | 6035772000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 PROSPECT STREET PO BOX 2014 | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 030612014 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THOMAS E WILHELMSEN JR | Name |
| Title | PRESIDENT / CEO | Title |
| Phone | 6035772000 | Phone |
| Date Signed | 2011-05-16 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | THOMAS E WILHELMSEN JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 PROSPECT STREET PO BOX 2014 | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 03061 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 220120934 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | SNHMC.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1892 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | Southern New Hampshire Medical Center is committed to improving, maintaining, and preserving the overall health and well-being of individuals living in the greater Nashua area by providing information, education, and access to exceptional health and medical care services. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1795 | TotalNbrEmployees |
| Total Nbr Volunteers | 372 | TotalNbrVolunteers |
| Total Gross UBI | 234692 | TotalGrossUBI |
| Contributions Grants Prior Year | 190453 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 170689 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 205510569 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 214238248 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1560318 | InvestmentIncomePriorYear |
| Investment Income Current Year | 5684129 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 106186 | OtherRevenuePriorYear |
| Other Revenue Current Year | 27868 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 207367526 | TotalRevenuePriorYear |
| Total Revenue Current Year | 220120934 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 97165561 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 99218752 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 105606271 | OtherExpensePriorYear |
| Other Expenses Current Year | 110423697 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 202771832 | TotalExpensesPriorYear |
| Total Expenses Current Year | 209642449 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4595694 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 10478485 | RevenuesLessExpensesCY |
| Total Assets BOY | 260152658 | TotalAssetsBOY |
| Total Assets EOY | 271630304 | TotalAssetsEOY |
| Total Liabilities BOY | 126581548 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 130073025 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 133571110 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 141557279 | NetAssetsOrFundBalancesEOY |
| Mission Description | Southern New Hampshire Medical Center | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 167703379 | Expense |
| Revenue | 213992546 | Revenue |
| Description | PROVIDES ACUTE HEALTHCARE SERVICES TO A DIVERSE POPULATION BASE INCLUDING INDIGENT WITHIN SOUTHERN AND CENTRAL NEW HAMPSHIRE SEE ATTACHED 2010 ANNUAL REPORT | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8202666 | Expense |
| Description | CHARITY CARE AND OTHER UNCOMPENSATED CARE | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3168450 | Expense |
| Revenue | 38878 | Revenue |
| Description | COMMUNITY HEALTH SERVICES AND HEALTH PROFESSIONAL EDUCATION | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 179074495 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| 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 |
| 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 | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 129 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1795 | 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 |
| Form8899 Filed | false | Form8899Filed |
| Form1098 C Filed | false | Form1098CFiled |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | 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 | false | 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 |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | MICHAEL ROSE | NamePerson |
| Telephone Number | 6035772004 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 PROSPECT STREET | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 03060 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (28 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 |
|---|---|---|---|---|---|---|---|---|
| PRAVEEN K SUCHDEV MD BOARD CHAIR | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | X | 0 | 0 | 0 | ||
| TIMOTHY C SULLIVAN BOARD VICE CHAIR | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | X | 0 | 0 | 0 | ||
| THOMAS E WILHELMSEN JR PRESIDENT CE | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40.00 | X | X | 649414 | 0 | 123365 | ||
