ST JOSEPH HOSPITAL OF NASHUA NH: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- ST JOSEPH HOSPITAL OF NASHUA NH (EIN 02-0222215)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-08-09
- IRS object ID
- 201642229349300824
- Schema version
- 2015v2.1
- 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 | 2016-08-09T11:55:50-05:00 | ReturnTs |
| Tax Period End | 2015-12-31 | 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 | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222215 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | STJO | BusinessNameControlTxt |
| Phone | 6038823000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1Txt |
| City | NASHUA | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD BOEHLER | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 6038823000 | PhoneNum |
| Signature | 2016-08-02 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | E DREW CHENEY | PreparerPersonNm |
| PTIN | P00182972 | PTIN |
| Phone | 8002447444 | PhoneNum |
| Preparation | 2016-08-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD BOEHLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1Txt |
| City | NASHUA | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $182,487,258 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | STJOSEPHOSPITAL.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1943 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | HEALTHCARE SERVICES TO ANYONE NEEDING CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 1730 | TotalEmployeeCnt |
| Total Volunteers | 270 | TotalVolunteersCnt |
| Total Gross UBI | $102,060 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$14,312 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $216,306 | PYContributionsGrantsAmt |
| CY Contributions Grants | $235,182 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $169,630,938 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $178,235,029 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,484,992 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,949,053 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$198,661 | PYOtherRevenueAmt |
| CY Other Revenue | -$30,637 | CYOtherRevenueAmt |
| PY Total Revenue | $175,133,575 | PYTotalRevenueAmt |
| CY Total Revenue | $181,388,627 | 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 | $80,183,671 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $88,165,903 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $77,011,363 | PYOtherExpensesAmt |
| CY Other Expenses | $85,344,103 | CYOtherExpensesAmt |
| PY Total Expenses | $157,195,034 | PYTotalExpensesAmt |
| CY Total Expenses | $173,510,006 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $17,938,541 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $7,878,621 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $272,761,266 | TotalAssetsBOYAmt |
| Total Assets EOY | $264,925,581 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $133,607,188 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $135,333,587 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $139,154,078 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $129,591,994 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE COMPASSIONATE HEALTHCARE THAT CONTRIBUTES TO THE PHYSICAL, EMOTIONAL AND SPIRITUAL WELL-BEING OF ALL IN OUR COMMUNITY, AS INSPIRED BY THE HEALING MINISTRY OF JESUS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $29,907,873 | ExpenseAmt |
| Revenue | $49,849,658 | RevenueAmt |
| Desc | INPATIENT MEDICAL, SURGICAL AND REHABILITATIVE SERVICES TO ANYONE NEEDING CARE IN THE GREATER NASHUA AREA. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $75,512,900 | ExpenseAmt |
| Revenue | $125,862,919 | RevenueAmt |
| Desc | OUTPATIENT SERVICES INCLUDING SURGERY, RADIOLOGY, LABORATORY, REHABILITATIVE, CARDIOVASCULAR, BREAST HEALTH, CARDIAC REHAB, AND MENTAL HEALTH TO ANYONE NEEDING SERVICES IN THE GREATER NASHUA AREA. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $29,563,261 | ExpenseAmt |
| Desc | EACH YEAR ST. JOSEPH HOSPITAL PROVIDES MILLIONS OF DOLLARS WORTH OF CHARITY CARE AND COMMUNITY SERVICES REFLECTING OUR HEALING MISSION AND OUR VALUES. ST. JOSEPH HOSPITAL FOLLOWS THE METHODOLOGY RECOMMENDED BY THE CATHOLIC HEALTH ASSOCATION FOR CALCULATING THE COST OF CHARITY CARE AND COMMUNITY BENEFITS. COMMUNITY BENEFIT REPORT FOR 2015 IS THE BASIS FOR THE EXPENSES ASSOCIATED WITH THESE ACTIVITIES. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,936,812 | ExpenseAmt |
| Revenue | $2,522,451 | RevenueAmt |
