Skip to content
Nonprofiteer
← SURGERY CENTER OF GREATER NASHUA

Form 990 for tax year 2022

Filed by SURGERY CENTER OF GREATER NASHUA.

Totals

Total revenue
$2,106,392
Total expenses
$2,430,233
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$2,106,392
Investment income
$0
Other revenue
$0
Total assets, end of year
$2,207,655
Total liabilities, end of year
$192,830
Net assets or fund balances, end of year
$2,014,825
Program services expenses (Part IX)
$2,056,155
Management and general expenses
$374,078
Fundraising expenses
$0
Program service expenses (Part III)
$2,056,155

Program services were 84.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: Patient Services

    total $2,099,892 · related or exempt $2,099,892

  • 2b · Program service revenue: Credentialing

    total $6,500 · related or exempt $6,500

Functional expenses

Part IX, the statement of functional expenses.

  • 11g · Fees: other

    total $1,089,404 · program services $752,384 · management and general $337,020

  • 13 · Office expenses

    total $48,896 · program services $11,838 · management and general $37,058

  • 14 · Information technology

    total $91,274 · program services $91,274

  • 16 · Occupancy

    total $375,581 · program services $375,581

  • 19 · Conferences, conventions and meetings

    total $512 · program services $512

  • 22 · Depreciation, depletion and amortization

    total $437,358 · program services $437,358

  • 23 · Insurance

    total $74 · program services $74

  • 24a · Other expenses: Medical supplies

    total $326,677 · program services $326,677

  • 24b · Other expenses: Sterile processing

    total $45,900 · program services $45,900

  • 24c · Other expenses: Provision for bad debts

    total $14,557 · program services $14,557

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $435,238 · end of year $144,007

  • 4 · Accounts receivable

    beginning of year $501,019 · end of year $785,859

  • 8 · Inventories for sale or use

    beginning of year $161,685 · end of year $105,250

  • 9 · Prepaid expenses and deferred charges

    beginning of year $32,903

  • 10a · Land, buildings and equipment: cost or other basis

    $5,137,747

  • 10b · Land, buildings and equipment: accumulated depreciation

    $3,965,208

  • 10c · Land, buildings and equipment, net

    beginning of year $540,528 · end of year $1,172,539

  • 17 · Accounts payable and accrued expenses

    beginning of year $330,492 · end of year $192,830

  • 27 · Net assets without donor restrictions

    beginning of year $1,340,881 · end of year $2,014,825

Mission and programs · 2022

Mission

The Surgery Center of Greater Nashua, is a state-of-the-art outpatient surgical facility offering a wide range of surgical and endoscopic care, including Orthopedic, Podiatry, General Surgery and Ear, Nose and Throat procedures. Our facility provides safe, efficient, high-quality care while maintaining patient privacy. Our operating room suites feature innovative ceiling-mounted modular units which give the surgeons, anesthesiologists and nurses access to a comprehensive array of tools, equipment and data.The Surgery Center of Greater Nashua is specifically designed for patients to have procedures under general or local anesthesia which don't require an overnight stay. The Surgery Center of Greater Nashua is a community partnership of Nashua's two major healthcare organizations: Dartmouth-Hitchcock Nashua and Southern New Hampshire Health System.

Activities or mission (Part I)

Day surgery center that provides compassionate care to all in our community.

  • The Surgery Center of Greater Nashua provides high quality, outpatient surgical care for all individuals without regard to demographics, socio-economic status, or age, provided the patient is medically appropriate for the Center. The Surgery Center of Greater Nashua provides patient care in an environment that is conducive to meeting the expressed needs of a diverse patient population while at the same time adhering to the highest standards for patient care.(Continued on Schedule O)Surgery patients will go home the same day. The Surgery Center willspecialize in providing surgery and diagnostic (e.g., colonoscopy)services. Emphasis will be placed on patient specific factors includingphysical status, surgical procedure, length of procedure and ASA classification. Only patients whose needs can be fully supplied by theSurgery Center will be considered as candidates for a procedure. Theperioperative / perianesthesia team providing care consists of anesthesiologists, gastroenterologists, certified registered nurseanesthetists, physician assistants, registered nurses, surgicaltechnologists, surgical assistants, and operating room assistants.Elective procedures performed include, but are not limited to thefollowing: - Orthopedic- Podiatry- Ear Nose and Throat- General Surgery- Plastic Surgery- Gynecology- Gastroenterology