| MICHAEL S ROSE TREASURER | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40.00 | X | 305145 | 0 | 50642 | |||
| JOSEPH R ALLARD ED D | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT B EISENBERG | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| HOLLY J HARMON-MORSE | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| PETER J MCARDLE | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| MARTHA E O'NEIL | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| JAMES K STEINER | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| JOHN M MERCIER | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| GARY B FRIEDMAN MD | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| COLLEEN P GUIRY MD | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| LORI A LIBERTY | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| TIMOTHY J WHITAKER | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 2.00 | X | 0 | 0 | 0 | |||
| DAVID CAWLEY VP ADMINISTRATION | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40.00 | 212867 | 0 | 60310 | X | |||
| SUSAN DESOCIO PRESIDENT FMP | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40.00 | 243062 | 0 | 44339 | X | |||
| RICHARD DUGUAY VP CLINICAL SERVICES | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 225221 | 39677 | X | ||||
| MERRYLL ROSENFELD VP HUMAN RESOURCE | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 176921 | 34800 | X | ||||
| COLETTE TILTON VP PT CARE SERVICES | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 227602 | 30473 | X | ||||
| STEPHANIE WOLF-ROSENBLUM VP MED AFF | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 295654 | 49896 | 4848 | X | |||
| ANDREW WATT VP MEDICAL INFO SYSTEMS | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 270989 | 12991 | X | ||||
| JOSEPH M LEAHY PHYSICIAN | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 333088 | 29264 | X | ||||
| COLIN H O'BRIEN PHYSICIAN | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 302797 | 28995 | X | ||||
| DANIEL WEIDNER PHYSICIAN | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 280185 | 31900 | X | ||||
| ELIZABETH KARAGOSIAN PHYSICIAN | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 273890 | 18732 | X | ||||
| ROBERT KOCH PHYSICIAN | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 270529 | 37291 | X | ||||
| DWIGHT MULLER VPCIO INFO SYSTEMS | ||||||||
| 8 Prospect Street, Nashua, NH 03061 | 40 | 188036 | 33674 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4255400 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 49896 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 581301 | TotalOtherCompensation |
| Number Individuals GT100 K | 65 | 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 |
|---|---|---|---|---|---|
| ENGELBERTH CONSTRUCTION INC | |||||
| 428 MAIN ST | KEENE | NH | 03431 | CONSTRUCTION | 7938772 |
| SIEMENS MEDICAL SOLUTIONS | |||||
| DEPT AT 40065 | ATLANTA | GA | 31192 | SYSTEM SUPPORT | 1876228 |
| FULCRUM ASSOCIATES | |||||
| 5 TECH CIRCLE | AMHERST | NH | 03031 | CONSTRUCTION | 1193124 |
| MCKESSON INFO SOLUTIONS | |||||
| ONE POST ST | SAN FRANCISCO | CA | 94104 | SYSTEM SUPPORT | 1095978 |
| QUEST DIAGNOSTICS | |||||
| 5763 COLLECTION CTR DR | CHICAGO | IL | 60693 | LAB | 934200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 46 | NumberOfContractorsGT100K |
| All Other Contributions | 170689 | AllOtherContributions |
| Total Contributions | 170689 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| HOSPITAL SERVICES | 622110 | 214003556 | 214003556 | |
| ANCILLARY SERVICES (NE REHAB FOOD SVS) | 722210 | 171020 | 171020 | |
| ANCILLARY SERVICES (NE REHAB ENVIR) | 811000 | 63672 | 63672 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 214238248 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5661210 | TotalRevenueColumn |
| Exclusion | $5,661,210 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 22919 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 22919 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 22919 | TotalRevenueColumn |
| Exclusion | $22,919 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 27868 | TotalRevenueColumn |
| Related Or Exempt Function Income | 27868 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 27868 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 220120934 | TotalRevenueColumn |
| Related Or Exempt Function Income | 214031424 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 234692 | UnrelatedBusinessRevenue |
| Exclusion | $5,684,129 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2794909 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 2794909 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 76235245 | Total |
| Program Services | 66996377 | ProgramServices |
