2012-07-30T08:10:05-07:00 2011-12-31 WILLIAM STEELE & ASSOCIATES 40 STARK STREET MANCHESTER NH 03101 990 2011-01-01 020222215 ST JOSEPH HOSPITAL STJO 6038823000 172 KINSLEY ST NASHUA NH 030612013 DAVID ROSS 6038823000 2012-07-17 true WM STEELE ASSOCIATES 6036228881 2011 2016-02-24 21:20:13Z DAVID ROSS 172 KINSLEY ST NASHUA NH 030612013 197856422 false X stjosephospital.com X 1943 NH healthcare services to anyone needing care 13 9 1557 350 117343 1379108 669121 181428692 194262473 3085646 2260394 163538 -26497 186056984 197165491 0 0 77696029 81831327 0 117964 83736663 90347984 161432692 172179311 24624292 24986180 216819910 223191366 110962321 115700175 105857589 107491191 X To provide compassionate healthcare that contributes to the physical, emotional false false 29650188 63468645 INPATIENT MEDICAL, SURGICAL AND MENTAL HEALTH SERVICES TO ANYONE NEEDING CARE IN THE GREATER NASHUA AREA. 59657606 121701975 OUTPATIENT SERVICES INCLUDING SURGERY, RADIOLOGY, LABORATORY, REHABILITATIVE, CARDIOVASCULAR, BREAST HEALTH, ADULT DAY CARE, CARDIAC REHAB, AND MENTAL HEALTH TO ANYONE NEEDING SERVICES IN THE GREATER NASHUA AREA. 43901569 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 ASSOCIATION FOR CALCULATING THE COST OF CHARITY CARE AND COMMUNITY BENEFITS. COMMUNITY BENEFIT REPORT FOR 2011 IS THE BASIS FOR THE EXPENSES ASSOCIATED WITH THESE ACTIVITIES. 1402017 1171455 School of nursing, LNA and other health professionals provided to the community in its mission of providing healthcare to the community in its mission of providing healthcare to the 1402017 1171455 134611380 true true false true false false false false false true true true true true true false false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false true true true true false true 223 0 true 1557 true true true false false false false false false false false false X 13 9 false false false false true true true true true false false true true true true true true true true false NH X X RICHARD PLAMONDON 6038823000 172 KINSLEY ST NASHUA NH 030612013 DAVID ROSS 40.00 X X 384368 0 35333 RICHARD PLAMONDON 40.00 X 286814 0 44999 PAM DUCHENE 40.00 X 225050 0 35750 KEITH CHOINKA 40.00 X 240625 0 18360 BEVERLY ROBINSON 40.00 X 197635 0 32896 JAMES MCKENNA 40.00 X 207766 0 28026 JACQUI WOOLLEY 40.00 X 203065 0 30295 GREG ZUERCHER MD 40.00 X 300462 0 35719 MICHAEL MCGEE MD 40.00 X 258474 0 35656 ROBERT DEMERS 40.00 X 169011 0 33168 LAWRENCE LEARNER MD 1.00 X 0 207177 47082 W STEWART BLACKWOODMD 1.00 X 0 279940 20965 LINDA SHELDON 1.00 X X 0 181655 20358 LOUISE TROTTIER 3.00 X X 0 0 0 SRSUZANNE FORGET 1 X X DALE GILPIN 1 X MSGRJOHN PQUINN 1 X ALLISE MDESMET 1 X LORI KLAMBERT 1 X STEVEN BEAUDETTE MD 1 X SHARON TAMPOSI 1 X CHARLES SMITH 1 X 2473270 668772 418607 83 false true false COVENANT HEALTH SYS 100 AMES POND RD TEWKSBURY MA 01876 Managment & other svcs. 3195689 HARVEY CONSTRUCTION 10 HARVEY RD BEDFORD NH 03110 constructon services 3180987 COVENANT HEALTH SYSTEMS INSURANCE BOX 69 CAYMAN IS CJ insurance 3131787 HOSPITAL MEDICINE ASSOCIATES BOX 1953962 CINCINNATI OH 452634850 physician services 1953962 ALLIANCE HEALTHCARE SERVICES BOX 96485 CHICAGO IL 60693 Imaging services 1459015 34 396000 273121 669121 Patient services 622110 191170620 School of nursing 622110 1171455 cafeteria 622110 985990 Program fees 622110 151865 Thrift/gift shop 622110 177959 604584 194262473 1487286 1487286 547091 690931 -143840 -143840 -143840 743366 29742 743366 29742 773108 773108 housekeeping svc 721100 21864 21864 laundry svc 812300 6062 6062 answering svc 561100 89417 89417 117343 197165491 194891741 117343 1487286 0 0 0 0 0 0 0 0 1301633 432816 868817 0 0 0 0 0 65235694 48926771 16247916 61007 1432752 1063102 368360 1290 9170941 6804839 2357849 8253 4690307 3480208 1205878 4221 2789611 2072402 717209 0 251417 0 251417 0 123759 0 123759 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 923154 684981 237342 831 3213359 2384312 826155 2892 3606529 2676045 927239 3245 0 0 0 0 3407188 2528134 875988 3066 22798 16916 5861 21 113418 84156 29160 102 3099503 2299832 796882 2789 2653608 0 2653608 0 8724613 6473663 2243098 7852 3678658 2729564 945783 3311 bad debts 12514571 12514571 0 0 Medicaid tax 8998234 6676690 2313446 8098 