Community Benefit Insight - Tax-exempt hospital

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St Joseph Hospital

St Joseph Hospital

172 Kinsley St
Nashua, NH 03060

Bed count	208	Medicare provider number	300011	Member of the Council of Teaching Hospitals	NO	Children's hospital	NO

EIN: 020222215

Display data for year:

Community Benefit Spending- 2021
(as % of functional expenses, which all tax-exempt organizations report on Form 990 Schedule H)

4.9%

Spending by Community Benefit Category- 2021
(as % of total functional expenses)

* = CBI denoted preventative categories

Community Benefit Spending Compared to Functional Expenses, 2010-2021

Additional data

Community Benefit Expenditures: 2021

All tax-exempt organizations file a Form 990 with the IRS for every tax year. If the tax-exempt organization operates one or more hospital facilities during the tax year, the organization must attach a Schedule H to Form 990. On Part I of Schedule H, the organization records the expenditures it made during the tax year for various types of community benefits; 9 types are shown on this web tool. By default, this web tool presents community benefit expenditures as a percentage of the organization’s functional expenses, which it reports on Form 990, Part IX, Line 25, Column A. (The more commonly heard term, ‘total operating expenses’, which organizations report to CMS, is generally about 90% of the ‘functional expenses’). The user may change the default to see the dollar expenditures.
Amount spent in the following IRS community benefit categories:

Financial Assistance at cost as % of operating expenses	$ 813,885 0.33 %
Medicaid as % of operating expenses	$ 10,273,504 4.16 %
Costs of other means-tested government programs as % of operating expenses	$ 0 0 %
Health professions education as % of operating expenses	$ 0 0 %
Subsidized health services as % of operating expenses	$ 0 0 %
Research as % of operating expenses	$ 0 0 %
Community health improvement services and community benefit operations* as % of operating expenses Note: these two community benefit categories are reported together on the Schedule H, part I, line 7e.	$ 0 0 %
Cash and in-kind contributions for community benefit* as % of operating expenses	$ 1,032,231 0.42 %
Community building* as % of operating expenses	$ 0 0 %

* = CBI denoted preventative categories

Community building activities details:

Did tax-exempt hospital report community building activities?	Not available
Number of activities or programs (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Persons served (optional)	0
Physical improvements and housing	0
Economic development	0
Community support	0
Environmental improvements	0
Leadership development and training for community members	0
Coalition building	0
Community health improvement advocacy	0
Workforce development	0
Other	0
Community building expense as % of operating expenses	$ 0 0 %
Physical improvements and housing as % of community building expenses	$ 0
Economic development as % of community building expenses	$ 0
Community support as % of community building expenses	$ 0
Environmental improvements as % of community building expenses	$ 0
Leadership development and training for community members as % of community building expenses	$ 0
Coalition building as % of community building expenses	$ 0
Community health improvement advocacy as % of community building expenses	$ 0
Workforce development as % of community building expenses	$ 0
Other as % of community building expenses	$ 0
Direct offsetting revenue	$ 0
Physical improvements and housing	$ 0
Economic development	$ 0
Community support	$ 0
Environmental improvements	$ 0
Leadership development and training for community members	$ 0
Coalition building	$ 0
Community health improvement advocacy	$ 0
Workforce development	$ 0
Other	$ 0

Other Useful Tax-exempt Hospital Information: 2021

In addition to community benefit and community building expenditures, the Schedule H worksheet includes sections on what percentage of bad debt can be attributable to patients eligible for financial assistance, and questions on the tax-exempt hospital's debt collection policy. When searching a specific tax-exempt hospital in this web tool, Section II provides information about bad debt and the financial assistance policy, and whether the state in which the tax-exempt hospital resides has expanded Medicaid coverage under the federal ACA.

Of the tax-exempt hospital’s overall operating expenses, amount reported as bad debt as % of operating expenses	$ 6,288,574 2.54 %
Is the tax-exempt hospital considered a "sole community hospital" under the Medicare program?	NO

Information about the tax-exempt hospital's Financial Assistance Policy and Debt Collection Policy
The Financial Assistance Policy section of Schedule H has changed over the years. The questions listed below reflect the questions on the 2009-2011 Schedule H forms and the answers tax-exempt hospitals provided for those years. The Financial Assistance Policy requirements were changed under the ACA. In the future, as the Community Benefit Insight web site is populated with 2021 data and subsequent years, the web tool will also be updated to reflect the new wording and requirements. In the meantime, if you have any questions about this section, we encourage you to contact your tax-exempt hospital directly.

