2011-05-11T06:59:35-07:00 2010-09-30 WILLIAM STEELE & ASSOCIATES PC 40 STARK STREET MANCHESTER NH 03101 990 2009-10-01 020483054 SOUTHERN NEW HAMPSHIRE MEDICAL CENTER SOUT 6035772000 8 PROSPECT STREET PO BOX 2014 NASHUA NH 030612014 THOMAS E WILHELMSEN JR 6035772000 2011-05-16 2009 2016-02-24 21:20:13Z THOMAS E WILHELMSEN JR 8 PROSPECT STREET PO BOX 2014 NASHUA NH 03061 220120934 false X SNHMC.ORG X 1892 NH Southern New Hampshire Medical Center is committed to improving, maintaining, and preserving the overall health and well-being of individuals living in the greater Nashua area by providing information, education, and access to exceptional health and medical care services. 14 13 1795 372 234692 190453 170689 205510569 214238248 1560318 5684129 106186 27868 207367526 220120934 0 0 97165561 99218752 0 0 105606271 110423697 202771832 209642449 4595694 10478485 260152658 271630304 126581548 130073025 133571110 141557279 Southern New Hampshire Medical Center false false 167703379 213992546 PROVIDES ACUTE HEALTHCARE SERVICES TO A DIVERSE POPULATION BASE INCLUDING INDIGENT WITHIN SOUTHERN AND CENTRAL NEW HAMPSHIRE SEE ATTACHED 2010 ANNUAL REPORT 8202666 CHARITY CARE AND OTHER UNCOMPENSATED CARE 3168450 38878 COMMUNITY HEALTH SERVICES AND HEALTH PROFESSIONAL EDUCATION 179074495 true true false true false false false false true true false true false false false false false false false false true false false true true false false false false false false false false false false false false false false false true true false false true 129 0 true 1795 true true true false false false false false false false false false false false false false 14 13 false false false false false true true true true false false true true true true true true true true false NH X MICHAEL ROSE 6035772004 8 PROSPECT STREET NASHUA NH 03060 PRAVEEN K SUCHDEV MD BOARD CHAIR 2.00 X X 0 0 0 TIMOTHY C SULLIVAN BOARD VICE CHAIR 2.00 X X 0 0 0 THOMAS E WILHELMSEN JR PRESIDENT CE 40.00 X X 649414 0 123365 MICHAEL S ROSE TREASURER 40.00 X 305145 0 50642 JOSEPH R ALLARD ED D 2.00 X 0 0 0 ROBERT B EISENBERG 2.00 X 0 0 0 HOLLY J HARMON-MORSE 2.00 X 0 0 0 PETER J MCARDLE 2.00 X 0 0 0 MARTHA E O'NEIL 2.00 X 0 0 0 JAMES K STEINER 2.00 X 0 0 0 JOHN M MERCIER 2.00 X 0 0 0 GARY B FRIEDMAN MD 2.00 X 0 0 0 COLLEEN P GUIRY MD 2.00 X 0 0 0 LORI A LIBERTY 2.00 X 0 0 0 TIMOTHY J WHITAKER 2.00 X 0 0 0 DAVID CAWLEY VP ADMINISTRATION 40.00 X 212867 0 60310 SUSAN DESOCIO PRESIDENT FMP 40.00 X 243062 0 44339 RICHARD DUGUAY VP CLINICAL SERVICES 40 X 225221 39677 MERRYLL ROSENFELD VP HUMAN RESOURCE 40 X 176921 34800 COLETTE TILTON VP PT CARE SERVICES 40 X 227602 30473 STEPHANIE WOLF-ROSENBLUM VP MED AFF 40 X 295654 49896 4848 ANDREW WATT VP MEDICAL INFO SYSTEMS 40 X 270989 12991 JOSEPH M LEAHY PHYSICIAN 40 X 333088 29264 COLIN H O'BRIEN PHYSICIAN 40 X 302797 28995 DANIEL WEIDNER PHYSICIAN 40 X 280185 31900 ELIZABETH KARAGOSIAN PHYSICIAN 40 X 273890 18732 ROBERT KOCH PHYSICIAN 40 X 270529 37291 DWIGHT MULLER VPCIO INFO SYSTEMS 40 X 188036 33674 4255400 49896 581301 65 false true false ENGELBERTH CONSTRUCTION INC 428 MAIN