CHESHIRE MEDICAL CENTER: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- CHESHIRE MEDICAL CENTER (EIN 02-0354549)
- Tax period
- 2009-10-01 to 2010-09-30
- Filed
- 2011-05-12
- IRS object ID
- 201111329349303706
- Schema version
- 2009v1.7
- 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 | 2011-05-12T15:45:01-05:00 | 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 | 020354549 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE CHESHIRE MEDICAL CENTER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | CHES | NameControl |
| Phone | 6033524111 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 580 COURT STREET | AddressLine1 |
| City | KEENE | City |
| State | NH | State |
| ZIP Code | 03431 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Jill Batty | Name |
| Title | CHIEF FINANCIAL OFFICER | Title |
| Phone | 6033524111 | Phone |
| Date Signed | 2011-05-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Michael A Barbarita | Name |
| Phone | 6036228881 | Phone |
| 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 | ARTHUR NICHOLS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 580 COURT STREET | AddressLine1 |
| City | KEENE | City |
| State | NH | State |
| ZIP Code | 03431 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 158174790 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | www.cheshire-med.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1980 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | THE PRIMARY PURPOSE OF THE CHESHIRE MEDICAL CENTER IS TO ENSURE ACCESS TO QUALITY HEALTH CARE SERVICES TO ALL RESIDENTS OF THE MONADNOCK REGION. THE ORGANIZATION'S CHARITABLE MISSION IS ENHANCED THROUGH THE OPERATION OF A JOINT OPERATING PARTNERSHIP AGREEMENT WITH THE HITCHCOCK CLINIC. THE PURPOSE OF THE JOINT OPERATING PARTNERSHIP AGREEMENT IS TO PROVIDE A MORE EXTENSIVE AND EFFECTIVE HEALTH CARE DELIVERY SYSTEM TO THE COMMUNITIES IN THE MONADNOCK REGION BY ESTABLISHING JOINT PLANNING AND DECISION MAKING PROCESSES, INTERGRATING HEALTH CARE SERVICES AND ESTABLISHING MECHANISMS FOR THE REINVESTMENT OF RESOURCES TO IMPROVE COMMUNITY HEALTH. THE FINANCIAL RESULTS OF THE JOINT OPERATING PARTNERSHIP ARE REPORTED ANNUALLY ON FORM 1065, US PARTNERSHIP RETURN OF INCOME. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 20 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1198 | TotalNbrEmployees |
| Total Nbr Volunteers | 229 | TotalNbrVolunteers |
| Total Gross UBI | 149430 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -179076 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 672571 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 784279 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 141041867 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 153761651 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 376232 | InvestmentIncomePriorYear |
| Investment Income Current Year | 432176 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3246458 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3041232 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 145337128 | TotalRevenuePriorYear |
| Total Revenue Current Year | 158019338 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 58292883 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 58039730 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 82942404 | OtherExpensePriorYear |
| Other Expenses Current Year | 99301760 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 141235287 | TotalExpensesPriorYear |
| Total Expenses Current Year | 157341490 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4101841 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 677848 | RevenuesLessExpensesCY |
| Total Assets BOY | 127117916 | TotalAssetsBOY |
| Total Assets EOY | 124631712 | TotalAssetsEOY |
| Total Liabilities BOY | 66044504 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 71976783 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 61073412 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 52654929 | NetAssetsOrFundBalancesEOY |
| Mission Description | THE PRIMARY PURPOSE OF THE CHESHIRE MEDICAL CENTER IS TO ENSURE ACCESS TO QUALITY HEALTH CARE SERVICES TO ALL RESIDENTS OF THE MONADNOCK REGION. THE ORGANIZATION'S CHARITABLE MISSION IS ENHANCED THROUGH THE OPERATION OF A JOINT OPERATING PARTNERSHIP AGREEMENT WITH THE HITCHCOCK CLINIC. THE PURPOSE OF THE JOINT OPERATING PARTNERSHIP AGREEMENT IS TO PROVIDE A MORE EXTENSIVE AND EFFECTIVE HEALTH CARE DELIVERY SYSTEM TO THE COMMUNITIES IN THE MONADNOCK REGION BY ESTABLISHING JOINT PLANNING AND DECISION MAKING PROCESSES, INTERGRATING HEALTH CARE SERVICES AND ESTABLISHING MECHANISMS FOR THE REINVESTMENT OF RESOURCES TO IMPROVE COMMUNITY HEALTH. THE FINANCIAL RESULTS OF THE JOINT OPERATING PARTNERSHIP ARE REPORTED ANNUALLY ON FORM 1065, US PARTNERSHIP RETURN OF INCOME. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 140472945 | Expense |
| Revenue | 155106750 | Revenue |
