2026-08-06T09:47:52-05:00 2025-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2024-10-01 020223332 Huggins Hospital HUGG 6035697571 PO Box 912 Wolfeboro NH 03894 Joshua Upham CFO 6035697571 2026-08-03 1 1 Melissa Magoon CPA P01712842 2077752387 2026-08-03 2024 2025-03-06 01:10:19Z Jeremy Roberge PO Box 912 Wolfeboro NH 03894 128856206 0 X www.hugginshospital.org X 1907 NH Critical Access Hospital 15 13 620 31 0 0 1224607 4154818 103575865 103164478 4047487 8704601 95954 89803 108943913 116113700 58192 0 0 0 54653386 60914161 0 0 184692 45464508 45999566 100176086 106913727 8767827 9199973 172070699 168532821 54307518 41539625 117763181 126993196 Huggins Hospital's mission is to empower the fulfillment of life through better health. 0 0 87050176 103164478 Huggins Hospital is a non-profit Critical Access Hospital that provides medical services to the region's year-round population of 30,000 residents and approximately 120,000 seasonal residents and visitors. Our services include primary care, inpatient care, intensive care, surgery, medical imaging and diagnostics, gynecology, orthopedics, pediatrics, cardiology, infusion services, respiratory therapy, speech therapy, nutrition services, cardiac and physical rehabilitation, social services and emergency services. 87050176 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 62 0 1 620 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 15 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Joshua Upham 6035697590 PO Box 912 Wolfeboro NH 03894 Corrine Smith RN Chairman 2.00 0.00 X X 0 0 0 Michael L'Ecuyer Vice Chairman 2.00 0.00 X X 0 0 0 Susan John Treasurer 2.00 0.00 X X 0 0 0 Diana Scott Assistant Treasurer 2.00 0.00 X X 0 0 0 Cecile Chase Trustee 2.00 0.00 X 0 0 0 Christian Coulter Trustee 2.00 0.00 X 0 0 0 Carrie Duran Trustee 2.00 0.00 X 0 0 0 Michael Gallup Trustee 2.00 0.00 X 0 0 0 Philip Hunter Trustee 2.00 0.00 X 0 0 0 Les MacLeod Trustee 2.00 0.00 X 0 0 0 Jeremy Roberge President & CEO 40.00 0.00 X X 409811 0 13886 James Cubeddu PA-C Secretary 40.00 0.00 X X 146745 0 26783 Ellen Dennehy PA-C DSMc Trustee/Med. Staff President 40.00 0.00 X 138340 0 42216 Megan Ryder Trustee 2.00 0.00 X 0 0 0 Don Smith Trustee 2.00 0.00 X 0 0 0 Joshua Upham CFO 40.00 0.00 X 285576 0 61997 Barry Gendron Chief Medical Officer 40.00 0.00 X 439761 0 48715 Stacey Savage Chief Nursing Officer 40.00 0.00 X 232683 0 7795 Joseph Mann VP Information Technology 40.00 0.00 X 224812 0 54417 Monica O'Clair VP Strategy & Community Relations 40.00 0.00 X 217804 0 42909 Thomas Varney Surgeon 40.00 0.00 X 630192 0 63112 Joel Huleatt Surgeon 40.00 0.00 X 548559 0 64821 Jeremy Paul Hogan Surgeon 30.00 0.00 X 515422 0 43629 Eric Dutson General Surgeon 40.00 0.00 X 412132 0 51730 George Costello Surgeon 20.00 0.00 X 342500 0 12216 4544337 0 534226 78 0 1 0 Emergency Physician Associates Inc PO Box 634850 Cincinnati OH 45263 ER and Hospitalist Service Management 2305474 Collaborative Anesthesia Partners 168 Bay Rd Farmington NH 03835 Anesthesia Service Management 1481577 Lawrence Recruiting PO Box 7412580 Chicago IL 606742526 Healthcare Staffing 1208628 Weatherby Locums Inc PO Box 972633 Dallas TX 75397 Healthcare Staffing 830677 Medical Solutions LLC PO Box 850737 Minneapolis MN 55485 Healthcare Staffing 791227 11 4154818 4154818 Patient Service Revenue 621400 217368510 217368510 Miscellaneous 621400 2604645 1497251 1107394 Contractual/Char. Adj. 621400 -116808677 -116808677 103164478 713640 713640 118083 51592 66491 66491 66491 20078470 585567 12673076 0 7405394 585567 7990961 7990961 41150 17838 23312 23312 116113700 102057084 0 9901798 X 2394251 492832 1901419 45683138 39789250 5768113 125775 1094450 957811 133607 3032 8965159 7700451 1240472 24236 2777163 2337845 432007 7311 123461 123461 138493 138493 248382 248382 18440114 12195932 6226948 17234 36866 36741 125 154637 147046 6062 1529 1192231 1192231 1744269 1646991 97278 87296 57986 27831 1479 280349 147585 130989 1775 953849 900653 53196 5561091 5250948 310143 1069960 334088 735872 Medical Supplies 9518502 9145341 373161 Medicaid Enhancement Ta 4810499 4810499 Miscellaneous 1639567 1098177 539069 2321 106913727 87050176 19678859 184692 X 2408 3415 20051852 9183902 12126893 14471417 