ST KEENE NH 03431 CONSTRUCTION 7938772 SIEMENS MEDICAL SOLUTIONS DEPT AT 40065 ATLANTA GA 31192 SYSTEM SUPPORT 1876228 FULCRUM ASSOCIATES 5 TECH CIRCLE AMHERST NH 03031 CONSTRUCTION 1193124 MCKESSON INFO SOLUTIONS ONE POST ST SAN FRANCISCO CA 94104 SYSTEM SUPPORT 1095978 QUEST DIAGNOSTICS 5763 COLLECTION CTR DR CHICAGO IL 60693 LAB 934200 46 170689 170689 HOSPITAL SERVICES 622110 214003556 214003556 ANCILLARY SERVICES (NE REHAB FOOD SVS) 722210 171020 171020 ANCILLARY SERVICES (NE REHAB ENVIR) 811000 63672 63672 214238248 5661210 5661210 22919 22919 22919 22919 OTHER REVENUE 900099 27868 27868 27868 220120934 214031424 234692 5684129 2794909 0 2794909 0 76235245 66996377 9238868 0 3896127 3311708 584419 0 10689234 9085849 1603385 0 5603237 4762751 840486 0 175966 0 175966 0 119396 0 119396 0 1198786 0 1198786 0 798090 0 798090 0 1622869 1298295 324574 0 4299801 3439841 859960 0 34419 27535 6884 0 356116 284893 71223 0 4633131 3706505 926626 0 15686459 12549167 3137292 0 12030117 9624094 2406023 0 1508655 1206924 301731 0 BAD DEBT 19964749 19964749 0 0 NH MEDICAID ENHANCEMENT TAX 9826058 9826058 0 0 SERVICE CONTRACTS 3164664 2531731 632933 0 PURCHASED SERVICES 5552438 2982292 2570146 0 SUPPLIES 23257407 22186573 1070834 0 6194576 5289153 905423 0 209642449 179074495 30567954 0 60832706 50119430 17030439 17320928 2805655 3216119 2280676 2698822 220946310 109212597 113998869 111733713 52745285 76118869 10459028 10422423 260152658 271630304 24332975 24929626 89843720 89847038 660804 1138740 11744049 14157621 126581548 130073025 X 131215597 139201766 2355513 2355513 133571110 141557279 260152658 271630304 X false true true X false X 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 31235 31235 false Pt II-B Line 1i 23.76% OF DUES TO AMERICAN 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RECVB. L.T. 6264339 INVESTMENT IN NASHUA REGIONAL CANCER CENTER 2223527 INVESTMENT IN PHO 260986 SECURITY / WORKING FUND DEPOSITS 619964 UNAMORTIZED 07 BOND ISSUE 754685 OTHER 298922 10422423 UNEARNED INCOME - MOB 177297 INSURANCE RESERVES 1335397 OTHER LIABILITIES SERP 932798 ACCRUED PENSION EXPENSE-LT 10683671 457 (B) DEFERRED COMP PLAN 1028458 14157621 true true true X false true true true false true true 3082 6564426 6564426 0.03130 6849 19360160 11683461 7676699 0.03660 9931 25924586 11683461 14241125 0.06790 637823 38878 598945 0.00290 1531649 1531649 0.00730 2595993 1333205 1262788 0.00600 51400 51400 0.00020 839131 839131 0.00400 5655996 1372083 4283913 0.02040 9931 31580582 13055544 18525038 0.08830 40888 40888 0.00020 47447 47447 0.00020 12548 12548 0.00010 7564 7564 0.00000 108447 108447 0.00050 true 7596587 1638240 35539025 43909862 -8370837 X true true SOUTHERN NEW HAMPSHIRE MEDICAL CENTER

8 PROSPECT STREET PO BOX 2014 NASHUA NH 030612014

