SOUTHERN NEW HAMPSHIRE MEDICAL CENTER: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: SOUTHERN NEW HAMPSHIRE MEDICAL CENTER (EIN 02-0483054)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-03-28
IRS object ID: 201910879349300516
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-03-28T10:42:03-05:00	ReturnTs
Tax Period End	2018-09-30	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 LLC	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	2017-10-01	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 St PO Box 2014	AddressLine1Txt
City	Nashua	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	030612014	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Michael S Rose	PersonNm
Person Title	President/CEO	PersonTitleTxt
Phone	6035772000	PhoneNum
Signature	2019-03-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	8002447444	PhoneNum
Preparation	2019-03-08	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	208.105.168.164	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2019-03-08	IPDt
IP Tm	15:36:54	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	86AD5A998A217BD7885303F5109AB5202568ED7D	AtSubmissionCreationDeviceId
At Submission Filing Device Id	86AD5A998A217BD7885303F5109AB5202568ED7D	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Michael S Rose	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	8 Prospect St PO Box 2014	AddressLine1Txt
City	Nashua	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	030612014	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$298,039,098	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 committed to improving, maintaining, and preserving the overall health and well being of individuals living in the Greater Nashua area by providing information, education, and access to exceptional health and medical care services.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	1892	TotalEmployeeCnt
Total Volunteers	361	TotalVolunteersCnt
Total Gross UBI	$436,783	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$12,527	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$343,654	PYContributionsGrantsAmt
CY Contributions Grants	$323,381	CYContributionsGrantsAmt
PY Program Service Revenue	$234,127,511	PYProgramServiceRevenueAmt
CY Program Service Revenue	$248,430,976	CYProgramServiceRevenueAmt
PY Investment Income	$8,628,371	PYInvestmentIncomeAmt
CY Investment Income	$11,343,724	CYInvestmentIncomeAmt
PY Other Revenue	$1,809,131	PYOtherRevenueAmt
CY Other Revenue	$4,716,242	CYOtherRevenueAmt
PY Total Revenue	$244,908,667	PYTotalRevenueAmt
CY Total Revenue	$264,814,323	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	$111,429,737	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$117,811,534	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$84,930,116	PYOtherExpensesAmt
CY Other Expenses	$91,769,527	CYOtherExpensesAmt
PY Total Expenses	$196,359,853	PYTotalExpensesAmt
CY Total Expenses	$209,581,061	CYTotalExpensesAmt
PY Revenues Less Expenses	$48,548,814	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$55,233,262	CYRevenuesLessExpensesAmt
Total Assets BOY	$404,931,478	TotalAssetsBOYAmt
Total Assets EOY	$414,067,791	TotalAssetsEOYAmt
Total Liabilities BOY	$159,273,739	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$141,317,296	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$245,657,739	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$272,750,495	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Southern New Hampshire Medical Center is committed to improving, maintaining, and preserving the overall health and well being of individuals living in the Greater Nashua area by providing information, education, and access to exceptional health and medical care services.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$165,440,458	ExpenseAmt
Revenue	$251,797,474	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 9,895 inpatient admissions, 236,097 outpatient registrations, 40,918 emergency room visits, 5,330 surgical procedures, and 1,230 births.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,880,600	ExpenseAmt
Desc	Charity Care ($3,179,899) and other uncompensated care ($2,700,701) at cost.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$2,434,599	ExpenseAmt
Desc	Community health services and health professional education.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$173,755,657	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
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
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 With Officer Ent	0	BusinessRlnWithOfficerEntInd
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	241	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1892	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	13	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
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	Paul Trainor	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6032819290	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 (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Melliyal Annamalai
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Robert B Eisenberg
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Colleen P Guiry MD
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Holly J Harmon-Morse
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Mary Jordan
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Martha E O'Neill Esq