| Description | The Cheshire Medical Center is a community health care organization serving as a regional referral center for Keene and the surrounding service area. It is fully committed to meeting the health care needs of these communities and providing access to quality health care services and programs. As a non-profit corporation, the Cheshire Medical Center acknowledges its commitment to provide services to the community. These services arise primarily from the four following general service categories. 1) Subsidization of government-sponsored healthcare programs - principally Medicare and Medicaid. 2) Sponsorship and/or subsidization of health-related community services and educational programs. 3) Provision of healthcare at no charge or reduced charge, according to financial need. 4) Provision of 24-hour emergency room services, without regard for ability to pay. The Cheshire Medical Center, as a matter of policy and practice has provided, and will continue to provide, a significant contribution to the communities it serves. | Description |
| Total Program Service Expense | 140472945 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 93 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 1198 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Nbr Voting Governing Body Members | 20 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARY SHERWIN CONTROLLER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6033545400 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | CHESHIRE MEDICAL CENTER 580 COURT | AddressLine1 |
| City | keene | City |
| State | NH | State |
| ZIP Code | 03431 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| patty farmer | ||||||||
| trustee | 2.00 | X | 0 | 0 | 0 | |||
| larry jaeger md | ||||||||
| trustee | 2.00 | X | 0 | 0 | 0 | |||
| james putnam | ||||||||
| chair | 2.00 | X | 0 | 0 | 0 | X | ||
| walter rohr | ||||||||
| truSTEE | 2.00 | X | 0 | 0 | 0 | |||
| jay kahn | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| john cunningham | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| jane beauchamp | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| joseph bergman md | ||||||||
| TRUSTEE | 2.00 | X | 228230 | 0 | 0 | |||
| greg mcconahey | ||||||||
| VICE CHAIR TREASURER | 2.00 | X | 0 | 0 | 0 | X | ||
| charles prigge | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| sylvia mcbeth | ||||||||
| SECRETARY | 2.00 | X | 0 | 0 | 0 | X | ||
| MATTHEW GUILTINAN md | ||||||||
| CMC med staff pres | 2.00 | X | 0 | 0 | 0 | |||
| judy kalich | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| RICK CHURCH | ||||||||
| TRUstee | 2.00 | X | 0 | 0 | 0 | |||
| ROBERT MUCHA | ||||||||
| TRUstee | 2.00 | X | 0 | 0 | 0 | |||
| leslie pitts md | ||||||||
| MEDICAL DIRECTOR | 2.00 | X | 0 | 0 | 0 | X | ||
| arthur nichols | ||||||||
| PRESIDENT | 53.00 | X | 451851 | 0 | 59406 | X | ||
| ED BERGERON | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| JOSEPH HALLIDAY | ||||||||
| trustee | 2.00 | X | 0 | 0 | 0 | |||
| STEVE HORTON | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| MARY LOUISE CAFFREY | ||||||||
| TRUSTEE | 2.00 | X | 0 | 0 | 0 | |||
| JOHN SCHLEGELMILCH | ||||||||
| DHK MED STAFF PRES | 1.00 | X | 0 | 0 | 0 | |||
| kathleen cronin | ||||||||
| vp nursing operations | 52.00 | 214208 | 0 | 47658 | X | |||
| jill batty | ||||||||
| vp finance, cfo | 52.00 | 285348 | 0 | 52043 | X | |||
| Paul pezone | ||||||||
| vp support services | 51.00 | 172276 | 0 | 42582 | X | |||
| julie green | ||||||||
| vp hr | 51.00 | 173780 | 0 | 47212 | X | |||
| ERLI CHEN | ||||||||
| PHYSICIST | 50.00 | 206637 | 0 | 35930 | X | |||
| larry miller | ||||||||
| chief crna | 50.00 | 189970 | 0 | 41537 | X | |||
| deannE burtchell | ||||||||
| crna | 50.00 | 161496 | 0 | 19183 | X | |||
| kristin rossi | ||||||||
| crna | 50.00 | 157498 | 0 | 42313 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2241294 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 387864 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HUTTER CONSTRUCTION | |||||
| 130 SPIT BROOK ROAD | NASHUA | NH | 03062 | CONSTRUCTION MANAGERS | 1395361 |
| HARVEY CONSTRUCTION | |||||
| 10 HARVEY RD | BEDFORD | NH | 03110 | CONSTRUCTION MANAGERS | 1108504 |
| QUEST DIAGNOSTICS | |||||
| 5763 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | LAB DIAGNOSTIC SERVICES | 872619 |
| NEW ENGLAND MEDICAL TRANSCRIPTION | |||||
| PO BOX 430 | WOOLWICH | ME | 04579 | TRANSCRIPTION | 632202 |
| MARY HITCHCOCK MEMORIAL | |||||
| ONE MEDICAL CENTER DR | LEBANON | NH | 03755 | LAB DIAGNOSTIC SERVICES | 452452 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 24 | NumberOfContractorsGT100K |
| Government Grants | 350127 | GovernmentGrants |
| All Other Contributions | 434152 | AllOtherContributions |
| Total Contributions | 784279 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICE REVENU | 621300 | 146388223 | 146388223 |
| DSH REVENUE | 621300 | 7373428 | 7373428 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 153761651 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 587628 | TotalRevenueColumn |
| Related Or Exempt Function Income | 587628 | RelatedOrExemptFunctionIncome |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 155452 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -155452 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -155452 | TotalRevenueColumn |
| Exclusion | -$155,452 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|---|
| Pharmacy & Drugs | 621300 | 1193909 | $1,193,909 | ||
| Food Service | 621300 | 936056 | $936,056 | ||
| Child Care Center | 624410 | 515699 | 366269 | 149430 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 395568 | TotalRevenueColumn |
| Related Or Exempt Function Income | 391202 | RelatedOrExemptFunctionIncome |