| Management And General | 9238868 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3896127 | Total |
| Program Services | 3311708 | ProgramServices |
| Management And General | 584419 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10689234 | Total |
| Program Services | 9085849 | ProgramServices |
| Management And General | 1603385 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5603237 | Total |
| Program Services | 4762751 | ProgramServices |
| Management And General | 840486 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175966 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 175966 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 119396 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 119396 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1198786 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 1198786 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 798090 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 798090 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1622869 | Total |
| Program Services | 1298295 | ProgramServices |
| Management And General | 324574 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4299801 | Total |
| Program Services | 3439841 | ProgramServices |
| Management And General | 859960 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34419 | Total |
| Program Services | 27535 | ProgramServices |
| Management And General | 6884 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 356116 | Total |
| Program Services | 284893 | ProgramServices |
| Management And General | 71223 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4633131 | Total |
| Program Services | 3706505 | ProgramServices |
| Management And General | 926626 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15686459 | Total |
| Program Services | 12549167 | ProgramServices |
| Management And General | 3137292 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12030117 | Total |
| Program Services | 9624094 | ProgramServices |
| Management And General | 2406023 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1508655 | Total |
| Program Services | 1206924 | ProgramServices |
| Management And General | 301731 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT | 19964749 | 19964749 | 0 | 0 |
| NH MEDICAID ENHANCEMENT TAX | 9826058 | 9826058 | 0 | 0 |
| SERVICE CONTRACTS | 3164664 | 2531731 | 632933 | 0 |
| PURCHASED SERVICES | 5552438 | 2982292 | 2570146 | 0 |
| SUPPLIES | 23257407 | 22186573 | 1070834 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6194576 | Total |
| Program Services | 5289153 | ProgramServices |
| Management And General | 905423 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 209642449 | Total |
| Program Services | 179074495 | ProgramServices |
| Management And General | 30567954 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60832706 | BOY |
| EOY | 50119430 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17030439 | BOY |
| EOY | 17320928 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2805655 | BOY |
| EOY | 3216119 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2280676 | BOY |
| EOY | 2698822 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 220946310 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 109212597 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 113998869 | BOY |
| EOY | 111733713 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52745285 | BOY |
| EOY | 76118869 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10459028 | BOY |
| EOY | 10422423 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260152658 | BOY |
| EOY | 271630304 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24332975 | BOY |
| EOY | 24929626 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 89843720 | BOY |
| EOY | 89847038 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 660804 | BOY |
| EOY | 1138740 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11744049 | BOY |
| EOY | 14157621 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126581548 | BOY |
| EOY | 130073025 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 131215597 | BOY |
| EOY | 139201766 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2355513 | BOY |
| EOY | 2355513 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 133571110 | BOY |
| EOY | 141557279 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 260152658 | BOY |
| EOY | 271630304 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $31,235 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 31235 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Pt II-B Line 1i | Identifier |
| Explanation | 23.76% OF DUES TO AMERICAN HOSPITAL ASSOCIATION, 22.96% OF DUES TO NEW HAMPSHIRE | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 46166746 | BeginningOfYearBalance |