X X X THE MEDICAL CENTER OFFERS A DISCOUNT EQUAL TO THE AVERAGE OF THEIR THREE LARGEST PAYORS TO ALL SELF PAY PATIENTS. THE COSTING METHODOLOGY USED WAS THE RATIO OF COST TO CHARGE AS OUTLINED IN WORKSHEET 2 OF THE INSTRUCTIONS. THE ONLY EXCEPTION TO THIS WAS FOR SUBSIDIZED SERVICE AREAS WHERE THE COST STRUCTURE WAS SPECIFIC TO THAT SERVICE AREA. FOR THOSE AREAS, OUR COST ACCOUNTING SYSTEM WAS USED. AMOUNTS RELATED TO SERVICES RENDERED TO INDIVIDUALS FROM WHOM PAYMENT IS EXPECTED AND ULTIMATELY NOT RECEIVED ARE WRITTEN OFF AND INCLUDED AS PART OF THE PROVISION FOR BAD DEBTS. THE RATIO OF COST TO CHARGE METHODOLOGY WAS USED TO DETERMINE COST AS OUTLINED IN WORKSHEET 2 OF THE INSTRUCTIONS. A LOOKBACK WAS PERFORMED USING A SOCIO-ECONOMIC MODEL TO REVIEW ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT, WHERE THERE WASN'T SUFFICIENT PAPERWORK TO QUALIFY THE PATIENT FOR CHARITY CARE. THE MODEL SHOWED THAT 31% OF THE PATIENTS PREVIOUSLY WRITTEN OFF, WOULD HAVE QUALIFIED FOR CHARITY CARE. THIS SOCIO-ECONOMIC MODEL WAS IMPLEMENTED, HOWEVER, THERE ARE STILL A NUMBER OF PATIENTS WHO WOULD QUALIFY, THAT HAVE NOT BEEN PICKED UP BY THIS MODEL. THE RATIO OF COST TO CHARGE METHODOLOGY WAS USED TO DETERMINE COST AS OUTLINED IN WORKSHEET 2 OF THE INSTRUCTIONS. THERE ARE SERVICE AREAS WHERE GOVERNMENT PROGRAMS SUCH AS MEDICARE AND MEDICAID DO NOT REIMBURSE THE ORGANIZATION ADEQUATE AMOUNTS TO COVER THE COSTS TO PROVIDE THOSE SERVICES. THE HOSPITAL MUST PROVIDE THOSE SERVICES REGARDLESS OF THE FINANCIAL SHORTFALL. THE HOSPITAL INFORMATION SYSTEMS ALLOWS US TO APPLY CHARITY DISCOUNTS TO OPEN PATIENT ACCOUNTS WITHIN APPROVED CHARITY ELIGIBILITY TIME PERIODS, EITHER RETROSPECTIVELY OR PROSPECTIVELY. IF AN ACCOUNT SOMEHOW BYPASSES THIS PROCESS, DURING THE BAD DEBT REVIEW PROCESS, THE SYSTEM IS QUERIED TO ENSURE THE PATIENT DOES NOT HAVE A CHARITY APPROVAL THAT HAS NOT BEEN APPLIED TO THEIR ACCOUNT. ALSO, IF A PATIENT ACCOUNT GOES TO BAD DEBT, BUT SUBSEQUENTLY THE PATIENT IS APPROVED FOR CHARITY, WE WILL CLOSE AND RETURN THE ACCOUNT FROM THE AGENCY, REMOVE THE ACCOUNT FROM THE PATIENT'S CREDIT BUREAU AND WRITE THE PATIENT'S BALANCE OFF TO A CHARITY DISCOUNT. THE 2010 COMMUNITY NEEDS ASSESSMENT TITLED GREATER NASHUA MEASURES UP WAS PERFORMED AS A COLLABORATIVE EFFORT BETWEEN THE MULTIPLE ORGANIZATIONS IN THE GREATER NASHUA AREA. THE REPORT CAN BE FOUND AT WWW.UNITEDWAYNASHUA.ORG. AT EACH REGISTRATION POINT, SNHMC HAS SIGNAGE AND BROCHURES EXPLAINING OUR VARIOUS FORMS OF FINANCIAL ASSISTANCE, INCLUDING CHARITY CARE. ADDITIONALLY, PATIENT REGISTRARS OFFER THE CHARITY BROCHURES TO SELF PAY PATIENTS. PATIENTS WHO CALL REGARDING BILLING CONCERNS ARE OFFERED CHARITY ASSISTANCE. ADDITIONALLY, VERBIAGE REGARDING CHARITY CARE IS PRINTED ON EACH BILLING STATEMENT THE PATIENT RECEIVES. ALSO, CHARITY CARE INFORMATION IS AVAILABLE ON OUR HOSPITAL WEBSITE. SNHHS'S SERVICE AREA CONSISTS OF NINETEEN NEW HAMPSHIRE AND FOUR MASSACHUSETTS TOWNS. THE SERVICE AREA IS DIVIDED INTO A PRIMARY SERVICE AREA (PSA) OF TWELVE NEW HAMPSHIRE TOWNS (AMHERST, BROOKLINE, HOLLIS, HUDSON, LITCHFIELD, LYNDEBOROUGH, MERRIMACK, MILFORD, MONT VERNON, NASHUA, PELHAM AND WILTON), A SECONDARY SERVICE AREA (SSA) OF SEVEN NEW HAMPSHIRE TOWNS (DERRY, GREENVILLE, LONDONDERRY, NEW BOSTON, NEW IPSWICH, SALEM AND WINDHAM) AND A MASSACHUSETTS SERVICE AREA (MSA) OF FOUR NEIGHBORING MASSACHUSETTS TOWNS (DUNSTABLE, PEPPERELL, TOWNSEND