| Exclusion | $4,366 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 3041232 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 158019338 | TotalRevenueColumn |
| Related Or Exempt Function Income | 155106750 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 149430 | UnrelatedBusinessRevenue |
| Exclusion | $1,978,879 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1860877 | Total |
| Program Services | 1581745 | ProgramServices |
| Management And General | 279132 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41739311 | Total |
| Program Services | 35396834 | ProgramServices |
| Management And General | 6342477 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5219161 | Total |
| Program Services | 4425849 | ProgramServices |
| Management And General | 793312 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5815920 | Total |
| Program Services | 4931900 | ProgramServices |
| Management And General | 884020 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3404461 | Total |
| Program Services | 2886983 | ProgramServices |
| Management And General | 517478 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46072 | Total |
| Management And General | 46072 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107605 | Total |
| Management And General | 107605 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 368253 | Total |
| Program Services | 312279 | ProgramServices |
| Management And General | 55974 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 287428 | Total |
| Program Services | 287428 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428468 | Total |
| Program Services | 363341 | ProgramServices |
| Management And General | 65127 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6205305 | Total |
| Program Services | 5262099 | ProgramServices |
| Management And General | 943206 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203286 | Total |
| Program Services | 203286 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1510895 | Total |
| Program Services | 1281239 | ProgramServices |
| Management And General | 229656 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7674237 | Total |
| Program Services | 6507753 | ProgramServices |
| Management And General | 1166484 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1303943 | Total |
| Program Services | 1105744 | ProgramServices |
| Management And General | 198199 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| DRUGS, CHEMICALS, SUPPL | 13169668 | 13169668 | |
| CONTRACT LABOR | 11110356 | 11110356 | |
| BAD DEBTS | 8496964 | 8496964 | |
| LICENSES & TAXES | 7385147 | 6262605 | 1122542 |
| MEDICAID ENHANCEMENT TA | 7167247 | 7167247 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33836886 | Total |
| Program Services | 29719625 | ProgramServices |
| Management And General | 4117261 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 157341490 | Total |
| Program Services | 140472945 | ProgramServices |
| Management And General | 16868545 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1 | BOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19499909 | BOY |
| EOY | 14984165 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15290701 | BOY |
| EOY | 18778536 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1685155 | BOY |
| EOY | 2251617 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1212542 | BOY |
| EOY | 1603607 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 157805730 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 88769483 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66812310 | BOY |
| EOY | 69036247 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10825075 | BOY |
| EOY | 11988185 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11792223 | BOY |
| EOY | 5989355 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127117916 | BOY |
| EOY | 124631712 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13847684 | BOY |
| EOY | 11798315 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 38831 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12682600 | BOY |
| EOY | 12291042 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15303487 | BOY |
| EOY | 14959855 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24210733 | BOY |
| EOY | 32888740 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66044504 | BOY |
| EOY | 71976783 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59593932 | BOY |
| EOY | 50209368 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1479480 | BOY |
| EOY | 2445561 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61073412 | BOY |
| EOY | 52654929 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 127117916 | BOY |
| EOY | 124631712 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $20,513 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 20513 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | A PORTION OF AHA & NHHA DUES ARE ALLOCATED TO LOBBYING EXPENSE | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1479480 | BeginningOfYearBalance |
| Contributions | 164317 | Contributions |
| Investment Earnings Or Losses | 1124611 | InvestmentEarningsOrLosses |
| Other Expenditures | 322848 | OtherExpenditures |
| End Of Year Balance | 2445561 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1408853 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 88740 | InvestmentEarningsOrLosses |