| Desc | SCHOOL OF NURSING | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $1,936,812 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $2,522,451 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $136,920,846 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | 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 | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 243 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1730 | 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 | 8 | 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 |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD PLAMONDON | PersonNm |
| Phone | 6038823000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1Txt |
| City | NASHUA | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (21 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 |
|---|---|---|---|---|---|---|---|---|---|
| RICHARD BOEHLER MD | |||||||||
| PRESIDENT/CEO | 38.00 | 2.00 | Yes (X) | Yes (X) | $474,254 | $0 | $32,977 | ||
| RICHARD PLAMONDON | |||||||||
| TREASURER & CFO | 38.00 | 2.00 | Yes (X) | Yes (X) | $322,529 | $0 | $30,575 | ||
| W STEWART BLACKWOOD MD | |||||||||
| PHYSICIAN | 1.00 | 39.00 | Yes (X) | $0 | $214,858 | $6,807 | |||
| LINDA SHELDON MD | |||||||||
| PHYSICIAN | 1.00 | 39.00 | Yes (X) | $0 | $31,360 | $0 | |||
| LOUISE TROTTIER | |||||||||
| IMMEDIATE PAST CHAIR | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MAURICE AREL | |||||||||
| CHAIRMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SR SUZANNE FORGET | |||||||||
| SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| SR PAULA MARIE BULEY IHM | |||||||||
| VICE CHARIMAN | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| ALLISE M DESMET PE | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| LORI K LAMBERT | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JOHN PAROLIN | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUGLAS TISDALE MD | |||||||||
| DIRECTOR | 1.00 | 39.00 | Yes (X) | $0 | $386,155 | $33,324 | |||
| CHRISTINE C HALLOCK | |||||||||
| DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| DALE GILPIN | |||||||||
| DIRECTOR UNTIL JUNE 2015 | 1.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES MCKENNA | |||||||||
| VP AMBULATORY SERVICES | 40.00 | $247,605 | $0 | $30,200 | Yes (X) | ||||
| CYNTHIA ARCIERI | |||||||||
| VP PATIENT CARE SERVICES | 38.00 | 2.00 | $220,348 | $0 | $31,597 | Yes (X) | |||
| GREGORY ZUERCHER MD | |||||||||
| PHYSICIAN | 40.00 | $329,909 | $0 | $38,431 | Yes (X) | ||||
| JACQUELINE WOOLLEY | |||||||||
| VP HUMAN RESOURCES THRU DEC 2015 | 40.00 | $221,493 | $0 | $34,200 | Yes (X) | ||||
| ELIZABETH SPATOLA MD | |||||||||
| PHYSICIAN | 32.00 | $253,128 | $0 | $4,810 | Yes (X) | ||||
| KIRK PERRY | |||||||||
| DIRECTOR OF CARDIOVACLUAR | 40.00 | $210,473 | $0 | $34,107 | Yes (X) | ||||
| JIE CHENG | |||||||||
| PHYSICIAN | 32.00 | $210,339 | $0 | $33,699 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,490,078 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $632,373 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $310,727 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 100 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| COVENANT HEALTH INC | |||||
| 100 AMES POND DR | TEWKSBURY | MA | 01876 | MANAGEMENT AND OTHER SERVICES | $3,855,314 |
| HOSPITAL MEDICINE ASSOCIATION | |||||
| BOX 634850 | CINCINNATI | OH | 45263 | PHYSICIANS SERVICES | $1,587,844 |
| SODEXHO OPERATIONS LLC | |||||
| PO BOX 360170 | PITTSBURGH | PA | 152516170 | FOOD SERVICES MANAGEMENT | $907,668 |
| MAYO MEDICAL LABORATORIES | |||||
| PO BOX 9146 | MINNEAPOLIS | MN | 554809146 | REFERENCE LAB | $540,440 |
| UNITED LINEN SERVICES | |||||
| 55E FIFTH ST SUITE 960 | ST PAUL | MN | 55101 | CONTRACT LINEN SERVICE | $495,171 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 53 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $235,182 | AllOtherContributionsAmt |
| Total Contributions | $235,182 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 622110 | $174,083,808 | $174,083,808 |
| SCHOOL OF NURSING | 622110 | $1,634,361 | $1,634,361 |
| GRANT REVENUE/PROGRAM FEES | 622110 | $1,071,519 | $1,071,519 |
| CAFETERIA | 622110 | $986,148 | $986,148 |
| ALL OTHER | 622110 | $279,846 | $279,846 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $179,347 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $179,347 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $178,235,029 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $798,363 | TotalRevenueColumnAmt |
| Exclusion | $798,363 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $259,397 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $392,094 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$132,697 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$132,697 | TotalRevenueColumnAmt |
| Exclusion | -$132,697 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,857,227 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $706,537 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,857,227 | SecuritiesAmt |