Trustee (part year)	1.00	2.00	Yes (X)	$0	$0	$0
Marc Sadowsky MD
Trustee	1.00	2.00	Yes (X)	$30,600	$0	$0
Marlene Santiago MD
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
James K Steiner
Trustee (part year)	1.00	2.00	Yes (X)	$0	$0	$0
Charla B Stevens Esq
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Praveen K Suchdev MD
Trustee (part year)	1.00	2.00	Yes (X)	$0	$0	$0
John J Sullivan
Trustee	1.00	2.00	Yes (X)	$0	$0	$0
Timothy C Sullivan Esq
Trustee	1.00	1.00	Yes (X)	$0	$0	$0
Timothy J Whitaker
Board Chair	2.00	1.00	Yes (X)	$0	$0	$0	Yes (X)
Thomas A Pursch
Board Vice Chair	2.00	2.00	Yes (X)	$0	$0	$0	Yes (X)
Michael S Rose
Pres./CEO & Secretary	40.00	2.00	Yes (X)	$664,611	$0	$119,741	Yes (X)
Paul Trainor
Treasurer	40.00	2.00		$388,142	$0	$53,515	Yes (X)
Susan DeSocio
Pres. Foundation Medical	40.00	1.00		$390,208	$0	$78,110		Yes (X)
Andrew Watt
Assoc. VP Med. Info.	40.00	1.00		$394,453	$0	$32,972		Yes (X)
Joseph M Leahy MD
Physician	40.00	0.00		$429,394	$0	$39,650		Yes (X)
Dilip Yarabothu MD
Physician	40.00	0.00		$354,542	$0	$39,538		Yes (X)
Daniel Weidner MD
Physician	40.00	0.00		$339,616	$0	$49,223		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,991,566	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$412,749	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	129	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
Cerner Corporation
51 Sawyer Road	Waltham	MA	02453	System Support	$1,676,689
Weatherby Locum
6451 North Federal Highway Suite 8	Fort Lauderdale	FL	33308	Healthcare Staffing	$1,457,067
Arup Laboratory
500 Chipeta Way	Salt Lake City	UT	84108	Lab Services	$980,208
Fulcrum Associates
5 Tech Circle	Amherst	NH	03031	Construction	$952,538
Sodexo Inc
9801 Washington Boulevard	Gaithersburg	MD	20878	Food Services	$896,773

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	19	CntrctRcvdGreaterThan100KCnt
All Other Contributions	$323,381	AllOtherContributionsAmt
Total Contributions	$323,381	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Hospital Services	621110	$259,713,511	$259,713,511
Provision for Bad Debt	621110	-$11,282,535	-$11,282,535

Field	Value	IRS element (for citing)
Total Program Service Revenue	$248,430,976	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,439,257	TotalRevenueColumnAmt
Exclusion	$10,439,257	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$4,387,627	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	$4,387,627	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,387,627	TotalRevenueColumnAmt
Related Or Exempt Func Income	$3,349,532	RelatedOrExemptFuncIncomeAmt
Exclusion	$1,038,095	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$34,129,242	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$33,224,775	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$904,467	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$904,467	TotalRevenueColumnAmt
Exclusion	$904,467	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
Ancillary- NE Rehab Food Services	722210	$350,524	$350,524
Ancillary- NE Rehab Environmental	811000	$80,018	$80,018
Loss on Bond Refunding	900099	-$125,134		-$125,134

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$23,207	TotalRevenueColumnAmt
Related Or Exempt Func Income	$16,966	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,241	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$328,615	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$264,814,323	TotalRevenueColumnAmt
Related Or Exempt Func Income	$251,797,474	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$436,783	UnrelatedBusinessRevenueAmt
Exclusion	$12,256,685	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,226,009	TotalAmt
Management And General	$1,226,009	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$100,008,888	TotalAmt
Program Services	$82,874,170	ProgramServicesAmt
Management And General	$17,134,718	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,136,126	TotalAmt
Program Services	$1,770,139	ProgramServicesAmt
Management And General	$365,987	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$7,654,253	TotalAmt
Program Services	$6,342,834	ProgramServicesAmt
Management And General	$1,311,419	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,786,258	TotalAmt
Program Services	$5,623,555	ProgramServicesAmt
Management And General	$1,162,703	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$294,089	TotalAmt
Management And General	$294,089	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$106,792	TotalAmt
Management And General	$106,792	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$12,669,230	TotalAmt
Program Services	$10,498,586	ProgramServicesAmt
Management And General	$2,170,644	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,178,437	TotalAmt
Management And General	$1,178,437	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$720,567	TotalAmt
Management And General	$720,567	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,354,184	TotalAmt
Program Services	$1,950,837	ProgramServicesAmt
Management And General	$403,347	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,324,419	TotalAmt
Program Services	$4,412,176	ProgramServicesAmt
Management And General	$912,243	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$131,635	TotalAmt
Program Services	$109,082	ProgramServicesAmt
Management And General	$22,553	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$454,806	TotalAmt
Program Services	$376,883	ProgramServicesAmt