721680 919590 1024588 1155355 111647507 66355967 47071825 45291540 83964095 90427728 7107358 7079874 172070699 168532821 10647911 9277459 22244753 21719938 1144268 21414854 9397960 54307518 41539625 X 97820447 103509171 19942734 23484025 117763181 126993196 172070699 168532821 X 9199973 -845293 875335 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 20537 20537 0 Part II-B, Line 1: Huggins Hospital is a member of the NH Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of Huggins Hospital and other organizations in furtherance of their exempt purposes. Huggins Hospital does not directly perform any lobbying activities. 13491171 1105836 600000 13997007 11425935 2665236 600000 13491171 10721737 1312198 608000 11425935 13732733 -2347996 663000 10721737 11962767 2333966 564000 13732733 0.00000 0.25077 0.74923 0 0 937667 937667 50852775 42072180 8780595 466562 434002 32560 52361295 20438062 31923233 7029208 3411723 3617485 45291540 Interest Rate Swap 730524 Finance Lease Payable 138419 Estimated Third-Party Payor Settlements 8529017 9397960 115301760 -845293 281735 -563558 115865318 248382 248382 116113700 106683183 17838 17838 106665345 248382 248382 106913727 Part V, Line 4: The intended use of the endowment fund is to support health care services including indigent care, health education, as well as capital improvements and acquisitions. Part XI, Line 2d - Other Adjustments: Change in value of interest rate swap 288,979. Change in beneficial interest in perpetual trust -25,082. Fundraising Expenses 17,838. Part XII, Line 2d - Other Adjustments: Fundraising Expenses 17,838. Golf Event 41150 41150 2100 10713 5025 41150 41150 2100 10713 5025 17838 23312 1 1 1 X 125.000000000000 1 X 1 1 0 1 1 795569 359890 435679 0.00410 11417905 9278427 2139478 0.02000 12213474 9638317 2575157 0.02410 319005 319005 0.00300 433941 433941 0.00410 25497648 15848125 9649523 0.09030 210899 210899 0.00200 26461493 15848125 10613368 0.09940 38674967 25486442 13188525 0.12350 12178 12178 0.00010 12178 12178 0.00010 19301926 19474777 -172851 X 1 1 1 1 Huggins Hospital PO Box 912 Wolfeboro NH 03894 www.hugginshospital.org 120420900 X X X X Huggins Hospital 1 0 0 1 X X X X X X X X X 24 1 0 0 1 X www.hugginshospital.org/about/community-health-needs-assessment X 1 22 1 www.hugginshospital.org/about/community-health-needs-assessment 0 1 X 125.000000000000 200.000000000000 X 1 1 X X X X 1 X www.hugginshospital.org/resources/financial-assistance-and-billing X www.hugginshospital.org/resources/financial-assistance-and-billing X www.hugginshospital.org/resources/financial-assistance-and-billing/ X X X X X 1 X 0 X X X X 1 X 0 0 Huggins Hospital Part V, Section B, Line 5: In 2025, multiple organizations, along with community members, collaborated to build a comprehensive Community Health Needs Assessment by identifying and defining significant health needs, issues and concerns of Carroll County and other communities served by Huggins Hospital. The process included in-person focus groups as well as community surveys. The process centered on gathering and analyzing data as well as receiving input from persons who represented the broad interests of the community to provide direction for creating a plan to improve the health of the communities served by Huggins Hospital. Many of the community's social support service organizations and other healthcare agencies participated. Along with the direct feedback from community members, these organizations provided input through a viewpoint of the clients they represent. Many of the organizations who participated in Huggins Hospital's Community Health Needs Assessment employ people with special knowledge and expertise in public health issues as well as those who experience low income and disparities, those who are medically underserved and those who belong to minority populations. Huggins Hospital Part V, Section B, Line 11: Huggins Hospital's most recent Community Health Needs Assessment and Implementation Plan was completed in 2025. The Implementation Plan includes strategies to address Access to Specialty Clinical Care, Access to Mental Health Care and Social Determinants of Health Improvement. Huggins Hospital, along with its partners in the Huggins