| Other | -$706,537 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,150,690 | TotalRevenueColumnAmt |
| Exclusion | $2,150,690 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|
| ANSWERING SERVICES | 561000 | $70,904 | $70,904 |
| HOUSEKEEPING SERVICES | 721110 | $25,580 | $25,580 |
| LAUNDRY SERVICES | 812300 | $5,576 | $5,576 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $102,060 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $181,388,627 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $178,235,029 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $102,060 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,816,356 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,285,093 | TotalAmt |
| Program Services | $481,923 | ProgramServicesAmt |
| Management And General | $803,170 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $70,341,252 | TotalAmt |
| Program Services | $52,755,939 | ProgramServicesAmt |
| Management And General | $17,585,313 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,182,383 | TotalAmt |
| Program Services | $1,636,787 | ProgramServicesAmt |
| Management And General | $545,596 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,369,268 | TotalAmt |
| Program Services | $7,026,951 | ProgramServicesAmt |
| Management And General | $2,342,317 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,987,907 | TotalAmt |
| Program Services | $3,740,930 | ProgramServicesAmt |
| Management And General | $1,246,977 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,991,215 | TotalAmt |
| Program Services | $1,493,411 | ProgramServicesAmt |
| Management And General | $497,804 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $249,985 | TotalAmt |
| Management And General | $249,985 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,974 | TotalAmt |
| Management And General | $351,974 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,107,117 | TotalAmt |
| Program Services | $10,107,117 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $638,709 | TotalAmt |
| Program Services | $479,032 | ProgramServicesAmt |
| Management And General | $159,677 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,674,831 | TotalAmt |
| Program Services | $3,506,123 | ProgramServicesAmt |
| Management And General | $1,168,708 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,978,483 | TotalAmt |
| Program Services | $4,483,862 | ProgramServicesAmt |
| Management And General | $1,494,621 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,083,732 | TotalAmt |
| Program Services | $2,312,799 | ProgramServicesAmt |
| Management And General | $770,933 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,329 | TotalAmt |
| Program Services | $20,497 | ProgramServicesAmt |
| Management And General | $6,832 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $112,297 | TotalAmt |
| Program Services | $84,223 | ProgramServicesAmt |
| Management And General | $28,074 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,983,616 | TotalAmt |
| Program Services | $2,237,712 | ProgramServicesAmt |
| Management And General | $745,904 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,556,696 | TotalAmt |
| Management And General | $2,556,696 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,110,743 | TotalAmt |
| Program Services | $6,833,057 | ProgramServicesAmt |
| Management And General | $2,277,686 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,104,543 | TotalAmt |
| Program Services | $1,578,407 | ProgramServicesAmt |
| Management And General | $526,136 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| PATIENT BILLIABLE SUPPL | $19,556,256 | $19,556,256 | |
| MEDICAID TAX | $8,893,551 | $8,893,551 | |
| PURCHASED/CONTRACT SERV | $5,538,103 | $4,153,577 | $1,384,526 |
| MISCELLANEOUS | $4,687,503 | $3,515,627 | $1,171,876 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,697,420 | TotalAmt |
| Program Services | $2,023,065 | ProgramServicesAmt |
| Management And General | $674,355 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $173,510,006 | TotalAmt |
| Program Services | $136,920,846 | ProgramServicesAmt |
| Management And General | $36,589,160 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,882,904 | BOYAmt |
| EOY | $1,523,139 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,846,874 | BOYAmt |
| EOY | $18,788,064 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,099,051 | BOYAmt |
| EOY | $15,781,195 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,521,894 | BOYAmt |
| EOY | $2,474,151 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,501,066 | BOYAmt |
| EOY | $1,613,363 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,436,689 | BOYAmt |