Management And General	$77,923	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,545,083	TotalAmt
Program Services	$2,109,029	ProgramServicesAmt
Management And General	$436,054	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$5,212,507	TotalAmt
Program Services	$5,212,507	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$11,861,044	TotalAmt
Program Services	$9,828,868	ProgramServicesAmt
Management And General	$2,032,176	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,401,054	TotalAmt
Program Services	$1,161,009	ProgramServicesAmt
Management And General	$240,045	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
Supplies	$28,827,322	$23,888,281	$4,939,041
New Hampshire Medicaid	$12,322,604	$12,322,604
Repairs and Maintenance	$1,881,894	$1,559,465	$322,429
Food Services	$910,970	$754,892	$156,078

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,572,890	TotalAmt
Program Services	$2,960,740	ProgramServicesAmt
Management And General	$612,150	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$209,581,061	TotalAmt
Program Services	$173,755,657	ProgramServicesAmt
Management And General	$35,825,404	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$26,894,181	BOYAmt
EOY	$34,672,697	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$14,663,521	BOYAmt
EOY	$8,766,707	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,839,833	BOYAmt
EOY	$26,087,823	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,190,760	BOYAmt
EOY	$3,413,584	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$5,739,154	BOYAmt
EOY	$6,282,930	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$291,501,496	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$173,709,081	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$116,504,331	BOYAmt
EOY	$117,792,415	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$199,098,734	BOYAmt
EOY	$200,751,507	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$5,336,788	BOYAmt
EOY	$4,582,276	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,664,176	BOYAmt
EOY	$11,717,852	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$404,931,478	BOYAmt
EOY	$414,067,791	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$46,666,467	BOYAmt
EOY	$53,138,309	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$1,845,556	BOYAmt
EOY	$1,398,803	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$92,671,034	BOYAmt
EOY	$70,365,755	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,090,682	BOYAmt
EOY	$16,414,429	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$159,273,739	BOYAmt
EOY	$141,317,296	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$243,062,962	BOYAmt
EOY	$270,217,669	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$229,263	BOYAmt
EOY	$167,313	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,365,514	BOYAmt
EOY	$2,365,513	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$245,657,739	BOYAmt
EOY	$272,750,495	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$404,931,478	BOYAmt
EOY	$414,067,791	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$55,233,262	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,045,345	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$30,185,851	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	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

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	$30,113	GrantsOtherOrganizationsAmt
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$30,113	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	22.98% of dues to American Hospital Association and 21.69% of dues to New Hampshire Hospital Association are available for lobbying expenses.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$92,152,052	BeginningYearBalanceAmt
Investment Earnings Or Losses	$8,946,104	InvestmentEarningsOrLossesAmt
End Year Balance	$101,098,156	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,781,493	BeginningYearBalanceAmt
Investment Earnings Or Losses	$10,370,559	InvestmentEarningsOrLossesAmt
End Year Balance	$92,152,052	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$74,065,311	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7,716,182	InvestmentEarningsOrLossesAmt
End Year Balance	$81,781,493	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$75,259,613	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,194,302	InvestmentEarningsOrLossesAmt
End Year Balance	$74,065,311	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$68,039,314	BeginningYearBalanceAmt
Investment Earnings Or Losses	$7,220,299	InvestmentEarningsOrLossesAmt
End Year Balance	$75,259,613	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.97660	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.02340	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	$15,029,319	OtherCostOrOtherBasisAmt
Book Value	$15,029,319	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$165,133,845	OtherCostOrOtherBasisAmt
Depreciation	$88,694,693	DepreciationAmt
Book Value	$76,439,152	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,129,399	OtherCostOrOtherBasisAmt
Depreciation	$2,237,224	DepreciationAmt
Book Value	$1,892,175	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$103,275,424	OtherCostOrOtherBasisAmt
Depreciation	$82,777,164	DepreciationAmt
Book Value	$20,498,260	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,933,509	OtherCostOrOtherBasisAmt
Book Value	$3,933,509	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$117,792,415	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Unearned Income - MOB	$106,378