| Other Expenditures | 18113 | OtherExpenditures |
| End Of Year Balance | 1479480 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4058474 | OtherCostOrOtherBasis |
| Book Value | 4058474 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 74303185 | OtherCostOrOtherBasis |
| Depreciation | 34209220 | Depreciation |
| Book Value | 40093965 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 79444071 | OtherCostOrOtherBasis |
| Depreciation | 54560263 | Depreciation |
| Book Value | 24883808 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 69036247 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| POOLED INVESTMENTS | 11043434 | F |
| FUNDED DEPR ACCOUNT | 944751 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 11988185 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITY | $29,279,881 |
| AMOUNTS PAYABLE TO THIRD PARTY | $3,097,738 |
| MISCELLANEOUS OTHER LIABILITIES | $511,121 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 32888740 | TotalOfAmounts |
| Total Revenue | 158019338 | TotalRevenue |
| Total Expenses | 157341490 | TotalExpenses |
| Excess Or Deficit For Year | 677848 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 874516 | NetUnrealizedGLOnInvestments |
| Other | -$9,970,847 | OtherAmount |
| Total Adjustments | -9096331 | TotalAdjustments |
| Excess Or Deficit Per FS | -8418483 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 156403562 | TotRevenueEtcAuditedFinclStmt |
| Revenue Not Rptd F990 | 0 | RevenueNotRptdF990 |
| Revenue Subtotal | 156403562 | RevenueSubtotal |
| Other Revenues Not Included | 1615776 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1615776 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 158019338 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 149873152 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 149873152 | ExpensesSubtotal |
| Other Expenses Not Included | 7468338 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 7468338 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 157341490 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | pension liability adjustment: -9626682. transfers: -120671. net assets released from restrictions: -223494. |
| Part XII, Line 4b - Other Adjustments: | reclass from revenue to expense: 1510938. restricted fund revenue: 104838. |
| Part XIII, Line 4b - Other Adjustments: | reclass from revenue to expense: 1510938. JOA Gain Share: 5957400. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 225.000000000000 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1978 | PersonsServed |
| Total Community Benefit Expense | 2641221 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2641221 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01680 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4585237 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 4585237 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02910 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1978 | PersonsServed |
| Total Community Benefit Expense | 7226458 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7226458 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04590 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 77721 | PersonsServed |
| Total Community Benefit Expense | 1330440 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 159722 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1170718 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00740 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 983 | PersonsServed |
| Total Community Benefit Expense | 235742 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 235742 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00150 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 295 | PersonsServed |
| Total Community Benefit Expense | 431848 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 417848 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 3 | PersonsServed |
| Total Community Benefit Expense | 104095 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 99095 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4573 | PersonsServed |
| Total Community Benefit Expense | 289830 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 289830 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 83575 | PersonsServed |
| Total Community Benefit Expense | 2391955 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 178722 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2213233 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01400 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 85553 | PersonsServed |
| Total Community Benefit Expense | 9618413 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 178722 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9439691 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05990 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 51900 | PersonsServed |
| Total Community Building Expense | 302811 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 143866 | DirectOffsettingRevenue |
| Net Community Building Expense | 158945 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 4653 | PersonsServed |
| Total Community Building Expense | 707612 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 105075 | DirectOffsettingRevenue |
| Net Community Building Expense | 602537 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00380 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 90 | PersonsServed |
