MONADNOCK COMMUNITY HOSPITAL: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- MONADNOCK COMMUNITY HOSPITAL (EIN 02-0222157)
- Tax period
- 2024-10-01 to 2025-09-30
- Filed
- 2026-08-12
- IRS object ID
- 202622249349300502
- Schema version
- 2024v5.5
- 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 M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2026-08-12T15:55:47-05:00 | ReturnTs |
| Tax Period End | 2025-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BAKER NEWMAN & NOYES | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | BOX 507 | AddressLine1Txt |
| City | PORTLAND | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2024-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222157 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monadnock Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MONA | BusinessNameControlTxt |
| Phone | 6039247191 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 452 Old Street Road | AddressLine1Txt |
| City | Peterborough | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03458 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Richard D Scheinblum | PersonNm |
| Person Title | CFO & COO | PersonTitleTxt |
| Phone | 6039247191 | PhoneNum |
| Signature | 2026-08-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Connor Smart | PreparerPersonNm |
| PTIN | P02285543 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2026-08-10 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Cynthia K McGuire | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 452 Old Street Road | AddressLine1Txt |
| City | Peterborough | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03458 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $137,517,931 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | https://monadnockcommunityhospital.com/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1919 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | Critical access hospital serving the Monadnock region of the State of New Hampshire | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 718 | TotalEmployeeCnt |
| Total Volunteers | 78 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $829,431 | PYContributionsGrantsAmt |
| CY Contributions Grants | $892,216 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $122,697,106 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $130,075,971 | CYProgramServiceRevenueAmt |
| PY Investment Income | $4,431,300 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,170,792 | CYInvestmentIncomeAmt |
| PY Other Revenue | $50,897 | PYOtherRevenueAmt |
| CY Other Revenue | $30,620 | CYOtherRevenueAmt |
| PY Total Revenue | $128,008,734 | PYTotalRevenueAmt |
| CY Total Revenue | $137,169,599 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $105,510 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $45,308 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $57,617,208 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $63,657,758 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $831,475 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $64,529,690 | PYOtherExpensesAmt |
| CY Other Expenses | $68,019,790 | CYOtherExpensesAmt |
| PY Total Expenses | $122,252,408 | PYTotalExpensesAmt |
| CY Total Expenses | $131,722,856 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,756,326 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $5,446,743 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $203,243,687 | TotalAssetsBOYAmt |
| Total Assets EOY | $205,381,952 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $57,037,087 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $48,525,347 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $146,206,600 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $156,856,605 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Monadnock Community Hospital is committed to improving the health and well-being of our community. We will elevate the health of our community by providing accessible, high quality and value based care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $116,716,358 | ExpenseAmt |
| Grant | $45,308 | GrantAmt |
| Revenue | $130,075,971 | RevenueAmt |
| Desc | The primary purpose of Monadnock Community Hospital (MCH) is to ensure access to quality health care for patients in our community, regardless of their ability to pay. The following is a summary of the services MCH provides in an effort to fulfill its mission, together with key program statistics for fiscal year 2025.Inpatient Services - Includes: adult stays, maternity/births, and swing bed nursing. During the fiscal year, the Hospital admitted 1,079 patients and recorded 3,102 patient days. Emergency Services - MCH offers health services 24 hours per day, 7 days per week. Responsible for the immediate treatment of any medical or surgical emergency; for initiating life saving procedures in all types of emergency situations; and for providing emergency and initial evaluations and treatment for other conditions including minor illnesses and injuries, and sub-acute medical problems. During the year, there were 13,676 visits to the ER. Physician Practices - Family health services, programs, and education are integral components of healthcare at MCH. Inpatient and outpatient primary care includes: medical, surgical, psychological and specialist services, provided by physicians and mid-level practitioners. These are located at the Hospital and its four satellite practices located in Antrim, Jaffrey, New Ipswich, and Rindge. During the year, 58,412 primary care office visits were recorded. Surgical Services - Includes same day and short-term inpatient surgery. MCH provides surgery in the areas of orthopaedics, general surgery, OB/GYN, ophthalmology, urology, ENT, and podiatry. In addition, the Hospital offers some non-surgical procedures including colonoscopies, gastroscopies, and pain management injections. During the fiscal year, 4,386 procedures were performed. Radiology and Diagnostics - MCH provides advanced radiological technology and extensive imaging services including: bone density, MRI, CT, nuclear medicine, ultrasound, mammography, and other diagnostic procedures, both inpatient and outpatient. During the fiscal year, 37,106 exams were performed. Rehabilitation Services - Additionally, MCH serves the people of the Monadnock Region through its medical rehabilitation and fitness services. MCH offers rehabilitation programs for cardiac and diabetic rehabilitation, along with pulmonary fitness, which feature educational and exercise components. We also provide physical and occupational therapy, as well as speech rehabilitation. During the fiscal year, 76,647 procedures were recorded for these services. Monadnock Community Hospital's Financial Grant Program provides assistance with hospital and/or physician bills for qualifying patients. In fiscal year 2025, the Organization recorded $1,037,000 in charges foregone based on established rates. In addition, Monadnock Community Hospital provided other services to the community at no cost or reduced cost, such as screenings and clinics. The cost of providing these services was approximately $20,623,000 in fiscal year 2025. | Desc |
| Total Program Service Expenses | $116,716,358 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 125 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 718 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (1) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (1) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Richard D Scheinblum | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6039247191 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 452 Old Street Road | AddressLine1Txt |
| City | Peterborough | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03458 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Terrence McNamara DO | ||||||||
| Trustee/Physician | 41.50 | 0.00 | Yes (X) | $517,677 | $0 | $42,659 | ||
| Cynthia McGuire | ||||||||
| Chief Executive Officer | 55.00 | 0.60 | Yes (X) | $461,176 | $0 | $55,113 | Yes (X) | |
| Kevin Beaulieu | ||||||||
| Trustee (start 1/2025) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| James Callahan Esq | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Peter Cerroni DMD | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Jeffrey R Crocker Esq | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Carolyn Garretson | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Steve Kim | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Eric Lasky MD | ||||||||
| Ex-Officio (voting) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Leslie Lewis | ||||||||
| Trustee (end 1/2025) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Stephen Lehmkuhl DO | ||||||||
| Ex-Officio (voting) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ed Madigan | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Greg Neilley MD | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Melanie Presnell APRN | ||||||||
| Trustee (start 1/2025) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Linda Roche | ||||||||
| Trustee (start 1/2025) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Iris Waitt | ||||||||
| Trustee | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Paul Faber | ||||||||
| Chair | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Paula Hunter | ||||||||
| Vice Chair | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Thomas S Bates CPA | ||||||||
