2016-08-09T11:55:50-05:00 2015-12-31 010494526 BAKER NEWMAN & NOYES LLC 650 ELM STREET SUITE 302 MANCHESTER NH 03101 990 2015-01-01 020222215 ST JOSEPH HOSPITAL STJO 6038823000 172 KINSLEY ST NASHUA NH 030612013 RICHARD BOEHLER PRESIDENT/CEO 6038823000 2016-08-02 E DREW CHENEY P00182972 8002447444 2016-08-02 2015 2016-12-15 16:53:06Z RICHARD BOEHLER 172 KINSLEY ST NASHUA NH 030612013 182487258 0 X STJOSEPHOSPITAL.COM X 1943 NH HEALTHCARE SERVICES TO ANYONE NEEDING CARE. 13 8 1730 270 102060 -14312 216306 235182 169630938 178235029 5484992 2949053 -198661 -30637 175133575 181388627 0 0 0 0 80183671 88165903 0 0 0 77011363 85344103 157195034 173510006 17938541 7878621 272761266 264925581 133607188 135333587 139154078 129591994 X 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. 0 0 29907873 49849658 INPATIENT MEDICAL, SURGICAL AND REHABILITATIVE SERVICES TO ANYONE NEEDING CARE IN THE GREATER NASHUA AREA. 75512900 125862919 OUTPATIENT SERVICES INCLUDING SURGERY, RADIOLOGY, LABORATORY, REHABILITATIVE, CARDIOVASCULAR, BREAST HEALTH, CARDIAC REHAB, AND MENTAL HEALTH TO ANYONE NEEDING SERVICES IN THE GREATER NASHUA AREA. 29563261 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. 1936812 2522451 SCHOOL OF NURSING 1936812 2522451 136920846 1 1 0 1 0 0 0 0 0 1 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 243 0 1 1730 1 1 1 0 0 0 0 0 0 0 0 0 X 13 8 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X X RICHARD PLAMONDON 6038823000 172 KINSLEY ST NASHUA NH 030612013 RICHARD BOEHLER MD PRESIDENT/CEO 38.00 2.00 X X 474254 0 32977 RICHARD PLAMONDON TREASURER & CFO 38.00 2.00 X X 322529 0 30575 W STEWART BLACKWOOD MD PHYSICIAN 1.00 39.00 X 0 214858 6807 LINDA SHELDON MD PHYSICIAN 1.00 39.00 X 0 31360 0 LOUISE TROTTIER IMMEDIATE PAST CHAIR 3.00 X X 0 0 0 MAURICE AREL CHAIRMAN 1.00 X X 0 0 0 SR SUZANNE FORGET SECRETARY 1.00 X X 0 0 0 SR PAULA MARIE BULEY IHM VICE CHARIMAN 1.00 X X 0 0 0 ALLISE M DESMET PE DIRECTOR 1.00 X 0 0 0 LORI K LAMBERT DIRECTOR 1.00 X 0 0 0 JOHN PAROLIN DIRECTOR 1.00 X 0 0 0 DOUGLAS TISDALE MD DIRECTOR 1.00 39.00 X 0 386155 33324 CHRISTINE C HALLOCK DIRECTOR 1.00 X 0 0 0 DALE GILPIN DIRECTOR UNTIL JUNE 2015 1.00 X 0 0 0 JAMES MCKENNA VP AMBULATORY SERVICES 40.00 X 247605 0 30200 CYNTHIA ARCIERI VP PATIENT CARE SERVICES 38.00 2.00 X 220348 0 31597 GREGORY ZUERCHER MD PHYSICIAN 40.00 X 329909 0 38431 JACQUELINE WOOLLEY VP HUMAN RESOURCES THRU DEC 2015 40.00 X 221493 0 34200 ELIZABETH SPATOLA MD PHYSICIAN 32.00 X 253128 0 4810 KIRK PERRY DIRECTOR OF CARDIOVACLUAR 40.00 X 210473 0 34107 JIE CHENG PHYSICIAN 32.00 X 210339 0 33699 2490078 632373 310727 100 0 1 0 COVENANT HEALTH INC 100 AMES POND DR TEWKSBURY MA 01876 MANAGEMENT AND OTHER SERVICES 3855314 HOSPITAL MEDICINE ASSOCIATION BOX 634850 CINCINNATI OH 45263 PHYSICIANS SERVICES 1587844 SODEXHO OPERATIONS LLC PO BOX 360170 PITTSBURGH PA 152516170 FOOD SERVICES MANAGEMENT 907668 MAYO MEDICAL LABORATORIES PO BOX 9146 MINNEAPOLIS MN 554809146 REFERENCE LAB 540440 UNITED LINEN SERVICES 55E FIFTH ST SUITE 960 ST PAUL MN 55101 CONTRACT LINEN SERVICE 