| Total Community Building Expense | 184198 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 21169 | DirectOffsettingRevenue |
| Net Community Building Expense | 163029 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 56643 | PersonsServed |
| Total Community Building Expense | 1194621 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 270110 | DirectOffsettingRevenue |
| Net Community Building Expense | 924511 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,993,573 | BadDebtExpenseAmount |
| Amount Attributable To | 998393 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 42570067 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 45967701 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -3397634 | 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 | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 0 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|---|
| KEENE HEALTH ALLIANCE | |||
| Integrating health care services to provide effective delivery system | 0.50000 | 0.00000 | 0.00000 |
| HEALTHSOUTH | |||
| Mgmt of inpatient and outpatient rehab at Cheshire Medical Center | 0.00000 | 0.00000 | 0.00000 |
| NEW ENGLAND LIFE CARE INC | |||
| A not-for-profit home infusion therApy cooperative. | 0.02000 | 0.00000 | 0.00000 |
| NH LITHOTRIPSY | |||
| Lithotripcy services | 0.03750 | 0.00000 | 0.00000 |
| NH IMAGING | |||
| IMAGING SERVICES | 0.08330 | 0.00000 | 0.00000 |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESHIRE MEDICAL CENTER | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 580 COURT STREET | AddressLine1 |
| City | KEENE | City |
| State | NH | State |
| ZIP Code | 03431 | 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) |
|---|---|---|
| Bad Debt Footnote | Part III, Line 4: Cheshire Medical Center Management estimates that approximately 25% of bad debt expense (approximately 5 times the region's poverty rate) is an appropriate esimation of patients who would have been eligible for the organization's financial assistance program but did not apply. This estimation is based on the recognition that the financial assistance program is available to residents with incomes of up to three times the federally defined poverty income levels and the assumption that patients who choose not to pay their bills are more likely to fall within the lower income levels. For 2010, the estimated amount of bad debt expense (at cost) attributable to patients who would have been eligible for financial assistance is $998,393. | BadDebtFootnote |
| Shortfall As Community Benefit | Part III, Line 8: This shortfall should be considered community benefit because we are the only hospital/medical center in Cheshire County, New Hampshire and we are designated by CMS as a Medicare Dependent Hospital (MDH) due to greater than 60% of our average daily census being comprised of Medicare Patients. Our presence in the community allows the residents of Cheshire County, especially the elderly population, to receive comprehensive hospital and medical services close to home. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: Systems are in place to capture financial assistance accounts prior to a bill going to the patient | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: The community needs assessment was coordinated with the assistance of the broad-based community health coalition, the Council for a Healthier Community. In promoting the healthiest community initiative, known locally as Vision 2020, the Council identified community needs toward a goal of becoming the healthiest community in the nation by the year 2020. The Council formed five workgroups around strategic themes including: health status, healthcare access; health literacy, wellness, and social capital. The workgroups met from January 2008 - October 2009 to identify key goals, key measures, and local community assets. This work is summarized in the community needs assessment found at the web site healthiestcommunity.org. We hosted a planning Summit in May of 2010 to identify contributing factors for each indicator in the community assessment. The 215 attendees also identified possible programs and policies to address each need. Summit information will be used to develop action plans during the fall and winter of 2010. Cheshire Medical Center provides staff for the Vision 2020 initiative and funded the community assessment process through an evaluation partnership contract with Antioch New England University. The Community Advisory Committee, serving in an advisory capacity for both Home Healthcare, Hospice and Community Services, and Cheshire Medical Center/Dartmouth Hitchcock Keene, reviewed and commented on the community benefit plan. The report is available to the public on the Cheshire Medical Center website: cheshiremed.org | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: CMC is committed to providing medically necessary care to patients regardless of their ability to pay for services. Non-emergency patients sign a financial responsibility statement upon admission to certify recognition of their responsibility for payment of their bills. However, there will be instances where the patient, due to the lack of funds or third party coverage, will not be able to meet this obligation. CMC notifies patients of their potential to obtain assistance through the