SOUTHERN NEW HAMPSHIRE MEDICAL CENTER: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- SOUTHERN NEW HAMPSHIRE MEDICAL CENTER (EIN 02-0483054)
- Tax period
- 2024-07-01 to 2025-06-30
- Filed
- 2026-04-30
- IRS object ID
- 202611209349300711
- Schema version
- 2024v5.5
- 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) |
|---|---|---|
| Return | 2026-04-30T07:31:33-05:00 | ReturnTs |
| Tax Period End | 2025-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 650 Elm Street Suite 302 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03101 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020483054 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern New Hampshire Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SOUT | BusinessNameControlTxt |
| Phone | 6035772000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street PO Box 2014 | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612014 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Colin T McHugh | PersonNm |
| Person Title | President & CEO | PersonTitleTxt |
| Phone | 6035772000 | PhoneNum |
| Signature | 2026-04-20 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Connor Smart | PreparerPersonNm |
| PTIN | P02285543 | PTIN |
| Phone | 6036262200 | PhoneNum |
| Preparation | 2026-04-20 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Colin T McHugh | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street PO Box 2014 | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612014 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $437,028,667 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.snhhealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1892 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Southern New Hampshire Medical Center is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 1881 | TotalEmployeeCnt |
| Total Volunteers | 90 | TotalVolunteersCnt |
| Total Gross UBI | $476,774 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,161,874 | PYContributionsGrantsAmt |
| CY Contributions Grants | $183,834 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $370,446,257 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $418,629,985 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,548,759 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,152,972 | CYInvestmentIncomeAmt |
| PY Other Revenue | $5,222,454 | PYOtherRevenueAmt |
| CY Other Revenue | $5,327,208 | CYOtherRevenueAmt |
| PY Total Revenue | $380,379,344 | PYTotalRevenueAmt |
| CY Total Revenue | $430,293,999 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $137,372,678 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $149,527,689 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $195,531,748 | PYOtherExpensesAmt |
| CY Other Expenses | $211,430,226 | CYOtherExpensesAmt |
| PY Total Expenses | $332,904,426 | PYTotalExpensesAmt |
| CY Total Expenses | $360,957,915 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $47,474,918 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $69,336,084 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $431,302,604 | TotalAssetsBOYAmt |
| Total Assets EOY | $478,249,276 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $158,883,506 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $152,489,681 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $272,419,098 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $325,759,595 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Southern New Hampshire Medical Center is dedicated to providing exceptional care that improves the health and well-being of individuals and communities we serve. Southern New Hampshire Medical Center is a provider of choice, delivering convenient access to high value, quality care in an environment that embraces dignity, compassion and service to the people of our community. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $300,768,607 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $423,480,419 | RevenueAmt |
| Desc | Provides acute healthcare services to a diverse population base including indigent within southern and central New Hampshire. Southern New Hampshire Medical Center is a nonprofit hospital, serving all who need care, regardless of ability to pay. Medical services provided included 8,555 inpatient admissions, 270,051 outpatient registrations, 38,070 emergency room visits, 6,227 surgical procedures, and 969 births. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,414,275 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Charity Care ($8,231,683) and other uncompensated care ($5,182,592) at cost. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $3,282,120 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | Community health services and health professional education. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $317,465,002 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 168 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1881 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kenneth Matsis | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6032819286 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03061 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| Colin T McHugh | |||||||||
| SNHMC President/CEO/Secretary | 43.00 | 8.00 | Yes (X) | Yes (X) | $889,205 | $0 | $55,104 | ||
| Karen Maynard MD | |||||||||
| Trustee | 2.00 | 46.00 | Yes (X) | $0 | $641,220 | $61,863 | |||
| Brett Sweeney MD | |||||||||
| Trustee | 42.00 | 0.00 | Yes (X) | $443,030 | $0 | $21,084 | |||
| John E Friberg Esq | |||||||||
| Interim CEO, SolutionHealth | 2.00 | 50.00 | Yes (X) | Yes (X) | $0 | $1,072,488 | $128,369 | ||
| Marc Sadowsky | |||||||||
| Trustee (end 12/2024) | 2.00 | 4.00 | Yes (X) | $48,800 | $0 | $0 | |||
| Melliyal Annamalai | |||||||||
| Trustee | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Peter Apostolicas | |||||||||
| Trustee (start 12/2024) | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Bobbie D Bagley | |||||||||
| Trustee | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Heather Bender | |||||||||
| Trustee (start 12/2024) | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Sister Paula Marie Buley | |||||||||
| Trustee | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Alonzo DeBerry | |||||||||
| Trustee | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Helen Honorow Esq | |||||||||
| Trustee | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| K Brian McLaughlin | |||||||||
| Trustee (end 10/2024) | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Eitan Zeira | |||||||||
| Trustee | 2.00 | 4.00 | Yes (X) | $0 | $0 | $0 | |||
| Craig Fitzgerald | |||||||||
| Chair | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| The Hon Joseph N Laplante | |||||||||
| Vice Chair | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Mark William Begor Jr | |||||||||
| Treasurer | 2.00 | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Michael Turilli | |||||||||
| SVP/CFO, SolutionHealth | 2.00 | 50.00 | Yes (X) | $0 | $783,833 | $123,201 | |||
| Kenneth Matsis | |||||||||
| VP Finance, Southern NH Health | 40.00 | 8.00 | Yes (X) | $0 | $258,010 | $34,880 | |||
| Salvatore Vella Jr | |||||||||
| Chief Medical Officer | 20.00 | 20.00 | $0 | $675,176 | $59,217 | Yes (X) | |||
| Joseph M Leahy DO | |||||||||
| Physician | 40.00 | 0.00 | $722,805 | $0 | $66,515 | Yes (X) | |||
| Susan T Santana | |||||||||
| SVP/Chief Nursing Officer | 40.00 | 0.00 | $463,095 | $0 | $16,481 | Yes (X) | |||
| Patrick Lee MD | |||||||||
| Physician | 40.00 | 0.00 | $391,431 | $0 | $60,143 | Yes (X) | |||
| Linda Hatch MD | |||||||||
| Physician | 40.00 | 0.00 | $330,528 | $0 | $54,088 | Yes (X) | |||
| Erica Lavoie | |||||||||
| Physician | 40.00 | 0.00 | $393,652 | $0 | $3,174 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,682,546 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $3,430,727 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $684,119 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 232 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | Yes (1) | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| AYA Healthcare Inc | |||||
| PO Box 674907 | Dallas | TX | 75267 | Healthcare Staffing | $8,879,373 |
| Boston Scientific | |||||
| PO Box 786205 | Philadelphia | PA | 19178 | Medical Supplies | $2,329,444 |
| Carefusion | |||||
| 25082 Network Place | Chicago | IL | 60673 | Medical Supplies | $1,811,965 |
| Weatherby Locums Inc | |||||
| North Federal Highway 700 | Fort Lauderdale | FL | 33308 | Healthcare Staffing | $1,573,508 |
| Baxter Healthcare Corp | |||||
| One Baxter Parkway | Deerfield | IL | 60015 | Medical Equipment | $951,484 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 27 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $183,834 | AllOtherContributionsAmt |
| Total Contributions | $183,834 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Hospital services | 621110 | $436,787,085 | $436,787,085 |