purchased/contract svc 6864911 5093764 1764968 6179 repairs/PM contracts 5140669 3814376 1321667 4626 24221984 23854238 367565 181 172179311 134611380 37449967 117964 881462 1012221 45053359 15940927 64578 110 14478622 16474727 430600 2521163 1473013 1698199 6274718 4416557 169152168 106665046 59774291 62487122 20034842 50608381 18446079 28522646 23828991 18887752 26079355 20621561 216819910 223191366 14739989 16772058 2945390 142528 73504915 72213230 19772027 26572359 110962321 115700175 X 104793457 106520097 700013 606885 364119 364209 105857589 107491191 216819910 223191366 24986180 -23352578 X X false true true X true true X ST JOSEPH HOSPITAL NASHUA NH 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED Pt II-B Line 1i A portion of the dues paid to the NH Hospital Association, CATHOLIC HEALTH ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION ARE USED FOR LOBBYING PURPOSES. 1064132 246999 243 340280 971094 1124772 301910 284 362834 1064132 1421717 397836 142 694923 1124772 0.00000 0.37510 0.62490 false false 3593280 3593280 92887847 44683728 48204119 1622652 1590104 32548 70347494 60391214 9956280 700895 700895 62487122 28522646 F 28522646 Investment in subsidiaries 18887752 C 18887752 unamortized bond expense 929041 other accounts receivable 217328 due from affiliate 16372329 due from other funds 159759 Nashua Regional Cancer Center 2396581 other equity investments 546523 20621561 Due to third party payors 1312969 Other 986930 malpractice tail liability 2124648 environmental liability 6348556 pension liability 7296874 due to affiliate for bond redistribution 7525007 lease payable 977375 26572359 true true true X true X true true true false true true 5351 2696379 2696379 0.01600 8798 3939572 3939572 0.02290 14149 6635951 6635951 0.03890 1114404 0.00650 1114404 0.00650 14149 7750355 6635951 0.04540 true 12514571 40086842 76238056 -36151214 X true true FIRST CHOICE PHO Physician hospital organization 0.50000 0.00000 0.50000 1 1 ST JOSEPH HOSPITAL

172 KINSLEY ST NASHUA NH 030612013

X X X X ST JOSEPH HOSPITAL 1 true true 200 true 300 true X X X true true X X X X X X true X false X X X X true X false false Pt III Line 4 Adjusted based on cost to charge ratio Pt 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. Pt VI Line 2 The 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 a telephone survey of over 500 households, two focus groups of patients and key leaders representing city/town government, education, healthcare, businesses and non profit institutions. Pt 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 registraton personnel are trained to ask patients and families if they need financial assistance. Pt 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. Pt VI Line 5 The hospital maintains an open medical staff, representing over forty different specialties 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. Pt VI Line 5 St.Joseph Hospital is an affiliate of Covenant Health Systems, 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. Pt III Line 4 Text of the footnote in financial statement-"The allowance for doubtful accounts is provided based on an analysis by management of the collectibility 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. Pt V Sec B 15e Extensive efforts are made to determine eligibility for free care, before any credit reporting, liens or lawsuits are filed. Pt VI Line 7 NH true X X X X X false true false false false false false true false DAVID ROSS 361226 23142 5284 30049 419701 RICHARD PLAMONDON 233164 30283 23367 23171 21828 331813 PAM DUCHENE 204340 20710 6756 28994 260800 KEITH CHOINKA 185386 32620 22619 5753 12607 258985 BEVERLY ROBINSON 153518 21608 22509 3819 29077 230531 JAMES MCKENNA 178796 10227 18743 6242 21784 235792 JACQUI WOOLLEY 173132 22098 7835 1448 28847 233360 GREG ZUERCHER MD 262898 20518 17046 7350 28369 336181 MICHAEL MCGEE MD 231689 26785 7347 28309 294130 ROBERT DEMERS 134236 12309 22466 4474 28694 202179 LAWRENCE LEARNER MD 177257 6816 23104 26312 20770 254259 W STEWART BLACKWOODMD 239145 15000 25795 20965 300905 LINDA SHELDON 167653 14002 20358 202013 Pt I Line 1b These benefits are included in taxable income and are part of the analysis of the overall reasonableness of the executive