495171 53 235182 235182 PATIENT SERVICES 622110 174083808 174083808 SCHOOL OF NURSING 622110 1634361 1634361 GRANT REVENUE/PROGRAM FEES 622110 1071519 1071519 CAFETERIA 622110 986148 986148 ALL OTHER 622110 279846 279846 179347 179347 178235029 798363 798363 259397 392094 -132697 -132697 -132697 2857227 0 706537 2857227 -706537 2150690 2150690 ANSWERING SERVICES 561000 70904 70904 HOUSEKEEPING SERVICES 721110 25580 25580 LAUNDRY SERVICES 812300 5576 5576 102060 181388627 178235029 102060 2816356 1285093 481923 803170 70341252 52755939 17585313 2182383 1636787 545596 9369268 7026951 2342317 4987907 3740930 1246977 1991215 1493411 497804 249985 249985 351974 351974 10107117 10107117 638709 479032 159677 4674831 3506123 1168708 5978483 4483862 1494621 3083732 2312799 770933 27329 20497 6832 112297 84223 28074 2983616 2237712 745904 2556696 2556696 9110743 6833057 2277686 2104543 1578407 526136 PATIENT BILLIABLE SUPPL 19556256 19556256 MEDICAID TAX 8893551 8893551 PURCHASED/CONTRACT SERV 5538103 4153577 1384526 MISCELLANEOUS 4687503 3515627 1171876 2697420 2023065 674355 173510006 136920846 36589160 0 2882904 1523139 24846874 18788064 13099051 15781195 2521894 2474151 1501066 1613363 2436689 2437293 197453943 128140085 68045818 69313858 66181562 64697773 54270447 57003971 12619075 11754382 24355886 19538392 272761266 264925581 19578568 22119960 180182 103030 92716933 89075627 21131505 24034970 133607188 135333587 X 138056116 128499061 733644 728579 364318 364354 139154078 129591994 272761266 264925581 X 7878621 -7009502 -10431203 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 19313 0 0 19313 0 PART II-B, LINE 1: A PORTION OF THE DUES PAID TO THE NH HOSPITAL ASSOCIATION, CATHOLIC HEALTH ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES 1097962 317867 47 322943 1092933 1087092 195972 47 185149 1097962 1055512 315089 47 283556 1087092 971094 84319 99 1055512 1064132 246999 243 340280 971094 0.33330 0.66670 0 0 3586823 3586823 106718095 56766338 49951757 3076344 2751624 324720 83205121 68622123 14582998 867560 867560 69313858 57003971 F 57003971 OTHER ACCOUNTS RECEIVABLE 1427844 DUE FROM AFFILIATE 14677033 NASHUA REGIONAL CANCER CENTER 2716267 DUE FROM OTHER FUNDS 24056 OTHER EQUITY INVESTMENTS 693192 19538392 DUE TO THIRD PARTY PAYORS 3549478 OTHER 1304410 MALPRACTICE TAIL LIABLITY 1039546 ENVIRONMENTAL LIABILITY 6326526 PENSION LIABILITY 9843928 DUE TO AFFILIATE FOR BOND REDISTRIBUITON 1046788 LEASE PAYABLE 924294 24034970 X 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. 1 1 1 X 1 X 1 1 0 1 1 3684 951175 951175 0.00550 13092 5770766 5770766 0.03330 16776 6721941 6721941 0.03880 1665036 1665036 0.00960 1665036 1665036 0.00960 16776 8386977 8386977 0.04840 1 9001878 54708440 75884724 -21176284 X 1 1 1 FIRST CHOICE PHO PHYSICIAN HOSPITAL ORGANIZATION 0.50000 0.00000 0.50000 1 1 ST JOSEPH HOSPITAL 172 KINSLEY ST NASHUA NH 030612013 00023 X X X ST JOSEPH HOSPITAL 0 0 1 X X X X X X X X X 14 1 1 1 1 X STJOSEPHHOSPITAL.COM X 1 14 1 SEE PART V, SECTION C 0 0 1 X 200.000000000000 300.000000000000 X X X X 1 1 