    Expenses $2,056,155 · Revenue $2,106,392

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Tung T Nguyen MD

    Trustee

    Total calculated
    $1,206,491
    From this org
    $0
    From related orgs
    $1,130,714
    Other
    $75,777
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,092,108 related
    Bonus
    $0
    Other
    $0 + $38,606 related
    Deferred
    $0 + $41,672 related
    Nontaxable benefits
    $0 + $34,105 related
    Filer's total
    $0 + $1,206,491 related

  • Michael Kacznowski MD

    Trustee

    Total calculated
    $1,192,307
    From this org
    $0
    From related orgs
    $1,092,340
    Other
    $99,967
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,072,030 related
    Bonus
    $0
    Other
    $0 + $20,310 related
    Deferred
    $0 + $38,216 related
    Nontaxable benefits
    $0 + $61,751 related
    Filer's total
    $0 + $1,192,307 related

  • Karen Maynard MD

    Trustee

    Total calculated
    $827,584
    From this org
    $0
    From related orgs
    $781,132
    Other
    $46,452
    Hours/week
    2 + 46 related

    Schedule J breakdown matched by us

    Base
    $0 + $770,351 related
    Bonus
    $0
    Other
    $0 + $10,781 related
    Deferred
    $0 + $11,685 related
    Nontaxable benefits
    $0 + $34,767 related
    Filer's total
    $0 + $827,584 related

  • Anand Padmanabha MD

    Trustee

    Total calculated
    $689,985
    From this org
    $0
    From related orgs
    $646,236
    Other
    $43,749
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $615,304 related
    Bonus
    $0 + $10,000 related
    Other
    $0 + $20,932 related
    Deferred
    $0 + $28,534 related
    Nontaxable benefits
    $0 + $15,215 related
    Filer's total
    $0 + $689,985 related

  • Leanne Berube RN

    Executive Director

    Total calculated
    $122,318
    From this org
    $0
    From related orgs
    $115,528
    Other
    $6,790
    Hours/week
    2 + 40 related

  • Melissa Martin

    Trustee

    Total calculated
    $135,613
    From this org
    $0
    From related orgs
    $106,067
    Other
    $29,546
    Hours/week
    2 + 40 related

  • Val Fryatt

    Trustee

    Total calculated
    $187,924
    From this org
    $0
    From related orgs
    $178,200
    Other
    $9,724
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $158,718 related
    Bonus
    $0 + $13,082 related
    Other
    $0 + $6,400 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $9,724 related
    Filer's total
    $0 + $187,924 related

  • Rebecca Cooper-Piela

    Trustee

    Total calculated
    $310,066
    From this org
    $0
    From related orgs
    $278,467
    Other
    $31,599
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $223,560 related
    Bonus
    $0 + $22,400 related
    Other
    $0 + $32,507 related
    Deferred
    $0 + $10,403 related
    Nontaxable benefits
    $0 + $21,196 related
    Filer's total
    $0 + $310,066 related

  • Jessica McLavey

    Trustee

    Total calculated
    $128,775
    From this org
    $0
    From related orgs
    $126,480
    Other
    $2,295
    Hours/week
    2 + 40 related

  • Timothy Scherer MD

    Trustee (end 12/2022)

    Total calculated
    $615,752
    From this org
    $0
    From related orgs
    $575,515
    Other
    $40,237
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $507,547 related
    Bonus
    $0 + $46,467 related
    Other
    $0 + $21,501 related
    Deferred
    $0 + $14,500 related
    Nontaxable benefits
    $0 + $25,737 related
    Filer's total
    $0 + $615,752 related

  • David H Hoang DO

    Trustee (end 12/2022)

    Total calculated
    $696,104
    From this org
    $0
    From related orgs
    $620,842
    Other
    $75,262
    Hours/week
    2 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $596,690 related
    Bonus
    $0
    Other
    $0 + $24,152 related
    Deferred
    $0 + $30,104 related
    Nontaxable benefits
    $0 + $45,158 related
    Filer's total
    $0 + $696,104 related

  • Julie Tuttle-Varney

    Trustee (end 12/2022)