Does the organization have a written financial assistance (charity care) policy?	YES
Did the tax-exempt hospital rely upon Federal Poverty Guidelines (FPG) to determine when to provide free or discounted care for patients?	YES
Amount of the tax-exempt hospital’s bad debt (at cost) attributed to patients eligible under the organization’s financial assistance (charity care) policy as % of operating expenses	$ 0 0 %

Did the tax-exempt hospital, or an authorized third party, take any of the following collection activities before determining whether the patient was eligible for financial assistance:
Under the ACA, states have the choice to expand Medicaid eligibility for their residents up to 138% of the federal poverty guidelines. The Medicaid expansion provision of the ACA did not go into effect until January 2014, so data in this web tool will not reflect each state's current Medicaid eligibility threshold. For up to date information, please visit the Terms and Glossary under the Resources tab.
The federal poverty guidelines (FPG) are set by the government and used to determine eligibility for many federal financial assistance programs. Tax-exempt hospitals often use FPG guidelines in their Financial Assistance policies to determine which patients will qualify for free or discounted care.
In addition to the federal requirements, some states have laws stipulating community benefit requirements as a result of tax-exemption. The laws vary from state to state and may require the tax-exempt hospitals to submit community benefit reports. Data on this web tool captures whether or not a state had a mandatory community benefit reporting law as of 2011. For more information, please see Community Benefit State Law Profiles Comparison at The Hilltop Institute.

Community Health Needs Assessment Activities: 2021

The ACA requires all 501(c)(3) tax-exempt hospitals to conduct a Community Health Needs Assessment (CHNA) every three years, starting with the hospital's tax year beginning after March 23, 2012. The 2011 Schedule H included an optional section of questions on the CHNA process. This web tool includes responses for those hospitals voluntary reporting this information. The web tool will be updated to reflect changes in these questions on the 2012 and subsequent Schedule H forms.

Did the tax-exempt hospital report that they had conducted a CHNA?	YES
Did the CHNA define the community served by the tax-exempt hospital?	YES
Did the CHNA consider input from individuals that represent the broad interests of the community served by the tax-exempt hospital?	YES
Did the tax-exempt hospital make the CHNA widely available (i.e. post online)?	YES
Did the tax-exempt hospital adopt an implementation strategy to address the community needs identified by the CHNA?	YES

Supplemental Information: 2021

This section presents qualitative information submitted by the hospital, verbatim from the 990H record.

Statement of Program Service Accomplishments
Description of the organization's program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.

4A (Expenses $ 42108891 including grants of $ 0) (Revenue $ 64800203)
Inpatient medical, surgical and rehabilitative services to anyone needing care in the greater Nashua area.

4B (Expenses $ 89302731 including grants of $ 0) (Revenue $ 175200550)
Outpatient services including surgery, radiology, laboratory, rehabilitative, cardiovascular, breast health, cardiac rehab, and mental health to anyone needing services in the greater Nashua area.

4C (Expenses $ 57936222 including grants of $ 81782) (Revenue $ 0)
Each year St. Joseph Hospital provides millions of dollars worth of charity care and community services reflecting our healing mission and our values. St. Joseph Hospital follows the methodology recommended by the Catholic Health Assocation for calculating the cost of charity care and community benefits.

4D (Expenses $ 2346383 including grants of $ 0) (Revenue $ 4228115)

Facility Information

Schedule H (Form 990) Section C. Supplemental Information for Part V, Section B.