| Treasurer (end 2025) | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Casandra Clark | ||||||||
| Treasurer | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Patricia Shuster | ||||||||
| Clerk | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Richard D Scheinblum | ||||||||
| VP Finance/CFO | 50.00 | 0.00 | $326,012 | $0 | $28,521 | Yes (X) | ||
| Vache Hambardzumyan MD | ||||||||
| Physician | 40.00 | 0.00 | $590,819 | $0 | $39,052 | Yes (X) | ||
| Brian Kwitkin MD | ||||||||
| Physician | 40.00 | 0.00 | $520,154 | $0 | $36,318 | Yes (X) | ||
| Daniel Perli MD | ||||||||
| Physician/Chief Medical Officer | 50.00 | 0.00 | $449,202 | $0 | $31,110 | Yes (X) | ||
| Dmitry Tarasevich MD | ||||||||
| Physician | 40.00 | 0.00 | $438,436 | $0 | $20,128 | Yes (X) | ||
| Shawn Harrington MD | ||||||||
| Physician | 40.00 | 0.00 | $438,120 | $0 | $40,200 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,741,596 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $293,101 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 78 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Monadnock Region Emergency Physicians PL | |||||
| 107 Locke Road | Hampton | NH | 03842 | Contract Emergency Physician Group | $3,099,000 |
| AHSA LLC | |||||
| PO Box 70529 | Dallas | TX | 75267 | Contract Staffing Group | $2,616,100 |
| Caring Nurses Staffing Agency LLC | |||||
| PO Box 278 | New Boston | NH | 03070 | Contract Staffing Group | $2,132,618 |
| Catholic Medical Center | |||||
| 195 McGregor Street | Manchester | NH | 03102 | Contract Physician and Lab Services | $2,021,191 |
| Granite State Plumbing and Heating LLC | |||||
| 17 Oil Mill Road | Weare | NH | 03281 | Contract Trade Company | $1,910,742 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Fundraising | $57,356 | FundraisingAmt |
| All Other Contributions | $834,860 | AllOtherContributionsAmt |
| Noncash Contributions | $214,761 | NoncashContributionsAmt |
| Total Contributions | $892,216 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient service revenue | 621400 | $115,915,075 | $115,915,075 |
| Disproportionate share funding | 621400 | $8,136,158 | $8,136,158 |
| Other operating revenue | 621400 | $5,327,351 | $5,327,351 |
| Cafeteria/vending machine | 722514 | $433,037 | $433,037 |
| Employee pharmacy sales | 456110 | $264,350 | $264,350 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $130,075,971 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,440,218 | TotalRevenueColumnAmt |
| Exclusion | $5,440,218 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $109,984 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $77,229 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $32,755 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $32,755 | TotalRevenueColumnAmt |
| Exclusion | $32,755 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $968,347 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $153,686 | SecuritiesAmt |
| Other | $84,087 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $814,661 | SecuritiesAmt |
| Other | -$84,087 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $730,574 | TotalRevenueColumnAmt |
| Exclusion | $730,574 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $29,895 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $57,356 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $33,250 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$3,355 | TotalRevenueColumnAmt |
| Exclusion | -$3,355 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $1,300 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $80 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,220 | TotalRevenueColumnAmt |
| Exclusion | $1,220 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $137,169,599 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $130,075,971 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,201,412 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,000 | TotalAmt |
| Program Services | $5,000 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,308 | TotalAmt |
| Program Services | $40,308 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,431,158 | TotalAmt |
| Program Services | $560,336 | ProgramServicesAmt |
| Management And General | $870,822 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $49,356,255 | TotalAmt |
| Program Services | $44,006,868 | ProgramServicesAmt |
| Management And General | $5,011,831 | ManagementAndGeneralAmt |
| Fundraising | $337,556 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $612,116 | TotalAmt |
| Program Services | $565,652 | ProgramServicesAmt |
| Management And General | $43,944 | ManagementAndGeneralAmt |
| Fundraising | $2,520 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,169,546 | TotalAmt |
| Program Services | $8,101,285 | ProgramServicesAmt |
| Management And General | $1,006,788 | ManagementAndGeneralAmt |
| Fundraising | $61,473 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,088,683 | TotalAmt |
| Program Services | $2,732,760 | ProgramServicesAmt |
| Management And General | $331,617 | ManagementAndGeneralAmt |
| Fundraising | $24,306 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $166,927 | TotalAmt |
| Management And General | $166,927 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $99,965 | TotalAmt |
| Management And General | $99,965 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,638 | TotalAmt |
| Management And General | $18,638 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,057 | TotalAmt |
| Management And General | $307,057 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,259,399 | TotalAmt |
| Program Services | $8,215,946 | ProgramServicesAmt |
| Management And General | $1,037,746 | ManagementAndGeneralAmt |
| Fundraising | $5,707 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,117 | TotalAmt |
| Program Services | $175,791 | ProgramServicesAmt |
| Management And General | $22,326 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,568,194 | TotalAmt |
| Program Services | $3,949,540 | ProgramServicesAmt |
| Management And General | $585,714 | ManagementAndGeneralAmt |
| Fundraising | $32,940 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,632,761 | TotalAmt |
| Program Services | $1,448,763 | ProgramServicesAmt |
| Management And General | $183,998 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,986,855 | TotalAmt |
| Program Services | $2,650,263 | ProgramServicesAmt |
| Management And General | $336,592 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,387 | TotalAmt |
| Program Services | $50,033 | ProgramServicesAmt |
| Management And General | $5,047 | ManagementAndGeneralAmt |
| Fundraising | $1,307 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $374,714 | TotalAmt |
| Program Services | $293,752 | ProgramServicesAmt |
| Management And General | $42,227 | ManagementAndGeneralAmt |
| Fundraising | $38,735 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $915,045 | TotalAmt |
| Management And General | $915,045 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,641,716 | TotalAmt |
| Program Services | $5,269,371 | ProgramServicesAmt |
| Management And General | $372,345 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,324,308 | TotalAmt |
| Program Services | $1,161,405 | ProgramServicesAmt |
| Management And General | $162,903 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Med. supplies/services | $25,981,307 | $23,053,442 | $2,600,934 | $326,931 |
| Provision for bad debt | $8,383,098 | $8,383,098 | ||
| NH medicaid enhancement | $5,638,916 | $5,638,916 | ||
| Food/dietary supplies | $458,780 | $407,080 | $51,700 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,606 | TotalAmt |
| Program Services | $6,749 | ProgramServicesAmt |
| Management And General | $857 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $131,722,856 | TotalAmt |
| Program Services | $116,716,358 | ProgramServicesAmt |
| Management And General | $14,175,023 | ManagementAndGeneralAmt |
| Fundraising | $831,475 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,731 | BOYAmt |
| EOY | $4,551 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,649,849 | BOYAmt |
| EOY | $14,520,390 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $78,671 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,076,250 | BOYAmt |
| EOY | $13,477,606 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $861,377 | BOYAmt |
| EOY | $648,106 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,557,225 | BOYAmt |
| EOY | $1,660,131 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,780,257 | BOYAmt |
| EOY | $1,821,951 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $117,392,859 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $74,038,406 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,107,471 | BOYAmt |
| EOY | $43,354,453 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $113,120,776 | BOYAmt |
| EOY | $122,069,498 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,791,711 | BOYAmt |
| EOY | $7,539,699 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,144 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $206,896 | BOYAmt |
| EOY | $206,896 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,243,687 | BOYAmt |
| EOY | $205,381,952 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,718,260 | BOYAmt |
| EOY | $11,129,184 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,336 | BOYAmt |
