SPEARE MEMORIAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- SPEARE MEMORIAL HOSPITAL (EIN 02-0226774)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-02-07
- IRS object ID
- 201130389349300808
- Schema version
- 2009v1.4
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-02-07T11:30:21-06:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Tyler Simms & StSauveur CPAS PC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 19 Morgan Drive | AddressLine1 |
| City | Lebanon | City |
| State | NH | State |
| ZIP Code | 03766 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020226774 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPEARE MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SPEA | NameControl |
| Phone | 6032382231 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 HOSPITAL ROAD | AddressLine1 |
| City | PLYMOUTH | City |
| State | NH | State |
| ZIP Code | 03264 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHELLE MCEWEN | Name |
| Title | PRESIDENT/CEO | Title |
| Phone | 6035361120 | Phone |
| Date Signed | 2011-01-18 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | W JAY SIMMS | Name |
| Phone | 6036530044 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHELLE MCEWEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 Hospital Road | AddressLine1 |
| City | Plymouth | City |
| State | NH | State |
| ZIP Code | 03264 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 48483151 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | SPEAREHOSPITAL.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1899 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE INPATIENT, OUTPATIENT AND PHYSICIAN HEALTH CARE SERVICES | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 435 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 189652 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 178498 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 41969714 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 46319533 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 495884 | InvestmentIncomePriorYear |
| Investment Income Current Year | 418915 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 422596 | OtherRevenuePriorYear |
| Other Revenue Current Year | 371777 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 43077846 | TotalRevenuePriorYear |
| Total Revenue Current Year | 47288723 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 310000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 20871457 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21156458 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 131549 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22172159 | OtherExpensePriorYear |
| Other Expenses Current Year | 26462902 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 43043616 | TotalExpensesPriorYear |
| Total Expenses Current Year | 47929360 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 34230 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -640637 | RevenuesLessExpensesCY |
| Total Assets BOY | 50826054 | TotalAssetsBOY |
| Total Assets EOY | 55545738 | TotalAssetsEOY |
| Total Liabilities BOY | 19627662 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 24116856 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 31198392 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 31428882 | NetAssetsOrFundBalancesEOY |
| Mission Description | To maintain a hospital and other such institutions within the State of New Hampshire, with facilities that include medical services to provide for the diagnosis and treatment of patients that may require inpatient, outpatient, emergency care and other pursuits designed to promote the general health of the community. SMH does not discriminate relative to race, religion or national origin, ability to pay and will assure that all patients receive the same level of care through quality assessment monitoring and improvement activities. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 42263887 | Expense |
| Revenue | 46319533 | Revenue |
| Description | SMH IS A 25-BED ACUTE-CARE HOSPITAL THAT PROVIDES INPATIENT AND OUTPATIENT SERVICES TO THE SURROUNDING COMMUNITY. | Description |
| Total Program Service Expense | 42263887 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | 1 | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 37 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 435 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Taxable Distributions | 0 | TaxableDistributions |
| Distribution To Donor | 0 | DistributionToDonor |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kathleen Beriau- Accounting Supervisor | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6032382106 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | SPEARE MEMORIAL HOSPITAL | AddressLine1 |
| City | PLYMOUTH | City |
| State | NH | State |
| ZIP Code | 03264 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Michelle mcewen | |||||||
| Hospital president/CEO | 40.00 | X | X | 216909 | 0 | 39003 | |
| William crangle | |||||||
| member | 1.00 | X | X | 0 | 0 | 0 | |
| Colleen brickley | |||||||
| chair | 1.00 | X | X | 0 | 0 | 0 | |
| Brian chalmers | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Eldwin wixson | |||||||
| member | 1.00 | X | 0 | 0 | 0 | ||
| Susan Karkheck | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Stanley Lee Freeman | |||||||
| Ast. Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Quentin Blaine | |||||||
| Member | 1.00 | X | 0 | 0 | 0 | ||
| Clint hutchins | |||||||
| Member | 1.00 | X | 0 | 0 | 0 | ||
| William Larsen | |||||||
