Civic Intelligence

Cheshire Health Services Inc

EIN 47-3379283 • 501(c)3 • Keene, NH

Profile

Cheshire Health services seeks to improve the quality of and access to medical care for the people of Keene, NH and the surrounding community by providing low-cost medical services available on a walk-in basis. Medical care services are provided regardless of an individual's ability to pay.

580 - 590 Court StreetKeene, NH 03431-5400

www.cheshiremed.org

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

85th percentile

0.31x

Higher debt load relative to assets than 85% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Liabilities / Revenue

92nd percentile

0.55x

Higher debt load relative to revenue than 92% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Net Margin

92nd percentile

61%

Higher net margin than 92% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2022

Top Officer Pay

Score unavailable

No value available

No filing with officer rows is available for this organization yet.

Asset Growth

95th percentile

173%

Faster asset growth than 95% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Revenue Growth

5th percentile

-96%

Faster revenue growth than 5% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2021 to 2022

Assets

Down

$0

Down $30,493 (-100%) from 2022

Liabilities

Down

$0

Down $9,408 (-100%) from 2022

Net Assets

Down

$0

Down $21,085 (-100%) from 2022

Revenue

Down

$12,386

Down $4,684 (-27%) from 2022

Expenses

Down

$27

Down $6,677 (-100%) from 2022

Net Income

Up

$12,359

Up $1,993 (+19%) from 2022

Trend Graphs

Balance Sheet Trend

Grouped bars show assets, liabilities, and net assets across loaded filings.

$5.0M$0-$5.0MAssets 2016: $484,364Liabilities 2016: $735,065Net Assets 2016: -$250,7012016Assets 2017: $499,711Liabilities 2017: $1,436,662Net Assets 2017: -$936,9512017Assets 2018: $502,487Liabilities 2018: $2,180,681Net Assets 2018: -$1,678,1942018Assets 2019: $335,853Liabilities 2019: $3,278,098Net Assets 2019: -$2,942,2452019Assets 2020: $1,111,728Liabilities 2020: $4,825,071Net Assets 2020: -$3,713,3432020Assets 2021: $11,189Liabilities 2021: $470Net Assets 2021: $10,7192021Assets 2022: $30,493Liabilities 2022: $9,408Net Assets 2022: $21,0852022Assets 2023: $0Liabilities 2023: $0Net Assets 2023: $02023

Highlighted filing

2023

Assets$0
Liabilities$0
Net Assets$0

Operations Trend

Revenue, expenses, and net income by year, with the latest filing highlighted.

$3.0M$2.0M$1.0M$0-$1.0M-$2.0MRevenue 2016: $1,076,277Expenses 2016: $1,638,158Net Income 2016: -$561,8812016Revenue 2017: $1,373,861Expenses 2017: $2,060,111Net Income 2017: -$686,2502017Revenue 2018: $1,586,293Expenses 2018: $2,327,536Net Income 2018: -$741,2432018Revenue 2019: $1,446,550Expenses 2019: $2,399,421Net Income 2019: -$952,8712019Revenue 2020: $1,732,506Expenses 2020: $2,594,154Net Income 2020: -$861,6482020Revenue 2021: $479,203Expenses 2021: $1,625,322Net Income 2021: -$1,146,1192021Revenue 2022: $17,070Expenses 2022: $6,704Net Income 2022: $10,3662022Revenue 2023: $12,386Expenses 2023: $27Net Income 2023: $12,3592023

Highlighted filing

2023

Revenue$12,386
Expenses$27
Net Income$12,359

Filings

Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2022 to Jun 30, 2023
Signed
May 13, 2024
Return Version
2022v5.0
Gross Receipts
$12,386
Mission and Program Overview

Mission

Cheshire Health services seeks to improve the quality of and access to medical care for the people of Keene, NH and the surrounding community by providing low-cost medical services available on a walk-in basis. Medical care services are provided regardless of an individual's ability to pay.