| EOY | $2,437,293 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $197,453,943 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $128,140,085 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,045,818 | BOYAmt |
| EOY | $69,313,858 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,181,562 | BOYAmt |
| EOY | $64,697,773 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $54,270,447 | BOYAmt |
| EOY | $57,003,971 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,619,075 | BOYAmt |
| EOY | $11,754,382 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,355,886 | BOYAmt |
| EOY | $19,538,392 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,761,266 | BOYAmt |
| EOY | $264,925,581 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,578,568 | BOYAmt |
| EOY | $22,119,960 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $180,182 | BOYAmt |
| EOY | $103,030 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,716,933 | BOYAmt |
| EOY | $89,075,627 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,131,505 | BOYAmt |
| EOY | $24,034,970 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,607,188 | BOYAmt |
| EOY | $135,333,587 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,056,116 | BOYAmt |
| EOY | $128,499,061 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $733,644 | BOYAmt |
| EOY | $728,579 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $364,318 | BOYAmt |
| EOY | $364,354 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $139,154,078 | BOYAmt |
| EOY | $129,591,994 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $272,761,266 | BOYAmt |
| EOY | $264,925,581 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $7,878,621 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$7,009,502 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,431,203 | 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 | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $19,313 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $19,313 | 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 | A PORTION OF THE DUES PAID TO THE NH HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,097,962 | BeginningYearBalanceAmt |
| Contributions | $317,867 | ContributionsAmt |
| Investment Earnings Or Losses | $47 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $322,943 | OtherExpendituresAmt |
| End Year Balance | $1,092,933 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,087,092 | BeginningYearBalanceAmt |
| Contributions | $195,972 | ContributionsAmt |
| Investment Earnings Or Losses | $47 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $185,149 | OtherExpendituresAmt |
| End Year Balance | $1,097,962 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,055,512 | BeginningYearBalanceAmt |
| Contributions | $315,089 | ContributionsAmt |
| Investment Earnings Or Losses | $47 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $283,556 | OtherExpendituresAmt |
| End Year Balance | $1,087,092 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $971,094 | BeginningYearBalanceAmt |
| Contributions | $84,319 | ContributionsAmt |
| Investment Earnings Or Losses | $99 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $1,055,512 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $1,064,132 | BeginningYearBalanceAmt |
| Contributions | $246,999 | ContributionsAmt |
| Investment Earnings Or Losses | $243 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $340,280 | OtherExpendituresAmt |
| End Year Balance | $971,094 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 0.33330 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.66670 | 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 | $3,586,823 | OtherCostOrOtherBasisAmt |
| Book Value | $3,586,823 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $106,718,095 | OtherCostOrOtherBasisAmt |
| Depreciation | $56,766,338 | DepreciationAmt |
| Book Value | $49,951,757 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,076,344 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,751,624 | DepreciationAmt |
| Book Value | $324,720 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $83,205,121 | OtherCostOrOtherBasisAmt |
| Depreciation | $68,622,123 | DepreciationAmt |
| Book Value | $14,582,998 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $867,560 | OtherCostOrOtherBasisAmt |
| Book Value | $867,560 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $69,313,858 | TotalBookValueLandBuildingsAmt |
Closely Held Equity Interests CloselyHeldEquityInterestsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $57,003,971 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $57,003,971 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| OTHER ACCOUNTS RECEIVABLE | $1,427,844 |