| Contributions | 20000000 | Contributions |
| Investment Earnings Or Losses | 5144998 | InvestmentEarningsOrLosses |
| End Of Year Balance | 71311744 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 46228437 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -61691 | InvestmentEarningsOrLosses |
| End Of Year Balance | 46166746 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.96700 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.03300 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| 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 | 7632916 | OtherCostOrOtherBasis |
| Book Value | 7632916 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 126449344 | OtherCostOrOtherBasis |
| Depreciation | 49977143 | Depreciation |
| Book Value | 76472201 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2192106 | OtherCostOrOtherBasis |
| Depreciation | 1616493 | Depreciation |
| Book Value | 575613 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 79540182 | OtherCostOrOtherBasis |
| Depreciation | 57618961 | Depreciation |
| Book Value | 21921221 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 5131762 | OtherCostOrOtherBasis |
| Book Value | 5131762 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 111733713 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| M.O.B. RECVB. L.T. | 6264339 |
| INVESTMENT IN NASHUA REGIONAL CANCER CENTER | 2223527 |
| INVESTMENT IN PHO | 260986 |
| SECURITY / WORKING FUND DEPOSITS | 619964 |
| UNAMORTIZED 07 BOND ISSUE | 754685 |
| OTHER | 298922 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 10422423 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| UNEARNED INCOME - MOB | $177,297 |
| INSURANCE RESERVES | $1,335,397 |
| OTHER LIABILITIES SERP | $932,798 |
| ACCRUED PENSION EXPENSE-LT | $10,683,671 |
| 457 (B) DEFERRED COMP PLAN | $1,028,458 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 14157621 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCare |
| 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 | 3082 | PersonsServed |
| Total Community Benefit Expense | 6564426 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6564426 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03130 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 6849 | PersonsServed |
| Total Community Benefit Expense | 19360160 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11683461 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7676699 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03660 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9931 | PersonsServed |
| Total Community Benefit Expense | 25924586 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11683461 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14241125 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06790 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 637823 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 38878 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 598945 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00290 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1531649 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1531649 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00730 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2595993 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1333205 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1262788 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00600 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 51400 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 51400 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 839131 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 839131 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5655996 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1372083 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4283913 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02040 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 9931 | PersonsServed |
| Total Community Benefit Expense | 31580582 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13055544 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 18525038 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08830 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 40888 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 40888 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 47447 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 47447 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 12548 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 12548 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 7564 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 7564 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 108447 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 108447 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $7,596,587 | BadDebtExpenseAmount |