St. Joseph Hospital
Part V, Section B, Line 5: St. Joseph Hospital worked with officials from the City of Nashua Division of Public Health and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the community health needs assessment (CHNA).The 2020 CHNA employed numerous research methods to gather input from the community, including online surveys, in-person interviews, and data analysis. The CHNA utilized these methods separately and decisively for each of its identified community health needs.The City of Nashua Division of Public Health and Community Services (DPHCS) conducted a community-based survey in 2020 and invited Greater Nashua residents help determine what the biggest health priorities were in their communities, and to share their COVID-19 experiences. Online surveys were distributed widely throughout the Greater Nashua community via social media, community networks, and physical posted flyers. The surveys were available in both English and Spanish. Specifically designed surveys were administered to evaluate each of the community's various health needs. For example, different surveys were used to gather community-data regarding substance abuse, access to care, mental and behavioral health, chronic disease, environmental health, and child and maternal health. Community input through these surveys allowed the collaborative report to better evaluate unique health risks and concerns within various social groups and communities.The research was originally designed as a series of in-person, focus group sessions to be held across the Greater Nashua region throughout the summer of 2020. Research design began in January, 2020, but when the COVID-19 pandemic called for social distancing, research design had to be adjusted to accommodate online data collection. With the switch to an online survey based design, research questions were modified from a semi-structured interview design to a survey design.

St. Joseph Hospital
Part V, Section B, Line 6a: St. Joseph Hospital took part in the 2020 Greater Nashua Community Health Assessment for its most recent CHNA. This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of over 33 organizations, programs, and City departments serving the GNPHR. A full list of the hospital facilities that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment

St. Joseph Hospital
Part V, Section B, Line 6b: St. Joseph Hospital took part in the 2020 Greater Nashua Community Health Assessment for its most recent CHNA. This Assessment was conducted by the Nashua Department Division of Public Health and their Public Health Advisory Council partners. It is a product of the dedication and collaboration of over 33 organizations, programs, and City departments serving the GNPHR. A full list of the facilities other than hospitals that participated in this Assessment can be found through the City of Nashua Community Health Assessment homepage at:https://nashuanh.gov/560/Community-Health-Assessment

St. Joseph Hospital
Part V, Section B, Line 11: For the years covering 2018-2021, St. Joseph Hospital has committed to collaborating with numerous other healthcare and public service organizations in the Greater Nashua Community Health Improvement Plan (CHIP). The 2018-2021 CHIP was informed by the analysis of data contained from the 2017 Greater Nashua Community Health Assessment (CHA), the third comprehensive CHA conducted for the region. The 2018-2021 CHIP was developed through a collaborative process conducted by DPHCS and the Greater Nashua Public Health Advisory Council (PHAC), which is the network of regional stakeholders supporting all public health efforts in the Greater Nashua Region. the 2018-2021 CHIP was released in March, 2019. Subsequent to this tax year, the 2022 CHIP was issued; The 2022 Greater Nashua CHIP is the fourth consecutive CHIP, based off the 2020 CHA. The Greater Nashua PHAC Executive Committee and CHIP Planning Team chose the following health priority areas for the CHIP 2022 based on the 2020 Greater Nashua CHA.As part of the ongoing process of community health improvement, every three years the City of Nashua, DPHCS, in collaboration with more than 20 partner organizations within the Greater Nashua Public Health Region (GNPHR), conducts a comprehensive Community Health Assessment (CHA). The CHA is a process of identifying, collecting, analyzing and disseminating data and other information about the community's assets, strengths, resources, and needs to be able to provide community members information about the health concerns and needs of the community.Through the evaluation of health data and issues identified in the CHA, the Greater Nashua CHIP process prioritizes health topics and creates an action plan to address those issues over the following three years. Community engagement is key to the CHIP process so that the resulting plan reflects not only the shared commitment to priority issues, but also considers the full community's assets, strengths, resources and needs for bringing about positive change. In order to maximize health impact and gain widespread support for improvement, Greater Nashua CHIP initiatives are carried out in coordination with state level partners whenever possible.The top five public health priority issues, listed in the order determined by the Greater Nashua Public Health Advisory Council Executive Committee, include:1. Behavioral Health (Suicide, Mental Health, and Substance Use)2. Chronic Disease (Heart Disease/ Stroke, Diabetes, and Asthma)3. Weight Management, Physical Activity, and Nutrition4. Maternal and Child Health5. Public Health Emergency PreparednessThe Hospital, along with the other care providers included in the 2018-2021 CHIP, are addressing these needs through a coordinated effort to provide and improve upon the following: access to care; community resources; health and nutrition education and literacy; access to child care; access to medical transportation; access to mental and behavioral health resources; improved medical coverage; personal fitness and exercise; and professional training, education, and research for health and care providers.The collaborative CHIP predicts that efforts to meet these goals and improve upon these services will address the most significant needs identified in the Greater Nashua Needs Assessment.The 2020 Greater Nashua CHNA was also used to inform the 2021-2024 CHIP. Using evidence-based strategies, the 2021-2024 CHIP developed plans to address issues related to behavioral health, chronic diseases, communicable diseases, maternal and child health, and public health emergencies. While this Form 990, Schedule H is still reporting under the 2018-2021 CHIP, the 2021-2024 CHIP may be viewed at the following web address:https://insight.livestories.com/s/v2/chip-home-page/26fed3c4-c191-4988-9bf4-8af20eeaeb0a