| DUE FROM AFFILIATE | $14,677,033 |
| NASHUA REGIONAL CANCER CENTER | $2,716,267 |
| DUE FROM OTHER FUNDS | $24,056 |
| OTHER EQUITY INVESTMENTS | $693,192 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $19,538,392 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD PARTY PAYORS | $3,549,478 |
| OTHER | $1,304,410 |
| MALPRACTICE TAIL LIABLITY | $1,039,546 |
| ENVIRONMENTAL LIABILITY | $6,326,526 |
| PENSION LIABILITY | $9,843,928 |
| DUE TO AFFILIATE FOR BOND REDISTRIBUITON | $1,046,788 |
| LEASE PAYABLE | $924,294 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $24,034,970 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | FUNDS TO BE USED TO ASSIST THE NEEDY THROUGH EDUCATION AND/OR PROJECTS FOR THE POOR AS DETERMINED AND APPROVED BY THE BOARD |
| PART X, LINE 2: | COVENANT AND ITS MEMBER ORGANIZATIONS ARE CONSIDERED 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, EXCEPT AS NOTED BELOW. TAX-EXEMPT ORGANIZATIONS COULD BE REQUIRED TO RECORD AN OBLIGATION FOR INCOME TAXES AS THE RESULT OF A TAX POSITION THEY HAVE HISTORICALLY TAKEN ON VARIOUS TAX EXPOSURE ITEMS INCLUDING UNRELATED BUSINESS INCOME OR TAX STATUS. UNDER GUIDANCE ISSUED BY THE FINANCIAL ACCOUNTING STANDARDS BOARD, ASSETS AND LIABILITIES ARE ESTABLISHED FOR UNCERTAIN TAX POSITIONS TAKEN OR POSITIONS EXPECTED TO BE TAKEN IN INCOME TAX RETURNS WHEN SUCH POSITIONS ARE JUDGED TO NOT MEET THE "MORE-LIKELY-THAN-NOT" THRESHOLD, BASED UPON THE TECHNICAL MERITS OF THE POSITION. ESTIMATED INTEREST AND PENALTIES, IF APPLICABLE, RELATED TO UNCERTAIN TAX POSITIONS ARE INCLUDED AS A COMPONENT OF INCOME TAX EXPENSE. THE SYSTEM HAS EVALUATED THE POSITION TAKEN ON ITS FILED TAX RETURNS. THE SYSTEM HAS CONCLUDED NO UNCERTAIN INCOME TAX POSITIONS EXIST AT DECEMBER 31, 2015. UNDER INTERNAL REVENUE SERVICE REGULATIONS, THE SYSTEM'S TAX YEARS FROM 2012 THROUGH 2015 ARE OPEN AND SUBJECT TO EXAMINATION. |
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 |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| 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) |
|---|---|---|
| Persons Served | 3684 | PersonsServedCnt |
| Total Community Benefit Expns | $951,175 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $951,175 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00550 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 13092 | PersonsServedCnt |
| Total Community Benefit Expns | $5,770,766 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,770,766 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03330 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16776 | PersonsServedCnt |
| Total Community Benefit Expns | $6,721,941 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,721,941 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03880 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,665,036 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,665,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,665,036 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,665,036 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 16776 | PersonsServedCnt |
| Total Community Benefit Expns | $8,386,977 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,386,977 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04840 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $9,001,878 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $54,708,440 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $75,884,724 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$21,176,284 | 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 |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | 1 FIRST CHOICE PHO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | PHYSICIAN HOSPITAL ORGANIZATION | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.50000 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.00000 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.50000 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | ST JOSEPH HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY ST | AddressLine1Txt |