| EOY | $56,749 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,551,113 | BOYAmt |
| EOY | $19,804,195 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,520 | BOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,733,858 | BOYAmt |
| EOY | $17,535,219 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,037,087 | BOYAmt |
| EOY | $48,525,347 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $128,694,052 | BOYAmt |
| EOY | $138,145,625 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,512,548 | BOYAmt |
| EOY | $18,710,980 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $146,206,600 | BOYAmt |
| EOY | $156,856,605 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,243,687 | BOYAmt |
| EOY | $205,381,952 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $5,446,743 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,371,680 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $831,582 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $18,446 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $192 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $18,638 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Monadnock Community Hospital is a member of the New Hampshire Hospital Association (NHHA) and the American Hospital Association (AHA). A portion of the dues paid to these organizations was made available for lobbying expenditures on behalf of Monadnock Hospital in furtherance of its exempt purpose. Monadnock Hospital does not directly perform any lobbying activities. A detail of dues paid to these associations by the Hospital during this tax year is as follows: - NHHA, portion of dues available for lobbying: $12,075 - AHA, portion of dues available for lobbying: $6,371 In addition, Monadnock Community Hospital hosts an annual legislative breakfast, which is a bipartisan event to which legislators, local politicians, and other public officials are invited to discuss health care issues in New Hampshire. Discussion topics for the 2025 breakfast focused on the current and proposed healthcare legislation, its impact on MCH, and collaboration to advocate for the growing health needs of the Monadnock region. The cost of this forum to the Hospital, for food, beverage, and meeting expenses, was $192. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,512,548 | BeginningYearBalanceAmt |
| Contributions | $346,722 | ContributionsAmt |
| Investment Earnings Or Losses | $1,553,971 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $702,261 | OtherExpendituresAmt |
| End Year Balance | $18,710,980 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,700,729 | BeginningYearBalanceAmt |
| Contributions | $171,128 | ContributionsAmt |
| Investment Earnings Or Losses | $3,369,979 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $729,288 | OtherExpendituresAmt |
| End Year Balance | $17,512,548 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,791,242 | BeginningYearBalanceAmt |
| Contributions | $169,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,687,615 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $947,128 | OtherExpendituresAmt |
| End Year Balance | $14,700,729 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $17,052,611 | BeginningYearBalanceAmt |
| Contributions | $595,517 | ContributionsAmt |
| Investment Earnings Or Losses | -$2,789,108 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,067,778 | OtherExpendituresAmt |
| End Year Balance | $13,791,242 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,658,179 | BeginningYearBalanceAmt |
| Contributions | $320,443 | ContributionsAmt |
| Investment Earnings Or Losses | $2,714,995 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $641,006 | OtherExpendituresAmt |
| End Year Balance | $17,052,611 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.62931 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.37070 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $964,622 | OtherCostOrOtherBasisAmt |
| Book Value | $964,622 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $36,412,051 | OtherCostOrOtherBasisAmt |
| Depreciation | $25,195,323 | DepreciationAmt |
| Book Value | $11,216,728 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,743,131 | OtherCostOrOtherBasisAmt |
| Depreciation | $846,964 | DepreciationAmt |
| Book Value | $896,167 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $73,864,447 | OtherCostOrOtherBasisAmt |
| Depreciation | $47,996,119 | DepreciationAmt |
| Book Value | $25,868,328 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,408,608 | OtherCostOrOtherBasisAmt |
| Book Value | $4,408,608 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $43,354,453 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Estimated third-party settlements | $16,549,374 |
| Interest rate swap agreements | $210,343 |
| Fianance lease liabilities | $775,502 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,535,219 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $132,928,460 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $4,371,680 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $908,811 | OtherRevenueAmt |
| Revenue Not Reported | $5,280,491 | RevenueNotReportedAmt |
| Revenue Subtotal | $127,647,969 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $307,057 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $9,214,573 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $9,521,630 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $137,169,599 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $122,278,455 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $77,229 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $77,229 | ExpensesNotReportedAmt |
| Expenses Subtotal | $122,201,226 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $307,057 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $9,214,573 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $9,521,630 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $131,722,856 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Temporarily restricted assets are available for health care services, including the purchase of equipment and providing health education and programs. The income and dividends on permanently restricted net assets are generally used to support health care services and for capital purchases of property and equipment. |
| Part X, Line 2: | The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Hospital's tax positions and concluded the Hospital has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to or disclosure in the accompanying financial statements. |
| Part XI, Line 2d - Other Adjustments: | Increase in fair value of perpetual trust interest 747,989. Increase in fair value of interest rate swap agreement 83,593. Rental property expenses 77,229. |
| Part XI, Line 4b - Other Adjustments: | Provision for bad debt, net against revenues 8,383,098. Fundraising expenses, unrelated to fundraising events 831,475. |
| Part XII, Line 2d - Other Adjustments: | Rental property expenses 77,229. |
| Part XII, Line 4b - Other Adjustments: | Provision for bad debt, net against revenues 8,383,098. Fundraising expenses, unrelated to fundraising events 831,475. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | MCH Golf Classic | Event1Nm |
| Gross Receipts Event1 | $87,251 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $57,356 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $29,895 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $12,015 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $0 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $1,943 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $0 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $19,292 | OtherDirectExpensesEvent1Amt |
| Gross Receipts Total | $87,251 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $57,356 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $29,895 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $12,015 | NonCashPrizesTotalEventsAmt |
| Food And Beverage Total Events | $1,943 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $19,292 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $33,250 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$3,355 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 275.000000000000 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $507,323 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $507,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,783,176 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,234,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $6,290,499 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,234,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $507,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $374,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $374,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,297,389 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,206,528 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,090,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16290 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,671,389 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $26,206,528 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,464,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16590 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $52,961,888 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,440,682 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,972,184 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,102,005 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $92,232 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $25,286,069 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $25,496,112 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$210,043 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monadnock Community Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 452 Old Street Road | AddressLine1Txt |