compensation. Pt I Line 4b Supplemental employee retirement plan- Richard Plamondon $16,500 Pt I Line 7 "cash in" of earned time NH HEALTH & EDUCATION FACILITIES AUTHORITY 020279866 644614KA6 2004-05-13 21173782 Renovations&improvements false false true NH HEALTH & EDUCATION FACILITIES AUTHORITY 020279866 644614UG2 2007-10-30 53869522 Renovations&equipment false false true 21173782 1507744 423476 2004 false true true true 53680000 4911229 681812 2008 false true false true false false false false 0.00000 0.00000 0.00000 true false false false false 0.00000 0.00000 0.00000 true true false false false false false true false false false false false Pt VI, Line 7a St.Joseph Hospital is a subsidiary of Covenant Health Systems, and as Pt VI, Line 7b such, all decisions are subject to its review. Pt VI, Line 8a All meetings of the Board and Committees have minutes taken at Pt VI, Line 8b the time of the meeting and readily available for review. Pt VI, Line 11a 990's are reviewed by independent tax accountant, and then reviewed at the Finance Committee and Board level. Pt VI, Line 12c Each year, St.Joseph Hospital conducts a survey of Board members and key members of management to determine whether there are conflicts of interest(actual or potential). An annual report is presented to the Board. Board members and key managers have a continuing obligation to report any proposed transaction which may be perceived as a conflict of interest. Pt XII, Line 2c The Finance Committee meets with the independent auditors to review audited financial statements, and they are reviewed at Covenant Health Systems. Pt VI, Line 15 Every 2-3 years, the Compensation Committee of Covenant Health System'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 the analysis are to: assess the compositeness of the current total cash compensation levels for the senior management team, develop market based competitive salary ranges for all executive positions, and ensure that the annual incentive opportunities, if any, are competitive and reasonable. Pt VI, Line 19 Upon request the organization will make available corporate documents and financial statements. Form 990, Part III, Line 4d SCHOOL OF NURSING, LNA AND OTHER HEALTH PROFESSIONALS PROVIDED TO THE 1402017. 0. 1171455. Form 990, Part IX, Line 24f PHYSICIAN FEES 1834998. 1834998. 0. 0. MEDICAL SUPPLIES 20957327. 20957327. 0. 0. FOOD SUPPLIES 1228442. 912610. 315832. 0. MISCELLANEOUS 201217. 149303. 51733. 181. Pt VI, Line 6 Covenant Health System is the sole member of St.Joseph Hospital. Pt XI,Line 5 Pension adjustment (5,721,371),loss on subsidiaries (13,466,622) donated capital 246,999, unrealized losses (1,645,621), discontinued operations (2,533,273) and fund activity at other entities for pension and and unrealized losses (498,842). SJH SURGICENTER LLC 172 KINSLEY ST NASHUA NH 030612013 204181845 OUTPATIENT SURGERY NH ST JOSEPH HOSPITAL COVENANT HEALTH SYSTEMS 420 BEDFORD ST LEXINGTON MA 024201502 222484505 HEALTHCARE MA 501(c)(3) 509(a)(2) SOUHEGAN NURSING ASSOCIATION 24 NORTH RIVER RD MILFORD NH 03055 020222795 HOME HEALTH&HOSPICE NH 501(c)(3) 509(a)(1) STJOSEPH HOSPITAL THE SURGICENTER AT STJOSEPH HOSPITAL INC 172 KINSLEY ST NASHUA NH 030612013 020222215 HEALTHCARE NH 501(c)(3) 509(a)(1) STJOSEPH HOSPITAL DH FAMILY MEDICINE OF NASHUA 172 KINSLEY ST NASHUA NH 030612013 208404257 PHYSICIAN SERVICES NH 501(c)(3) 509(a)(2) STJOSEPH HOSPITAL STJOSEPH HOSPITAL CORPORATE SERVICES 172 KINSLEY ST NASHUA NH 030612013 020405197 HOLDING COMPANY NH STJOSEPH HOSPITAL C 13712000 26294000 1.00000 FIRST CHOICE PHO 172 KINSLEY ST NASHUA NH 03060 020461536 physician hospital organization NH STJOSEPH HOSPITAL C 2268 625110 0.50000 false false false false false false false false true true false false false true true true true true STJOSEPH CORPORATE SERVICES i 22197 cash STJOSEPH CORPORATE SERVICES j 346404 cash STJOSEPH CORPORATE SERVICES n 645811 cash SOUHEGAN NURSING ASSOCIATION n 100137 cash STJOSEPH CORPORATE SERVICES p 427488 cash SOUHEGAN NURSING ASSOCIATION p 87894 STJOSEPH CORPORATE SERVICES q 8989000 DH FAMILY MEDICINE OF NASHUA q 2018000 SOUHEGAN NURSING ASSOCIATION r 165000 SURGICENTER AT ST JOSEPH HOSPITAL r 50000 COVENANT HEALTH SYSTEMS o 3317825