| City | NASHUA | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 00023 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HOSPITAL | 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 |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 14 | 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 | STJOSEPHHOSPITAL.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE PART V, SECTION C | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| 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 | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Income Level Criteria | Yes (X) | IncomeLevelCriteriaInd |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| 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 |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | 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 |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Average Negotiated Rates | Yes (X) | AverageNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ST. JOSEPH HOSPITAL | PART V, SECTION B, LINE 5: ST. JOSEPH HOSPITAL WORKED WITH THE CITY OF NASHUA DIVISION OF PUBLIC HEALTH OFFICIALS AND MEMBERS OF THE COMMUNITY INCLUDING: POLICE, FIRE, SCHOOL OFFICIALS, AMBULANCE SERVICE LEADERS, DIRECTORS OF COMMUNITY AGENCIES, HOSPITAL LEADERS, PHYSICIANS AND RESIDENTS THROUGH FOCUS GROUPS TO GATHER INPUT FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). |
| ST. JOSEPH HOSPITAL | PART V, SECTION B, LINE 6A: SOUTHERN NEW HAMPSHIRE MEDICAL CENTER, DARTMOUTH HITCHCOCK CLINIC |
| ST. JOSEPH HOSPITAL | PART V, SECTION B, LINE 6B: THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH THE FOLLOWING HEALTHCARE ORGANIZATIONS, ST JOSEPH HOSPITAL, SOUTHERN NH MEDICAL CENTER, DARTMOUTH HITCHOCK CLINIC, NASHUA, THE CITY OF NASHUA DIVISION OF PULBIC HEALTH & COMMUNITY SERIVCES AND SEVERAL OTHER LOCAL NON PROFIT AGENICES TOOK PART IN THE DEVELOPMENT OF THE CHNA. THE PUBLIC HEALTH ADVISORY COUNCIL (PHAC) PROVIDED OVERSIGHT AND DIRECTION, FOR THE DEVELOPMENT OF THE CHNA. ST JOSEPH HOSPITAL IS A MEMBER OF THE PHAC. |
| ST. JOSEPH HOSPITAL | PART V, SECTION B, LINE 11: ST. JOSEPH HOSPITAL'S (SJH) "COMMUNITY BENEFITS IMPLEMENTATION PLAN" DESCRIBES HOW SJH IS ADDRESSING THE NEEDS IDENTIFIED IN THE CHNA. THE IMPLEMENTATION PLAN CAN BE FOUND ON THE HOSPITAL WEBSITE AT STJOSEPHHOSPITAL.COM/COMMUNITY-HEALTH/COMMUNITY-BENEFITS-REPORT/IMPLEMENTATIONPLAN. |
| ST. JOSEPH HOSPITAL | PART V, SECTION B, LINE 18D: EXTENSIVE EFFORTS ARE MADE TO DETERMINE ELIGIBILITY FOR FREE CARE, BEFORE ANY CREDIT REPORTING, LIENS OR LAWSUITS ARE FILED. |
| PART V, SECTION B, LINE 10A: | THE 2014 IMPLEMENTATION STRATEGY IS AVAILABLE ON THE HOSPITAL'S WEBSITE AT:STJOSEPHHOSPITAL.COM/COMMUNITY-HEALTH/COMMUNITY-BENEFITS-REPORT |
| PART V, SECTION B, LINE 16A: | THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON ITS WEBSITE AT:HTTP://WWW.STJOSEPHHOSPITAL.COM/MEDIA/FILE/SJH%20FINANCIAL%20ASSISTANCE%20POLICY%209_2015(1).PDF |
| PART V, SECTION B, LINE 16B: | THE HOSPITAL FAP APPLICATION IS AVAILABLE ON ITS WEBSITE AT: HTTP://WWW.STJOSEPHHOSPITAL.COM/MEDIA/FILE/FREE%20CARE%20APPLICATION_2015.PDF |
| PART V, SECTION B, LINE 16C: | THE HOSPITAL'S FAP PLAIN LANGUAGE SUMMARY CAN BE ACCESSED AT: HTTP://WWW.STJOSEPHHOSPITAL.COM/PATIENTS-AND-VISITORS/FINANCIAL-ASSIST |
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART III, LINE 4: | ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE SYSTEM ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. LINE 3 - ADJUSTED BASED ON COST TO CHARGE RATIO. BAD DEBT EXPENSE - TEXT OF THE FOOTNOTE IN FINANCIAL STATEMENT - "THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IS PROVIDED BASED ON AN ANALYSIS BY MANAGEMENT OF THE COLLECTABILITY OF OUTSTANDING BALANCES. MANAGEMENT CONSIDERS THE AGE OF THE OUTSTANDING BALANCES AND PAST COLLECTION EFFORTS IN DETERMING THE RESERVE FOR DOUBTFUL ACCOUNTS. ACCOUNTS DEEMED UNCOLLECTIBLE ARE CHARGED OFF AGAINST THE ESTABLISHED RESERVE". BAD DEBTS ARE REPORTED AS CHARGES. |
| PART III, LINE 9B: | EVERY STATEMENT SENT TO PATIENTS INDICATES THAT FINANCIAL ASSISTANCE IS AVAILABLE, PHONE NUMBER AND EMAIL CONTACT. ALL CUSTOMER SERVICE PERSONNEL ARE ATTUNED TO ASKING PATIENTS IF THEY NEED ASSISTANCE. |
| PART VI, LINE 2 | THE 2014 NEEDS ASSESSMENT WAS CONDUCTED AS A COLLABORATIVE EFFORT BETWEEN ST. JOSEPH HOSPITAL AND SEVERAL OTHER HEALTHCARE INSTITUTIONS, CIVIC AGENCIES AND OTHER NON PROFIT ENTITIES FROM THROUGHOUT GREATER NASHUA. THE ASSESSMENT INCLUDED QUANTITATIVE AND QUALITATIVE DATA ANALYSIS AND SIX FOCUS GROUPS OF PATIENTS AND KEY LEADERS REPRESENTING CITY/TOWN GOVERNMENT, EDUCATION, HEALTHCARE, BUSINESSES AND NON PROFIT INSTITUTIONS. |
| PART VI, LINE 3 | SIGNAGE AND BROCHURES ARE AT EVERY POINT OF REGISTRATION, WHICH EXPLAIN OUR CHARITY CARE AND FINANCIAL ASSISTANCE POLICIES. WE HAVE DEDICATED FINANCIAL COUNSELORS WHO MEET IN PERSON OR ON THE TELEPHONE ASSISTING PATIENTS AND FAMILIES NEEDING FINANCIAL ASSISTANCE.INFORMATION CAN ALSO BE FOUND ON THE HOSPITAL WEB SITE, AS WELL AS IN HOSPITAL COMMUNITY NEWSLETTERS/QUARTERLY PUBLICATIONS. ALL CUSTOMER SERVICE AND REGISTRATION PERSONNEL ARE TRAINED TO ASK PATIENTS AND FAMILIES IF THEY NEED FINANCIAL ASSISTANCE. |
| PART VI, LINE 4 | ST JOSEPH HOSPITAL SERVES PEOPLE OF ALL AGES, RACE, GENDER, RELIGION, ETHNICITY REGARDLESS OF THEIR ABILITY TO PAY. THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS CONSIST OF 17 CITIES AND TOWNS REFERRED TO AS THE GREATER NASHUA AREA AND CONSIST OF: AMHERST, BROOKLINE, HUDSON, HOLLIS, LITCHFIELD, MERRIMACK, MILFORD, NASHUA, WILTON, GREENVILLE, DUNSTABLE (MA), LONDONDERRY, LYNDEBOROUGH, MONT VERNON, PELHAM, PEPPERELL (MA) AND WINDHAM. |