    Total calculated
    $100,563
    From this org
    $0
    From related orgs
    $80,940
    Other
    $19,623
    Hours/week
    2 + 40 related

  • Paul Trainor

    Senior VP, CFO/Treasurer (end 1/23)

    Total calculated
    $526,998
    From this org
    $0
    From related orgs
    $470,498
    Other
    $56,500
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $370,657 related
    Bonus
    $0 + $62,178 related
    Other
    $0 + $37,663 related
    Deferred
    $0 + $53,361 related
    Nontaxable benefits
    $0 + $3,139 related
    Filer's total
    $0 + $526,998 related

  • Colin T McHugh

    SNHHS Pres./Sec. (start 4/2022)

    Total calculated
    $468,987
    From this org
    $0
    From related orgs
    $447,154
    Other
    $21,833
    Hours/week
    2 + 48 related

    Schedule J breakdown matched by us

    Base
    $0 + $375,668 related
    Bonus
    $0 + $69,779 related
    Other
    $0 + $1,707 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $21,833 related
    Filer's total
    $0 + $468,987 related

  • Mark Santos

    Former Surgery Center President

    Total calculated
    $262,981
    From this org
    $0
    From related orgs
    $242,870
    Other
    $20,111
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $239,242 related
    Bonus
    $0
    Other
    $0 + $3,628 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $20,111 related
    Filer's total
    $0 + $262,981 related

  • Scott A Wolf DO

    Former SNHHS Pres./Sec.

    Total calculated
    $343,308
    From this org
    $0
    From related orgs
    $332,693
    Other
    $10,615
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0
    Other
    $0 + $332,693 related
    Deferred
    $0
    Nontaxable benefits
    $0 + $10,615 related
    Filer's total
    $0 + $343,308 related

  • Thomas Wilhelmsen Jr

    Former SNHHS Pres./Sec.

    Total calculated
    $369,231
    From this org
    $0
    From related orgs
    $369,231
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0 + $269,231 related
    Bonus
    $0 + $100,000 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $369,231 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 3
The compensation of the CEO and CFO is evaluated by an outside consultant. The compensation of the CEO is approved by the Executive Compensation Committee of the Board and the Board of Trustees. A market analysis is performed for all key employees on an annual basis. Once the CEO and CFO approve the final compensation figures for key employees, the CEO reports these figures to the chairperson and vice chairperson of the Board.
Part I, Lines 4a-b
Schedule J, Part 1, Line 4a: The Surgery Center of Greater Nashua is closely related to and operates in tandem with the Southern New Hampshire Medical Center as part of the Southern New Hampshire Health System. Accordingly, in alignment with IRS Form 990 Instructions, certain key management officers of the Medical Center are also deemed to be officers of the Surgery Center, and have been named on this Form 990, Schedule J, as well as on this Form 990, Part VII. Scott Wolf, who served as the President of the Medical Center in a previous tax year, received severance compensation during the 2022 calendar year. The severance paid to Mr. Wolf individuals is reflected in his compensation as reported on Schedule J, Part II, Column B(iii), in the amount of $332,693. As Scott Wolf did not serve this Organization or a listed related organization in any capacity during this tax year, he has been listed as a "former" officer on this Form 990, Part VII and Schedule J, in accordance with IRS Instructions. Thomas Wilhelmsen and Mark Santos were also former officers for purposes of reporting on this Form 990, Part VII and Schedule J. However, neither Mr. Wilhelmsen nor Mr. Santos received any severance compensation as reported within their 2022 Forms W-2 wages. Schedule J, Part I, Line 4b: Southern New Hampshire Medical Center provides a Supplemental Executive Retirement Plan to certain executives. Funding for this plan during the year was provided as follows: Paul Trainor - $38,861
Part I, Line 3:
The individuals who served as President of The Surgery Center of Greater Nashua(SCGN) were paid by a related organization, Southern New Hampshire Medical Center (SNHMC). SNHMC uses a compensation committee, independent compensation consultant, a compensation survey, and approval by the board or compensation committee to establish the compensation of the organization's CEO.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • Elliot Common Trust Fund LLC

    Investments · NH

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • Elliot Health System Holdings & Subsidiaries

    C · Management · NH

Provenance

Return type
form_990
Tax year
2022
Filed
4 April 2024
IRS schema version
2022v5.0
Source object
202431159349301313

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.