Insurance Reserves	$6,262,551
Other Liabilities SERP	$1,224,953
Accrued Pension Expense - LT	$5,691,727
457 (B) Deferred Comp Plan	$3,128,820

Field	Value	IRS element (for citing)
Total Liability	$16,414,429	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 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 had 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	$3,423,146	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,423,146	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$36,102,183	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,161,074	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$11,941,109	NetCommunityBenefitExpnsAmt
Total Expense	0.05700	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,525,329	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,161,074	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,364,255	NetCommunityBenefitExpnsAmt
Total Expense	0.07330	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$107,474	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$107,474	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,385,338	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,385,338	NetCommunityBenefitExpnsAmt
Total Expense	0.00660	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,667,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,822,248	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,844,802	NetCommunityBenefitExpnsAmt
Total Expense	0.00880	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$694,303	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$694,303	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,854,165	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,822,248	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,031,917	NetCommunityBenefitExpnsAmt
Total Expense	0.01920	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$45,379,494	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,983,322	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,396,172	NetCommunityBenefitExpnsAmt
Total Expense	0.09250	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$129,085	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$129,085	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,417	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$113,417	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,982	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,982	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$247,484	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$247,484	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,282,535	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,700,701	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$58,004,876	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$68,746,083	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$10,741,207	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	17	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	www.snhhealth.org/community-health	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	17	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	www.snhhealth.org/community-health	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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Southern New Hampshire Medical Center	Part V, Section B, Line 5: During the process of developing the Community Health Needs Assessment, Nashua residents, medical providers and key leaders in the community were asked to rank the health of the community and to prioritize the needs. The Assessment used a a survey of area residents, conducted by the City of Nashua Department of Public Health, and based on the Centers for Disease Control and Prevention's Community Assessment for Public health Emergency Response (CASPER). The survey process consisted of a two-stage random cluster sampling technique, with one-on-one interviews conducted by survey volunteers: the first stage consisted of interviews with individuals from 7 randomly selected households from each of 30 random census block groups. The second stage, responsive to low completion rates from stage 1, allowed volunteers to seek participation from every third house in each census tract. All participants were asked for answers to 41 health-related questions. The Assessment also draws from additional resources, including Emergency Department and Inpatient Hospitalizations Database, New Hampshire Behavioral Risk Factor Surveillance System, New Hampshire Youth Risk Behavioral System, New Hampshire Environmental Public Health Tracking Program/Environmental Health Data Integration Network, New Hampshire Trauma and Emergency Medical Services Information Systems, and data from the U.S. Census Bureau.
Southern New Hampshire Medical Center	Part V, Section B, Line 6a: The Hospital's Community Health Needs Assessment was a collaboration of City of Nashua Health Department, Dartmouth-Hitchcock Nashua, and other stakeholders, including St. Joseph Hospital. The Medical Center prepared its own separate assessment, based on that information.
Southern New Hampshire Medical Center	Part V, Section B, Line 6b: The Hospital's Community Health Needs Assessment was a collaboration of City of Nashua Health Department, Dartmouth-Hitchcock Nashua, and other stakeholders, including St. Joseph Hospital. The Medical Center prepared its own separate assessment, based on that information.