| City | Peterborough | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03458 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 02507 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monadnock Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 24 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | see Part V, Section C | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 24 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | See Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 275.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | See Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Other Actions Taken | Yes (X) | OtherActionsTakenInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Monadnock Community Hospital | Part V, Section B, Line 5: Monadnock Community Hospital (MCH) used a methodology that was highly focused on identifying needs among underserved populations. The approach used was designed to elicit perspective from a broad range of community stakeholders - especially those representing higher risk groups. MCH used a multi-phased methodology to achieve the objectives of the assessment. MCH reached out to a group of individuals to participate in its Community Health Needs Assessment (CHNA) to contribute insights from patients, community service organizations, and staff. Each person provided project feedback regarding perceptions of area health needs, data evaluation, and other guidance during the CHNA process. The individuals had a breadth of community health vision, knowledge, and leadership to impact the well-being of the service area.The CHNA methodology includes a combination of quantitative and qualitative research methods designed to evaluate perspectives and opinions of area stakeholders and healthcare consumers - especially those from underserved populations. The methodology used helped prioritize the needs and establish a basis for continued community engagement - in addition to simply developing a broad, community-based list of needs. The major sections of the methodology include the following: - Strategic Secondary Research. A comprehensive analysis of previously published materials and existing data to provide insight into the community profiles and health-related measures. - Stakeholder Interviews and Focus Groups. Qualitative, primary research involving one-on-one interviews and focus group discussions with the MCH CHNA Leadership Group, community service providers, and healthcare consumers representing diverse perspectives across the service area. - Community Survey. Crescendo conducted an online survey with over 530 community members. The survey results and analysis are included in this report. - Needs Prioritization Process. The needs prioritization methodology included a Modified Delphi Technique. First, MCH CHNA Leadership Group met to review early research results and the potential list of community needs. Second, after completing the secondary research, interviews, focus groups, and community survey, a list of 33 key community health issues was formalized. The Leadership Group then participated in a two-phase prioritization process in which they quantitatively evaluated (i.e., ranked) each of the 33 identified needs and shared insight regarding their rationale for the ranking priorities. This process resulted in a prioritized analysis of community needs.To ensure broad and deep community engagement in the CHNA, MCH compiled a group of community leaders, which represented public health and diverse community interests.To complement the Environmental Analysis, extensive qualitative research was conducted throughout the MCH service area. The interviews provided an opportunity to have in-depth discussions with community members to better understand the community, its strengths and valued resources, prioritized needs, and other insights. To review the Interview Guide (interviews) and Moderator's Guide (focus group discussions), please see Appendix B and Appendix C.The qualitative research included five focus group discussions and interviews with over 20 stakeholders. In total, across both qualitative research stages, participants from various sectors, including those listed below, contributed valuable insights: - Referring Partners - Healthcare Providers - Non-Profit Agencies - Social Service Organizations - Faith-Based Institutions - Educators - Community Volunteers - Users of Monadnock Community Hospital services - Higher-risk Community Representatives.The community survey was made available online in English and Spanish from July 17 through August 22, 2024. The questionnaire included closed-ended need-specific questions, open-ended questions, and demographic questions. Invitations to participate were distributed by Monadnock Community Hospital and its partners through channels including email and social media. Strategic outreach was conducted to ensure maximum participation from community members, especially in vulnerable communities.In total, there were 536 valid survey responses, all of which (100.0%) were to the English language survey. Special care was exercised to minimize the amount of non-sampling error through the assessment of design effects (e.g., question order, question-wording, response alternatives). The survey was designed to maximize accessibility and comprehensively evaluate respondents' insights. The survey served as a practical tool for capturing insights of individuals across Monadnock Community Hospital's service area. This was not a random sample, and findings should not be interpreted as representative of the full population. |
| Monadnock Community Hospital | Part V, Section B, Line 11: Please see attached implementation plan for how the Hospital is addressing (or any needs it is not addressing and why) the significant needs of the community in which it serves. |
| Monadnock Community Hospital | Part V, Section B, Line 16j: The complete financial assistance policy is available upon request and in the waiting rooms. Instructions on how to find out more about financial assistance are posted on the Hospital's website, on the back of all billing invoices, and published in a brochure that is available around the Hospital and in the admissions office. |
| Monadnock Community Hospital | Part V, Section B, Line 20e: The Hospital Patient Financial Services (PFS) Department shall develop and implement billing and collection procedures designed to maintain an adequate cash flow, keep accounts receivable at an acceptable level, and identify and write-off bad debts in a timely fashion. Monadnock Community Hospital contracts with an agency to process all self-pay accounts and self-pay after insurance balance statements/letters.I. Self-pay accounts and self-pay balances remaining after insurance adjudication shall be transferred to the agency on a weekly basis. The cycle for collections is three (3) statements and/or letters and two phone call series spaced approximately thirty (30) days apart. The statements shall include: a. Previous balance (unless this is the first statement). b. Activity since last statement (except those accounts that went to a $0.00 balance). c. Current balance due. d. Telephone number(s) for inquiries concerning the statement. e. Status or reminder message where appropriate. f. Availability for the use of a credit card for payment. g. Information regarding Financial Assistance. h. Return envelope.II. In the event that statements or letters are returned by the postal service as undeliverable for reasons such as "moved, left no forwarding address," "forwarding order expired, or "no such address" the agency will indicate on the daily report "mail returned." PFS staff will review system for the correct address and will make corrections within the computer system and correspondence will be re-mailed. If no correct or current information can be obtained, the specific account(s) shall be flagged for referral to an outside collection agency equipped to handle this type of situation (see bad debt processing footnote).In addition, during an emergency room visit if a patient is classified as self-pay, a Financial Assistance application is either given to the patient and/or guarantor at the visit or a Financial Assistance application is put in the mail to the patient and/or guarantor. Determination of eligibility is contingent upon receiving a completed application and required documentation from the patient and/or guarantor. |
| Schedule H, Part V, Section B, Line 7a & 10a: | The Hospital's current and prior Community Health Needs Assessments and Implementation Plans can be found at the following address:https://monadnockcommunityhospital.com/about-us/community-health-needs-and-benefits/A direct link to the 202 CHNA (for fiscal years ending in 2024-2026) is:https://monadnockcommunityhospital.com/wp-content/uploads/2024/11/2024-MCH-CHNA-FINAL.pdfA direct link to the 2020 CHNA (for fiscal years ending 2021-2024) is:https://monadnockcommunityhospital.com/wp-content/uploads/2022/08/2021CHNA-FINAL.pdfA direct link to the 2024 CHNA Implementation Plan (for fiscal years ending in 2024-2026) is:https://monadnockcommunityhospital.com/wp-content/uploads/2025/06/2024-MCH-Implementation-Plan-12.20.24.pdfA direct link to the 2020 CHNA Implementation Plan (for fiscal years ending in 2021-2024) is:https://monadnockcommunityhospital.com/wp-content/uploads/2022/08/MCH-Implementation-Plan-FINAL.pdf |