registration and billing processes. Upon registration, patients without insurance are offered the opportunity to apply for financial assistance. In addition, receptionists and clinicians in all areas are educated to refer patients to the financial assistance process in the event patients express concerns with their ability to pay for services. The application information is posted on the intranet and brochures describing the program are readily available to patients. Patients are informed of the program availability on any invoices they receive and individuals who attempt to collect patient balances are also trained to refer patients to the financial assistance process. The financial assistance application process is comprehensive and evaluates a patients eligibility for a variety of federal, state, and local government programs in addition to CMC's internally funded financial assistance program. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: The Medical Center is the only hospital in its primary service area (PSA). Management defines its PSA as the City of Keene and 19 geographically proximate communities. Towns and cities included in the PSA include Alstead, Chesterfield, Fitzwilliam, Gilsum, Harrisville/Chesham, Keene, Marlborough, Marlow, Nelson/Munsonville, Richmond, Roxbury, Stoddard, Sullivan, Surry, Swanzey, Troy, Walpole, Westmoreland and Winchester, all located in Cheshire County. For the year 2007, the PSA accounted for 76.7% (4,065) of the Medical Center's total (5,300) discharges with Keene providing the largest number of discharges (34.6%). According to the 2000 Census, the Medical Center's PSA represented approximately 4.6% of New Hampshire's population. The PSA's total population was 57,340, with 22,563 residing in Keene, the largest community in the service area. For 2007, the population of the Medical Center's PSA was projected by the New Hampshire Office of State Planning to reach 59,329, a 3.5% increase from 2000 As of 2000, 8,115 or 14.1% of the Medical Centers PSA residents were 65 years of age or older. Approximately 2,193 residents, or 3.3% of the total PSA population, were 80 years of age or older. As of 2000, approximately 39% of the population of the Medical Centers PSA was 45 years of age or older, compared with 36% in the State. Approximately 43% of the population of the Medical Centers PSA was between 15 and 44, the same as the State average As of April 2009, the State unemployment rate was 6.4% and the PSA unemployment rate was 5.6%. The poverty rate in the Medical Centers PSA is 4.8%. | CommunityInformation |
| Community Building Activities | Part VI, Line 5: The Medical Center has been actively engaged since the spring of 2006 in Vision 2020: to make Keene and the surrounding region the healthiest in the nation by the year 2020. Over the past three years the organization has focused on streamlining and improving internal operations to create the strength necessary to lead and facilitate this initiative within the broader community. Management has created community-based workgroups to define the objectives, tasks, and changes necessary to achieve Vision 2020. The campus has built on its existing strong relationships with other regional providers, agencies, and businesses to support the plan and has started implementing a variety of pilot programs related to population health management and employee wellness. The organization is a founding member of the Council for Health Communities which has been in existence for more than 10 years and has developed a variety of prevention, transportation, referral, and health promotion programs. | CommunityBuildingActivities |
| Other Information | Part VI, Line 6: A complete copy of the organizations Community Benefit report can be found at:http://www.cheshire-med.com/images/stories/commhealth/cheshmedctr_commbenreport2010.pdfThe Medical Center plays an active role in promoting community health and offers educational programs including classes and workshops in diabetes and asthma, stress management, nutritional counseling, smoking cessation, healthy back, weight control, time management and breast self-examination. In addition, the Medical Center works with the Council for a Healthier Community, comprised of community leaders, to offer several community programs including: Cheshire Smiles, a school-based dental health program for children in grades K-3, provides screening, prevention and restorative dental care for children in Cheshire County schools. A public health hygienist hired by the Medical Center is assisted by area dentists. Cheshire Medical Center /Dartmouth-Hitchcock Keene also works in partnership with other community health and human service organizations to meet the dental health needs of underserved populations such as the chronically mentally ill, pregnant women who cannot afford dental care, children identified through the school based Cheshire Smiles Program, and others. The Medical Center sponsors patient visits at Dental Health Works, a public/private program serving underserved residents of Cheshire County. Cheshire Coalition for Tobacco-Free Youth is committed to reducing the number of young people in the community who use tobacco products. Working with local schools, police and health providers, the coalition has implemented vendor compliance programs, has provided a tobacco avoidance curriculum for use in area schools