Schedule H, Part V, Section B, Line 7:
Access to the Hospital's past and present CHNA reports can be found at the following web-address:https://www.nashuanh.gov/560/Community-Health-AssessmentAdditionally, the collaborative Greater Nashua CHA, to which St. Joseph Hospital proudly contributed, can be found at the following web-address:https://insight.livestories.com/s/v2/community-health-assessment-home-page/493790d2-caed-4265-9706-1d00800fdd9e/

Schedule H, Part V, Section B, Line 10:
The Hospital collaborated with the City of Nashua Division of Public Health to develop the Greater Nashua Community Health Improvement Plan (CHIP).Both past and present copies of the Greater Nashua CHIP can be found through the City of Nashua website, at: https://www.nashuanh.gov/564/Community-Health-Improvement-Plan-CHIP

Supplemental Information

Schedule H (Form 990) Part VI

Part I, Line 7:
Costing methodology is an overall cost-to-charge ratio based on operating expenses as a percent of gross revenue applied to the related gross charges. Line 7a is based on gross charges written off as charity care times the overall cost-to-charge ratio. Line 7b is based on gross charges of patients with a primary payor of Traditional Medicaid or Medicaid Manage Care times the overall cost-to-charge ratio. Line 7e uses various methods to aggregate costs including but not limited to - actual expenditures for staff, supplies, and hospital space usage by community groups and cash donations.

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 $ 6,288,574.

Part II, Community Building Activities:
The Hospital maintains an open medical staff, representing over forty different specialties and treats all patients regardless of their ability to pay. The board of directors is made up of community members with varied backgrounds and industries. The Hospital utilizes any surplus funds to further its mission by providing free and low cost healthcare services, educations offerings, free screenings, support groups, and works collaboratively with other healthcare agencies to meet the identified healthcare needs of our community. St. Joseph Hospital is a member of Covenant Health Inc. of Tewksbury, MA. It is the responsibility of the entire staff of St. Joseph Hospital to serve and promote the health of the greater Nashua community.Additionally, St. Joseph Hospital strives to improve the health of its community through community-based partnerships and initiatives, some of which are detailed below: The Greater Nashua Healthy Community Collaborative:The Greater Nashua Healthy Community Collaborative is working to increase awareness and education about the importance of preventive medicine and health screenings, particularly for heart disease and peripheral vascular disease (PVD). Screening can help identify potential problems early, such as high cholesterol or high blood sugar (diabetes), so they can be treated before they become more serious and potentially lead to a heart attack, stroke or other traumatic event. The Collaborative has also helped to establish a prescription assistance program to help their clients to obtain prescription medications. Collaborative members include healthcare organizations, human service providers, and public agencies that come together on a regular basis to address needs that have been identified by the Community Health Assessment of Greater Nashua.Screenings and Planning:The Hospital frequently makes available free blood pressure screenings and free breast and cervical cancer screenings. The Hospital also provides access to advanced care plans that provide comfort and peace-of-mind for end of life care and transitions.These efforts, combined with the Hospital's general operations and commitment to high-quality care, continually and significantly build and improve the communities which the Hospital serves.