| Schedule H, Part V, Section B, Line 16b: | The complete financial assistance policy is available upon request and in the waiting rooms. Instructions on how to find out more about financial assistance are posted on the Hospital's website, on the back of all billing invoices, and published in a brochure that is available around the Hospital and in the admissions office.The Hospital's Financial Assistance Policy, Plain Language Summary, Financial Assistance Application, and additional financial assistance information is available on the Hospital's website at:https://monadnockcommunityhospital.com/financial-services/financial-assistance/A direct link to the Hospital's assistance policy is:http://monadnockhosp.wpenginepowered.com/wp-content/uploads/2020/11/MCH-FAP-Policy.pdfA direct link to the Hospital's assistance application is:https://monadnockcommunityhospital.com/wp-content/uploads/2026/03/MCH-FA-Application-3.2026.pdfA direct link to the Hospital's plain language summary is:https://monadnockcommunityhospital.com/wp-content/uploads/2026/03/MCH-FA-Application-3.2026.pdfA direct link to the Hospital's statement and explanation for Amounts Generally Billed ("AGB") is:https://monadnockcommunityhospital.com/wp-content/uploads/2024/03/Appendix-A-Amount-Generally-Billed.pdfA direct link to the Hospital's statement of participating providers under the financial assistance policy is:https://monadnockcommunityhospital.com/wp-content/uploads/2024/03/Appendix-C-Participating-Providers.pdfLastly, a direct link to a statement of services ineligble for charity care under the Hospital's financial assistance policy is:https://monadnockcommunityhospital.com/wp-content/uploads/2024/03/Appendix-B-Ineligible-Services.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Monadnock Orthopedic Associates | ||||
| 458 Old Street Road Wellness Center | Peterborough | NH | 03458 | Physician practice |
| 2 - Monadnock Regional Pediatrics | ||||
| 454 Old Street Road MAB Building | Peterborough | NH | 03458 | Physician practice |
| 3 - Monadnock Internal Medicine | ||||
| 454 Old Street Road MAB Building | Peterborough | NH | 03458 | Physician practice |
| 4 - Jaffrey Family Medicine | ||||
| 82 Peterborough Road | Jaffrey | NH | 03452 | Physician practice |
| 5 - Monadnock Behavioral Health | ||||
| 458 Old Street Road Wellness Center | Peterborough | NH | 03458 | Physician practice |
| 6 - Antrim Rural Health Clinic | ||||
| 12 Elm Street | Antrim | NH | 03440 | Physician practice |
| 7 - Monadnock Family Care | ||||
| 454 Old Street Road MAB Building | Peterborough | NH | 03458 | Physician practice |
| 8 - Rindge Family Practice | ||||
| 145 US Route 202 | Rindge | NH | 03461 | Physician practice |
| 9 - Monadnock Surgical Associates | ||||
| 454 Old Street Road MAB Building | Peterborough | NH | 03458 | Physician practice |
| 10 - New Ipswich Family Medicine | ||||
| 821 Turnpike Road | New Ipswich | NH | 03071 | Physician practice |
| 11 - Monadnock Gastroenterology Associates | ||||
| 454 Old Street Road 107 | Peterborough | NH | 03458 | Physician practice |
| 12 - Monadnock Rheumatology Associates | ||||
| 458 Old Street Road Wellness Center | Peterborough | NH | 03458 | Physician practice |
| 13 - Monadnock Cardiology Associates | ||||
| 454 Old Street Road 207 | Peterborough | NH | 03458 | Physician practice |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 3c: | N/A |
| Part I, Line 6a: | N/A |
| Part I, Line 7: | Monadnock Community Hospital's charity care and means tested programs use the cost-to-charge ratio as the basis for the Hospital's costing methodology. The Hospital calculates the cost-to-charge ratio in a manner consistent with IRS Form 990, Schedule H, Worksheet 2, patient care charges to patient care expenses, to arrive at the ratio of cost-to-charges. |
| Part I, Line 7g: | Monadnock Community Hospital has several hospital clinical services and hospital-owned physician practices. In accordance with IRS Instructions for the Form 990, Schedule H, Worksheet 6, organizations may include any applicable physician practices that are subsidized during the completion of Schedule H. Furthermore, the definitions for Schedule H, Worksheet 6 indicate that operating a service at a loss may constitute subsidizing a health service. Therefore, the Hospital has included the following hospital clinical services and hospital-owned physician practices that operated at a loss, and their associated costs, in the calculations for the Hospital's total subsidized health services, as reported on this Schedule H.a - Hospital based rural health clinicb - Cardiac Rehabc - Monadnock Family Cared - New Ipswich Family Medicinee - Jaffrey Family Medicinef - Monadnock Behavioral Healthg - Monadnock Regional Pediatricsh - Monadnock Surgical Associatesi - Anticoag Clinicj - Orthopaedicsk - Rindge Family Practicel - Internal Medicinem - Monadnock Gastro Associatesn - Monadnock Rheumatology Associates o - Oncologyp - Rivermeadq - Emergency RoomThe above-listed hospital clinical services and hospital-owned physician practices have a community benefit (i.e. aggregate loss or subsidy from the Hospital) of approximately $20.09 million. In addition, this community benefit-figure does not take into account bad debts, charity care, or contractual adjustments. Thus, this community benefit of approximately $20.09 million is a conservative figure that reconciles to the community benefit information reported on IRS Form 990, Schedule H, Part I, Line 7g, Column e.Form 990, Schedule H instructions and guidance contains a template (Worksheet 2) that may be used to determine the overall cost to charge ratio that could be applied throughout Schedule H in order to convert charges to a cost-of-service basis. Where applicable, the Hospital has utilized Worksheet 2 for various calculations. The only areas where Worksheet 2 was not utilized was in the preparation of this Schedule H, Part 1, Line 7, were the following:a. Schedule H Worksheet 6, Subsidized Health Services (the supporting worksheet for Part I, Line 7g): the Hospital did not utilize Worksheet 2 when calculating the percentage used when determining the profit or loss of each hospital clinical service and hospital-owned physician practice. Instead, when compiling the subsidized hospital clinical services and hospital-owned physician practices listed in 1c, the Hospital utilized the actual estimated costs on the modified Medicare cost report instead of applying the Worksheet 2 cost to charge percentage. b. Schedule H, Worksheet 3, Unreimbursed Medicaid and Other Means Tested Government Programs (the supporting schedule for Part I, Lines 7b and 7c); and Worksheet 6, Medicaid Allowable Costs for Subsidized Health Services, listed in line 1c above (which is part of the line 7g costs): the Hospital did not utilize the Worksheet 2 cost to charge percentage when calculating the Medicaid allowable cost. Instead, the Hospital utilized the actual, filed Medicaid cost report for the allowable costs.Over the last several years and continuing for the next few years, the State of New Hampshire recalculated and redistributed several years worth of the Medicaid DSH funding and that their payments were netted in aggregate as part of the hospital's Medicaid DSH funding payments. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 8,383,098. |
| Part II, Community Building Activities: | Monadnock Community Hospital, a not-for-profit hospital, has a primary care network of physicians, nurse practitioners, psychiatrists, psychologists, and social workers. This network provides a wide range of primary and behavioral health care services for individuals and families with offices in Peterborough, Antrim, Jaffrey, New Ipswich and Rindge.Each year, MCH seeks to make the Monadnock Region a healthier place to live by identifying new and changing healthcare needs, then developing a strategy to address some of the most pressing issues. In addition, no one is turned away who is in need of medical care. Our mission is to provide health care for everyone in our community, regardless of their ability to pay. Some examples of our efforts to reach beyond traditional hospital services include: - Providing services to patients unable to pay - Offering access to medication, free or at reduced cost - millions of dollars in medicine has been dispensed since the Medication Assistance program was started in 2002. - Improving community access to dental care resources. - Provide training for community agencies, such as local volunteer fire and rescue personnel. - Offer prevention and wellness education, from smoking cessation to dealing with stress. - Screenings and clinics for important health issues such as breast cancer. - Supplying information and support regarding timely health topics. - Offer behavioral health (Substance use & mental health) trainings to the community through Be The Change - Offer space for community organization to meet, including local support groups. - The hospital has a Mobile