| PART VI,LINE 5 | THE HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF, REPRESENTING OVER FORTY DIFFERENT SPECIALITES AND TREATS ALL PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. 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, EDUCATIONAL OFFERINGS, FREE SCREENINGS, SUPPORT GROUPS, AND WORKS COLLABORATIVELY WITH OTHER HEALTHCARE AGENCIES TO MEET THE IDENTIFIED HEALTHCARE NEEDS OF OUR COMMUNITY.ST JOSEPH HOSPITAL IS AN AFFILIATE OF COVENANT HEALTH, INC. OF TEWKSBURY, MA. IT IS THE RESPONSIBILITY OF THE ENTIRE STAFF OF ST JOSEPH HOSPITAL TO SERVE AND PROMOTE THE HEALTH OF THE GREATER NASHUA COMMUNITY. |
| PART VI,LINE 7 | NEW HAMPSHIRE |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | 0 | 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 (11 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD BOEHLER MD | ||||||||||||||
| PRESIDENT/CEO | $449,133 | $0 | $0 | $0 | $25,121 | $0 | $7,950 | $0 | $25,027 | $0 | $507,231 | $0 | $0 | $0 |
| RICHARD PLAMONDON | ||||||||||||||
| TREASURER & CFO | $319,656 | $0 | $0 | $0 | $2,873 | $0 | $7,950 | $0 | $22,625 | $0 | $353,104 | $0 | $0 | $0 |
| W STEWART BLACKWOOD MD | ||||||||||||||
| PHYSICIAN | $0 | $212,223 | $0 | $0 | $0 | $2,635 | $0 | $0 | $0 | $6,807 | $0 | $221,665 | $0 | $0 |
| DOUGLAS TISDALE MD | ||||||||||||||
| DIRECTOR | $0 | $382,295 | $0 | $0 | $0 | $3,860 | $0 | $0 | $0 | $33,324 | $0 | $419,479 | $0 | $0 |
| JAMES MCKENNA | ||||||||||||||
| VP AMBULATORY SERVICES | $244,246 | $0 | $0 | $0 | $3,359 | $0 | $7,553 | $0 | $22,647 | $0 | $277,805 | $0 | $0 | $0 |
| CYNTHIA ARCIERI | ||||||||||||||
| VP PATIENT CARE SERVICES | $219,889 | $0 | $0 | $0 | $459 | $0 | $1,983 | $0 | $29,614 | $0 | $251,945 | $0 | $0 | $0 |
| GREGORY ZUERCHER MD | ||||||||||||||
| PHYSICIAN | $328,176 | $0 | $0 | $0 | $1,733 | $0 | $7,950 | $0 | $30,481 | $0 | $368,340 | $0 | $0 | $0 |
| JACQUELINE WOOLLEY | ||||||||||||||
| VP HUMAN RESOURCES THRU DEC 2015 | $219,533 | $0 | $0 | $0 | $1,960 | $0 | $1,600 | $0 | $32,600 | $0 | $255,693 | $0 | $0 | $0 |
| ELIZABETH SPATOLA MD | ||||||||||||||
| PHYSICIAN | $253,128 | $0 | $0 | $0 | $0 | $0 | $4,810 | $0 | $0 | $0 | $257,938 | $0 | $0 | $0 |
| KIRK PERRY | ||||||||||||||
| DIRECTOR OF CARDIOVACLUAR | $210,121 | $0 | $0 | $0 | $352 | $0 | $5,744 | $0 | $28,363 | $0 | $244,580 | $0 | $0 | $0 |
| JIE CHENG | ||||||||||||||
| PHYSICIAN | $210,339 | $0 | $0 | $0 | $0 | $0 | $6,352 | $0 | $27,347 | $0 | $244,038 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 7 | FormAndLineReferenceDesc |
| Explanation | "CASH IN" OF EARNED TIME | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| NH HEALTH & EDUCATION FACILITIES AUTHORITY | ||||||||
| A | 020279866 | 644614UG2 | 2007-10-30 | $53,869,522 | RENOVATIONS & EQUIPMENT | 0 | 0 | Yes (1) |
| NH HEALTH & EDUCATION FACILITIES AUTHORITY | ||||||||
| B | 042456011 | 575840QA4 | 2012-06-27 | $27,000,000 | RENOVATIONS & IMPROVEMENTS | Yes (1) | 0 | 0 |
| NH HEALTH & EDUCATION FACILITIES AUTHORITY | ||||||||
| C | 042456011 | NOTAPPLIC | 2014-07-17 | $16,900,000 | REFUNDING ISSUE | 0 | 0 | 0 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|
| A | $53,869,522 | $4,911,229 | $681,812 | 2008 | 0 | Yes (1) | Yes (1) | Yes (1) |
| B | $27,000,000 | $572,615 | 2015 | 0 | Yes (1) | Yes (1) | Yes (1) | |
| C | $16,900,000 | $260,000 | 2014 | 0 | Yes (1) | Yes (1) | Yes (1) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | Yes (1) | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 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 | 0 | |||
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) | 0 | 0 |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | 0 |
| B | 0 |
| C | 0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, #7 & PART V: | FormAndLineReferenceDesc |
| Explanation | ALL BONDS ARE CAREFULLY AND CONSISTENTLY MONITORED FOR POTENTIAL VIOLATIONS OF FEDERAL TAX REQUIREMENTS, BUT THE PROCEDURES WERE NOT WRITTEN AS OF THE END OF THE YEAR COVERED BY THIS TAX RETURN. HOWEVER, THE ORGANIZATION IS CONSIDERING ADOPTING FORMAL POLICIES THAT SET FORTH THE ORGANIZATION'S METHODOLOGY FOR ENSURING POST-ISSUANCE COMPLIANCE WITH IRS REQUIREMENTS PERTAINING TO TAX-EXEMPT DEBT AND CONTAIN SPECIFIC LANGUAGE REGARDING ORGANIZATIONAL RESPONSIBILITY, RECORD RETENTION, PRIVATE BUSINESS USE, ARBITRAGE REBATE, AND REMEDIAL ACTION. ALTHOUGH FORMAL POLICIES ARE NOT IN PLACE IN REGARDS TO THE REMEDIATION OF OUR BONDS, THE MONITORING REQUIREMENTS OF SECTION 148, AND PROCEDURES TO ENSURE THAT VIOLATIONS ARE TIMELY IDENTIFIED AND CORRECTED, THE ORGANIZATION HAS COMPLIANCE CHECKS IN PLACE THAT SUBSTANTIATE THESE REQUIREMENTS. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | COVENANT HEALTH IS THE SOLE MEMBER OF ST. JOSEPH HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7A | COVENANT HEALTH IS THE SOLE MEMBER OF ST. JOSEPH HOSPITAL. |