Part III, Line 2:
Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the system analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts, adjusted based on cost to charge ratio. The allowance for doubtful accounts is provided based on an analysis by management of the collectability of outstanding balances. Management considers the age of the outstanding balances and past collection efforts in determining the reserve for doubtful accounts. Accounts deemed uncollectible are charged off against the established reserve. Bad debts are reported as charged.

Part III, Line 3:
Patients deemed eligible for financial assistance follow the Hospital's financial assistance policies. Therefore, no bad debt expense related to patients eligible under the Hospital's financial assistance policy is included as a community benefit.

Part III, Line 4:
St. Joseph Hospital adopted the new accounting standards as issued by the FASB in May 2014, effective January 1, 2018, where the provision for bad debt is no longer presented as a separate line item and net patient service revenue is presented net of estimated implicit price concession revenue deductions. The adoption of the new standard did not have an impact on the recognition of revenues for any periods prior to adoption. The adoption of this accounting standard is detailed in the Hospital's audited financial statements, pages 15-18, Footnote 3, Patient Service Revenues. The Hospital continues to operate under this adopted standard.

Part III, Line 8:
None were reported as a community benefit. Costing methodology is an overall cost-to-charge ratio based on operating expenses as a percent of gross revenue applied to the gross charges of patients with a primary payor of traditional Medicare or Medicare Advantage.

Part III, Line 9b:
Every statement sent to patients indicates that financial assistance is available and provides a phone number and email contact. All customer service personnel are attuned to asking patients if they need assistance.The financial assistance application is also available on-line by visiting the facility's website.

Part VI, Line 7:
New Hampshire

Part VI, Line 2:
St. Joseph Hospital worked with the City of Nashua Division of Public Health officials and other members of the community, including local police and fire departments, school officials, ambulance service leaders, directors of community agencies, hospital leaders, physicians and area residents through focus groups to gather input for the Community Health Needs Assessment (CHNA).A Community Health Assessment (CHA) is a collaborative process that identifies key health needs and issues through systematic, comprehensive data collection and analysis. CHAs provide information on a variety of health topics and help identify resources which assist with policy formulation, program implementation, and evaluation. CHAs are also a crucial component of accreditation as they help measure how well a public health system is fulfilling the assurance function, one of the three fundamental purposes of public health. The Greater Nashua CHA is part of an ongoing comprehensive community health improvement process. The purpose of the CHA is to identify vulnerable populations using comparable data within the Greater Nashua Public Health Region (GNPHR) and to subsequently identify trends in health issues, environmental health hazards, and social and economic factors that affect the different populations' health. Collected and analyzed data will be used to identify priority issues within the Greater Nashua Region, and to develop strategies for further actions; these actions are outlined in the form of a Community Health Improvement Plan (CHIP). The CHIP creates a foundation for a work plan to improve the health of the community over the course of three years' time. One of the main objectives of the most recent Community Needs Assessment's research was to determine the biggest health concerns in the community in order to determine community health priorities. The research for this report indicated that most people in the Greater Nashua Region are concerned about behavioral health (including substance use, mental health, and suicide), affordable and accessible healthcare, and outbreaks of communicable disease (40%, 30%, and 26% of respondents, respectively). In regards to upcoming concerns for the next three years, most people are concerned about behavioral health (including substance use, mental health, and suicide), affordable and accessible healthcare, and outbreaks of communicable disease (38.6%, 36.1%, and 25.4% of respondents, respectively).

Part VI, Line 3:
Signage and brochures are at every point of registration, which explain the free-care and financial assistance policies. There are dedicated financial counselors who meet in person or over the telephone to provide guidance and support to patients and families who require financial assistance. Information can also be found on the hospital web site, As well as in the Hospital's community newsletters/quarterly publications. All customer service and registration personnel are trained to ask patients and families if they need financial assistance.Free Care is available for patients who qualify. If a patient's or their family's income is 200% or less of the Federal Poverty Guidelines, the patient may qualify for assistance for their self-pay balance. Patients may inquire about this program before arriving for care or at the time of registration or check-in. Patients may also inquire about Free Care after receiving their billing-statements. Additionally, the Hospital makes available financial representatives to answer all billing and payment questions. Representatives are available to assist with questions regarding insurance benefits, hospital charges, payment options, and the applications for financial assistance.