Integrated Health department.MCH also offers a robust system of volunteer programs and services to engage its stakeholders, to bring people together in civic action, and to promote the wellbeing and success of its community. Volunteer Services responds to department requests for volunteer help and works with the requesting department to develop a written service description, if necessary. Every effort is made to fill the position(s) with qualified volunteers. Volunteers assist with all levels of the Hospital's operations, including materials management, blood drives, emergency department assistance, general support and maintenance, recycling, shuttle and transportation, and other related services. Lastly, the Hospital remains committed to improving not just the physical health but also the quality of life in its community. The Monadnock Region has a rich and vibrant history of support for the Arts. Here at Monadnock Community Hospital, we are in a unique position to help connect the world of healing and the world of art. Our intent is to host a venue for artists to exhibit in varied mediums, resulting in a visual experience which promotes the proven healing and restorative benefits of beautiful artwork. Our vision is to eventually develop a permanent art collection for the hospital which will be enjoyed for generations by patients and visitors to our campus. Our Healing Arts Committee is comprised of individuals representing a strong interest in the Healing Arts initiative and has convened to create and develop all aspects of the MCH Healing Arts Gallery as an established and vital venue going forward. The gallery holds three shows per year displaying work from all local artists. |
| Part III, Line 2: | The amount reported on Part III, Line 2 was derived by applying the cost-to-charge ratio against the amount of bad debt expense reported on Form 990, Part IX, Line 25, Column (A) ($8,383,098). Accounts written off to bad debt include gross charges being written off less any payments received against those charges. Any cash collected on accounts previously written off is included as an offset to bad debt expense as recoveries of bad debt. The Hospital calculates the ratio in a manner consistent with Worksheet 2, patient care charges to patient care expenses, to arrive at the ratio of costs-to-charges. |
| Part III, Line 3: | The estimated amount of charity care included in bad debt expense is based on the number of applications for charity care denied due to lack of complete documentation against the average charity care write off at cost per qualified patient. We believe the amount is minimal based on our extensive efforts to educate patients and staff about our various payment plans and financial assistance programs to ensure that patients who qualify for any of our programs utilize them. Depending on the specific circumstances, a patient may be eligible for charity care, discounted care, payment programs, or a combination of the above. Due to these efforts, we believe that amounts written off to bad debt that could qualify as charity care is minimal. |
| Part III, Line 4: | Please see footnote 1 on page 8 of the attached audited financial statements. |
| Part III, Line 8: | Medicare allowable cost of care was calculated from the Medicare cost report for the fiscal year ending September 30, 2025. Medical services are provided to patients with Medicare coverage regardless of whether or not a surplus or deficit is realized. Providing Medicare services promotes access to healthcare services which are vitally needed by our community. The Medicare cost report is completed based on the rules and regulations set forth by the Centers for Medicare and Medicaid Services.As a critical access hospital, Monadnock Community Hospital is reimbursed at 101% of Medicare allowable cost. This greater than 100% reimbursement rate may from time-to-time result in reported revenue received from Medicare in excess of total Medicare allowable costs. |
| Part III, Line 9b: | As of September 30, 2011, Monadnock Community Hospital has a written credit and collection policy. Described within that policy are the collection practices and bad debt processes that are followed for patients who are known to qualify for charity care or financial assistance. The Organization utilizes a Financial Assistance (FA) file which is maintained by the Patient Financial Assistance Program of MCH. Internal FAP insurance plans are applied to those accounts and related discount amounts are adjusted in the billing system. Remaining balances are expected to be paid in full by the patient. Payment plans may be requested by the patient and are established by the Resource Coordinator according to established criteria. Accounts are annotated to reflect payment arrangements. During bad debt processing, designated staff evaluate accounts listed as collection review for potential bad debt write off. This process includes an examination of account history for indication of FA application. |
| Part VI, Line 2: | Monadnock Community Hospital (MCH) conducted a Community Health Needs Assessment (CHNA) to gather input from patients, community organizations, and staff. Participants shared perspectives on local health needs, helped evaluate data, and provided guidance throughout the process. Their collective knowledge shaped the assessment and its community impact.As required by the Affordable Care Act, non-profit hospitals must complete a CHNA every three years. The goal of MCH's CHNA is to identify and prioritize community health needs. This assessment will serve as a foundation for analyzing population health, refining outreach, fostering collaboration, and enhancing community health initiatives while meeting IRS requirements.In practical terms, the CHNA provides a research-based platform to guide hospital efforts, allowing MCH to address the most pressing health needs and make a meaningful impact.The major strength of MCH is found in the ability of our physicians and staff to offer extensive services utilizing state-of-the-art technology, while maintaining the personalized care of a community hospital. MCH is a 25-bed Critical Access Hospital offering Medical, Surgical and Intensive Care; Obstetrics; Pediatrics; and Mental Health services. In addition, a wide variety of outpatient services are available, including Pulmonary, Cardiac and Physical Rehabilitation; 24-hour Emergency Care; a fully equipped laboratory; and an extensive Radiology department. MCH is fortunate to have strong leadership and a dedicated community that allows us to meet the ever-changing requirements of today's healthcare environment. As that environment changes, MCH is also committed to changing and providing the communities we serve with appropriate and innovative programs.The top ways respondents find out about health care are through a physician or other healthcare worker (50.0%), a hospital's website (34.9%), medical websites including WebMD or Mayo Clinic (34.1%), and/or via word of mouth from friends or relatives (28.2%).MCH also utilizes secondary data resources, such as income, education, demographics, geographic location, and employment data to evaluate and estimate its community's access to care, healthcare literacy, and general wellbeing.The MCH CHNA Leadership Group worked to prioritize 33 community health-related needs, as identified in the primary and secondary research phases of the CHNA process. Based on the results of the Modified Delphi Technique, the ten highest priority community health-related needs include the following: 1. Mental health services for children 2. Mental health crisis care services 3. Urgent care and walk-in clinics 4. Doctors and others to provide primary care to adults and families 5. Mental health services for adults 6. Workforce development to help recruit and retain healthcare workforce 7. Public transportation (not necessarily for medical care) 8. Affordable housing 9. School and hospital collaboration to identify and care for students with medical or mental health needs 10. Economic development - job creation and training At a higher level, the top ten needs can be categorized into four groups: - Mental health care - Urgent care - Access to primary care (i.e., more primary care providers and school / hospital collaboration) - Social and community-based issues (e.g., economic development issues, housing, public transportation). Though not explicit in the prioritization survey, community leaders also include "Quality, affordable childcare" as a higher-priority community need.MCH currently addresses all, or most, of the community needs identified in the CHNA in some way. For each of the top 10 needs identified in the CHNA, MCH examined its current programs, outreach efforts and collaborations, as well as consideration for new initiatives such that each of the needs was assigned to one of the following groups: - Needs that are not part of MCH's purview (e.g., better addressed by other organizations). In this case, MCH will support and advocate for addressing the need but are not able to address the need directly. - Needs that MCH will address through collaboration with community partners. - Needs for which MCH will enhance existing programs or establish new ones. The hospital has current activities that may be able to be modified or expanded to address the community health need, or newly created activities or initiatives may be required to do so. |