| Vice Chair | 1.00 | X | X | 0 | 0 | 0 | |
| Alison Ritz | |||||||
| Member | 1.00 | X | 0 | 0 | 0 | ||
| David Talbot | |||||||
| Member | 1.00 | X | 0 | 0 | 0 | ||
| Ronald Sibley | |||||||
| Member | 1.00 | X | 0 | 0 | 0 | ||
| Peter G Kritikos | |||||||
| FORMER CFO-Part Year | 40.00 | X | 115816 | 0 | 17974 | ||
| RICHARD F WERKOWSKI | |||||||
| CFO-Part Year | 40.00 | X | 0 | 0 | 0 | ||
| Joseph CASEY md | |||||||
| Physician | 40.00 | 308925 | 0 | 47856 | X | ||
| Timothy lyons MD | |||||||
| Physician | 40.00 | 318800 | 0 | 36213 | X | ||
| Michael P Giovan MD | |||||||
| Physician | 40.00 | 436729 | 0 | 56772 | X | ||
| James P KorenJr MD | |||||||
| Physician | 40.00 | 258578 | 0 | 33111 | X | ||
| Victor Gennaro MD | |||||||
| Physician | 40.00 | 415817 | 0 | 56733 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2071574 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 287662 | TotalOtherCompensation |
| Number Individuals GT100 K | 30 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (2 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| HARVEY CONSTRUCTION CORP OF NH | |||||
| 10 HARVEY ROAD | BEDFORD | NH | 03110 | CONSTRUCTION | 2079566 |
| LAVALLEE BRENSINGER ARCHITECTS | |||||
| 155 DOW STREET SUITE 400 | MANCHESTER | NH | 03101 | ARCHITECTS | 211519 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 2 | NumberOfContractorsGT100K |
| Fundraising Events | 1570 | FundraisingEvents |
| Government Grants | 101840 | GovernmentGrants |
| All Other Contributions | 75088 | AllOtherContributions |
| Total Contributions | 178498 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUE | 624100 | 45953913 | 45953913 |
| Other Operating Revenu | 900099 | 365620 | 365620 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 46319533 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 369309 | TotalRevenueColumn |
| Exclusion | $369,309 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 41726 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 41726 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 41726 | TotalRevenueColumn |
| Exclusion | $41,726 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1231012 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1174414 | Securities |
| Other | 6992 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 56598 | Securities |
| Other | -6992 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 49606 | TotalRevenueColumn |
| Exclusion | $49,606 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 32472 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 1570 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 13022 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 19450 | TotalRevenueColumn |
| Exclusion | $19,450 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| PHARMACY INCOME | 446110 | 165766 | $165,766 |
| CAFETERIA INCOME | 722210 | 144835 | $144,835 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 310601 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 47288723 | TotalRevenueColumn |
| Related Or Exempt Function Income | 46319533 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $790,692 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 310000 | Total |
| Program Services | 310000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 347250 | Total |
| Management And General | 347250 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14705494 | Total |
| Program Services | 12451772 | ProgramServices |
| Management And General | 2189496 | ManagementAndGeneral |
| Fundraising | 64226 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1215604 | Total |
| Program Services | 1023708 | ProgramServices |
| Management And General | 186616 | ManagementAndGeneral |
| Fundraising | 5280 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3628516 | Total |
| Program Services | 3037122 | ProgramServices |
| Management And General | 575729 | ManagementAndGeneral |
| Fundraising | 15665 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1259594 | Total |
| Program Services | 1045349 | ProgramServices |
| Management And General | 208853 | ManagementAndGeneral |
| Fundraising | 5392 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50196 | Total |
| Management And General | 50196 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37748 | Total |
| Management And General | 37748 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56282 | Total |
| Management And General | 56282 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 90624 | Total |
| Program Services | 87909 | ProgramServices |
| Management And General | 2715 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4575941 | Total |
| Program Services | 4382740 | ProgramServices |
| Management And General | 155260 | ManagementAndGeneral |
| Fundraising | 37941 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 916523 | Total |
| Program Services | 855444 | ProgramServices |
| Management And General | 61079 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110036 | Total |
| Program Services | 73657 | ProgramServices |
| Management And General | 35637 | ManagementAndGeneral |
| Fundraising | 742 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33402 | Total |
| Management And General | 33402 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 729892 | Total |
| Program Services | 729892 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2411382 | Total |
| Program Services | 2411382 | ProgramServices |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| BAD DEBT | 4208573 | 4208573 | ||
| PHYSICIAN FEES & WAGES | 4010476 | 4010476 | ||
| PURCHASED SERVICES | 3190036 | 2898456 | 290329 | 1251 |