X X X 1 X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X 1 X 0 X X X X 1 X 0 0 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 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 1 X X X X 0 0 0 0 0 0 0 1 0 RICHARD BOEHLER MD PRESIDENT/CEO 449133 0 0 0 25121 0 7950 0 25027 0 507231 0 0 0 RICHARD PLAMONDON TREASURER & CFO 319656 0 0 0 2873 0 7950 0 22625 0 353104 0 0 0 W STEWART BLACKWOOD MD PHYSICIAN 0 212223 0 0 0 2635 0 0 0 6807 0 221665 0 0 DOUGLAS TISDALE MD DIRECTOR 0 382295 0 0 0 3860 0 0 0 33324 0 419479 0 0 JAMES MCKENNA VP AMBULATORY SERVICES 244246 0 0 0 3359 0 7553 0 22647 0 277805 0 0 0 CYNTHIA ARCIERI VP PATIENT CARE SERVICES 219889 0 0 0 459 0 1983 0 29614 0 251945 0 0 0 GREGORY ZUERCHER MD PHYSICIAN 328176 0 0 0 1733 0 7950 0 30481 0 368340 0 0 0 JACQUELINE WOOLLEY VP HUMAN RESOURCES THRU DEC 2015 219533 0 0 0 1960 0 1600 0 32600 0 255693 0 0 0 ELIZABETH SPATOLA MD PHYSICIAN 253128 0 0 0 0 0 4810 0 0 0 257938 0 0 0 KIRK PERRY DIRECTOR OF CARDIOVACLUAR 210121 0 0 0 352 0 5744 0 28363 0 244580 0 0 0 JIE CHENG PHYSICIAN 210339 0 0 0 0 0 6352 0 27347 0 244038 0 0 0 PART I, LINE 7 "CASH IN" OF EARNED TIME A NH HEALTH & EDUCATION FACILITIES AUTHORITY 020279866 644614UG2 2007-10-30 53869522 RENOVATIONS & EQUIPMENT 0 0 1 B NH HEALTH & EDUCATION FACILITIES AUTHORITY 042456011 575840QA4 2012-06-27 27000000 RENOVATIONS & IMPROVEMENTS 1 0 0 C NH HEALTH & EDUCATION FACILITIES AUTHORITY 042456011 NOTAPPLIC 2014-07-17 16900000 REFUNDING ISSUE 0 0 0 A 53869522 4911229 681812 2008 0 1 1 1 B 27000000 572615 2015 0 1 1 1 C 16900000 260000 2014 0 1 1 1 A 0 0 0 0 1 0 1 B 0 0 0 0 1 0 1 C 0 0 0 0 1 0 1 A 1 0 0 0 0 0 B 0 1 0 0 0 0 0 0 0 C 0 1 0 0 0 0 0 0 0 A 0 B 0 C 0 PART IV, #7 & PART V: 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. 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. SJH SURGICENTER LLC 172 KINSLEY STREET NASHUA NH 030612013 204181845 OUTPATIENT SURGERY NH ST JOSEPH HOSPITAL 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 ST JOSEPH HOSPITAL 1 DH FAMILY MEDICINE OF NASHUA 172 KINSLEY STREET NASHA NH 03060 208404257 PHYSICIAN SERVICES NH 501(C)(3) 9 ST JOSEPH HOSPITAL 1 SOUHEGAN NURSING ASSOCIATION 24 NORTH RIVER ROAD MILFORD NH 03054 020222795 HOME HEALTH AND HOSPICE SERVICES NH 501(C)(3) 9 ST JOSEPH HOSPITAL 1 ST JOSEPH HOSPITAL CORPORATE SERVICES 172 KINSLEY STREET NASHUA NH 030612013 020405197 HOLDING COMPANY NH ST JOSEPH HOSPITAL C -8535546 34795281 1.00000 1 FIRST CHOICE PHO 172 KINSLEY STREET NASHUA NH 03060 020461536 PHYSICIAN HOSPITAL ORGANIZATION NH ST JOSEPH HOSPITAL C 94802 730210 0.50000 0 0 0 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 ST JOSEPH CORPORATE SERVICES J 487131 CASH ST JOSEPH CORPORATE SERVICES K 160812 CASH ST JOSEPH CORPORATE SERVICES O 247003 CASH SOUHEGAN NURSING ASSOCIATION O 63024 CASH ST JOSEPH CORPORATE SERVICES P 7957400 CASH SOUHEGAN NURSING ASSOCIATION Q 16331 CASH ST JOSEPH CORPORATE SERVICES Q 25673 CASH SOUHEGAN NURSING ASSOCIATION J 3420 CASH ST JOSEPH CORPORATE SERVICES R 8372613 CASH SOUHEGAN NURSING ASSOCIATION R 893050 CASH