Cheshire health services seeks to improve the quality of and access to medical care to the people of keene, nh and the surrounding community.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$0$0→ $0
Savings and Temporary Cash Investments$0$0→ $0
Accounts Receivable$0$0→ $0
Other Notes and Loans Receivable, Net$0$0→ $0
Pledges and Grants Receivable$0$0→ $0
Receivable From Disqualified Prsn$0$0→ $0
Receivables From Officers Etc$0$0→ $0
Investments Other Securities$0--
Investments Program Related$0--
Investments in Publicly Traded Securities$0$0→ $0
Land, Buildings, and Equipment, Net$0$0→ $0
Pd in Cap Srpls Land Bldg Eqp Fund$0$0→ $0
Rtn Earn Endowment Incm Other Fnds$0$0→ $0
Cap Stk Tr Prin Current Funds$0$0→ $0
Intangible Assets$0$0→ $0
Inventories for Sale or Use$0$0→ $0
Loans From Officers Directors$0$0→ $0
Prepaid Expenses and Deferred Charges$0$0→ $0
Other Assets Total$30,493$0▼ $30,493
Total Assets$30,493$0▼ $30,493
Liabilities
Accounts Payable and Accrued Expenses$9,408$0▼ $9,408
Grants Payable$0$0→ $0
Mortgage Notes Payable Secured by Investment Property$0$0→ $0
Unsecured Notes Loans Payable$0$0→ $0
Other Liabilities$0$0→ $0
Deferred Revenue$0$0→ $0
Escrow Account Liability$0$0→ $0
Tax Exempt Bond Liabilities$0$0→ $0
Total Liabilities$9,408$0▼ $9,408
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$21,085$0▼ $21,085
Net Assets With Donor Restrictions$0$0→ $0
Total Net Assets Fund Balance$21,085$0▼ $21,085
Total Liabilities and Net Assets / Fund Balance$30,493$0▼ $30,493
Compensation and Service Providers

Board Members and Trustees

NameTitle
-Trustee / Chair (through 2/16/23)
-TRUSTEE/CEO/PRESIDENT (through 2/16/23)
-Trustee/Medical Staff President (through 10/31/22)
-TRUSTEE / Vice Chair (through 2/16/23)
-Trustee (as of 1/1/23 through 2/16/23)
-TRUSTEE (through 10/31/22)
-Trustee / Secretary (through 2/16/23)
-Trustee / Treasurer (as of 1/11/23, through 2/16/23)
-Trustee / treasurer (through 1/10/23)
-Trustee/Med. Staff Pres (as of 11/1/22 through 2/16/23)
-Chief Financial Officer
-Chief Operating Officer
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$12,386
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$12,359
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$27
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Office Expenses$27--$27
Total Functional Expenses$27$0$0$27
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Loans from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Receivables from Disqualified Persons$0$0→ $0
Receivables from Officers, Directors, Trustees, and Key Employees$0$0→ $0
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
Yes
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 15A

The president/ceo is paid by a related organization, therefore line 15a is marked no. However, a related organization has retained yaffe & company, inc. To provide consultation to the executive committee of the related board of trustees regarding executive compensation, benefits, and prerequisites for the president/ceo. Yaffe & company, inc. Is an independent consulting firm with 40 years of experience and provides services to not-for-profit hospitals and health systems. In addition by way of a questionnaire, board members participate in the performance review process and compile a documented summary report. Annually, a multi-tiered approach using independent comparability data is utilized to gauge appropriate comparative market levels of compensation and benefits with the latest review occurring in fy 2023.

Form 990, Part VI, Line 15B

The coo, cfo, and similar officers are paid by a related organization, therefore line 15b is marked no. However, a related organization has retained yaffe & company, inc. To provide consultation to the executive committee of the related board of trustees regarding executive compensation, benefits, and prerequisites for the officers. Yaffe & company, inc. Is an independent consulting firm with 40 years of experience and provides services to not-for-profit hospitals and health systems. In addition by way of a questionnaire, board members participate in the performance review process and prepare a documented report in conjunction with the president/ceo. Annually, a multi-tiered approach using independent comparability data is utilized to gauge appropriate comparative market levels of compensation and benefits with the latest review occurring in fy 2023.

Form 990, Part VI, Line 6 Classes of members or stockholders

The sole member of Cheshire Health Services, Inc. was the Cheshire Medical Center, a New Hampshire not-for-profit corporation. The member has the exclusive power and authority to elect and remove trustees (other than the ex-officio trustees), and the member has the power to fill vacancies on the board.

Form 990, Part VI, Line 7A Members or stockholders electing members of governing body

The sole member of cheshire health services, inc. Was the cheshire medical center, a new hampshire not-for-profit corporation . The member has the exclusive power and authority to elect and remove trustees (other than the ex-officio trustees), and the member had the power to fill vacancies on the board.