and has produced its own television and radio public service announcements addressing tobacco use. Medication Assistance Program addresses the critical need for programs to help low income people afford medications. The Medication Assistance Program at the Medical Center was initiated in March, 1999. It was the first hospital-based program of its kind in the State of New Hampshire and was the first recipient of the New Hampshire Medication Bridge Award. Advocates for Healthy Youth (AFHY) is a community coalition supported by the Medical Center which has been working closely with community health providers, Keene State College, Antioch University New England, Keene Parks and Recreation Center, and area schools to address the epidemic of childhood obesity. In 2005, AFHY completed implementation of a pilot program in two area schools. In 2006 the program expanded efforts by offering small grants to schools and after school programs to support costs of physical activity and nutrition programs. Grant projects incorporated the key lessons learned during the pilot project. In 2007, AFHY began taking steps to implement the 5-2-1-0 community public messaging campaign to educate families about childhood obesity and to advocate health promotion options to prevent or reduce obesity. In 2009 the program is working with local schools and afterschool programs to implement the priorities of the statewide Healthy Eating Active Living (HEAL) program. Senior Passport Program is designed to serve the Medical Centers communities elders. Passport membership, which is offered at no cost to those sixty years and older, entitles holders to enjoy low cost, heart healthy meals in the Medical Center cafeteria, and attend workshops and health lectures with a senior focus. A newsletter is sent quarterly to Passport holders. The total expenditures associated with these and other programs for period ending 9/30/10 is $5,778,965. | OtherInformation |
| Reports Filed With States | NH | ReportsFiledWithStates |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| joseph bergman md | |||||||||||||
| 228230 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 228230 | 0 | 0 | 0 |
| arthur nichols | |||||||||||||
| 321768 | 0 | 87175 | 0 | 42908 | 0 | 31892 | 0 | 27514 | 0 | 511257 | 0 | 0 | 0 |
| kathleen cronin | |||||||||||||
| 157532 | 0 | 15000 | 0 | 41676 | 0 | 31558 | 0 | 16100 | 0 | 261866 | 0 | 0 | 0 |
| jill batty | |||||||||||||
| 224948 | 0 | 20000 | 0 | 40400 | 0 | 26807 | 0 | 25236 | 0 | 337391 | 0 | 0 | 0 |
| Paul pezone | |||||||||||||
| 125651 | 0 | 11750 | 0 | 34875 | 0 | 18003 | 0 | 24579 | 0 | 214858 | 0 | 0 | 0 |
| julie green | |||||||||||||
| 123706 | 0 | 12500 | 0 | 37574 | 0 | 21925 | 0 | 25287 | 0 | 220992 | 0 | 0 | 0 |
| ERLI CHEN | |||||||||||||
| 176365 | 0 | 400 | 0 | 29872 | 0 | 21704 | 0 | 14226 | 0 | 242567 | 0 | 0 | 0 |
| larry miller | |||||||||||||
| 166802 | 0 | 400 | 0 | 22768 | 0 | 23770 | 0 | 17767 | 0 | 231507 | 0 | 0 | 0 |
| deannE burtchell | |||||||||||||
| 144596 | 0 | 400 | 0 | 16500 | 0 | 11427 | 0 | 7756 | 0 | 180679 | 0 | 180680 | 0 |
| kristin rossi | |||||||||||||
| 135100 | 0 | 398 | 0 | 22000 | 0 | 16587 | 0 | 25726 | 0 | 199811 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| Part I, Line 1a | CHESHIRE MEDICAL CENTER does not reimburse expenses for first class travel, housing allowance, health or social club dues, personal services, business use of personal residence, discretionary spending accounts, or provide tax indemnification or gross up payments. CHESIRE MEDICAL CENTER DOES REIMBURSE BOARD MEMBERS FOR COMPANION TRAVEL TO BUSINESS RELATED MEETING UNDER SPECIFIC CIRCUMSTANCES. ALL REIMBUrSeMENTS ARE REPORTED ON FORM 1099 ISSUEd TO THE BOARD MEMBER. NO SUCH REIMBURSEMENTS WERE MADE IN CALENDAR YEAR 2009. |
| Part I, Line 4a | ARTHUR NICHOLS PARTICIPATED IN A NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN. THE CURRENT YEAR BENEFIT WAS $52,728. |
| Part I, Line 7 | Senior Management is eligible for an incentive comp payment at the discretion of the Board based on, but not directly related to, overall organizational financial performance and other discretionary measures. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | nh health & education facilities authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 020279866 | IssuerEIN |
| Date Issued | 2009-08-27 | DateIssued |
| Issue Price | 15000000 | IssuePrice |
| Description Of Purpose | refund commercial debt, aquisition of equipment, renovations | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Proceeds | 15000000 | TotalProceeds |
| Amount In Reserve Fund | 5667081 | AmountInReserveFund |
| Issuance Costs From Proceeds | 244244 | IssuanceCostsFromProceeds |
| Working Capital Expenditures | 578021 | WorkingCapitalExpenditures |