Community Health Network - a network of healthcare and social service organizations in southern Carroll County - work together to identify the gaps and barriers that exist to improving the overall health and wellbeing of the community. The group also improves connections, navigation and referral to all resources in the community. Huggins Hospital also partners with statewide providers and federal programming to address local needs. Part I, Line 7: Financial Assistance and Means-Tested Government Programs: The amounts reported on Lines 7a & 7b were computed using a cost-to-charge ratio. Part II, Community Building Activities: Huggins Hospital provides Community Building Activities to strengthen the community's capacity to promote the health and well-being of its residents. Community building activities include expenditures and in-kind donations for the development of programs, policies and partnerships intended to address physical and social economic determinants of health.Economic Development: Huggins Hospital is one of the New Hampshire Eastern Lakes Region's primary economic drivers as a large regional employer. The Hospital provides assurance to year-round and seasonal residents and visitors that 24/7 access to health care is available every day of the year. The economic health and quality of life hinges on the financial strength and the ability of the Hospital to provide healthcare in the region. Multiple Leadership Team members sit on local boards and assist with economic development initiatives with groups such as the Wolfeboro Chamber, the Wolfeboro Economic Development Corporation and the Eastern Lakes Region Housing Coalition. The Hospital also supports these agencies with cash and in-kind donations listed in the hospital's Community Benefits Report.Community Support: Huggins Hospital works collaboratively with local resources to build and maintain a healthy community. The Hospital maintains relationships with many organizations to promote and create better community health including Governor Wentworth Regional School District, Starting Point, Carroll County Coalition for Public Health, Central NH VNA & Hospice, Northern Human Services, local summer camps and many more. Huggins Hospital provides direct in-kind and cash donations to organizations who also strive to support a healthy community that you can find listed in the Financial Contributions section of the Community Benefits Report. As part of our community support, Huggins Hospital also provides paramedic-level services out in the community through the Paramedic Intercept Program. This program allows for a faster connection to a higher level of care that many rural areas do not have available. These quick connections to this high-level emergency care helps save lives and get people the care they need sooner. This program is counted on the Community Benefits Report under Community-Based Clinical Services.Coalition Building: Huggins Hospital staff members sit on multiple public health and regional health network groups to address healthcare concerns in multiple areas including chronic disease, substance misuse, mental health, behavioral health, elderly health, healthy childhood development and more.Community Health Improvement Advocacy: Huggins Hospital develops its Community Health Needs Assessment through comprehensive community outreach and involvement that creates a natural path to health improvement advocacy in our community. As mentioned before, employees at Huggins Hospital are involved in many community groups dedicated to the health of our community. Our employees are professionals in health care and are passionate about what they do. Not only do the employees sit on numerous health advocacy committees and boards, they also volunteer at other local healthcare organizations and support community healthcare initiatives. Emergency medical professionals at Huggins Hospital train local EMS for emergency preparedness and strive to improve the quality of emergency care. Huggins Hospital supports other local non-profits that provide needed support outside the Hospital's scope-of-care including mental health agencies and agencies for domestic violence support. The support for these initiatives is