| Part VI, Line 3: | MCH is committed to providing quality healthcare to anyone in need of services, regardless of ability to pay. We understand patients may not have the finances to pay for their healthcare services and medications, and do not want this to prevent anyone from receiving necessary treatment. As part of the Hospital's mission to the communities we serve, we have developed programs to help meet the needs of our patients who meet income eligibility. Through our Financial Assistance and Medication Assistance Programs, we have been providing financial assistance for many years to those who qualify. We reach out to our patients in many different ways to ensure that they are aware that help is available and to guide them through the process. Brochures and signage are posted in high traffic areas and all employees of MCH are informed about the Financial Assistance Program during orientation. When a patient goes through the registration process at the Hospital the staff are trained to inform uninsured or underinsured patients about the Monadnock Community Hospital Financial Assistance program and that there is assistance available within the Hospital to help with the application process. In addition, any time a patient calls customer service, the representative is trained to help identify and offer support to patients who may require financial assistance. Patients may qualify for free care, discounted care, payment plans or a combination of the above. Resources are also provided in applying to federal and state programs for those who qualify. |
| Part VI, Line 4: | Monadnock Community Hospital is a 25-bed acute care facility serving a geographically distinctive market in the Greater Monadnock region of New Hampshire, whose population of 38,371 includes 13 towns in Cheshire and Hillsborough counties.The Social Vulnerability Index (SVI) was developed by the U.S. Centers for Disease Control and Prevention as a metric for analyzing population data to identify vulnerable populations. The SVI may be used to rank overall population well-being and mobility relative to county and state QA data. The SVI can also be used to determine the most vulnerable populations during disaster preparedness and public health emergencies, including pandemics.The Hospital's most recent CHNA indicates the following findings from the SVI: - The Monadnock service area is defined by its high senior citizen population. 20% of Monadnock service area residents are age 65 and over, a slightly higher percentage than the state (19%) and county (16.3%) average. - Median incomes are strong in the Monadnock service area ($92,476), and poverty rates are slightly lower (5.4%) than the Hillsborough County average (6.9%). By town, high poverty rates are noteworthy in Temple (13%), Dublin (9.8%), Greenfield (8.1%), Greenville (7.8%), Francestown (7.7%). Poverty rates are low in Hancock (3.3%), New Ipswich (3.4%), and Peterborough (3.2%). - While Hillsborough County experiences higher population diversity compared with the New Hampshire average, which is not reflected in the Monadnock service area. Just 8.7% of the service area population identifies as an ethnic minority, well below county (18.1%) and state (11.7%) averages. - Youth (i.e., age 17 or younger) make up 20.6% of the Monadnock service area population similar to the county average (20.0%) and slightly higher than the state average (18.6%). |
| Part VI, Line 5: | Monadnock Community Hospital is a critical access hospital located in the Monadnock Region of NH. Our mission is to improve the health and well-being of our community. The Hospital is served by a board of trustees consisting of local citizens active in their community and its organizations. The majority of the board is not employed by the Hospital and consists of local community and business representatives as well as medical staff. Each year, MCH seeks to make the Monadnock Region a healthier place to live by identifying new and changing healthcare needs, then developing a strategy to address some of the most pressing issues. In addition, no one is turned away who is in need of medical care. Our mission is to provide health care for everyone in our community, regardless of their ability to pay. The Hospital is committed to giving back to the community to the greatest extent possible. Monadnock Community Hospital supports thousands of individuals and families with free or reduced-fee services and programs. Our Financial Assistance Program administered by the Social Services Department helps families and individuals in need with access to health care and other available community services such as catastrophic care, fuel assistance, meals on wheels, food banks, and visiting nurses. Other examples of the Hospital's effort to reach our patients beyond traditional hospital services include access to free or reduced cost medications through our Medication Assistance program; training for community agencies such as local volunteer fire and rescue personnel; offering prevention and wellness education including nutrition, smoking cessation and dealing with stress; providing regular community seminars regarding timely health topics; screenings and clinics for important health issues such as breast cancer; offer behavioral health (substance use & mental health) trainings to the community through Be The Change. These are just a few of the many areas where we are reaching out to others to assure they are cared for well. |
| Part VI, Line 6: | Not applicable. |
| Part VI, Line 7, Reports Filed With States | NH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (5 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt |
|---|---|---|
| Nursing Education Fund | 14 | $25,000 |
| Peter L Gosline Scholarship | 7 | $6,350 |
| Dr. Herbert E. Flewelling Scholarship | 3 | $6,000 |
| Norma A. Houghton Nursing Scholarship | 1 | $1,500 |
| Dr. Mark Luedke Memorial Scholarship Fund | 1 | $1,458 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | During the fiscal year ending September 30, 2025, the Hospital continued the Dr. Mark Luedke Memorial Scholarship Fund in memory of the Organization's former Radiology Medical Director. The fund is to support clinical education and certification for members of MCH's Radiology Department, and is disbursed with the input of the Director of Radiology, the Chief Nursing Officer, and the VP of Human Resources. The Hospital also continued the Dr. Herbert E. Flewelling Scholarship to honor the memory of Dr. Flewelling, who practiced both in Peterborough and Jaffrey. Scholarships are usually awarded each year to graduates of local area high schools. The scholarships are given to outstanding students who are furthering their education in the medical field. The actual cash award is made upon satisfactory completion of six months of education. The Hospital also continued the Norma A. Houghton Nursing Scholarship to honor the memory of Norma A. Houghton, who devoted her profession to being an RN certified as a lactation consultant, and who served the birthing suite at the Hospital from 1977-2006. Scholarships are usually awarded each year to graduates of local area high schools. The scholarships are given to outstanding students who are furthering their education in the nursing field. The Hospital also continued the Peter L. Gosline Employee Education Scholarship Fund to honor Peter Gosline, the president and CEO of the Hospital from 1998 to 2014. The Scholarship provides financial assistance to eligible employees pursuing higher education and skills development within health services professions. Lastly, the Hospital may from time-to-time also provide grants to other charitable organizations or government agencies, when such awards advance causes and charitable goals in alignment with the Hospital's mission. The Hospital did not award any single recipient grants in excess of $5,000 during this tax year, and therefore this Form 990, Schedule I, Part II is not required to be populated. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Vache Hambardzumyan MD | ||||||||||||||
| Physician | $589,869 | $0 | $0 | $0 | $950 | $0 | $5,077 | $0 | $33,975 | $0 | $629,871 | $0 | $0 | $0 |
| Terrence McNamara DO | ||||||||||||||
| Trustee/Physician | $497,227 | $0 | $20,000 | $0 | $450 | $0 | $6,900 | $0 | $35,759 | $0 | $560,336 | $0 | $0 | $0 |
| Brian Kwitkin MD | ||||||||||||||
| Physician | $518,964 | $0 | $0 | $0 | $1,190 | $0 | $0 | $0 | $36,318 | $0 | $556,472 | $0 | $0 | $0 |
| Cynthia McGuire | ||||||||||||||
| Chief Executive Officer | $364,802 | $0 | $73,600 | $0 | $22,774 | $0 | $24,400 | $0 | $30,713 | $0 | $516,289 | $0 | $17,500 | $0 |
| Daniel Perli MD | ||||||||||||||
| Physician/Chief Medical Officer | $448,902 | $0 | $0 | $0 | $300 | $0 | $6,900 | $0 | $24,210 | $0 | $480,312 | $0 | $0 | $0 |
| Shawn Harrington MD | ||||||||||||||
| Physician | $416,830 | $0 | $20,000 | $0 | $1,290 | $0 | $6,900 | $0 | $33,300 | $0 | $478,320 | $0 | $0 | $0 |
| Dmitry Tarasevich MD | ||||||||||||||
| Physician | $417,986 | $0 | $20,000 | $0 | $450 | $0 | $6,900 | $0 | $13,228 | $0 | $458,564 | $0 | $0 | $0 |
| Richard D Scheinblum | ||||||||||||||