AND TYNGSBORO). ACCORDING TO THE 2009 NEEDS ASSESSMENT, THE POPULATION OF GREATER NASHUA IS AGING, IS GROWING, AND IS BECOMING MORE DIVERSE. AMOUNTS REPORTED IN PART II REPRESENT PROGRAMS HELD IN THE GREATER NASHUA AREA THAT PROMOTE HEALTH EDUCATION AND WELLNESS WHILE BUILDING RELATIONSHIPS THROUGHOUT THE COMMUNITY. A MAJORITY OF THE ORGANIZATION'S BOARD OF TRUSTEES IS COMPRISED OF PERSONS WHO RESIDE IN THE PSA WHO OTHERWISE HAVE NO RELATIONSHIP WITH THE ORGANIZATION. MANY MEMBERS OF THE ORGANIZATION VOLUNTEER THEIR TIME TO OTHER COMMUNITY AGENCIES IN THE PSA. THE ORGANIZATION IS COMMITTED TO REINVESTING CAPITAL TOWARDS TECHNOLOGICAL ADVANCES TO PROVIDE IMPROVEMENTS IN PATIENT CARE, MEDICA EDUCATION, AND RESEARCH. NH X true true X X X X false true false false false false false true false THOMAS E WILHELMSEN JR PRESIDENT CE 469182 128000 52232 101776 21589 772779 MICHAEL S ROSE TREASURER 225775 45000 34370 26606 24036 355787 DAVID CAWLEY VP ADMINISTRATION 172468 16000 24399 34844 25466 273177 SUSAN DESOCIO PRESIDENT FMP 193009 32000 18053 16845 27494 287401 RICHARD DUGUAY VP CLINICAL SERVICES 169209 25000 31012 14750 24927 264898 MERRYLL ROSENFELD VP HUMAN RESOURCE 146402 15000 15519 6661 28139 211721 COLETTE TILTON VP PT CARE SERVICES 162446 16000 49156 19491 10982 258075 STEPHANIE WOLF-ROSENBLUM VP MED AFF 230047 49896 24000 41607 4848 300502 49896 ANDREW WATT VP MEDICAL INFO SYSTEMS 254791 15800 398 2868 10123 283980 JOSEPH M LEAHY PHYSICIAN 306357 10000 16731 5490 23774 362352 COLIN H O'BRIEN PHYSICIAN 273977 28820 8728 20267 331792 DANIEL WEIDNER PHYSICIAN 260792 2675 16718 3403 28497 312085 ELIZABETH KARAGOSIAN PHYSICIAN 237202 1300 35388 4395 14337 292622 ROBERT KOCH PHYSICIAN 237407 2025 31097 17393 19898 307820 DWIGHT MULLER VPCIO INFO SYSTEMS 91928 12000 84108 18421 15253 221710 Pt I Line 1b Southern New Hampshire Medical Center uses the facilities at the Nashua Country Club for meetings and other business related purposes. The Club does not have corporate memberships, therefore, an individual associated with the Medical Center must be a member of the Club. The membership is titled in the CEOs name and invoices are addressed to the CEO, not SNHMC. SNHMC pays the annual dues and all related expenses incurred by the organization. The facilities are only available to Club members. Pt I Line 4b Funding for Supplemental Employee Retirement Plan - David Cawley - $17,723.00 Susan DeSocio - $9,704.00, Michael S. Rose - $21,333.00 and Thomas E. Wilhelmsen - $86,244.00 Pt I Line 7 There is an additional compensation plan available to managers, directors and senior management that is part of their annual performance plan. The plan takes into consideration quality measures, patient satisfaction, individual goals, budget adherence and overall organizational performance. The range and overall pool is reviewed and approved by the Board of Trustees' Executive Compensation Committee. The amounts designated for the CEO and CFO are considered in the compensation consultant's analysis of executive compensation reported on the 990 Part VI section B Line 15b. NH HEALTH