represented in multiple categories of the Community Benefits Report. Workforce Development: As a rural hospital with rural primary care locations, Huggins Hospital needs extra support in finding healthcare providers to maintain local services. Huggins Hospital uses a support system to help recruit qualified providers to the Eastern Lakes Region community in order to provide the healthcare services the community needs. Part III, Line 4: Please refer to pages 10 - 15 of the attached audited financial statements. Part III, Line 8: The Organization used a cost-to-charge ratio as its costing methodology to determine the amount of Medicare allowable costs. Part III, Line 9b: As a not-for-profit, tax-exempt, and charitable organization, Huggins Hospital serves all in medical need regardless of ability to pay. The Organization is governed by a volunteer Board of Trustees committed to balancing community needs with our available resources to meet those needs. As a hospital-employed medical staff, all twelve physician practices accept patients regardless of ability to pay. Part VI, Line 2: Please see Part V, Section B. The Huggins Hospital Community Health Needs Assessment and Implementation Plan can also be found online at: https://www.hugginshospital.org/assets/pdf/CHNA_and_Implementation_Plan_2022.pdf. Part VI, Line 3: Huggins Hospital provides a notice to all patients both in the hospital and its physician practices of the financial assistance programs available to them. There is a staff of financial counselors who work with the uninsured and underinsured to assist in qualifying for Charity Care or a sliding fee schedule depending on the family income. Financial counselors also assist those uninsured in applying for and receiving assistance through the Medicaid program. Information about our financial assistance programs can be found on our website and in print or in person at all of our locations. Part VI, Line 4: Huggins Hospital is a non-profit, rural, Critical Access Hospital. Our community's year-round population is approximately 33,000 citizens which expands in the tourist season to about 120,000 residents. Huggins Hospital is the largest employer in Wolfeboro. The primary service area for Huggins Hospital includes: Alton, Brookfield, Effingham, Freedom, Ossipee, Tamworth, Tuftonboro, Wakefield and Wolfeboro. Secondary service areas include parts of Barnstead, Gilford, Moultonborough and New Durham. These towns are located in Carroll, Belknap and Strafford Counties. Part VI, Line 5: Huggins Hospital has played an important role in the Eastern Lakes Region of New Hampshire for more than 100 years, enabling unwavering support to patients and their families, community members and employees. Gifts made to the Hospital's annual giving program and special initiatives support programs that are important to the region. Part VI, Line 6: Huggins Hospital has officially ended its affiliation with GraniteOne Health, a partnership that included Catholic Medical Center and Monadnock Community Hospital. Huggins Hospital has chosen to remain an independent non-profit, charitable organization dedicated to enhancing the health and well-being of its communities. This decision allows the hospital to preserve its unique identity while continuing to provide strong support and care at the local level. Part VI, Line 7, Reports Filed With States NH X X X 0 0 0 0 0 0 0 1 0 Thomas Varney Surgeon 536343 0 93650 0 199 0 10342 0 52770 0 693304 0 0 0 Joel Huleatt Surgeon 481589 0 66850 0 120 0 9097 0 55724 0 613380 0 0 0 Jeremy Paul Hogan Surgeon 394952 0 120350 0 120 0 10548 0 33081 0 559051 0 0 0 Barry Gendron Chief Medical Officer 392961 0 46800 0 0 0 10056 0 38659 0 488476 0 0 0 Eric Dutson General Surgeon 371719 0 40350 0 63 0 7506 0 44224 0 463862 0 0 0 Jeremy Roberge President & CEO 351109 0 58702 0 0 0 11500 0 2386 0 423697 0 0 0 George Costello Surgeon 250000 0 92500 0 0 0 12216 0 0 0 354716 0 0 0 Joshua Upham CFO 249976 0 35600 0 0 0 7906 0 54091 0 347573 0 0 0 Joseph Mann VP Information Technology 190912 0 33900 0 0 0 4154 0 50263 0 279229 0 0 0 Monica O'Clair VP Strategy & Community Relations 191904 0 25900 0 0 0 5948 0 36961 0 260713 0 0 0 Stacey Savage Chief Nursing Officer 208683 0 