| Amount Attributable To | 1638240 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 35539025 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 43909862 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -8370837 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHERN NEW HAMPSHIRE MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 PROSPECT STREET PO BOX 2014 | AddressLine1 |
| City | NASHUA | City |
| State | NH | State |
| ZIP Code | 030612014 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | THE MEDICAL CENTER OFFERS A DISCOUNT EQUAL TO THE AVERAGE OF THEIR THREE LARGEST PAYORS TO ALL SELF PAY PATIENTS. | IncomeBasedCriteria |
| Costing Method Used | THE COSTING METHODOLOGY USED WAS THE RATIO OF COST TO CHARGE AS OUTLINED IN WORKSHEET 2 OF THE INSTRUCTIONS. THE ONLY EXCEPTION TO THIS WAS FOR SUBSIDIZED SERVICE AREAS WHERE THE COST STRUCTURE WAS SPECIFIC TO THAT SERVICE AREA. FOR THOSE AREAS, OUR COST ACCOUNTING SYSTEM WAS USED. | CostingMethodUsed |
| Bad Debt Footnote | AMOUNTS RELATED TO SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF AND INCLUDED AS PART OF THE PROVISION FOR BAD DEBTS. THE RATIO OF COST TO CHARGE METHODOLOGY WAS USED TO DETERMINE COST AS OUTLINED IN WORKSHEET 2 OF THE INSTRUCTIONS. A LOOKBACK WAS PERFORMED USING A SOCIO-ECONOMIC MODEL TO REVIEW ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT, WHERE THERE WASN'T SUFFICIENT PAPERWORK TO QUALIFY THE PATIENT FOR CHARITY CARE. THE MODEL SHOWED THAT 31% OF THE PATIENTS PREVIOUSLY WRITTEN OFF, WOULD HAVE QUALIFIED FOR CHARITY CARE. THIS SOCIO-ECONOMIC MODEL WAS IMPLEMENTED, HOWEVER, THERE ARE STILL A NUMBER OF PATIENTS WHO WOULD QUALIFY, THAT HAVE NOT BEEN PICKED UP BY THIS MODEL. | BadDebtFootnote |
| Shortfall As Community Benefit | THE RATIO OF COST TO CHARGE METHODOLOGY WAS USED TO DETERMINE COST AS OUTLINED IN WORKSHEET 2 OF THE INSTRUCTIONS. THERE ARE SERVICE AREAS WHERE GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID DO NOT REIMBURSE THE ORGANIZATION ADEQUATE AMOUNTS TO COVER THE COSTS TO PROVIDE THOSE SERVICES. THE HOSPITAL MUST PROVIDE THOSE SERVICES REGARDLESS OF THE FINANCIAL SHORTFALL. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | THE HOSPITAL INFORMATION SYSTEMS ALLOWS US TO APPLY CHARITY DISCOUNTS TO OPEN PATIENT ACCOUNTS WITHIN APPROVED CHARITY ELIGIBILITY TIME PERIODS, EITHER RETROSPECTIVELY OR PROSPECTIVELY. IF AN ACCOUNT SOMEHOW BYPASSES THIS PROCESS, DURING THE BAD DEBT REVIEW PROCESS, THE SYSTEM IS QUERIED TO ENSURE THE PATIENT DOES NOT HAVE A CHARITY APPROVAL THAT HAS NOT BEEN APPLIED TO THEIR ACCOUNT. ALSO, IF A PATIENT ACCOUNT GOES TO BAD DEBT, BUT SUBSEQUENTLY THE PATIENT IS APPROVED FOR CHARITY, WE WILL CLOSE AND RETURN THE ACCOUNT FROM THE AGENCY, REMOVE THE ACCOUNT FROM THE PATIENT'S CREDIT BUREAU AND WRITE THE PATIENT'S BALANCE OFF TO A CHARITY DISCOUNT. | DebtCollectionPolicy |
| Needs Assessment | THE 2010 COMMUNITY NEEDS ASSESSMENT TITLED GREATER NASHUA MEASURES UP WAS PERFORMED AS A COLLABORATIVE EFFORT BETWEEN THE MULTIPLE ORGANIZATIONS IN THE GREATER NASHUA AREA. THE REPORT CAN BE FOUND AT WWW.UNITEDWAYNASHUA.ORG. | NeedsAssessment |
| Patient Education Assistance | AT EACH REGISTRATION POINT, SNHMC HAS SIGNAGE AND BROCHURES EXPLAINING OUR VARIOUS FORMS OF FINANCIAL ASSISTANCE, INCLUDING CHARITY CARE. ADDITIONALLY, PATIENT REGISTRARS OFFER THE CHARITY BROCHURES TO SELF PAY PATIENTS. PATIENTS WHO CALL REGARDING BILLING CONCERNS ARE OFFERED CHARITY ASSISTANCE. ADDITIONALLY, VERBIAGE REGARDING CHARITY CARE IS PRINTED ON EACH BILLING STATEMENT THE PATIENT RECEIVES. ALSO, CHARITY CARE INFORMATION IS AVAILABLE ON OUR HOSPITAL WEBSITE. | PatientEducationAssistance |
| Community Information | SNHHS'S SERVICE AREA CONSISTS OF NINETEEN NEW HAMPSHIRE AND FOUR MASSACHUSETTS TOWNS. THE SERVICE AREA IS DIVIDED INTO A PRIMARY SERVICE AREA (PSA) OF TWELVE NEW HAMPSHIRE TOWNS (AMHERST, BROOKLINE, HOLLIS, HUDSON, LITCHFIELD, LYNDEBOROUGH, MERRIMACK, MILFORD, MONT VERNON, NASHUA, PELHAM AND WILTON), A SECONDARY SERVICE AREA (SSA) OF SEVEN NEW HAMPSHIRE TOWNS (DERRY, GREENVILLE, LONDONDERRY, NEW BOSTON, NEW IPSWICH, SALEM AND WINDHAM) AND A MASSACHUSETTS SERVICE AREA (MSA) OF FOUR NEIGHBORING MASSACHUSETTS TOWNS (DUNSTABLE, PEPPERELL, TOWNSEND AND TYNGSBORO). ACCORDING TO THE 2009 NEEDS ASSESSMENT, THE POPULATION OF GREATER NASHUA IS AGING, IS GROWING, AND IS BECOMING MORE DIVERSE. | CommunityInformation |
| Community Building Activities | AMOUNTS REPORTED IN PART II REPRESENT PROGRAMS HELD IN THE GREATER NASHUA AREA THAT PROMOTE HEALTH EDUCATION AND WELLNESS WHILE BUILDING RELATIONSHIPS THROUGHOUT THE COMMUNITY. | CommunityBuildingActivities |