| PROVIDER TAX STATE OF N | 2104910 | 2104910 | ||
| COST OF DRUGS | 1947927 | 1947927 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1988954 | Total |
| Program Services | 684570 | ProgramServices |
| Management And General | 1303332 | ManagementAndGeneral |
| Fundraising | 1052 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47929360 | Total |
| Program Services | 42263887 | ProgramServices |
| Management And General | 5533924 | ManagementAndGeneral |
| Fundraising | 131549 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6321459 | BOY |
| EOY | 4078242 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32594 | BOY |
| EOY | 9402 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5883728 | BOY |
| EOY | 5923440 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3123536 | BOY |
| EOY | 2590151 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 719056 | BOY |
| EOY | 717164 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 439352 | BOY |
| EOY | 408230 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 43012777 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17154499 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22612783 | BOY |
| EOY | 25858278 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9264388 | BOY |
| EOY | 11660773 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1650759 | BOY |
| EOY | 3221560 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 778399 | BOY |
| EOY | 1078498 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50826054 | BOY |
| EOY | 55545738 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2148068 | BOY |
| EOY | 2782948 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13060000 | BOY |
| EOY | 16815000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 366140 | BOY |
| EOY | 1221045 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4053454 | BOY |
| EOY | 3297863 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19627662 | BOY |
| EOY | 24116856 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30530379 | BOY |
| EOY | 30908631 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 451788 | BOY |
| EOY | 279026 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 216225 | BOY |
| EOY | 241225 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31198392 | BOY |
| EOY | 31428882 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50826054 | BOY |
| EOY | 55545738 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $9,138 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9138 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part II-B, Line 1i: | Identifier |
| Return Reference | Explanation of Other Lobbying Activities: | ReturnReference |
| Explanation | SPEARE MEMORIAL HOSPITAL IS A MEMBER OF THE NEW HAMPSHIRE HOSPITAL ASSOCIATION AND THE AMERICAN HOSPITAL ASSOCIATION. A PORTION OF THE DUES PAID TO THESE ORGANIZATIONS IS AVAILABLE FOR LOBBYING EXPENDITURES ON BEHALF OF SPEARE MEMORIAL HOSPITAL AND THE OTHER MEMBER ORGANIZATIONS IN FURTHERANCE OF THEIR EXEMPT PURPOSE. SPEARE MEMORIAL HOSPITAL DOES NOT DIRECTLY PERFORM ANY LOBBYING ACTIVITES. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 9404573 | BeginningOfYearBalance |
| Contributions | 1518080 | Contributions |
| Investment Earnings Or Losses | 986474 | InvestmentEarningsOrLosses |
| End Of Year Balance | 11909127 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10511233 | BeginningOfYearBalance |
| Contributions | 60500 | Contributions |
| Investment Earnings Or Losses | -1162894 | InvestmentEarningsOrLosses |
| Other Expenditures | 4266 | OtherExpenditures |
| End Of Year Balance | 9404573 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.98000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.02000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00050 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 564517 | OtherCostOrOtherBasis |
| Book Value | 564517 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27041780 | OtherCostOrOtherBasis |
| Depreciation | 7895350 | Depreciation |
| Book Value | 19146430 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 920517 | OtherCostOrOtherBasis |
| Depreciation | 311421 | Depreciation |
| Book Value | 609096 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14485963 | OtherCostOrOtherBasis |
| Depreciation | 8947728 | Depreciation |
| Book Value | 5538235 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 25858278 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BOND FUNDS | Description |
| Book Value | 3221560 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 3221560 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER CURRENT LIABILITIES | $2,160,771 |
| EST. THIRD-PARTY PAYER SETTLEMENTS | $801,666 |
| Related Party Note Payable | $335,426 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3297863 | TotalOfAmounts |
| Total Revenue | 47288723 | TotalRevenue |
| Total Expenses | 47929360 | TotalExpenses |
| Excess Or Deficit For Year | -640637 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 796265 | NetUnrealizedGLOnInvestments |
| Other | $74,862 | OtherAmount |
| Total Adjustments | 871127 | TotalAdjustments |
| Excess Or Deficit Per FS | 230490 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 46464248 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 156699 | OtherRevenues |
| Revenue Not Rptd F990 | 156699 | RevenueNotRptdF990 |
| Revenue Subtotal | 46307549 | RevenueSubtotal |
