Monadnock Community Hospital (EIN 020222157) - Form 990 Financial Analysis & Trantor Score

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Financial Vulnerability Assessment (Tuckman-Chang)

4 risk indicators measuring financial stability and operational resilience

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Financial Trends

Organization Details

Formation Year

1919

Legal Domicile

Principal Officer

Cynthia K McGuire

Phone

6039247191

Tax Period

2023-10-01 to 2024-09-30

Monadnock Community Hospital, founded in 1919, is a major nonprofit in the Health Care sector that reported $128.0M in total revenue in fiscal year 2023. Revenue grew 12% year-over-year, indicating healthy expansion. Expenses of $122.3M left a modest 4% surplus.

Mission

Critical access hospital serving the Monadnock region of the State of New Hampshire

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Trantor Score

Financial Health Score (300–850) · Liquidity · Solvency · Sustainability · Efficiency

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Liquidity (40%) • Solvency (30%) • Sustainability (20%) • Efficiency (10%)

Financial Overview (2023)

Revenue Breakdown

Contributions & Grants $829,431

Program Service Revenue $122,697,106

Investment Income $4,431,300

Other Revenue $50,897

TOTAL REVENUE $128,008,734

Expense Breakdown

Grants Paid $105,510

Salaries & Benefits $57,617,208

Fundraising Expenses $672,528

Program Expenses $108,962,532

Other Expenses $64,529,690

TOTAL EXPENSES $122,252,408

Year-over-Year Comparison

	2023	2022	Change
Revenue	$128,008,734	$114,350,269	+0.1%
Expenses	$122,252,408	$107,296,594	+0.1%
Net Income	$5,756,326	$7,053,675	-0.2%

Key Indicators

✓ Grants to Organizations ✓ Grants to Individuals ✓ Lobbying ✗ Political Activity ✗ Foreign Activities ✗ Donor Advised Fund ✓ Schedule B Required

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Financial Health Indicators

Comprehensive financial analysis: Altman Z-Score, liquidity, solvency, sustainability, efficiency, and growth metrics

Financial Distress Indicator

Liquidity & Cash Position

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Altman Z-Score • Liquidity Ratios • Solvency Analysis • Growth Indicators • Efficiency Metrics

Governance

Voting Members

Independent Members

Employees

687

Volunteers

Governance Policies

✓ Conflict of Interest Policy

✓ Whistleblower Policy

✓ Document Retention Policy

Special Practices & Reported Activities

✗ Operated a School

✗ Operated a Hospital

✗ Provided First Class Travel

⚠ Reported Conflict of Interest

✗ Reported Asset Diversion

✗ Excess Benefit Transaction

✗ Made Political Expenditures

✓ Engaged in Lobbying

✗ Operated Donor Advised Fund

✗ Maintained Art Collections

✗ Filed Form 720

Compensation of Officers, Directors & Key Employees

Total Officers

$800,977

Total Directors

$2,049,031

Key Employees

Highest Compensated

reported

Name	Title	Hours/Week	Role	Reportable Comp	Other Comp	Total
Alexander J Walker Esq	Ex-Officio (voting) (end 3/2024)	3.00	Director	$0	$351,171	$1,068,695
Terrence McNamara DO	Trustee/Physician	41.50	Director	$455,080	$37,929	$493,009
Cynthia McGuire	Chief Executive Officer	55.00	Officer Director	$435,263	$52,064	$487,327
Peter Cerroni DMD	Trustee	3.00	Director	$0	$0	$0
Casandra Clark	Trustee	3.00	Director	$0	$0	$0
Jeffrey R Crocker Esq	Trustee	3.00	Director	$0	$0	$0
Carolyn Garretson	Trustee	3.00	Director	$0	$0	$0
Steve Kim	Trustee (start 1/2024)	3.00	Director	$0	$0	$0
Eric Lasky MD	Ex-Officio (voting)	3.00	Director	$0	$0	$0
Leslie Lewis	Trustee	3.00	Director	$0	$0	$0
Stephen Lehmkuhl DO	Ex-Officio (voting)	3.00	Director	$0	$0	$0
Ed Madigan	Trustee (start 1/2024)	3.00	Director	$0	$0	$0
Greg Neilley MD	Trustee (start 1/2024)	3.00	Director	$0	$0	$0
Michael Shea	Trustee (end 1/2024)	3.00	Director	$0	$0	$0
Iris Waitt	Trustee	3.00	Director	$0	$0	$0
James Callahan Esq	Chair (end 1/2024); Trustee	3.00	Officer Director	$0	$0	$0
Paul Faber	VC (end 1/24); Chair (start 1/24)	3.00	Officer Director	$0	$0	$0
Paula Hunter	Trustee; Vice Chair (start 1/2024)	3.00	Officer Director	$0	$0	$0
Thomas S Bates CPA	Treasurer	3.00	Officer Director	$0	$0	$0
Patricia Shuster	Clerk	3.00	Officer Director	$0	$0	$0
Richard D Scheinblum	VP Finance/CFO	50.00	Officer	$287,766	$25,884	$313,650
Vache Hambardzumyan MD	Physician	41.50	Highest	$596,287	$29,310	$625,597
Derek Anderson MD	Physician	41.50	Highest	$436,575	$39,479	$476,054
Daniel Perli MD	Physician/Chief Medical Officer	50.00	Highest	$442,753	$18,202	$460,955
Shawn Harrington MD	Physician	41.50	Highest	$401,907	$36,429	$438,336
Dmitry Tarasevich MD	Physician	41.50	Highest	$396,554	$18,073	$414,627

Note: Compensation data is self-reported by the organization on their Form 990. "Reportable Comp" includes salary, bonuses, and other reportable compensation from the organization and related organizations. "Other Comp" includes benefits, deferred compensation, and non-taxable benefits.

Historical Data

Year	Revenue	Expenses	Assets	Net Income
2024	$128,008,734	$122,252,408	$203,243,687	$5,756,326
2023	$114,350,269	$107,296,594	$178,215,506	$7,053,675
2022	$105,277,810	$98,839,362	$164,422,071	$6,438,448
2021	$101,127,836	$90,782,480	$175,868,092	$10,345,356
2020	$103,082,260	$92,089,045	$165,576,325	$10,993,215
2019	$96,510,126	$97,125,282	$136,807,429	$-615,156
2018	$101,747,336	$93,596,469	$130,171,265	$8,150,867

Monadnock Community Hospital