Southern New Hampshire Medical Center	Part V, Section B, Line 11: The top needs that were identified in the Community Health needs assessment were Mental Health/Substance Abuse, Weight Management & Nutrition, and Access to and Coordination of Care. We have addressed these needs in the following manner:Mental Health/Substance Abuse - Southern New Hampshire Health recently expanded our inpatient behavioral health unit from 12 to 18 beds. We also expanded our Partial Hospital Program and opened an Intensive Outpatient Addiction program to address substance misuse in the community. Our Acute Community Crisis Evaluation System is available 24/7 to assist in assessment and triage of patients in crisis. There are staffed Psychiatrists that assist with treatment and evaluation of patients that are inappropriate for the voluntary unit. Additionally, we increased access to continuum of care for mental health and substance use disorders as part of the Delivery System Reform Incentive Program (DSRIP) 1115 Waiver. This allowed us to work with 30 community partners to improve access to behavioral health services in the greater Nashua community. We also constructed an Annex for psychiatric patients to provide them care in the most appropriate setting. Lastly, we are in discussions with health partners regarding protocol screening and diagnosis for clinical depression.Access to and Coordination of Care - Southern New Hampshire Health established multiple Immediate Care Locations within our service area to enhance access to timely care. Southern New Hampshire Health has taken steps to open new locations in Pepperrell, Mass, and Amherst, New Hampshire since 2016. There is staff available on site at the hospital to assist with Medicaid & Expanded Medicaid applications. We actively participate in Medicaid Exchange programs and a Prescription Assistance Program to help those with financial needs. Southern New Hampshire Health has partnered with Massachusetts General Hospital to provide local access to over 35 Boston area specialists. Our OB/GYN Residency program expands access to Woman's Health for low income patients in collaboration with Lamprey. We also have Interpreter Services available 24/7 for those who need it.Opportunities for Health Living/Obesity - Southern New Hampshire Health supports a variety of health programs in the community, such as Granite State Fit Kids, Prescribe the "Y and Fitness 4 Everybody. All Pediatric practices record weight and there is a protocol in the ED to record weight on all patients < 18 years old. Various health and fitness classes are offered to the public at our facility during the course of the year. Our Primary Care practices are providing community based programs and have partnered with Massachusetts General Hospital on a pediatric obesity project.For more information on how Southern New Hampshire Medical Center is addressing the needs identified in the CHNA, our Implementation Strategy is available on our website at www.SNHHS.org/CHNA.
Southern New Hampshire Medical Center	Part V, Section B, Line 13b: Southern New Hampshire Medical Center offers a discount equal to theaverage 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 their website at: English: https://www.snhhealth.org/SNHH/media/Documents/Charitable-Care-English_ISO-Format_4.pdf Spanish: https://www.snhhealth.org/SNHH/media/Documents/Charitable-Care-Spanish_ISO-format_4.pdf
Schedule H, Part V-B, Line 16b:	Southern New Hampshire Medical Center's FAP Application is available on their website at:English: https://www.snhhealth.org/SNHH/media/Documents/SNHH-financial-assistance-application-(english).pdfSpanish: https://www.snhhealth.org/SNHH/media/Documents/SNHH-financial-assistance-application-(spanish).pdf
Schedule H, Part V-B, Line 16c:	Southern New Hampshire Medical Center's FAP Plain Language Summary is available on their website at:https://www.snhhealth.org/billing-and-insurance/get-help-paying-for-care

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 New Hampshire Rehab - Hudson
300 Derry Road	Hudson	NH	03051	Rehab
2 - Southern NH Rehabilitation Services
696 Daniel Webster Highway	Merrimack	NH	03054	Rehab
3 - Southern New Hampshire Rehab - Milford
10 Jones Road	Milford	NH	03055	Rehab
4 - Southern NH Rehabilitation Center
460 Amherst Street	Nashua	NH	03063	Rehab
5 - Southern NH Rehabilitation Center
17 Prospect Street	Nashua	NH	03060	Rehab
6 - Cardiac & Pulmonary Rehab -West Campus
29 Northwest Boulevard	Nashua	NH	03063	Rehab
7 - Pediatric Rehab Center
5 George Street	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 theaverage 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. Through our involvement in the Rotary Club and Nashua Chamber of Commerce, along with other community organizations, we are able to exchange ideas with area leaders concerning health care issues and make informative decisions that best address the health needs of our community. We provide Medicare Counseling to area senior citizens giving them the guidance they need to make informed decisions about their healthcare coverage. Our support of the United Way's Day of Caring has resulted in a growing number of our employees going out into the area and helping members of the community with healthcare and other needs. We are strong in our commitment to the Greater Nashua area and plan to continue to support and grow community building activities that improve the overall health of the area. A majority of the organization's Board of Trustees is comprised of persons who reside in the Primary Service Area (PSA) who otherwise have no relationship with the organization. Many members of the organization volunteer their time to other community agencies in the PSA.