| Investment Expenses Not Included | 56282 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 924892 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 981174 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 47288723 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 46888885 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 46888885 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 56282 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 984193 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 1040475 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 47929360 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Part V, Line 4: | Description of Intended Use of Endowment Funds: | THE ENDOWMENT FUND IS USED TO SUPPORT OPERATIONS OF THE HOSPITAL. |
| Part XI, Line 8 - Other Adjustments: | BAD DEBT EXPENSE ON MSHC RECEIVABLE: 59301. RESTRICTED CONTRIBUTIONS: 25000. Restricted pledge loss: -9439. | |
| Part XII, Line 2d - Other Adjustments: | Net Assets released from Restrictions: 156699. | |
| Part XII, Line 4b - Other Adjustments: | grant expense: 310000. BAD DEBT EXPENSE ON MSHC RECEIVABLE: -59301. FORGIVENESS OF DEBT INCOME: 674193. | |
| Part XIII, Line 4b - Other Adjustments: | grant expense: 310000. FORGIVENESS ON DEBT INCOME: 674193. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 34042 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 1570 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 32472 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 528 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 1170 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 10104 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 1220 | OtherDirectExpensesEvent1 |
| Gross Receipts Total | 34042 | GrossReceiptsTotal |
| Charitable Contributions Total | 1570 | CharitableContributionsTotal |
| Gross Revenue Total Events | 32472 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 528 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 1170 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 10104 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 1220 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 13022 | DirectExpenseSummaryEvents |
| Net Income Summary | 19450 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent150 | X | Pcent150 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 225.000000000000 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3788006 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2104910 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1683096 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03850 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3618961 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2720933 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 898028 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02050 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14694220 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 14065861 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 628359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01440 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22101187 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18891704 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3209483 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07340 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 87643 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 87643 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4203 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4203 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 214936 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 214936 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 215661 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 215661 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00490 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 522443 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 522443 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01190 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22623630 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 18891704 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3731926 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08530 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,693,487 | BadDebtExpenseAmount |
| Amount Attributable To | 32798 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14065861 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16698927 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2633066 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV
Name Of Entity NameOfEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
Form990 Schedule H Part V Form990ScheduleHPartV
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Speare Memorial Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 16 Hospital Road | AddressLine1 |
| City | Plymouth | City |
| State | NH | State |
| ZIP Code | 03264 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Shortfall As Community Benefit | Part III, Line 8: 100% OF THE SHORTFALL FROM MEDICARE SHOULD BE CONSIDERED A COMMUNITY BENEFIT. THE SERVICES PROVIDED TO MEDICARE PATIENTS ARE THE SAME SERVICES THAT ARE PROVIDED TO SELF-PAY PATIENTS WHO PAY SPEARE MEMORIAL HOSPITAL SLIGHTLY DISCOUNTED CHARGES. THE COMMUNITY BENEFIT AMOUNT IS CALCULATED BY SUBTRACTING THE MEDICARE PAYMENTS AND PATIENT COINSURANCE AND DEDUCTIBLE PAYMENTS FROM THE MEDICARE CHARGES. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | Part III, Line 9b: speare Memorial Hospital has both a collections policy, and a charity care policy that describes charity eligibility and steps to be completed before a patient's account is written off to bad debt. | DebtCollectionPolicy |