| FORM 990, PART VI, SECTION A, LINE 7B | ST. JOSEPH HOSPITAL IS A MEMBER OF COVENANT HEALTH, AND AS SUCH, ALL DECISIONS ARE SUBJECT TO ITS REVIEW. |
| FORM 990, PART VI, SECTION B, LINE 11 | 990'S ARE PREPARED BY THE FINANCE DEPARTMENT AND REVIEWED BY AN INDEPENDENT TAX ACCOUNTANT, THEN REVIEWED BY THE ST. JOSEPH HOSPITAL FINANCE COMMITTEE AND BOARD. |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR ST. JOSEPH HOSPITAL CONDUCTS A SURVEY OF THE BOARD MEMBERS AND KEY MANAGEMENT MEMBERS TO DETERMINE WHETHER THERE ARE CONFLICTS OF INTEREST (ACTUAL OR POTENTIAL), BOARD MEMBERS AND KEY EMPLOYEES HAVE A CONTINUING OBLIGATION TO REPORT ANY PROPOSED TRANSACTIONS WHICH MAY BE PERCEIVED AS A CONFLICT OF INTEREST. |
| FORM 990, PART VI, SECTION B, LINE 15 | EVERY 2-3 YEARS, THE COMPENSATION COMMITTEE OF THE COVENANT HEALTH'S BOARD OF DIRECTORS ENGAGES AN EXTERNAL CONSULTANT TO PROVIDE COMPETITIVE MARKET DATA FROM VARIOUS SURVEY SOURCES, WHICH IS USED TO DEVELOP RECOMMENDATIONS FOR CHANGES TO THE COMPENSATION PROGRAM. SINCE 2003 THE COMMITTEE HAS ENGAGED MERCER HUMAN RESOURCES CONSULTING TO CONDUCT THIS ANALYSIS. OBJECTIVES OF THIS ANALYSIS ARE TO: ASSESS THE COMPOSITENESS OF THE CURRENT TOTAL CASH COMPENSATION LEVELS FOR THE SENIOR MANAGEMENT TEAM, DEVELOP MARKET BASED COMPETITIVE SALARY LEVELS FOR ALL EXECUTIVE POSITIONS AND ENSURE THAT THE ANNUAL INCENTIVE OPPORTUNITIES, IF ANY, ARE COMPETITIVE AND REASONABLE. |
| FORM 990, PART VI, SECTION C, LINE 19 | UPON REQUEST THE ORGANIZATION WILL MAKE AVAILABLE CORPORATE DOCUMENTS AND FINANCIAL STATEMENTS. |
| FORM 990, PART XI, LINE 9: | PENSION ADJUSTMENT -454,645. LOSS IN EQUITY OF SUBSIDIARIES -9,689,740. INVESTMENT IN YANKEE -440,616. RESTRICTED DONATIONS -5,022. NET ASSETS RELEASED FOR PPE 158,820. |
| FORM 990, PART XII, LINE 2C: | THE FINANCE COMMITTEE MEETS WITH THE INDEPENDENT AUDITORS TO REVIEW THE AUDITED FINANCIAL STATEMENTS AND THEY ARE REVIEWED AT COVENANT HEALTH. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SJH SURGICENTER LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 172 KINSLEY STREET | AddressLine1Txt |
| City | NASHUA | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 030612013 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204181845 | EIN |
| Primary Activities | OUTPATIENT SURGERY | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST JOSEPH HOSPITAL | BusinessNameLine1Txt |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|
| COVENANT HEALTH INC | ||||||||||
| 100 AMES POND ROAD | TEWKSBURY | MA | 01876 | 222484505 | HEALTHCARE SERVICES | MA | 501(C)(3) | 9 | 0 | |
| THE SURGICENTER AT ST JOSEPH HOSPITAL | ||||||||||
| 172 KINSLEY STREET | NASHUA | NH | 03060 | 020470528 | OUTPATIENT SURGERY SERVICES | NH | 501(C)(3) | 9 | Yes (1) | ST JOSEPH HOSPITAL |
| DH FAMILY MEDICINE OF NASHUA | ||||||||||
| 172 KINSLEY STREET | NASHA | NH | 03060 | 208404257 | PHYSICIAN SERVICES | NH | 501(C)(3) | 9 | Yes (1) | ST JOSEPH HOSPITAL |
| SOUHEGAN NURSING ASSOCIATION | ||||||||||
| 24 NORTH RIVER ROAD | MILFORD | NH | 03054 | 020222795 | HOME HEALTH AND HOSPICE SERVICES | NH | 501(C)(3) | 9 | Yes (1) | ST JOSEPH HOSPITAL |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ST JOSEPH HOSPITAL CORPORATE SERVICES | ||||||||||||
| 172 KINSLEY STREET | NASHUA | NH | 030612013 | 020405197 | HOLDING COMPANY | NH | ST JOSEPH HOSPITAL | C | -$8,535,546 | $34,795,281 | 1.00000 | Yes (1) |
| FIRST CHOICE PHO | ||||||||||||
| 172 KINSLEY STREET | NASHUA | NH | 03060 | 020461536 | PHYSICIAN HOSPITAL ORGANIZATION | NH | ST JOSEPH HOSPITAL | C | $94,802 | $730,210 | 0.50000 | 0 |
| 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 | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | 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 |
Transactions Related Org TransactionsRelatedOrgGrp (10 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ST JOSEPH CORPORATE SERVICES | ||
| J | $487,131 | CASH |
| ST JOSEPH CORPORATE SERVICES | ||
| K | $160,812 | CASH |
| ST JOSEPH CORPORATE SERVICES | ||
| O | $247,003 | CASH |
| SOUHEGAN NURSING ASSOCIATION | ||
| O | $63,024 | CASH |
| ST JOSEPH CORPORATE SERVICES | ||
| P | $7,957,400 | CASH |
| SOUHEGAN NURSING ASSOCIATION | ||
| Q | $16,331 | CASH |
| ST JOSEPH CORPORATE SERVICES | ||
| Q | $25,673 | CASH |
| SOUHEGAN NURSING ASSOCIATION | ||
| J | $3,420 | CASH |
| ST JOSEPH CORPORATE SERVICES | ||
| R | $8,372,613 | CASH |
| SOUHEGAN NURSING ASSOCIATION | ||
| R | $893,050 | CASH |