Part VI, Line 4:
St. Joseph Hospital serves people of all ages, race, gender, religion, ethnicity regardless of their ability to pay. The Hospital's service area is all of New Hampshire.For its 2021 tax year, the Hospital continued to refer and rely on the collaborative 2020 Community Health Assessment that was prepared and informed in association with the City of Nashua. The four geographies mentioned most often throughout this report are the City of Nashua, the Greater Nashua Public Health Region, Hillsborough County, and the State of New Hampshire (NH). Throughout the State of NH, there are 13 public health regions. The Greater Nashua Region is composed of the City of Nashua and its 12 surrounding towns which include Amherst, Brookline, Hollis, Hudson, Litchfield, Lyndeborough, Mason, Merrimack, Milford, Mont Vernon, Pelham, and Wilton.As of 2019, the combined population of the Greater Nashua Region was estimated to be about 88,000 individuals. To gauge the demographics of this region, the CHA used a variety of survey and online-polling tools. The majority of survey respondents were Nashua residents (73.6%), but the remaining 26% of respondents were distributed throughout the Greater Nashua region. About 18% of respondents identify within the constructs of racial or ethnic diversity, and the remaining 82% of participants identified as white or Caucasian. 27.1% of respondents were between the ages of 50 and 59; approximately 80% of all respondents were aged 59 or younger. The majority of respondents were at least partially college-educated, with approximately 85% of respondents having completed some college, or having completed an Associate's, Bachelor's, or Graduate degree.

Part VI, Line 5:
"The Hospital maintains an open medical staff, representing over forty different specialties and treats all patients regardless of their ability to pay. The board of directors is made up of community members with varied backgrounds and industries. The Hospital utilizes any surplus funds to further its mission by providing free and low cost healthcare services, educations offerings, free screenings, support groups, and works collaboratively with other healthcare agencies to meet the identified healthcare needs of our community. It is the responsibility of the entire staff of St. Joseph Hospital to serve and promote the health of the greater Nashua community.Additionally, St. Joseph Hospital provides a variety of programs and initiatives to improve the general wellbeing and to promote the health of its community. For example, the Hospital is proud to maintain the following community outreach programs:- Community Health Education: the Hospital regularly hosts a wide variety of seminars and workshop activities to promote wellness and healthy living. - Empty Cradle Support Group: a bereavement support-resource for families coping with the loss of a child. - The Marguerite d'Youville Fund for the Poor: a Fund to provide medicine and medical care for the poor and uninsured members of its community.- Palliative Care: a comprehensive support network for the terminally ill and community education regarding all aspects of ""end of life"" planning.- School of Nursing and Scholarship Fund: academic instruction in the scientific, technical, spiritual, and social aspects of nursing, with training programs in several healthcare occupations. Scholarship support is provided to students based on financial need and desire to pursue a career in healthcare."

Part VI, Line 6:
St. Joseph Hospital of Nashua is a member and related organization to the Covenant Health System; Covenant Health Inc. is the sole corporate member of the Hospital. Covenant Health is an innovative, Catholic regional health delivery network and a leader in values-based, not-for-profit health and elder care. Covenant consists of hospitals, skilled nursing and rehabilitation centers, assisted living residences, and community-based health and elder care organizations throughout New England. Through its partnership and membership with Covenant Health, the Hospital is able to better navigate the increasingly complex and competitive healthcare marketplace while improving its ability to offer high-quality patient service. Access to Covenant Health resources allows the Hospital to compete on cost and quality of care; to maintain financial strength while fulfilling its care-oriented missions; to enhance the skills of its staff and leadership; and to strengthen the Hospital's ability to serve its community. Through the Covenant Health System, the Hospital can access and utilize funds and resources that allow it to better serve its priority communities and their specific health care needs.Additionally, the Hospital frequently and actively collaborates with the City of Nashua Division of Public Health and Community Services as well as other similarly geographically located institutions to enhance the quality and availability of care throughout New Hampshire.

Operating expenses	$ 247,146,445
Total amount spent on community benefits as % of operating expenses	$ 12,119,620 4.90 %