| Other Information | A MAJORITY OF THE ORGANIZATION'S BOARD OF TRUSTEES IS COMPRISED OF PERSONS WHO RESIDE IN THE PSA WHO OTHERWISE HAVE NO RELATIONSHIP WITH THE ORGANIZATION. MANY MEMBERS OF THE ORGANIZATION VOLUNTEER THEIR TIME TO OTHER COMMUNITY AGENCIES IN THE PSA. THE ORGANIZATION IS COMMITTED TO REINVESTING CAPITAL TOWARDS TECHNOLOGICAL ADVANCES TO PROVIDE IMPROVEMENTS IN PATIENT CARE, MEDICA EDUCATION, AND RESEARCH. | OtherInformation |
| Reports Filed With States | NH | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| 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 (15 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|
| THOMAS E WILHELMSEN JR PRESIDENT CE | |||||||
| 469182 | 128000 | 52232 | 101776 | 21589 | 772779 | ||
| MICHAEL S ROSE TREASURER | |||||||
| 225775 | 45000 | 34370 | 26606 | 24036 | 355787 | ||
| DAVID CAWLEY VP ADMINISTRATION | |||||||
| 172468 | 16000 | 24399 | 34844 | 25466 | 273177 | ||
| SUSAN DESOCIO PRESIDENT FMP | |||||||
| 193009 | 32000 | 18053 | 16845 | 27494 | 287401 | ||
| RICHARD DUGUAY VP CLINICAL SERVICES | |||||||
| 169209 | 25000 | 31012 | 14750 | 24927 | 264898 | ||
| MERRYLL ROSENFELD VP HUMAN RESOURCE | |||||||
| 146402 | 15000 | 15519 | 6661 | 28139 | 211721 | ||
| COLETTE TILTON VP PT CARE SERVICES | |||||||
| 162446 | 16000 | 49156 | 19491 | 10982 | 258075 | ||
| STEPHANIE WOLF-ROSENBLUM VP MED AFF | |||||||
| 230047 | 24000 | 41607 | 4848 | 300502 | 49896 | 49896 | |
| ANDREW WATT VP MEDICAL INFO SYSTEMS | |||||||
| 254791 | 15800 | 398 | 2868 | 10123 | 283980 | ||
| JOSEPH M LEAHY PHYSICIAN | |||||||
| 306357 | 10000 | 16731 | 5490 | 23774 | 362352 | ||
| COLIN H O'BRIEN PHYSICIAN | |||||||
| 273977 | 28820 | 8728 | 20267 | 331792 | |||
| DANIEL WEIDNER PHYSICIAN | |||||||
| 260792 | 2675 | 16718 | 3403 | 28497 | 312085 | ||
| ELIZABETH KARAGOSIAN PHYSICIAN | |||||||
| 237202 | 1300 | 35388 | 4395 | 14337 | 292622 | ||
| ROBERT KOCH PHYSICIAN | |||||||
| 237407 | 2025 | 31097 | 17393 | 19898 | 307820 | ||
| DWIGHT MULLER VPCIO INFO SYSTEMS | |||||||
| 91928 | 12000 | 84108 | 18421 | 15253 | 221710 | ||
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt I Line 1b | Southern New Hampshire Medical Center uses the facilities at the Nashua Country Club for meetings and other business related purposes. The Club does not have corporate memberships, therefore, an individual associated with the Medical Center must be a member of the Club. The membership is titled in the CEOs name and invoices are addressed to the CEO, not SNHMC. SNHMC pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members. |
| Pt I Line 4b | Funding for Supplemental Employee Retirement Plan - David Cawley - $17,723.00 Susan DeSocio - $9,704.00, Michael S. Rose - $21,333.00 and Thomas E. Wilhelmsen - $86,244.00 |
| Pt I Line 7 | There is an additional compensation plan available to managers, directors and senior management that is part of their annual performance plan. The plan takes into consideration quality measures, patient satisfaction, individual goals, budget adherence and overall organizational performance. The range and overall pool is reviewed and approved by the Board of Trustees' Executive Compensation Committee. The amounts designated for the CEO and CFO are considered in the compensation consultant's analysis of executive compensation reported on the 990 Part VI section B Line 15b. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NH HEALTH AND EDUCATION FACILITIES AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 020279866 | IssuerEIN |
| CUSIP Number | 644614SWO | CUSIPNumber |
| Date Issued | 2007-08-30 | DateIssued |
| Issue Price | 89836797 | IssuePrice |
| Description Of Purpose | Refunding and New Construction | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 89836797 | TotalProceeds |
| Amount Defeased | 49731438 | AmountDefeased |
| Issuance Costs From Proceeds | 949525 | IssuanceCostsFromProceeds |
| Capital Expenditures | 39155834 | CapitalExpenditures |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | true | AdvanceRefunding |
| Final Allocation Made | true | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | false | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | false | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | false | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | false | BondCounselRoutinelyEngaged |
| Prcntge Prvt Business Use By Others | 0.00000 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.00000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUse |
| Post Issuance Compliance Procdrs | true | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | true | Form8038TFiled |