| VP Finance/CFO | $303,810 | $0 | $21,512 | $0 | $690 | $0 | $6,227 | $0 | $22,294 | $0 | $354,533 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4b | Schedule J, Page 1, Line 4b, supplemental non-qualified retirement plans: Cynthia McGuire, President & CEO, participates in a 457(f) plan with Monadnock Community Hospital. After a three year vesting period, amounts previously contributed to her by Monadnock Community Hospital are reported as part of her W-2 wages. In calendar year 2024, a total of $17,500 was deposited into Ms. McGuire's 457(f) plan account, which is included in the amount reported on Schedule J, Part II, Column C for this current fiscal year Form 990 filing. Additionally, $18,963.67 of compensation is reported in Column B(iii), which represents the vested 2021 contribution of $17,500 and earnings of $1,463.67. The $17,500 has also been reported on this Schedule J, Part II, Column F, as compensation deferred in a previous period which became taxable during this filing period (calendar year 2024 for purposes of income and benefit reporting). |
| Part I, Line 7 | MCH may from time-to-time compensate physicians utilizing quality and productivity targets based on WRVU (work relative value units). In addition, the Compensation Committee may recommend to the full board, annually, the variable pay award that may be issued to the Hospital's CEO. The payment of any such awards are discretionary and are subject to meeting the pre-determined goals of the Organization. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NHBFA Revenue Bonds Series 2013 | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 021304598 | BondIssuerEIN |
| Bond Issued | 2013-01-01 | BondIssuedDt |
| Issue Price | $27,240,000 | IssuePriceAmt |
| Purpose | refinance existing Series 2007 and 2009 bonds | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Retired | $7,435,805 | RetiredAmt |
| Total Proceeds | $27,240,000 | TotalProceedsAmt |
| Refunding Escrow | $27,057,466 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $182,534 | IssuanceCostsFromProceedsAmt |
| Substantial Completion | 2013 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | 0 | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | Yes (1) | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | 0 | RebateNotDueYetInd |
| Exception To Rebate | Yes (1) | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | Yes (1) | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule K, Part III, Line 9, Part IV, line 7 and Part V: | FormAndLineReferenceDesc |
| Explanation | Although formal policies are not in place in regards to the remediation of our bond, the monitoring requirements of Section 148, and procedures to ensure that violations are timely identified and corrected Monadnock Community Hospital has compliance checks in place that substantiate these requirements. Below is a list of all compliance checks that Monadnock Community Hospital has in place to monitor the 2013 Bond Issue: 1. Covenant calculations performed monthly as part of the Financial Scorecard preparation which is reviewed by the MCH Board of Trustees. 2. Covenant calculations are performed for each quarter and reported to the bond issuer, TD Bank. 3. Covenant certificate is signed each quarter by the CFO and reported to the bond issuer, TD Bank. 4. Financial statements and statistical reports are send to the bond issuer, TD Bank, on a quarterly basis. 5. Annual Operating and Capital budgets are reported to the bond issuer, TD Bank. 6. A No Event of Default certificate is signed by the CFO annually and reported to the bond issuer, TD Bank. 7. Annual Audited Financial statements are reported to the bond issuer, TD Bank. Each of these items that are reported to TD Bank has a specific deadline for completion as outlined in the bond documents. | ExplanationTxt |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 10 | ContributionCnt |
| Noncash Contributions Rpt F990 | $214,761 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Fair Market Value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 32b: | FormAndLineReferenceDesc |
| Explanation | The Hospital coordinates with qualified financial advisors and investment professionals to process, manage, and dispose of received non-cash contributions of financial securities. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 2 | James Callahan, Esq., and Michael Shea, who each served on the Hospital's Board during this tax year, share a business relationship. |
| Form 990, Part VI, Section B, line 11b | The Hospital's Form 990 is prepared with assistance by an independent public accounting firm. A draft of the Form 990 is initially reviewed in detail by key finance employees. Thereafter, the draft is made available to the full board for review and comment prior to filing with the IRS. |
| Form 990, Part VI, Section B, line 12c | On an annual basis, the Organization provides all administrators/directors/managers, Board Members, and medical staff members with the conflict of interest policy. Said individuals are required to complete a new conflict of interest disclosure on an annual basis. Any conflicts of interest noted are reviewed by the Chair of the Board, in conjunction with the Corporate Compliance Officer. If the conflict of interest appears to meet the policy definitions requiring full Board review, the Chair of the Board takes this to the full Board meeting, and it is discussed, and appropriate action is taken (in compliance with state and federal requirements). The conflict of interest statement requires signatories to inform the Hospital of any conflict of interest that occurs at any time throughout the year. If a conflict of interest arises during the year, it is reviewed by the Compliance Officer, and if necessary, is taken to the Board Chair/Board. The Compliance Officer confers with legal counsel with regard to conflicts of interest, if there is any question regarding the potential conflict. |
| Form 990, Part VI, Section B, line 15 | The Organization has a written executive compensation policy and procedure. Under this policy, the Compensation Committee, comprised of delegated representatives of the Board of Trustees, has the power and responsibility to determine the Hospital's approach to executive compensation and review the performance of the CEO. The Compensation Committee has the responsibility to set, monitor and review the base salary of the CEO. The Committee maintains minutes of sessions and final recommendations and determinations in accordance with the Board of Trustee guidelines. Annually, market data is reviewed by the Committee to determine the appropriate salary for the Hospital's CEO based upon identified standards. At the end of the time period, the Committee reviews to what extent stated goals were met and recommends an amount for the variable pay award to be approved by the full board. |
| Form 990, Part VI, Section C, line 19 | Monadnock Community Hospital files audited financial statements annually with the New Hampshire Attorney General's Charitable Trust Unit and informs the Director of Charitable Trusts of pecuniary benefit transactions that have occurred between MCH and a board member or officer. Notices of such transactions of $5,000 or more are also published in the local newspaper in accordance with NH RSA 7:19-A, II(D). Current copies of the bylaws, conflict of interest policy and Form 990 are on file with the Charitable Trust Unit. The Hospital also makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. |
| Form 990, Part VII, Section A, Column D: Director Compensation | The 2024 compensation reported for Terrence McNamara, DO, as paid by Monadnock Community Hospital, was paid in return for medical services provided by Terrence McNamara as an employee of the Hospital. No part of Terrence McNamara's compensation was remuneration in return for services as a voting member of the Hospital's Board of Trustees. |
| Form 990, Part VIII, Line 7: Realized Capital Gains | The amount reported on lines 7c and 7d as realized gains agrees to reporting from the Hospital's custodian bank and third party investment managers. Due to the volume of investment activity, the Hospital relies on the custodian bank and third party investment managers to track the sale of investments at the individual asset level. Therefore the ability to track and report proceeds and basis of the sales is extremely difficult. |
| Form 990, Part XI, line 9: | Increase in fair value of interest rate swap agreement 83,593. Increase in fair value of perpetual trust interest 747,989. |
| Form 990, Part XI, Line 2c: Audit Review Process | The Audit Committee oversees the audit process for Monadnock Hospital. The audit process for the financial statements did not change from the prior year. Independent accountants performed the audit for the fiscal years ended 9/30/2024 and 9/30/2025. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monadnock Health Services - INACTIVE | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 452 Old Street Road | AddressLine1Txt |
| City | Peterborough | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03458 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020420789 | EIN |
| Primary Activities | Inactive | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Monadnock Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NH Value Care ACO LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 100 McGregor Street | AddressLine1Txt |
| City | Manchester | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03102 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 832029076 | EIN |
| Primary Activities | Health Care Services | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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