Cheshire Medical Center

What it reported doing in 2023

CHESHIRE MEDICAL CENTER (CHESHIRE) IS A COMMUNITY HOSPITAL LOCATED IN KEENE, NEW HAMPSHIRE. CHESHIRE IS A NOT-FOR-PROFIT ORGANIZATION, 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. THE HOSPITAL IS A MEMBER OF THE DARTMOUTH HEALTH SYSTEM ("DH"), A NOT-FOR-PROFIT TAX-EXEMPT CORPORATION WITH A PRINCIPAL PLACE OF BUSINESS AT ONE MEDICAL CENTER DRIVE, LEBANON, NEW HAMPSHIRE. CONSISTENT WITH THE DH VISION AND STRATEGY TO CREATE A SUSTAINABLE HEALTH SYSTEM, CHESHIRE AND DH SHARE A COMMON COMMITMENT TO IMPROVING POPULATION HEALTH, VALUE-BASED CARE, AND CREATING NEW PAYMENT MODELS FOR THE BENEFIT OF THE CITIZENS OF NEW HAMPSHIRE AND VERMONT. CHESHIRE PROVIDES A BROAD RANGE OF PATIENT SERVICES AND HEALTH-RELATED COMMUNITY SERVICES, CONSISTENT WITH ITS ROLE AS A COMMUNITY HOSPITAL. THESE INCLUDE A FULL RANGE OF SERVICES IN BOTH ACUTE AND CRITICAL MEDICINE, SURGERY, AND REHABILITATION. DURING FY24, CHESHIRE PROVIDED 253,893 PROVIDER VISITS AND HAD 3,760 HOSPITAL ADMISSIONS AND DISCHARGES. THE EMERGENCY DEPARTMENT WAS OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK AND HAD 25,410 ER PATIENT VISITS. THERE ARE A TOTAL OF 222 PROVIDERS CONSISTING OF 136 PHYSICIANS AND 86 ASSOCIATE PROVIDERS. EACH YEAR, CHESHIRE MEDICAL CENTER FILES AN ANNUAL COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW HAMPSHIRE WHICH OUTLINES THE COMMUNITY AND CHARITABLE BENEFITS CHESHIRE PROVIDES. THE MOST RECENT COMMUNITY BENEFIT REPORTS ARE AVAILABLE UPON REQUEST OR CAN BE FOUND ON CHESHIRE'S WEBSITE (https://www.cheshiremed.org/about/community-benefits-reporting). Currently, Cheshire's Community Benefit priorities involve improving healthcare access in rural communities, behavioral health supports, substance use disorder prevention and supports, and aging population services. Some examples of community benefit programs provided by Cheshire during FY24 to address the identified community needs include the hosting of a free "Teddy Bear" clinic for pediatric patients and their caregivers, providing local schools with a "Read-A-Marathon" program offering books to over 1,000 children with social emotional health topic focus, distribution of 36 NaloxBoxes and over 2,000 Narcan overdose reversal kits distributed in public facilities across the region, and facilitating a "Healthy Aging" community education series with offerings such as chair-based yoga and silver sneakers to help aging adults with physical activity. IN TOTAL, CHESHIRE PROVIDED more than $20 MILLION IN COMMUNITY BENEFITS INCLUDING UNREIMBURSED CHARITY CARE, HEALTH SERVICES, HEALTH PROFESSION EDUCATION, SUBSIDIZED HEALTH SERVICES, AND COMMUNITY-BUILDING ACTIVITIES. THESE CONTRIBUTIONS ARE IN ADDITION TO THE OVER $38 MILLION DOLLARS IN UNREIMBURSED MEDICARE COSTS ABSORBED BY CHESHIRE.

Financial Efficiency

• Mission deployment rate: 91.1%; rating input score 91
• Program expense ratio: 89.8%; rating input score 90
• Fundraising efficiency: $16.9 raised per $1 spent on fundraising; rating input score 55; 55th percentile among comparable filings

Transparency & Controls

• Consistency checks: 92.9%; rating input score 93; 20th percentile among comparable filings
• Pay-setting controls: 0 of 6 controls in place; rating input score 0
• Foreign activity oversight: Limited
• Grant itemization coverage: 100%; rating input score 100; 77th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100
• Public monitoring controls: Limited
• Public policy transparency: Limited
• Public financial transparency: Limited
• Impact reporting controls: Limited
• Public relationship transparency: Limited

Accountability

• Independent voting board: 52.9%; rating input score 53; 14th percentile among comparable filings
• Governance controls: 8 of 9 controls in place; rating input score 89
• Public governance controls: Limited
• Zakat policy transparency: Limited

Sustainability

• Operating margin: -1.5%; rating input score 23; 23rd percentile among comparable filings
• Operating reserve ratio: 0.52; rating input score 19; 19th percentile among comparable filings
• Liabilities to assets ratio: 0.53; rating input score 34; 34th percentile among comparable filings
• Officer compensation ratio: 0.9%; rating input score 76; 76th percentile among comparable filings

Growth

• Program expense growth: 7.3% per year; rating input score 100; 60th percentile among comparable filings
• Revenue growth: 5.2% per year; rating input score 100; 46th percentile among comparable filings
• Asset growth: 1.8% per year; rating input score 100; 14th percentile among comparable filings