| Provision for bad debts | 621110 | -$18,157,100 | -$18,157,100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $418,629,985 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,470,088 | TotalRevenueColumnAmt |
| Exclusion | $4,470,088 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,850,434 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $4,850,434 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,850,434 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,850,434 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $8,417,552 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,734,668 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,682,884 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,682,884 | TotalRevenueColumnAmt |
| Exclusion | $1,682,884 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|
| Ancillary- NE Rehab Food Services | 722210 | $382,597 | $382,597 |
| Ancillary- NE Rehab Environmental | 811000 | $94,177 | $94,177 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $476,774 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $430,293,999 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $423,480,419 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $476,774 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,152,972 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,457,222 | TotalAmt |
| Program Services | $512,914 | ProgramServicesAmt |
| Management And General | $944,308 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,404,827 | TotalAmt |
| Program Services | $100,926,030 | ProgramServicesAmt |
| Management And General | $19,478,797 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,066,093 | TotalAmt |
| Program Services | $3,442,783 | ProgramServicesAmt |
| Management And General | $623,310 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,664,280 | TotalAmt |
| Program Services | $12,936,306 | ProgramServicesAmt |
| Management And General | $2,727,974 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,935,267 | TotalAmt |
| Program Services | $6,696,685 | ProgramServicesAmt |
| Management And General | $1,238,582 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $390,794 | TotalAmt |
| Management And General | $390,794 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,086 | TotalAmt |
| Management And General | $268,086 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $78,587,747 | TotalAmt |
| Program Services | $77,635,752 | ProgramServicesAmt |
| Management And General | $951,995 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $134,717 | TotalAmt |
| Management And General | $134,717 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,735 | TotalAmt |
| Management And General | $77,735 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $459,311 | TotalAmt |
| Program Services | $387,619 | ProgramServicesAmt |
| Management And General | $71,692 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,760,200 | TotalAmt |
| Program Services | $4,861,115 | ProgramServicesAmt |
| Management And General | $899,085 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $268,264 | TotalAmt |
| Program Services | $226,392 | ProgramServicesAmt |
| Management And General | $41,872 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,780,984 | TotalAmt |
| Program Services | $2,346,912 | ProgramServicesAmt |
| Management And General | $434,072 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,957,639 | TotalAmt |
| Program Services | $5,957,639 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,156,990 | TotalAmt |
| Program Services | $12,791,200 | ProgramServicesAmt |
| Management And General | $2,365,790 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,061,147 | TotalAmt |
| Program Services | $1,739,431 | ProgramServicesAmt |
| Management And General | $321,716 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Supplies | $69,943,761 | $59,026,536 | $10,917,225 |
| NH MET | $19,298,998 | $19,298,998 | |
| Repairs and maintenance | $2,418,691 | $2,041,168 | $377,523 |
| Food services | $693,732 | $585,450 | $108,282 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,171,430 | TotalAmt |
| Program Services | $6,052,072 | ProgramServicesAmt |
| Management And General | $1,119,358 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,957,915 | TotalAmt |
| Program Services | $317,465,002 | ProgramServicesAmt |
| Management And General | $43,492,913 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,855,512 | BOYAmt |
| EOY | $10,816,254 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,586,951 | BOYAmt |
| EOY | $25,377 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,242,227 | BOYAmt |
| EOY | $45,406,493 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,907,899 | BOYAmt |
| EOY | $8,278,610 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,446,990 | BOYAmt |
| EOY | $12,587,119 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $375,382,645 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $250,931,583 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $123,531,668 | BOYAmt |
| EOY | $124,451,062 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $230,116,217 | BOYAmt |
| EOY | $260,262,399 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,407,420 | BOYAmt |
| EOY | $2,718,074 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,444,819 | BOYAmt |
| EOY | $6,855,941 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,762,901 | BOYAmt |
| EOY | $6,847,947 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $431,302,604 | BOYAmt |
| EOY | $478,249,276 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,573,633 | BOYAmt |
| EOY | $64,220,854 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,834 | BOYAmt |
| EOY | $139,151 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,045,549 | BOYAmt |
| EOY | $62,940,998 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,167,490 | BOYAmt |
| EOY | $25,188,678 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $158,883,506 | BOYAmt |
| EOY | $152,489,681 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,420,443 | BOYAmt |
| EOY | $321,229,546 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,998,655 | BOYAmt |
| EOY | $4,530,049 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,419,098 | BOYAmt |
| EOY | $325,759,595 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $431,302,604 | BOYAmt |
| EOY | $478,249,276 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $69,336,084 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $21,360,562 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$37,356,149 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $38,729 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $38,729 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Part II-B, Line 1f: Southern New Hampshire Medical Center partners with various like-minded trade associations which support public policies and initiatives that focus on improving health outcomes and the experience of health care, while also aiming to reduce the overall cost of receiving that care. A portion of the dues paid to these associations has been designated as available for lobbying expenditures. Any lobbying expenditures paid by the associations are incurred in order to help track and discuss legislation affecting health care policy. The specific dues paid by Southern New Hampshire Medical Center to the trade associations in this fiscal year, as well as the portion of the dues that were available for lobbying expenditures, are detailed below: New Hampshire Hospital Association - Total 2024 dues: $122,752 - Portion of dues available for lobbying: $28,295 American Hospital Association - Total 2024 dues: $38,235 - Portion of dues available for lobbying: $10,434 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $123,460,001 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $20,139,851 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $143,599,852 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $114,453,806 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,006,195 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $123,460,001 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $125,504,047 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$11,050,241 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $114,453,806 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $140,891,184 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$15,387,137 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $125,504,047 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $107,270,588 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $33,620,596 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $140,891,184 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.98353 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.01647 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $15,332,049 | OtherCostOrOtherBasisAmt |