AND EDUCATION FACILITIES AUTHORITY 020279866 644614SWO 2007-08-30 89836797 Refunding and New Construction false false 89836797 49731438 949525 39155834 true true true true false false false false false 0.00000 0.00000 0.00000 true true false false false false false false Pt VI-A, Line 7a Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center Pt VI-A, Line 7a (SNHMC) and the two (2) organizations have identical boards with the exception of two (2) additional members serving Pt VI-A, Line 7a solely on the SNHMC board. These include a physician member and the current SNHMC chief of staff who is an ex-officio Pt VI-A, Line 7a member. Pt VI-A, Line 7b Southern New Hampshire Health System, Inc., is the sole corporate member of Southern New Hampshire Medical Center Pt VI-A, Line 7b (SNHMC) and the two (2) organizations have identical boards with the exception of two (2) additional members serving Pt VI-A, Line 7b solely on the SNHMC board. These include a physician member and the current SNHMC chief of staff who is an ex-officio Pt VI-A, Line 7b member. Pt VI-B, Line 11A A copy of the 990 was presented and approved by the Finance committee of the Board of Trustee prior to submission. Pt VI-B, Line 12c The organization requires all its personnel, including Leaders, to formally acknowledge that they have read & will abide by Pt VI-B, Line 12c our Code of Conduct, which includes our conflict of interest policy. SNHHS/SNHMC monitors compliance of its conflict of Pt VI-B, Line 12c interest process, which requires completion of disclosure forms by all Leaders on an annual basis or on a reappointment Pt VI-B, Line 12c basis (every two years) for medical/allied staff, to ensure full compliance. Interim disclosures are also required and Pt VI-B, Line 12c reviewed should a subsequent conflict arise. Any Related Party disclosures require review and approval by a designated Pt VI-B, Line 12c committee. An annual compliance report is provided to SNHHS/SNHMCs compliance committee and Board of Trustees. Pt VI-B, Line 15 The compensation of the CEO and CFO is evaluated by an outside consultant and approved by the Executive Pt VI-B, Line 15 Compensation Committee that reports to the Board of Trustees. A market analysis is performed for all key employees Pt VI-B, Line 15 on an annual basis. Once the CEO and CFO approved the final compensation figures for key employees, the CEO reports Pt VI-B, Line 15 these figures to the chairperson and vice chairperson of the Board. Pt VI-C, Line 19 The organization makes its 990 and 990T available for inspection and provides an Annual Report that is available on its Pt VI-C, Line 19 website. The Code of Conduct is also available on the organization's website. The Code of Conduct addresses certain Pt VI-C, Line 19 corporate policies including confidentiality, conflicts of interest, patient rights and other governing documents. Pt IV, Line 12 The organization is included as part of the audited consolidated financial statements of Southern New Hampshire Pt IV, Line 12 Health System, Inc. 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