| Variable Rate Issue | false | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Regulatory Safe Harbor Satisfied | false | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Exception To Rebate | false | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (24 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Pt VI-A, Line 7a | Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center |
| Pt VI-A, Line 7a | (SNHMC) and the two (2) organizations have identical boards with the exception of two (2) additional members serving |
| Pt VI-A, Line 7a | solely on the SNHMC board. These include a physician member and the current SNHMC chief of staff who is an ex-officio |
| Pt VI-A, Line 7a | member. |
| Pt VI-A, Line 7b | Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center |
| Pt VI-A, Line 7b | (SNHMC) and the two (2) organizations have identical boards with the exception of two (2) additional members serving |
| Pt VI-A, Line 7b | solely on the SNHMC board. These include a physician member and the current SNHMC chief of staff who is an ex-officio |
| Pt VI-A, Line 7b | member. |
| Pt VI-B, Line 11A | A copy of the 990 was presented and approved by the Finance committee of the Board of Trustee prior to submission. |
| Pt VI-B, Line 12c | The organization requires all its personnel, including Leaders, to formally acknowledge that they have read & will abide by |
| Pt VI-B, Line 12c | our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNHMC monitors compliance of its conflict of |
| Pt VI-B, Line 12c | interest process, which requires completion of disclosure forms by all Leaders on an annual basis or on a reappointment |
| Pt VI-B, Line 12c | basis (every two years) for medical/allied staff, to ensure full compliance. Interim disclosures are also required and |
| Pt VI-B, Line 12c | reviewed should a subsequent conflict arise. Any Related Party disclosures require review and approval by a designated |
| Pt VI-B, Line 12c | committee. An annual compliance report is provided to SNHHS/SNHMCs compliance committee and Board of Trustees. |
| Pt VI-B, Line 15 | The compensation of the CEO and CFO is evaluated by an outside consultant and approved by the Executive |
| Pt VI-B, Line 15 | Compensation Committee that reports to the Board of Trustees. A market analysis is performed for all key employees |
| Pt VI-B, Line 15 | on an annual basis. Once the CEO and CFO approved the final compensation figures for key employees, the CEO reports |
| Pt VI-B, Line 15 | these figures to the chairperson and vice chairperson of the Board. |
| Pt VI-C, Line 19 | The organization makes its 990 and 990T available for inspection and provides an Annual Report that is available on its |
| Pt VI-C, Line 19 | website. The Code of Conduct is also available on the organization's website. The Code of Conduct addresses certain |
| Pt VI-C, Line 19 | corporate policies including confidentiality, conflicts of interest, patient rights and other governing documents. |
| Pt IV, Line 12 | The organization is included as part of the audited consolidated financial statements of Southern New Hampshire |
| Pt IV, Line 12 | Health System, Inc. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| FOUNDATION MEDICAL PARTNERS | |||||||||
| 8 PROSPECT ST | NASHUA | NH | 03060 | 020456218 | PHYSICIAN SERVICES | NH | 501(c)(3) | 509(a)(2) | SNHHS |
| SOUTHERN NEW HAMPSHIRE HEALTH SYSTEM | |||||||||
| 8 PROSPECT ST | NASHUA | NH | 03060 | 020509221 | MEDICAL SERVICES | NH | 501(c)(3) | 509(a)(3) | NA |
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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE NETWORK PHO | |||||||||||
| 10 PROSPECT ST | NASHUA | NH | 03060 | 020482950 | MEDICAL SERVICES | NH | SNHMC | C | 129542 | 259104 | 0.50000 |
| SOUTHERN NH HEALTH VENTURES INC | |||||||||||
| 8 PROSPECT ST | NASHUA | NH | 03060 | 020499623 | MEDICAL SERVICES | NH | SNHMC | C | 1.00000 | ||
| 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 | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | true | 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 | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | 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 | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (10 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| FOUNDATION MEDICAL PARTNERS INC | |
| d | 579571 |
| FOUNDATION MEDICAL PARTNERS INC | |
| f | 10019 |
| FOUNDATION MEDICAL PARTNERS INC | |
| i | 1531026 |
| FOUNDATION MEDICAL PARTNERS INC | |
| j | 212317 |
| FOUNDATION MEDICAL PARTNERS INC | |
| k | 2242241 |
| FOUNDATION MEDICAL PARTNERS INC | |
| l | 1361837 |
| FOUNDATION MEDICAL PARTNERS INC | |
| n | 118905 |
| FOUNDATION MEDICAL PARTNERS INC | |
| o | 53685807 |
| FOUNDATION MEDICAL PARTNERS INC | |
| p | 38774001 |
| FOUNDATION MEDICAL PARTNERS INC | |
| q | 15686459 |