| Book Value | $15,332,049 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $187,111,449 | OtherCostOrOtherBasisAmt |
| Depreciation | $123,041,343 | DepreciationAmt |
| Book Value | $64,070,106 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,097,441 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,476,649 | DepreciationAmt |
| Book Value | $1,620,792 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $162,301,020 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,413,591 | DepreciationAmt |
| Book Value | $37,887,429 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,540,686 | OtherCostOrOtherBasisAmt |
| Book Value | $5,540,686 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $124,451,062 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Unearned income - MOB | $46,540 |
| Insurance reserves | $5,043,927 |
| Accrued SERP obligations | $397,307 |
| Long-term accrued pension expense | $6,770,981 |
| 457 (B) deferred comp plan obligations | $3,942,513 |
| Equipment capital leases | $2,131,469 |
| Operating lease liability | $6,855,941 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $25,188,678 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | The intended uses of the Organization's endowment funds are to fulfill donors' intentions on the permanently restricted funds and for future plant replacement and technology investments from board designated funds. |
| Part X, Line 2: | The System, Medical Center, Surgery Center, Legacy Trust and Foundation are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code, and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the System's tax positions and concluded the System has maintained its tax-exempt status, does not have any significant unrelated business income and has taken no uncertain tax positions that require adjustment to the consolidated financial statements. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,472,557 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,472,557 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02350 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $54,232,943 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,737,486 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,495,457 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04570 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,705,500 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $37,737,486 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,968,014 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06920 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,751 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $24,751 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,214,946 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,214,946 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00610 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,568,277 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,805,331 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,762,946 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01870 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $99,851 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $99,851 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $533,491 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $533,491 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00150 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,441,316 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,805,331 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,635,985 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02670 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $74,146,816 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $39,542,817 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $34,603,999 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09590 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $374,839 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $374,839 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,384 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,384 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $17,970 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $17,970 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,888 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,888 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $409,081 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $409,081 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,989,816 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $1,205,701 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $85,442,148 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $96,651,008 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,208,860 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern New Hampshire Medical Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8 Prospect Street PO Box 2014 | AddressLine1Txt |
| City | Nashua | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612014 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.snhhealth.org | WebsiteAddressTxt |
| State License | 02496 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Teaching Hospital | Yes (X) | TeachingHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Southern New Hampshire Medical Center | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 23 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | See Part V, Section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 225.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | Please see Part V | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | Please see Part V | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | Please see Part V | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | Yes (1) | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Southern New Hampshire Medical Center | Part V, Section B, Line 5: Southern New Hampshire Medical Center worked with officials from the City of Nashua Division of Public Health and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the community health needs assessment (CHNA).A Community Health Assessment is a vital tool for understanding and improving the health outcomes of our community. By leveraging data from local organizations, healthcare systems, and state agencies, we gain valuable insights into where to focus our efforts. However, our commitment to community health extends beyond data collection. We believe in the power of listening. That's why we hosted listening sessions and distributed surveys to hear directly from community members about their health concerns, experiences during the COVID-19 pandemic, and what they love about their community.The 2023 CHA employed numerous research methods to gather input from the community, including online surveys, in-person interviews, and data analysis. The CHA utilized these methods separately and decisively for each of its identified community health needs.The City of Nashua Division of Public Health and Community Services (DPHCS) utilized listening sessions, community surveys, and online polling to invite Greater Nashua residents to help determine what the biggest health priorities were in their communities, environmental health hazards, and socail and economic factors that effect the populations's health. The DPHCS also regularly published health-related information and shared sources for where additional information regarding health matters such as COVID-19 could be obtained.Through these efforts, the CHA found mental health, homelessness, substance use, access to care, air and water quality, inequities in health, access to food, public safety, education, and child abuse and neglect to be the top-ten biggest health issues of the community. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 6a: Southern New Hampshire Medical Center took part in the 2023 Greater Nashua Community Health Assessment for its most recent Community Health Needs Assessment ("CHNA"). This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of many organizations, programs, and City departments serving the GNPHR. A full list of the hospital facilities that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment |
| Southern New Hampshire Medical Center | Part V, Section B, Line 6b: Southern New Hampshire Medical Center took part in the 2023 Greater Nashua Community Health Assessment for its most recent Community Health Needs Assessment ("CHNA"). This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of many organizations, programs, and City departments serving the GNPHR. A full list of the organizations other than hospital facilities that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment |
| Southern New Hampshire Medical Center | Part V, Section B, Line 11: Southern New Hampshire Medical Center coordinates with the City of Nashua Division of Public Health and Community Services (DPHCS), as well as other community agencies, partners, and members to create a collaborative and comprehensive Community Health Improvement Plan (CHIP). The CHIP is published in coordination and in response to the Greater Nashua Department of Health CHA. Southern New Hampshire Medical Center also independently prepares and publishes its own Community Health Needs Assessment and Implementation Strategy, unique to Southern New Hampshire Health and SolutionHealth.The Greater Nashua PHAC Executive Committee and CHIP Planning Team chose the following health priority areas for the CHIP 2022 (the most recently published CHIP) based on the 2020 Greater Nashua CHA: 1. Behavioral Health (Suicide, Mental Health, and Substance Use) 2. Chronic Disease (Heart Disease/ Stroke, Diabetes, and Asthma) 3. Communicable diseases 4. Maternal and Child Health 5. Public Health Emergency PreparednessBEHAVIORAL HEALTH:Behavioral health is the scientific study of the emotions, behaviors, and biology relating to a person's mental well-being, their ability to function in everyday life, and their concept of self. Behavioral health encompasses mental health, substance misuse, and suicide prevention and is a top priority in the Greater Nashua Public Health Region (GNPHR) for a variety of reasons. These reasons include our region's high prevalence of substance misuse, high rate of opioid overdose fatalities, high rate of suicide attempts and deaths by suicide, lack of access to timely treatment for those seeking behavioral health services, and limited mental health promotion and awareness. Approximately one in eight visits to emergency departments in the United States (U.S.) involves mental and substance use disorders.Collectively, the main objectives under Behavioral Health include: 1) Reduce substance use among all age groups (illicit Substances, alcohol, tobacco, marijuana 2) Increase awareness of behavioral health resources to improve or maintain mental health in all age groups 3) Improve access to substance use and mental health services through workforce developmentCHRONIC DISEASESApproximately six in ten Americans live with at least one chronic disease, such as heart disease and stroke, cancer, or diabetes. Many chronic diseases are caused by a variety of risk factors that can be reduced by making healthy lifestyle choices. Not only the leading cause of death and disability, chronic diseases are also the leading driver of health care costs in the United States (US). It is a public health priority in the Greater Nashua Public Health Region (GNPHR) to provide health promotion and education to help our community prevent chronic diseases and manage symptoms when prevention is not possible to reduce the burden of chronic disease on our society.Collectively, the main priorities under chronic disease include: 1) Increasing prevention efforts for Type II diabetes 2) Increasing control of hypertension 3) Increase identification and treatment of depression for those with chronic diseaseCOMMUNICABLE DISEASESCommunicable, or infectious diseases, are caused by microorganisms such as bacteria, viruses, parasites and fungi that can be spread, directly or indirectly, from one person to another. Transmission can occur in a variety of ways, including direct physical contact with an infectious person, consuming contaminated foods or beverages, contact with contaminated body fluids, contact with contaminated inanimate objects, or being bitten by an infected insect. In some cases, pathogens that result in infectious diseases can become airborne and spread via the air we breathe (i.e., through inhalation). Some disease agents can be transmitted from animals to humans, and some of these agents can be transmitted in more than one way.Collectively, the main priorities under communicable disease include: 1) Increase vaccination uptake for vaccine preventable diseases 2) Increase community preparedness for communicable disease outbreaks 3) Increase effectiveness of public health system in preventing and addressing communicable disease.MATERNAL AND CHILD HEALTHMaternal health is the health of a woman during her pregnancy, birth, and postpartum period, making it an important predictor of newborn health. Children's health is the physical, mental, emotional, and social well-being of children from infancy all the way through adolescence. Many factors affect maternal and child health, including race and ethnicity, age, income level, educational attainment, medical insurance coverage, access to medical care, pre-pregnancy health, and general health status. The well-being of infants, children, and mothers determines the health of our next generation and can help predict future public health challenges for families, communities, and the healthcare system.Health behaviors and health status before a woman is pregnant can be influenced by a variety of environmental and social factors, such as access to medical care and chronic stress. Some of these factors can affect and compound others, creating a rippling effect. For instance, factors ranging from age to medical insurance coverage affect a woman's general health status; a woman's health status, in turn, directly influences her risk of pregnancy complications and her child's cognitive and physical development.Main takeaways from the Maternal and Child Health CHA: - In 2018, 93.7% of NH moms reported ever breastfeeding, and 69% reported breastfeeding for more than 8 weeks. According to the CDC, only one in four infants in the U.S. are exclusively breastfed for six months. - Children in the GNPHR are at increased risk of high blood lead levels, as 17% of homes were built before 1950, and 10.8% of six year olds are living below the federal poverty level. - In 2018, 7.5% of pregnant women in NH smoked cigarettes in their last three months of pregnancy, and 5.9% used marijuana or hash during their pregnancy. - In 2018, 14.9% of women in NH received follow-up care for depression after giving birth, and 13% women were diagnosed with depression after giving birth. - Approximately 4.6% of Nashua youth (aged 6-18) are uninsured.Collectively, the main priorities under Maternal and Child Health include: 1) Improve access and availability of universal screenings 2) Support access to affordable healthcare and referrals for families 3) Support children's social & emotional development through easily accessible services & supports 4) Improve access and supports for healthy nutrition 5) Increase the capacity of all families to advocate for themselves and their childrenPUBLIC HEALTH EMERGENCY PREPAREDNESSFrom natural disasters to terrorism, all crises have the potential to negatively impact public health. The goal of Public Health Emergency Preparedness (PHEP) is to increase a community's ability to respond in an efficient manner to incidents in order to preserve health and wellbeing of the population. There are 15 functional areas that encompass PHEP as outlined in the CDC's Public Health Emergency Preparedness and Response Capabilities.Main takeaways from the PHEP CHA 2020: - Fewer than 12% of households in Nashua have a written disaster plan. - 97.8% of Nashua households have a smoke detector. - 19% of Nashua households feel well prepared to handle an emergency. - 40% of U.S. adults don't consider themselves prepared but plan to prepare for emergencies and 68% of U.S. adults have set aside some money for an emergency.Collectively, the main priorities under PHEP include: 1) Improving the regional communications structure 2) Increasing public health planning, exercising and training among various sectors 3) Strengthening the working relationship between the region (GNPHR) and the State of New HampshireThe full 2022 CHIP can be found through the following website, in either an interactive web-based format or as a readable PDF:https://nashuanh.gov/564/Community-Health-Improvement-Plan-CHIPThe Southern New Hampshire Health and SolutionHealth Implementation Strategy echos many of the ideas and conclusions of the Greater Nashua Health Department CHIP, focusing on these core areas: 1) Health Behaviors - Tobacco Use, Diet & Exercise, Alcohol & Drug Use, Sexual Activity. 2) Clinical Care - Access to Care, Quality of Care. 3) Social & Economic Factors - Education, Employment, Income, Family & Social Support, Community Safety. And, 4) Physical Environment - Air & Water Quality, Housing & Transit.The full Southern New Hampshire Health and SolutionHealth Implementation Strategy may be found online at:https://www.snhhealth.org/application/files/3217/3384/9839/SNHH-CHNA-Combined-2024.pdf |
| Southern New Hampshire Medical Center | Part V, Section B, Line 13b: Southern New Hampshire Medical Center offers a discount equal to the average of their three largest payors plus Medicare to all self pay patients. Discounted care is provided to all uninsured and underinsured patients. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 20e: See response for Part III, Section C, Line 9b above.Prior to placing accounts with collection agencies, Southern New Hampshire Medical Center pulls out patients who qualify for charity based on census tract data and does not place those accounts with an agency but rather awards charity or free care assistance for their encounter. |