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 page 8 of the attached audited financial statements.
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:	The Southern New Hampshire Health Systems 2018 Community Health Needs Assessment and Implementation Strategy (released in tax year 2017) was a collaboration with the City of Nashua and other area health partners to conduct this most recent Community Health Needs Assessment (CHNA). Many of the references in this report are from A Community Committed to Health: Community Health Assessment ("the Assessment"), published in September 2017, by the City of Nashua Department of Public Health. Southern New Hampshire Health System leaders worked together to develop the implementation strategy included in this report to best address the needs of the community based on the results of the Assessment.
Part VI, Line 3:	At each registration point, Southern New Hampshire Medical Center hassignage and brochures explaining our various forms of financialassistance, including charity care. Additionally, patient registrarsoffer the charity brochures to self pay patients. Patients who callregarding billing concerns are offered charity assistance. Additionally,verbiage regarding charity care is printed on each billing statement thepatient 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.
Part VI, Line 4:	Southern New Hampshire Health's service area consists of nineteen NewHampshire and four Massachusetts towns. The service area is divided intoa Primary Service Area (PSA) of thirteen New Hampshire towns (Amherst,Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Mason, Merrimack,Milford, Mont Vernon, Nashua, Pelham, and Wilton), a Secondary Service Area (SSA) of six New Hampshire towns (Derry, Londonderry, New Boston, New Ipswich, Salem, and Windham) and a Massachusetts Service Area (MSA) of four neighboring Massachusetts towns (Dunstable, Pepperell,Townsend, and Tyngsboro). The 2018 Assessment refers to the Greater NashuaPublic Health Region which includes Amherst, Brookline, Hollis, Hudson,Litchfield, Lyndeborough, Mason, Merrimack, Milford, Mont Vernon, Nashua,Pelham, and Wilton, towns that are included in Southern New HampshireHealth's PSA and reflect the communities that make up the PSA, SSA andMSA. 206,595 people live in the 13 towns that comprise the primary service area. Nashua residents are younger than the New Hampshire state average (median age 38.3 vs 41.8 for the state, and also more culturally diverse than the rest of the state (84.8% identified as white versus 93.8% for the state).
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.
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 the 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.
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 (7 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
Michael S Rose
Pres./CEO & Secretary	$490,823	$0	$134,165	$0	$39,623	$0	$91,186	$0	$28,555	$0	$784,352	$0	$0	$0
Paul Trainor
Treasurer	$302,099	$0	$55,024	$0	$31,019	$0	$49,705	$0	$3,810	$0	$441,657	$0	$0	$0
Susan DeSocio
Pres. Foundation Medical	$329,345	$0	$56,422	$0	$4,441	$0	$73,908	$0	$4,202	$0	$468,318	$0	$0	$0
Andrew Watt
Assoc. VP Med. Info.	$344,938	$0	$41,475	$0	$8,040	$0	$9,609	$0	$23,363	$0	$427,425	$0	$0	$0
Joseph M Leahy MD
Physician	$386,677	$0	$41,475	$0	$1,242	$0	$10,600	$0	$29,050	$0	$469,044	$0	$0	$0
Dilip Yarabothu MD
Physician	$322,404	$0	$19,307	$0	$12,831	$0	$10,600	$0	$28,938	$0	$394,080	$0	$0	$0
Daniel Weidner MD
Physician	$302,086	$0	$15,750	$0	$21,780	$0	$10,600	$0	$38,623	$0	$388,839	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 1a	Southern New Hampshire Medical Center uses the facilities at the Nashua Country Club for meetings and other business related purposes. The Club does not have a corporate membership, therefore, an individual associated with Southern New Hampshire Medical Center must be a member of the Club. The membership is titled 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 provides a Supplemental Executive Retirement Plan, a 457(f) plan, to certain executives. Funding for this plan during the year was provided as follows: Michael S. Rose - $80,586; Paul Trainor - $40,202; Susan DeSocio - $63,308
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' Executive Compensation Committee. 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 2017 the Medical Center paid New England Neurological Association $12,000 for ECT and $18,600 for weekend coverage provided by Dr.Sadowsky to Southern New Hampshire Health System.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