| Needs Assessment | Part VI, Line 2: Information gathering through surveys, focus groups, community representation, public forums, input from health care providers, industry leaders, outside consultants,AND analysis of internal data and external data provided by Hospital Associations, Payers, etc. | NeedsAssessment |
| Patient Education Assistance | Part VI, Line 3: Patients are educated at time of registration or through educational materials that are distributed through THE HOSPITAL'S website or by community outreach.Speare MEMORIAL Hospital is a member of a community health network that provides assistance, support,and education relating to eligibility assistance. | PatientEducationAssistance |
| Community Information | Part VI, Line 4: Speare Memorial Hospital is located in the mountain and lakes region of New Hampshire and primarly serves constituents in Grafton County. Grafton County population size is approximately 86,000 within its 40 distinct municipalities. | CommunityInformation |
| Other Information | Part VI, Line 6: Speare MEMORIAL HOSPITAL provides prescription drug assistance, primary-care clincs, multiple support groups, patient education programs, school dental program, etc. and haS affliations and partnerships with many community organizations. | OtherInformation |
| Reports Filed With States | NH | ReportsFiledWithStates |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MID-STATE HEALTH CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 101 BOULDER POINT DRIVE NO 1 | AddressLine1 |
| City | PLYMOUTH | City |
| State | NH | State |
| ZIP Code | 03264 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 020487172 | EINOfRecipient |
| IRC Section | 501 (C)(3) | IRCSection |
| Amount Of Cash Grant | 310000 | AmountOfCashGrant |
| Method Of Valuation | FMV | MethodOfValuation |
| Purpose Of Grant | COMMUNITY BENEFIT GRANT | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Michelle mcewen | |||||||||||||
| 216909 | 0 | 0 | 0 | 0 | 0 | 16692 | 0 | 22311 | 0 | 255912 | 0 | 0 | 0 |
| Joseph CASEY md | |||||||||||||
| 308925 | 0 | 0 | 0 | 0 | 0 | 25545 | 0 | 22311 | 0 | 356781 | 0 | 0 | 0 |
| Timothy lyons MD | |||||||||||||
| 318800 | 0 | 0 | 0 | 0 | 0 | 13326 | 0 | 22887 | 0 | 355013 | 0 | 0 | 0 |
| Michael P Giovan MD | |||||||||||||
| 436729 | 0 | 0 | 0 | 0 | 0 | 33885 | 0 | 22887 | 0 | 493501 | 0 | 0 | 0 |
| James P KorenJr MD | |||||||||||||
| 258578 | 0 | 0 | 0 | 0 | 0 | 10800 | 0 | 22311 | 0 | 291689 | 0 | 0 | 0 |
| Victor Gennaro MD | |||||||||||||
| 415817 | 0 | 0 | 0 | 0 | 0 | 33846 | 0 | 22887 | 0 | 472550 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer |
|---|---|---|---|---|---|---|
| NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY | ||||||
| 020279866 | 64461TCH5 | 2004-11-01 | 13520000 | CONSTRUCTION AND RENOVATION PROJECT | 0 | 0 |
| NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY | ||||||
| 020279866 | 64461TCH5 | 2010-05-19 | 4000000 | CONSTRUCTION AND RENOVATION PROJECT | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)
| Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Capital ExpendituresCapitalExpenditures | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|
| 13520000 | 978181 | 318768 | 13201232 | 2007 | 0 | 0 | 0 | 1 |
| 4000000 | 58963 | 3941037 | 2010 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Form 990, Part VI, Section A, line 2 | The community relations director is the spouse of a board member. |
| Form 990, Part VI, Section A, line 6 | The provisions of SMH governing documents provides the board of directors is comprised of association members. |
| Form 990, Part VI, Section A, line 7a | The association members elect the board members |
| Form 990, Part VI, Section B, line 11 | The FORM 990 is reviewed by the hospital CFO, THE President/CEO, and THE Finance Committee with THE full board of Directors. The FORM 990 is THEN signed and filed. |
| Form 990, Part VI, Section B, line 12c | Annual compliance form completed by each member of the board |
| Form 990, Part VI, Section B, line 15a | Compensation for the CEO is determined via a compensation committee, compensation survey or study, comparison of other organizations 990 information, board approval and written employment contact. |
| Form 990, Part VI, Section C, line 19 | Upon request |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPEARE MEMORIAL AT BOULDER POINT | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | Boulder Point Dr | AddressLine1 |
| City | PLYMOUTH | City |
| State | NH | State |
| ZIP Code | 03264 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 263888977 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivities |
| Legal Domicile State | NH | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 9 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPEARE MEMORIAL HOSPITAL | BusinessNameLine1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Type Of EntityTypeOfEntity | Percentage OwnershipPercentageOwnership | Share Of EOY AssetsShareOfEOYAssets |
|---|---|---|---|---|---|---|---|---|---|
| PLYMOUTH HOSPITAL PROFESSIONAL BUILDING | |||||||||
| 19 AVERY STREET | PLYMOUTH | NH | 03264 | 020366565 | PROFESSIONAL RENTAL SPACE | NH | C | 1.00000 | |
| SPEARE HEALTH NETWORK LLC | |||||||||
| 16 HOSPITAL ROAD | PLYMOUTH | NH | 03264 | 043372339 | PHYSICIAN/HOSPITAL ORGANIZATION | NH | C | 0.50000 | 25659 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPEARE MEMORIAL AT BOULDER POINT-LEASES ALL OF ITS SPACE TO SMH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | J | TransactionType |
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