| Southern New Hampshire Medical Center | Part V, Section B, Line 24: Southern New Hampshire Medical Center may charge patients who are having cosmetic or experimental, non-covered services gross charges for that encounter. |
| Schedule H, Part V-B, Line 16a: | Southern New Hampshire Medical Center's Financial Assistance Policy is available on the Medical Center's website, both in English and in Spanish. The policy can be found at the website addresses provided below, in the designated language:English:https://www.snhhealth.org/application/files/5217/5614/5029/updated_approved_SNHH_charitable_care_policy.pdfSpanish: https://www.snhhealth.org/application/files/1917/5621/9347/SNHH_Charitable_Care_Spanish_Version.pdf |
| Schedule H, Part V-B, Line 16b: | Southern New Hampshire Medical Center's FAP Application is available on the Medical Center's website, both in English and in Spanish. The Application can be found at the website addresses provided below, in the designated language.English:https://www.snhhealth.org/application/files/6917/3376/4787/Charitable-Care-Financial-Assistance-Application-and-Cover-Letter-ENGLISH-050321.pdfSpanish: https://www.snhhealth.org/application/files/7217/3376/4787/Charitable-Care-Financial-Assistance-Application-and-Cover-Letter-SPANISH-050321.pdf |
| Schedule H, Part V-B, Line 16c: | Southern New Hampshire Medical Center's FAP Plain Language Summary is available on the Medical Center's website at the following address:https://www.snhhealth.org/patients-and-visitors/patient-information/billing-insurance-and-paymentsSouthern New Hampshire Medical Center's financial assistance policy and other billing information can also be found at the above-listed website. |
| Schedule H, Part V, Section B, Line 7: | Access to Southern New Hampshire Medical Center's current and past CHNA reports can be found at the following web-address:https://www.snhhealth.org/about-us/about-snhh/community-engagementThe Southern New Hampshire Health System's 2023-2024 Community Health Needs Assessment and Implementation Strategy is available at the following web-address:https://www.snhhealth.org/application/files/3217/3384/9839/SNHH-CHNA-Combined-2024.pdfAdditionally, the collaborative Greater Nashua CHA, to which Southern New Hampshire Medical Center proudly contributed, can be found at the following web-address:https://nashuanh.gov/560/Community-Health-Assessment |
| Schedule H, Part V, Section B, Line 10: | Southern New Hampshire Health is dedicated to meeting the health needs of the communities it serves. We take a number of steps to fulfill this mission; we work collaboratively with the city of Nashua and other social service agencies to identify the health concerns and needs in the city and the greater Nashua region. However, Southern NH Health also completes its own community health needs assessment, building on the city's vital work. We support the city's action plan and broaden our assessment to define and address the unmet health needs in all of the 32 communities we serve. More information about these efforts can be found at the following web address:https://www.snhhealth.org/about-us/about-snhh/community-engagement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Southern NH Rehabilitation Center | ||||
| 17 Prospect Street | Nashua | NH | 03060 | Rehab |
| 2 - Southern New Hampshire Rehab - Milford | ||||
| 10 Jones Road | Milford | NH | 03055 | Rehab |
| 3 - Southern NH Rehabilitation Services | ||||
| 696 Daniel Webster Highway | Merrimack | NH | 03054 | Rehab |
| 4 - Cardiac & Pulmonary Rehab -West Campus | ||||
| 29 Northwest Boulevard | Nashua | NH | 03063 | Rehab |
| 5 - Pediatric Rehab Center | ||||
| 5 George Street | Hudson | NH | 03051 | Rehab |
| 6 - Southern NH Rehabilitation Center | ||||
| 460 Amherst Street | Nashua | NH | 03063 | Rehab |
| 7 - Southern New Hampshire Rehab - Hudson | ||||
| 300 Derry Road | Hudson | NH | 03051 | Rehab |
| 8 - Southern New Hampshire Lab Services | ||||
| 112A Spit Brook Road | Nashua | NH | 03063 | Lab |
| 9 - Southern New Hampshire Lab Services | ||||
| 33 Windham Road | Pelham | NH | 03076 | Lab |
| 10 - Southern New Hampshire Lab Services | ||||
| 280 Main Street 1st Floor | Nashua | NH | 03060 | Lab |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | Southern New Hampshire Medical Center offers a discount equal to the average of their three largest payors plus Medicare to all self-pay patients. Discounted care is provided to all uninsured and underinsured patients. |
| Part I, Line 7: | 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 area where the cost structure was specific to that service area. For those areas, our Cost Accounting system was used. |
| Part II, Community Building Activities: | Southern New Hampshire Medical Center is committed to improving the health and well-being of the Greater Nashua area and our community building activities help us achieve this goal. The board of directors is made up of community members with varied backgrounds and industries. The Hospital utilizes any surplus funds to further its mission by providing free and low-cost healthcare services, educations offerings, free screenings, support groups, and works collaboratively with other healthcare agencies to meet the identified healthcare needs of our community. Furthermore, executives of Southern New Hampshire Medical Center have been recognized for visionary leadership and their commitment to public health and healthcare excellence. The Medical Center also regularly publishes practical guidance and healthy living instructions online, as well as offering in person classes and seminars. For example, the Medical Center has begun offering instructions on the connection between mental health, depression, and weight gain; and the Medical Center routinely publishes materials on healthy eating and exercise. Additionally, Southern New Hampshire Medical Center deploys a pool of volunteers as well as its own staffing resources to further community engagement and improvement initiatives, through causes such as Holiday food drives, sexual health awareness campaigns, grief and mental health support services, and community events to bring citizens together and to fight the loneliness epidemic. Southern New Hampshire Medical Center makes an intentional effort to ensure its community and public programs reach a wide array of individuals in its service area, providing instructions, resources, and services to persons of all ages, race, or gender. |
| Part III, Line 2: | Southern New Hampshire Medical Center's Bad Debt Expense includes accounts that have been referred to a collection agency after making reasonable attempts to determine eligibility under the financial assistance policy, along with estimates of current accounts receivable based in historical experience. |
| Part III, Line 3: | A significant portion of Southern New Hampshire Medical Center's uninsured patients will be unable or unwilling to pay for the services provided. Thus, Southern New Hampshire Medical Center records a significant provision for bad debts related to uninsured patients in the period the services are provided. The FASB issued an accounting standards update that states that a health care entity that recognizes significant amounts of patient service revenue at the time services are rendered, even though it does not assess the patient's ability to pay, must present bad debts as a reduction of net patient revenue and not as a separate item in the operating expense. The ratio of cost to charge methodology was used to determine costs of these services as outlined in worksheet 2 of the instructions. Consistent with the accounting treatment mentioned above, since the system does not assess the patient's ability to pay, the cost of bad debt for those patients without any form of insurance should be classified as community benefit, consistent with charity care. |
| Part III, Line 4: | See Footnote 2 of the audited financial statements for disclosures regarding the Southern New Hampshire Health System's significant accounting policies. |
| Part III, Line 8: | 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. Southern New Hampshire Medical Center must provide those services regardless of the financial shortfall. |
| Part III, Line 9b: | Southern New Hampshire Medical Center recognizes that not all patients who qualify for financial assistance will follow through with an application for financial assistance. Prior to placing any account with a collection agency, Southern New Hampshire Medical Center uses a financial assistance qualification service to categorize patients based primarily on income and assets estimated from census tract data. Those patients whose estimated income/assets fall within Southern New Hampshire Medical Center's financial assistance guidelines are awarded charity or free care assistance for their encounter. |