NHHEF Authority
A	020279866	2016-06-07	$10,500,000	Equipment Purchase	0	0	0
NHHEF Authority
B	020279866	2016-11-01	$59,345,000	Refunding	0	0	0	6446147E3

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Refunding EscrowRefundingEscrowAmt
A	$10,500,000	$25,802	$10,474,198	0	0	Yes (1)	Yes (1)
B		$199,985	$59,145,015	0	Yes (1)	Yes (1)	Yes (1)	$59,345,000

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	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd
A	Yes (1)	0	0	0	0	Yes (1)
B	0	0	0	0	0	Yes (1)	Yes (1)	0	0

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, after due consultation with the Board of Trustees of the Medical Center, the sole Member shall: (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 of which SNHHS is the sole corporate member and periodically develop, adopt, and periodically amend or revise a system-wide strategic plan; (c) conduct system-wide financial and capital planning encompassing all corporations 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; (d) periodically conduct by appropriate means an evaluation of the performance of each member of a board of trustees of all corporations of which SNHHS is the sole corporate member, the results of which shall be used 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, or agree to enter into or otherwise approve of any transaction including a 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 Corporation; (g) approve, adopt or enter into a contract of any kind where the annual expense to the Medical Center exceeds $500,000; (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 XI, line 9:	Pension Adjustment 4,241,004. Transfers to affiliates -34,426,855.
Form 990, Part XII, Line 2c:	The audit process has not changed from the prior year.
Form 990:	On October 30, 2017, the system signed a combination agreement with Elliot Health System to form a new company. After meeting all applicable obligations and conditions of the definitive agreement on April 30, 2018, the health systems closed the transaction and formed SolutioNHealth, which became the sole-corporate member of Southern New Hampshire Health System, Inc. which is the sole-corporate member of Southern New Hampshire Medical Center and Foundation Medical Partners. SolutionHealth allows the system to establish a regional healthcare organization in New Hampshire that combines resources and skill-sets from both Elliot Health System and Southern New Hampshire Health System, Inc. This strategic collaboration allows the two Systems to: - support and facilitate an integrated community-based, regional health care delivery system among the Hospital Systems; - align the missions and economic interests of the Hospital Systems to enhance care for the communities served; - engage in collaborative regional planning relating to the delivery of health care services in southern New Hampshire; - create a high degree of interdependence and cooperation in a health care network so as to control costs, increase value, ensure quality, and improve access in the communities served by the Hospital Systems; - enhance regional access for those served by the Hospital Systems; - support, protect and enhance the ability of the Hospital Systems to perform their existing historic charitable mission in the future; and - strengthen the charitable missions of the Hospital Systems, embracing a commitment to southern New Hampshire as a region.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (14 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
Foundation Medical Partners Inc
8 Prospect Street	Nashua	NH	03060	020456218	Physician Services	NH	501(c)(3)	Line 10	SNHHS	0
Southern New Hampshire Health System
8 Prospect Street	Nashua	NH	03060	020509221	Medical Services	NH	501(c)(3)	Line 12b, II		0	N/A
SolutionHealth
One Elliot Way	Manchester	NH	03103	830741190	Supporting Organization	NH	501(c)(3)	Line 12a, I		0	N/A
Elliot Health System
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020509911	Management	NH	501(c)(3)	Line 12b, II		0	N/A
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
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
VNA Community Services Inc
1070 Holt Avenue Unit 1 Suite 2100	Manchester	NH	03109	020396549	Nursing Services	NH	501(c)(3)	Line 7	Elliot Health System	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
Legal Domicile State	NH	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd

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