| Capital Expenditures | 8510663 | CapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Counsel Routinely Engaged | 0 | 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 | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 1 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | TD BANK NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 7.000000000000 | TermOfHedge |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 4 | THE BY-LAWS OF THE CHESHIRE MEDICAL CENTER WERE AMENDED TO INCLUDE THE FOLLOWING PROVISIONS: A PROVISION ALLOWING participation in a meeting via telephone has been added. The role of the Cheshire Medical Center CEO serving as Chief Administrative Officer of Keene Health Alliance IS CODIFIED. THE ROLE OF THE Executive Committee IS DESCRIBED in greater detail. THE Executive Committee IS AUTHORIZED to act on behalf of the board for routine matters Between meeting DATES. AUTHORIZES THE Executive Committee to ACT AS THE Executive Compensation Committee IN ACCORDANCE WITH the Medical Centers Executive Compensation Committee Charter. CODIFIES the past practice by the Governance Committee to include two members of the Council of Advisors annually during its process. |
| Form 990, Part VI, Section A, line 6 | The sole member of the Cheshire MEdical Center is the Cheshire Health Foundation |
| Form 990, Part VI, Section A, line 7a | The Board of Trustees consists of no fewer than 15 voting members which includes the President/CEO and President of the Medical Staff. Other members are nominated by the Cheshire Health Foundaiton Governance Committee and elected by the Foundation Board |
| Form 990, Part VI, Section B, line 11 | Copy of 990 is available for any Board member to review prior to filing. The Board has formally delegated review of the 990 to the Finance and Audit Committee. Committee members receive copies of the 990 and it is reviewed in a meeting prior to filing. |
| Form 990, Part VI, Section B, line 12c | Officer, board members and key employees annually disclose potential conflicts of interest and are required to recuse themselves from all board activity realted to all conflicts. |
| Form 990, Part VI, Section B, line 15 | Cheshire Medical Center has retained Yaffe & Company, Inc. to provide consultation to the Executive Committee of the Board of Trustees regarding executive compensation, benefits, and perquisites. Yaffe & Company, Inc. is a independent consulting firm with 33 years of service and provides services to not-for-profit hospitals and health systems. Further Yaffe & Company, Inc. has been engaged directly by the Board of Trustees of Cheshire Medical Center through its Executive Committee to only provide services to the Board. An Executive Committee d/b/a Compensation Committee Charter and Compensation Philosophy (approved by the Board) documents the compensation review process and guidelines so as to provide an orderly structure for executive total compensation decisions. Annually, a multi-tiered approach using independent comparability data is utilized to gauge appropriate comparative market levels of compensation and benefits. An annual performance evaluation is based on subjective and objective criteria which flow from the strategic plan. By way of questionnaire, Board members participate in the performance review process and a summary report is shared with the CEO. Variable pay is awarded based on achievement of specific qualitative and quantitative goals. In conjunction with the Executive Committee, challenging and measurable goals are established for the Office of the President which provides an alignment between executive compensation and achievement of the hospitals strategic goals. |
| Form 990, Part VI, Section C, line 19 | CMC makes governing documents, conflict of interest policy and financial statements available to members of the public upon request, through its annual report, and through state and federal filings. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CHESHIRE HEALTH FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 580 COURT STREET | AddressLine1 |
| City | KEENE | City |
| State | NH | State |
| ZIP Code | 03431 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020202220 | EIN |
| Primary Activities | MANAGEMENT OF ENDOWMENT FUNDS | PrimaryActivities |
| Legal Domicile State | NH | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | Line 11b, II | PublicCharityStatus |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KEENE HEALTH ALLIANCE | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 580 COURT STREET | AddressLine1 |
| City | KEENE | City |
| State | NH | State |
| ZIP Code | 03431 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 300179297 | EIN |
| Primary Activity | HEALTHCARE | PrimaryActivity |
| Legal Domicile State | NH | LegalDomicileState |
| Predominant Income Type | MEDICAL CARE | PredominantIncomeType |
| Share Of Total Income | 3576000 | ShareOfTotalIncome |
| Disproportionate Allocations | 0 | DisproportionateAllocations |
| General Or Managing Partner | 1 | GeneralOrManagingPartner |
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| KEENE HEALTH SERVICES | |||||||||||
| 580 COURT STREET | KEENE | NH | 03431 | 020374997 | INVESTMENTS REAL ESTATE | NH | CHESHIRE HEALTH FOUNDATION | C | -26360 | 391955 | 1.00000 |
| kEENE HEALTH REALTY | |||||||||||
| 580 COURT STREET | KEENE | NH | 03431 | 020374998 | INVESTMENTS REAL ESTATE | NH | KEENE HEALTH SERVICES | C | -38735 | 238823 | 1.00000 |
| KEENE HEALTH ENTERPRISES | |||||||||||
| 580 COURT STREET | KEENE | NH | 03431 | 020374999 | INVESTMENTS REAL ESTATE | NH | KEENE HEALTH SERVICES | C | 1.00000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 1 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| CHESHIRE HEALTH FOUNDATION | |
| C | 176112 |
| CHESHIRE HEALTH FOUNDATION | |
| D | 4292361 |
| CHESHIRE HEALTH FOUNDATION | |
| F | 820525 |
| CHESHIRE HEALTH FOUNDATION | |
| M | 1201986 |
| CHESHIRE HEALTH FOUNDATION | |
| Q | 58039 |