| Part VI, Line 2: | Southern New Hampshire Medical Center worked with the City of Nashua Division of Public Health officials and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the Community Health Needs Assessment (CHNA).A Community Health Assessment (CHA) is a collaborative process that identifies key health needs and issues through systematic, comprehensive data collection and analysis. CHAs provide information on a variety of health topics and help identify resources which assist with policy formulation, program implementation, and evaluation. CHAs are also a crucial component of accreditation as they help measure how well a public health system is fulfilling the assurance function, one of the three fundamental purposes of public health. The Greater Nashua CHA is part of an ongoing comprehensive community health improvement process. The purpose of the CHA is to identify vulnerable populations using comparable data within the Greater Nashua Public Health Region (GNPHR) and to subsequently identify trends in health issues, environmental health hazards, and social and economic factors that affect the populations' health.Collected and analyzed data will be used to identify priority issues within the GNPHR and develop strategies for further action which are outlined in the form of a community health improvement plan (CHIP). The CHIP creates a foundation for a work plan to improve the health of the community over the course of three years' time.One of the main objectives of the most recent Community Needs Assessment's research was to determine the biggest health concerns in the community in order to determine community health priorities. The research for this report indicated that most people in the Greater Nashua Region are concerned about mental health, homelessness, substance use, access to care, air and water quality, inequities in health, access to food, public safety, education, and child abuse and neglect to be the top-ten biggest health issues of the community. |
| Part VI, Line 3: | Southern New Hampshire Medical Center complies with the Southern New Hampshire Health financial assistance policy. Southern NH Health is committed to providing charitable care to persons who have health care needs and are uninsured, underinsured, and ineligible for governmental programs and are otherwise unable to pay for medically necessary care based on their individual financial situations. Southern NH Health strives to ensure that the financial capacity of people who need health care services does not prevent them from seeking or receiving care. Charitable care is not considered to be a substitute for personal responsibility and patients are expected to cooperate with Southern NH Health's policies and procedures for obtaining charitable care and to contribute to the cost of their care based on their individual ability to pay. Patients with the financial capacity to purchase health insurance shall be encouraged to do so, as a means of access to health care services, for their overall personal health and protection of their individual assets. Since July 2010, the State of New Hampshire has mandated that any uninsured patient who receives nonelective, medically necessary hospital services are billed an amount no greater than the amount generally received from patients covered by insurance. Additionally, the 2015 Federal 501(r) regulations further require that when calculating this discount, Medicare reimbursement must be included. Therefore, Southern NH Medical Center reduces the amounts owed by uninsured patients by the uninsured discount prior to the patients receiving their first statements of balances due. These discounted balances, and not gross charges, are the balances upon which financial assistance is based, granted and classified for reporting purposes. The Patient Protection and Affordable Care Act of 2010 (PPACA) mandates insurance coverage for individuals starting on January 1, 2014. Additionally, it expands Medicaid coverage to all individuals at or below 100% of the Federal Poverty Level (FPL). The New Hampshire Legislature approved Medicaid expansion effective August 15, 2014. The Granite Advantage Health Care Program (GAHCP) extends NH Medicaid eligibility to all individuals at or below 138% of the Federal Poverty Level. The granting of charitable care shall be based on an individualized determination of financial need, and shall not take into account age, gender, race, social or immigrant status, sexual orientation or religious affiliation.At each registration point, Southern New Hampshire Medical Center 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. There is staff available on site at the hospital to assist with financial assistance, Medicaid, and Expanded Medicaid applications. We actively participate in Medicaid Exchange programs and a Prescription Assistance Program to help those with financial needs.Additional information regarding Southern New Hampshire Medical Center's financial assistance policies can be found on the Southern New Hampshire Health website, as provided on this Schedule H. |
| Part VI, Line 4: | Southern New Hampshire Medical Center serves people of all ages, race, gender, religion, ethnicity regardless of their ability to pay. Southern New Hampshire Health'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).For its 2024 tax year (fiscal year ending June 2025), Southern New Hampshire Medical Center continued to refer and rely on the collaborative Greater Nashua 2023 Community Health Assessment that was prepared and informed in association with the City of Nashua. The four geographies mentioned most often throughout this report are the City of Nashua, the Greater Nashua Public Health Region ("GNPHR"), Hillsborough County, and the State of New Hampshire (NH). Throughout the State of NH, there are 13 public health regions. The GNPHR is composed of the City of Nashua and its 12 surrounding towns which include Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Mason, Merrimack, Milford, Mont Vernon, Pelham, and Wilton. The mission of the Greater Nashua Public Health Network (GNPHN) is to facilitate access to programs and services that develop resiliency, promote healthy behaviors, and safeguard the health of the GNPHR through partner engagement and collaboration.As of 2023, the combined population of the Greater Nashua Region was estimated to be about 218,000 individuals (about 91,000 in the City of Nashua). To gauge the demographics of this region, the CHA used a variety of survey and online-polling tools. The 2023 CHA revealed the following demographic information: - The median age in the covered community is 40.1 years old. - The general population by sex and gender is evenly split at 50% male and 50% female. - Approximately 7.5% of the GNPHR population are veterans. - The median household income in Nashua, NH is about $89,000; about $113,000 in the GNPHR; and about $91,000 in NH, state-wide. - Approximately 8% of people in Nashua live in poverty, compared to 5% in the GNPHR and 7% in NH state-wide. - Over 92% of the population in Nashua and over 94% in GNPHR have obtained a high school degree, compared to 93.8% in NH state-wide and to 89.1% in the United States on average. - Furthermore, over 40% of people in Nashua and 43% of people in the GNPHR have obtained a college degree, compared to 39% in NH state-wide and to 34.3% in the United States on average. - Approximately 4-5% of people in the GNPHR are unemployed. - The majority of citizens in the GNPHR are white; approximately 27% of people in Nashua and 17.2% of people in the GNPHR identify as a person of color. - Approximately 9.7% of people in the GNPHR identify as foreign born, and 4% of people self-identify as speaking English "less than very well". |