24000 0 0 0 6248 0 1547 0 240478 0 0 0 Ellen Dennehy PA-C DSMc Trustee/Med. Staff President 121380 0 16286 0 674 0 4370 0 37846 0 180556 0 0 0 James Cubeddu PA-C Secretary 135490 0 11100 0 155 0 7197 0 19586 0 173528 0 0 0 Part I, Line 7 Bonuses paid to Surgeons were based off of performance metrics relating to increased service access. The Bonuses for Senior Leadership are currently driven off of organizational goals as well as individual goals. A New Hampshire Health & Education Facilities Authority Series 2017A 020279866 2017-06-30 14380488 Refinance of Series 2009 State of New Hampshire Bond 0 0 0 B New Hampshire Health & Education Facilities Authority Series 2017B 020279866 2017-06-30 14160667 Refinance of Series 2007 State of New Hampshire Bond 0 0 0 A 2699881 14380488 184943 14195545 2017 0 1 1 1 B 2376045 14160667 117813 14042854 2017 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 0 1 1 0 Deutsche Bank AG 35.000000000000 0 0 0 0 1 A 0 B 0 Date Rebate Computation Performed Issuer Name: New Hampshire Health & Education Facilities Authority Series 2 Date the Rebate Computation was Performed: 06/23/2023 Issuer Name: New Hampshire Health & Education Facilities Authority Series 2 Date the Rebate Computation was Performed: 06/23/2023 Form 990, Part VI, Section B, line 11b A designated officer or management official meets with the preparer to discuss a draft of the Form 990 in detail. Once any necessary revisions are made, this draft is then submitted to the Finance & Budget Committee for further review. Afterwards, a copy of the public inspection copy of Form 990 is made available to the full board for their general review and comment prior to filing the return. A designated officer then signs the return after considering board comments. Form 990, Part VI, Section B, line 12c A copy of the conflict of interest policy is given to every officer, board member, and key employee on an annual basis, along with an annual disclosure statement. Each person is asked to complete, date and sign the disclosure statement, listing any known financial interest that the individual, or a member of the individual's family, has in any business entity that transacts business with the Organization. The Chairman of the board then reviews and maintains the disclosure statements for future reference. If a conflict arises, the board member will recuse themselves from participation in the deliberations and decisions relating to that conflict. Form 990, Part VI, Section B, line 15 The Hospital relies on externally available market data to determine the appropriate salary and any incentive compensation for the President as well as other officers and key employees of the organization. Each year, the President provides the Board with a listing of the five highest paid senior staff. Base salary and incentive compensation provided to the President is determined by three members of the Executive Committee of the Board as part of an annual performance review and their recommendation is shared with the full Board for final approval. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are made available to the public upon request for inspection in the President's office. Form 990, Part IX, line 11g Physician Fees: Program service expenses 6,960,635. Management and general expenses 0. Fundraising expenses 0. Total expenses 6,960,635. Contracted Services: Program service expenses 5,235,297. Management and general expenses 6,226,948. Fundraising expenses 17,234. Total expenses 11,479,479. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Huggins Hospital PO Box 912 Wolfeboro, NH 03894 EIN 02-0223332 Section 1.263(a)-3(n) Election: Huggins Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Value of Interest Rate Swap 288,979. Change in Beneficial interest in Perpetual Trust -25,082. Net Asset Transfer from Affiliate 611,438. Hospital and Community Aid Association Inc PO Box 1377 Wolfeboro NH 03894 026008048 Purchases equipment for the benefit of Huggins Hospital and its' patients. NH 501(c)(3) Line 12b, II 0 Huggins Senior Housing PO Box 912 Wolfeboro NH 03894 020490445 Elderly Housing NH Huggins Hospital C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 Huggins Senior Housing S 611438 FMV