Form 990, Part VI, Line 7B Decisions requiring approval by members or stockholders

In addition to the appointment and removal of trustees, the sole member had the following governance powers and rights: - approve annual operating and capital budgets; - approve any capital expenditures not reflected in an approved capital budget; - approve the borrowing of, or incurrence of debt, in any amount other than debt incurred in the ordinary course of business; - approve of the creation, acquisition or disposal of any subsidiary or affiliated corporation, or the entering into of any joint venture or other partnership, - approve any voluntary dissolution, the revocation of such dissolution, plan of merger or consolidation of the corporation or any subsidiary thereof, and the sale or disposition of all or substantially all of the property and assets of the corporation or any subsidiary thereof other than in the usual course of business; - amend or restate the articles and amend or repeal these bylaws and adopt new bylaws; - exclusive power and authority to make changes to the philosophy and mission of the filing organization.

Form 990, Part VI, Line 8B Documentation of meetings held by committees of governing body

There were no committees empowered to act on the behalf of the governing body.

Form 990, Part VI, Line 11B Review of form 990 by governing body

The form 990 is reviewed by external tax advisors and the cfo before the filing of the return. Once the return has been fully prepared, a final 990 is sent to each board member and time is allocated for comments and responses prior to the official filing of of the forms.

Form 990, Part VI, Line 12C Conflict of interest policy

Cheshire health service's board of trustees approved a policy concerning a voluntary self-disclosure of any potential conflict of interest. The dartmouth-hitchcock compliance and audit services department conducts an annual survey of all officers and trustees and performs other procedures as considered necessary to report on compliance with the conflict of interest policy. The department then reports to each board any potential conflicts for their review. Per the policy, any conflicts or otherwise perceived conflicts are required to be addressed by the board of trusteees on an ongoing basis. In the event a conflict arises, the individual may be removed from participating in any decision-making regarding the identified conflict and/or its corresponding transactions. If the board or committee has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform such person on the basis of such belief and afford him/her an opportunity to explain the alleged failure to disclose. If, after hearing the response of the interested person and making such further investigation as may be warranted in the circumstances, the board or committee determines that such person has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.

Form 990, Part VI, Line 19 Required documents available to the public

Cheshire health services makes governing documents, conflict of interest policy, and financial statements available to members of the public upon request.

Filing and Contact Details

Filer

Filer Name
Cheshire Health Services Inc
EIN
47-3379283
Phone
6033545400
Address
580 - 590 Court Street, Keene, NH 03431-5400

Signing Officer

Name
Ann Marie Coppo
Title
Interim CFO
Signed
2024-05-13
Discuss with paid preparer
Yes

Organization Details

Formed
2015
Legal Domicile
Nh
Voting Board Members
0
Independent Board Members
0
Employees
0
Volunteers
7

Preparer

Firm
Crowe Llp
Address
9600 Brownsboro Road Suite 400, Louisville, KY 40241-3902
Preparer
Kim Scifres
Phone
5023263996
Supplemental Narrative

Additional Explanations

Form 990, Part III, Line 1

Cheshire health services seeks to improve the quality of and access to medical care to the people of keene, nh and the surrounding community by providing low cost medical services, available on a walk-in basis. Medical care services are provided regardless of an individual's ability to pay.

Form 990, Part III, Line 3 Significant changes in program services

The board of trustees of Cheshire Health Services approved and adopted a voluntary plan of dissolution during this fiscal year.

Form 990, Part XI, Line 9 Other changes in net assets or fund balances

Net Fund Asset Transfer - -33444;

Form 990, Part XII, Line 2C

Cheshire health services does not delegate any oversight of the audit to a subcommittee. The full board reviews and approves all information and financial statements. The organization is included in the audit and consolidated financial statements of its parent organization, dartmouth-hitchcock health.

Form 990, Part XII, Line 3A

Cheshire health services was included in the consolidated audited financial statements of the dartmouth-hitchcock health system during fiscal year 2022. Mary hitchcock memorial hospital received federal funding which met the minimum threshold set forth in the single audit act and 0mb circular a-133. Due to the nature of the consolidated financial statements, the audit was performed on the financial information of all organizations, including chs.

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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0TRUSTEE/CEO/PRESIDENT (through 2/16/23)
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