| Part VI, Line 5: | Southern New Hampshire Medical Center provides a variety of services that promote the health of the greater Nashua community. Throughout the year we hold Community Medical Education seminars that offer area residents an opportunity to look behind the scenes of medicine and learn more about the latest medical technology, research and advances. We also perform free public health screenings, such as impact testing for sports teams at local schools, and balance and hearing screenings for the elderly. Our commitment to community health is also evident in the time our leadership spends on the boards of several local health organizations to help improve and promote health services available to area residents.While the COVID-19 Pandemic naturally came to the forefront of Southern New Hampshire Medical Center's community health and care programs over some of its most recent years, Southern New Hampshire Medical Center continued to engage its community and to promote the wellbeing of its fellow citizens throughout the year on a variety of levels. For example, Southern New Hampshire Medical Center continued to focus its attention on educating, maintaining, and supporting a highly educated and competent workforce. Additionally, Southern New Hampshire Medical Center continued to advocate for community safety, nutrition, and personal wellness.Additionally, Southern New Hampshire Medical Center continues to focus its community health promotion efforts on the core health concern causes and risk factors identified in its community health assessments and implementation strategies. This includes efforts and services to address: mental and behavioral health; access to care; health education; and social, economic, and physical environmental factors. For example, in furtherance of these causes, Southern New Hampshire Medical Center routinely publishes resources that advise on matters of weight, dietary health, exercise, sexual health, aging in excellence, the value of social connectedness, cancer risks, and childhood health initiatives. The Medical Center provides these resources both online and in-person and ensures such community health initiatives are accessible to the diverse range of populations within the Medical Center's community. |
| Part VI, Line 6: | Southern New Hampshire Health System, Inc. is a not-for-profit entity organized to support Southern NH Medical Center and Foundation Medical Partners, Inc. Both Southern New Hampshire Medical Center and Foundation are not-for-profit entities, established to provide medical services to the people of the greater Nashua area.On April 30, 2018 Southern New Hampshire Health System became part of the new non-profit healthcare organization named SolutionHealth. This new non-profit healthcare entity is the combination of two New Hampshire non-profit health care organizations, Elliot Health System (EHS) and Southern New Hampshire Health System (SNHHS), combining together to protect the future sustainability of accessible, comprehensive, value-based clinical care. SolutionHealth is a regional healthcare system with a governing body with members from both EHS and SNHHS. This new organization services over 400,000 community members, is located in the two largest and most diverse cities in New Hampshire and employs over 700 physicians and advanced practice providers in New Hampshire.Additionally, Southern New Hampshire Medical Center frequently and actively collaborates with the City of Nashua Division of Public Health and Community Services as well as other similarly geographically located institutions to enhance the quality and availability of care throughout New Hampshire. |
| Part VI, Line 7, Reports Filed With States | NH |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| John E Friberg Esq | ||||||||||||||
| Interim CEO, SolutionHealth | $0 | $568,989 | $0 | $398,120 | $0 | $105,379 | $0 | $87,501 | $0 | $40,868 | $0 | $1,200,857 | $0 | $0 |
| Colin T McHugh | ||||||||||||||
| SNHMC President/CEO/Secretary | $345,389 | $0 | $268,557 | $0 | $275,259 | $0 | $16,500 | $0 | $38,604 | $0 | $944,309 | $0 | $0 | $0 |
| Michael Turilli | ||||||||||||||
| SVP/CFO, SolutionHealth | $0 | $568,644 | $0 | $196,136 | $0 | $19,053 | $0 | $94,056 | $0 | $29,145 | $0 | $907,034 | $0 | $0 |
| Joseph M Leahy DO | ||||||||||||||
| Physician | $462,559 | $0 | $164,961 | $0 | $95,285 | $0 | $16,500 | $0 | $50,015 | $0 | $789,320 | $0 | $0 | $0 |
| Salvatore Vella Jr | ||||||||||||||
| Chief Medical Officer | $0 | $482,684 | $0 | $150,500 | $0 | $41,992 | $0 | $6,600 | $0 | $52,617 | $0 | $734,393 | $0 | $0 |
| Karen Maynard MD | ||||||||||||||
| Trustee | $0 | $636,897 | $0 | $0 | $0 | $4,323 | $0 | $13,835 | $0 | $48,028 | $0 | $703,083 | $0 | $0 |
| Susan T Santana | ||||||||||||||
| SVP/Chief Nursing Officer | $298,910 | $0 | $112,000 | $0 | $52,185 | $0 | $15,321 | $0 | $1,160 | $0 | $479,576 | $0 | $0 | $0 |
| Brett Sweeney MD | ||||||||||||||
| Trustee | $409,608 | $0 | $10,000 | $0 | $23,422 | $0 | $16,500 | $0 | $4,584 | $0 | $464,114 | $0 | $0 | $0 |
| Patrick Lee MD | ||||||||||||||
| Physician | $345,097 | $0 | $10,000 | $0 | $36,334 | $0 | $16,500 | $0 | $43,643 | $0 | $451,574 | $0 | $0 | $0 |
| Erica Lavoie | ||||||||||||||
| Physician | $383,076 | $0 | $10,000 | $0 | $576 | $0 | $0 | $0 | $3,174 | $0 | $396,826 | $0 | $0 | $0 |
| Linda Hatch MD | ||||||||||||||
| Physician | $330,218 | $0 | $0 | $0 | $310 | $0 | $14,850 | $0 | $39,238 | $0 | $384,616 | $0 | $0 | $0 |
| Kenneth Matsis | ||||||||||||||
| VP Finance, Southern NH Health | $0 | $198,175 | $0 | $50,312 | $0 | $9,523 | $0 | $0 | $0 | $34,880 | $0 | $292,890 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | Southern New Hampshire Medical Center may from time-to-time use the facilities at the Nashua Country Club for meetings and other business related purposes. The Club does not have a corporate membership; therefore, an individual associated with Southern New Hampshire Medical Center must be a member of the Club. Historically the Medical Center has maintained this membership in the CEO's name, and invoices are addressed to the CEO, not Southern New Hampshire Medical Center. Southern New Hampshire Medical Center pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members. |
| Part I, Line 4b | Southern New Hampshire Medical Center and Foundation Medical Partners each provide a Section 457(f) Supplemental Executive Retirement Plan to certain executives. The following persons, as listed on this Form 990, Part VII, are participants in these 457(f) plans: - Brett Sweeney. - Susan Santana. - Patrick Lee. Contributions to the 457(f) plan are included in the recipients' 2024 Form W-2, Box 5 wages when paid, and are also included in the amounts reported on this Form 990, Schedule J, Part II, Column B(iii), for any applicable persons. However, while the above-named individuals participated in these 457(f) plans, they received no contributions or deferrals to their plans in this reporting period. Accordingly, no amounts reported on this year's Form 990, Schedule J, Part II relate to the above-named individuals' 457(f) plans. Additionally, SolutionHealth, the parent-organization of Southern New Hampshire Health System, also maintains a 457(f) deferred compensation plan. The following individuals, each of whom qualify as either an officer, director, trustee, key employee, or highest compensated employee on this Form 990, Part VII, participated in the SolutionHealth 457(f) deferred compensation plans during the 2024 calendar year. - Michael Turilli. - John Friberg. - Kenneth Matsis. Michael Turilli received contributions to his 457(f) plan in the 2024 calendar year of $87,156. John Friberg received contributions to his 457(f) plan in the 2024 calendar year of $80,601. Their respective 457(f) plan contributions are included within the amounts disclosed on this Schedule J, Part II, Column C, as Deferred Compensation. Kenneth Matsis did not receive any contributions to his 457(f) plan in the 2024 calendar year. Therefore, while Mr. Matsis participated in the 457(f) plan during this Form 990 reporting period, no amounts are reported on this year's Form 990, Schedule J, Part II, due to Mr. Matsis's participation in the plan. |
| Part 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. The amount 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. |
| Unrelated Organization Compensation | Marc Sadowsky, is also the Medical Director of the Medical Center's Electro Convulsive Therapy (ECT) unit. During Calendar year 2024, Southern New Hampshire Medical Center paid New England Neurological Association $48,800 in in return for ECT and weekend coverage provided by Dr. Sadowsky to the Southern New Hampshire Health System. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NHHEF Authority | ||||||||
| A | 020279866 | 6446147E3 | 2016-11-01 | $59,345,000 | Refunding | 0 | 0 | 0 |
| NHHEF Authority | ||||||||
| B | 020279866 | 2019-08-30 | $24,500,000 | Equipment purchase | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Total ProceedsTotalProceedsAmt |
|---|---|---|---|---|---|---|---|---|---|
| A | $15,705,000 | $59,345,000 | $199,985 | $59,145,015 | 0 | Yes (1) | Yes (1) | Yes (1) | |
| B | $13,717,843 | $37,729 | $24,462,271 | 0 | 0 | Yes (1) | Yes (1) | $24,500,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center (SNHMC) and the two (2) organizations have identical boards with the exception of one (1) additional member, who is a physician, serving solely on the SNHMC board. |
| Form 990, Part VI, Section A, line 7a | Southern New Hampshire Medical Center is governed by the Board of Trustees, who are elected by the Trustees of its sole member Southern New Hampshire Health System, Inc. |
| Form 990, Part VI, Section A, line 7b | The sole Member, Southern New Hampshire Health System, Inc. (SNHHS), may consider any issue that may properly come before any meeting of Southern New Hampshire Medical Center (the Medical Center). In addition to any rights and powers conferred on SNHHS by law or these bylaws, The Medical Center, and in the bylaws of SNHHS, SNHHS shall, after due consultation with the Board of Trustees of the Medical Center: (a) appoint and remove, with or without cause, the President/Chief Executive Officer of the Medical Center, subject to ratification of the Board of Trustees of the Medical Center; (b) conduct system-wide strategic planning encompassing all corporations, including the Medical Center, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise a system-wide strategic plan that, among other things, established strategic priorities for the Medical Center; (c) conduct system-wide financial and capital planning encompassing all corporations, including the Medical Center, of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise system-wide financial plans and operating and capital improvements budget that, among other things, establish financial and budgetary priorities of the Medical Center; (d) periodically conduct by appropriate means an evaluation of the performance of each member of a board of trustees of all corporations, including the Medical Center, of which SNHHS is the sole corporate member, the results of which shall be used by the SNHHS Governance Committee to determine the Trustee's continued service on such board of trustees. The business and affairs of the Medical Center shall be managed by its board of trustees. The Medical Center's board, however, shall not, without approval of SNHHS: (a) elect or appoint the members of the Medical Center's Board of Trustees or remove such person serving from time to time in that capacity; (b) adopt or amend the Medical Center's Mission Statement; (c) adopt, amend or waive any material provision of the Medical Center's strategic plan or any annual operating or capital improvements plan or budget; (d) incur indebtedness for borrowed money or enter into any capital lease obligation, in either case, that has not been specifically set forth in a written operating budget approved previously by the Member where the amount of the obligation exceeds $1,000,000 in amount; (e) enter into, agree to enter into or otherwise approve of any transaction including an incorporation, merger, consolidation, affiliation, dissolution, liquidation or sale of substantially all of the assets of the Corporation; (f) authorize expenditures contained in a capital and operating budget, even if previously approved by the Board of Trustees of the Medical Center; (g) approve, adopt or enter into a professional or general service contract where the annual expense to the Medical Center exceeds $1,000,000 and that has not been previously approved in SNHMC's annual budget; (h) amend the Articles of Agreement or these Bylaws; (i) acquire or agree to acquire by merging, consolidating with or by purchasing substantially all of the assets of any business or corporation, partnership, joint venture, association, business organization or division thereof; and (j) elect or remove officers of the Medical Center. |
| Form 990, Part VI, Section B, line 11b | A copy of the 990 was presented to the full Board and approved by the Finance Committee of the Board of Trustees prior to submission. |
| Form 990, Part VI, Section B, line 12c | The organization requires all its personnel, including Leaders, to formally acknowledge that they have read and will abide by our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNHMC monitors compliance of its conflict of interest process, which requires completion of disclosure forms by all Leaders on an annual basis or on a reappointment basis (every two years) for medical/allied staff, to ensure full compliance. Interim disclosures are also required and reviewed should a subsequent conflict arise. Any related party disclosures require review and approval by a designated committee. Compliance reports are provided to SNHHS/SNHMC's compliance committee and Board of Trustees. |
| Form 990, Part VI, Section B, line 15 | The compensation of the CEO and CFO is evaluated by an outside consultant. The compensation of the CEO is approved by the Executive Compensation Committee of the Board and the Board of Trustees. A market analysis is performed for all key employees on an annual basis. Once the CEO and CFO approve the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board. |
| Form 990, Part VI, Section C, line 19 | The organization makes its 990 and 990-T available for inspection upon request. The Code of Conduct is also available on the organization's website. The Code of Conduct addresses certain corporate policies including confidentiality, conflict of interest, patient rights and other governing documents. The organization also makes all relevant documents available to the public upon request. |
| Form 990, Part IX, line 11g | Corporate allocation: Program service expenses 72,488,570. Management and general expenses 0. Fundraising expenses 0. Total expenses 72,488,570. Service contracts: Program service expenses 3,436,033. Management and general expenses 635,510. Fundraising expenses 0. Total expenses 4,071,543. Contracted medical services: Program service expenses 1,711,149. Management and general expenses 316,485. Fundraising expenses 0. Total expenses 2,027,634. |
| Form 990, Part XI, line 9: | Pension adjustment 728,013. Transfers to affiliates -38,084,162. |
| Form 990, Part XII, Line 2c: | The audit process has not changed from the prior year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Elliot Health System | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020509911 | Management | NH | 501(c)(3) | Line 12b, II | SolutionHealth | 0 | |
| Elliot Health System Professional & General LIT | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 016217452 | Insurance Trust | NH | 501(c)(3) | Line 12a, I | Elliot Hospital | 0 | |
| Elliot Hospital | |||||||||||
| One Elliot Way | Manchester | NH | 03103 | 020232673 | Medical Services | NH | 501(c)(3) | Line 3 | Elliot Health System | 0 | |
| Elliot Physician Network | |||||||||||
| 10 Prospect Street | Manchester | NH | 03109 | 020509589 | Physician Services | NH | 501(c)(3) | Line 3 | Elliot Hospital | 0 | |
| Elliot Professional Services Network Inc | |||||||||||
| 10 Prospect Street | Manchester | NH | 03109 | 331003630 | Physician Services | NH | 501(c)(3) | Line 10 | Elliot Hospital | 0 | |
| Everwell Inc | |||||||||||
| 1 Medical Center Drive | Lebanon | NH | 03756 | 352506275 | Supporting Organization | NH | 501(c)(3) | Line 12a, I | 0 | N/A | |
| Foundation Medical Partners Inc | |||||||||||
| 8 Prospect Street | Nashua | NH | 03060 | 020456218 | Physician Services | NH | 501(c)(3) | Line 10 | SNHHS | 0 | |
| Home Health and Hospice Care | |||||||||||
| 7 Executive Park Drive | Merrimack | NH | 03054 | 237331452 | Home Care and Hospice | NH | 501(c)(3) | Line 7 | SolutionHealth | 0 | |
| Legacy Trust of Southern New Hampshire Health Inc | |||||||||||
| 8 Prospect Street | Nashua | NH | 03060 | 844779887 | Fundraising | NH | 501(c)(3) | Line 7 | SNHHS | 0 | |
| Mary and John Elliot Charitable Foundation | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020512229 | Fundraising | NH | 501(c)(3) | Line 7 | Elliot Health System | 0 | |
| SolutionHealth | |||||||||||
| 360 Route 101 Unit 8 | Manchester | NH | 03110 | 830741190 | Supporting Organization | NH | 501(c)(3) | Line 12a, I | 0 | N/A | |
| Southern New Hampshire Health System | |||||||||||
| 8 Prospect Street | Nashua | NH | 03060 | 020509221 | Medical Services | NH | 501(c)(3) | Line 12b, II | SolutionHealth | 0 | |
| The Surgery Center of Greater Nashua | |||||||||||
| 10 Prospect Street | Nashua | NH | 03060 | 461084049 | Medical Services | NH | 501(c)(3) | Line 3 | SNHHS | 0 | |
| VNA Home Health and Hospice Services Inc | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020222241 | Home Care and Hospice | NH | 501(c)(3) | Line 10 | Elliot Health System | 0 | |
| VNA of Manchester & Southern NH Inc | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020395296 | VNA Holding Company | NH | 501(c)(3) | Line 12b, II | Elliot Health System | 0 | |
| VNA Personal Services Inc | |||||||||||
| 1070 Holt Avenue Unit 1 Suite 2100 | Manchester | NH | 03109 | 020395295 | Private Health and Homemaker Services | NH | 501(c)(3) | Line 10 | Elliot Health System | 0 | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elliot Common Trust Fund LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Elliot Way | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03103 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 203653624 | EIN |
| Primary Activities | Investments | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Elliot Health System Holdings & Subsidiaries | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1070 Holt Avenue Unit 1 Suite 2100 | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020512224 | EIN |
| Primary Activities | Management | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |