CHESHIRE MEDICAL CENTER: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: CHESHIRE MEDICAL CENTER (EIN 02-0354549)
Tax period: 2024-07-01 to 2025-06-30
Filed: 2026-06-15
IRS object ID: 202641669349300109
Schema version: 2024v5.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2026-06-15T06:55:53+00:00	ReturnTs
Tax Period End	2025-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4801 Olympia Park Plaza Suite 4000	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020354549	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Cheshire Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	CHES	BusinessNameControlTxt
Phone	6033545400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580 - 590 Court Street	AddressLine1Txt
City	Keene	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	034315400	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Todd Roberts	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2026-06-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	5023263996	PhoneNum
Preparation	2026-06-15	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Joseph Perras	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580 - 590 Court Street	AddressLine1Txt
City	Keene	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	034315400	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$348,026,480	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	https://www.cheshiremed.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	To deliver compassionate and exceptional care to all we serve by optimizing the health and wellbeing of our communities and setting the standard for healthcare excellence.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	7	VotingMembersIndependentCnt
Total Employee	1232	TotalEmployeeCnt
Total Volunteers	84	TotalVolunteersCnt
Total Gross UBI	$937,684	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$34,878	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,679,183	PYContributionsGrantsAmt
CY Contributions Grants	$12,775,639	CYContributionsGrantsAmt
PY Program Service Revenue	$293,860,323	PYProgramServiceRevenueAmt
CY Program Service Revenue	$332,208,534	CYProgramServiceRevenueAmt
PY Investment Income	$261,859	PYInvestmentIncomeAmt
CY Investment Income	$87,467	CYInvestmentIncomeAmt
PY Other Revenue	$3,105,432	PYOtherRevenueAmt
CY Other Revenue	$2,954,840	CYOtherRevenueAmt
PY Total Revenue	$307,906,797	PYTotalRevenueAmt
CY Total Revenue	$348,026,480	CYTotalRevenueAmt
PY Grants And Similar Paid	$369,917	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$111,263	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$116,771,894	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$132,588,221	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$493,633	CYTotalFundraisingExpenseAmt
PY Other Expenses	$195,449,175	PYOtherExpensesAmt
CY Other Expenses	$207,312,626	CYOtherExpensesAmt
PY Total Expenses	$312,590,986	PYTotalExpensesAmt
CY Total Expenses	$340,012,110	CYTotalExpensesAmt
PY Revenues Less Expenses	-$4,684,189	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,014,370	CYRevenuesLessExpensesAmt
Total Assets BOY	$161,863,854	TotalAssetsBOYAmt
Total Assets EOY	$157,394,231	TotalAssetsEOYAmt
Total Liabilities BOY	$86,247,654	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$66,031,094	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$75,616,200	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$91,363,137	NetAssetsOrFundBalancesEOYAmt
Mission	The mission of Cheshire Medical Center is to deliver compassionate and exceptional care to all we serve.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$320,681,048	ExpenseAmt
Grant	$111,263	GrantAmt
Revenue	$332,319,008	RevenueAmt
Desc	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 FY25, CHESHIRE PROVIDED 228,060 PROVIDER VISITS AND HAD 3,769 HOSPITAL ADMISSIONS AND DISCHARGES. THE EMERGENCY DEPARTMENT WAS OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK AND HAD 21,996 ER PATIENT VISITS. THERE ARE A TOTAL OF 259 PROVIDERS CONSISTING OF 149 PHYSICIANS AND 110 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). During FY2025, Cheshire's Community Benefit priorities centered around improving healthcare access in rural communities, behavioral health supports, substance use disorder prevention and supports, and aging population services. IN TOTAL, CHESHIRE PROVIDED more than $17 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 $49 MILLION DOLLARS IN UNREIMBURSED MEDICARE COSTS ABSORBED BY CHESHIRE.	Desc
Total Program Service Expenses	$320,681,048	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	213	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1232	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	7	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Policies Reference Chapters	false	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Written Policy Or Procedure	false	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Todd Roberts	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6033545400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580-590 COURT STREET	AddressLine1Txt
City	KEENE	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	034315400	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Daniel Smith
Trustee / Vice Chair (through 11/14/24)	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Elizabeth Cotter
Trustee/Secretary	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
Joseph L Perras MD
Trustee/CEO/President ex-officio	40.0	1.5	Yes (X)	Yes (X)	$0	$570,040	$54,269
Leslie Pitts MD
Trustee/Ex-Officio Med. Staff Pres (through 10/31/24)	0.5	40.0	Yes (X)	Yes (X)	$0	$293,416	$68,441
Mark Bodin
Trustee / Treasurer	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
MARK GAVIN
TRUSTEE / Chair	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Serena Shomody
Trustee/Med Staff Pres. (as of 11/1/24)	40.0	0.0	Yes (X)	Yes (X)	$0	$328,934	$54,756
Alan Kintisch
Trustee (as of 8/22/24)	0.5	0	Yes (X)		$0	$0	$0
Andrew G Tremblay MD
TRUSTEE	1.0	40.0	Yes (X)		$0	$307,536	$65,144
Barbara Duckett
Trustee	0.5	0	Yes (X)		$0	$0	$0
Cherie Holmes MD
Trustee	0.5	40.0	Yes (X)		$0	$387,396	$52,481
Gina OBrien MD
Trustee	0.5	40.0	Yes (X)		$0	$443,984	$28,237
Maria Padin MD
TRUSTEE (through 12/31/24)	1.0	41.5	Yes (X)		$0	$599,295	$68,542
Michael Chelstowski
Trustee	0.5	0	Yes (X)		$0	$0	$0
Michael Farhm
Trustee (through 3/19/25)	0.5	0	Yes (X)		$0	$0	$0
Michael Waters
Trustee / DH Treasurer	0.5	40.0	Yes (X)		$0	$374,870	$34,419
Robert Palmer
Trustee (through 1/17/25)	0.5	0	Yes (X)		$0	$0	$0
Stephen LeBlanc
Trustee	0.5	42.5	Yes (X)		$0	$1,016,111	$69,299
SUSAN ABERT
TRUSTEE	1.0	0	Yes (X)		$0	$0	$0
Teresa Malcolm MD
Trustee (as of 4/01/25)	0.5	40.0	Yes (X)		$0	$353,278	$61,286
Anne Tyrol
Chief Nursing Officer	40.0	0		Yes (X)	$251,503	$0	$43,822
AnnMarie Coppo
Interim CFO (through 4/28/25)	40.0	0.5		Yes (X)	$162,388	$0	$48,409
Kathryn F Willbarger
COO	40.0	0.0		Yes (X)	$339,266	$0	$36,825
Todd Roberts
CFO (as of 4/28/25)	40.0	0.5		Yes (X)	$0	$242,180	$15,534
Christy Lambert
RN-First Assist	40.0	0			$178,785	$0	$25,167	Yes (X)
Erli Chen
PHYSICiST	40.0	0			$269,933	$0	$38,796	Yes (X)
Lisa Hanamoto
RN Baylor-WN-IP/PRCD	40.0	0			$188,016	$0	$26,550	Yes (X)
Matthew Borden
Pharmacist	40.0	0			$183,369	$0	$11,858	Yes (X)
Sandra M Phipps
VP PHILANTHROPY/COMM RELATIONS	40.0	0.5			$184,852	$0	$33,176	Yes (X)
Daniel Gross
Former Chief Financial Officer	0.0	0.5			$145,799	$0	$20,592		Yes (X)
Jennifer L DiNubila DO
Former Med Staff Pres.	0.0	40.0			$0	$100,231	$14,275		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,903,911	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,017,271	TotReportableCompRltdOrgAmt
Total Other Compensation	$871,878	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	125	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
CONIFER REVENUE CYCLE SOLUTIONS
PO BOX 655025	DALLAS	TX	752655025	Revenue Management	$6,679,867
Prolucent Health inc
5420 LBJ Freeway	Dallas	TX	75240	Workforce Services	$6,631,353	Suite 550
American Healthcare Staff Assoc
3009 Astoria Ct	Edmond	OK	73034	Workforce Services	$5,007,057
MARY HITCHCOCK MEMORIAL HOSPITAL
One Medical Center Dr	Lebanon	NH	03756	Workforce Services	$3,965,405
Comphealth Medical Staffing
PO Box 972651	Dallas	TX	753972651	Workforce Services	$2,633,271

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	47	CntrctRcvdGreaterThan100KCnt
Related Organizations	$8,040,412	RelatedOrganizationsAmt
Government Grants	$4,285,039	GovernmentGrantsAmt
All Other Contributions	$450,188	AllOtherContributionsAmt
Total Contributions	$12,775,639	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$306,684,244	$306,684,244
PHARMACY REVENUE	446110	$25,477,325	$24,628,029	$849,296
Laboratory Services	621500	$46,965		$46,965

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$332,208,534	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$87,467	TotalRevenueColumnAmt
Unrelated Business Revenue	$41,423	UnrelatedBusinessRevenueAmt
Exclusion	$46,044	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,614	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$9,614	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,614	TotalRevenueColumnAmt
Exclusion	$9,614	ExclusionAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Food Services	722514	$1,186,243	$1,186,243
Childcare Revenue	624410	$752,248	$752,248
Rebates and Discounts	622110	$586,368		$586,368

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$420,367	TotalRevenueColumnAmt
Related Or Exempt Func Income	$420,367	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,945,226	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$348,026,480	TotalRevenueColumnAmt
Related Or Exempt Func Income	$332,319,008	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$937,684	UnrelatedBusinessRevenueAmt
Exclusion	$1,994,149	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$4,223	TotalAmt
Program Services	$4,223	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$107,040	TotalAmt
Program Services	$107,040	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,048,690	TotalAmt
Program Services	$24,161	ProgramServicesAmt
Management And General	$1,024,529	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$27,140	TotalAmt
Management And General	$25,783	ManagementAndGeneralAmt
Fundraising	$1,357	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$94,939,916	TotalAmt
Program Services	$90,655,428	ProgramServicesAmt
Management And General	$4,067,871	ManagementAndGeneralAmt
Fundraising	$216,617	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,077,711	TotalAmt
Program Services	$3,893,690	ProgramServicesAmt
Management And General	$174,717	ManagementAndGeneralAmt
Fundraising	$9,304	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$27,375,350	TotalAmt
Program Services	$26,139,944	ProgramServicesAmt
Management And General	$1,172,946	ManagementAndGeneralAmt
Fundraising	$62,460	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,119,414	TotalAmt
Program Services	$4,888,383	ProgramServicesAmt
Management And General	$219,350	ManagementAndGeneralAmt
Fundraising	$11,681	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$13,311	TotalAmt
Program Services	$5,197	ProgramServicesAmt
Management And General	$8,095	ManagementAndGeneralAmt
Fundraising	$19	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$11,475	TotalAmt
Management And General	$11,475	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$97,089,207	TotalAmt
Program Services	$95,177,806	ProgramServicesAmt
Management And General	$1,823,182	ManagementAndGeneralAmt
Fundraising	$88,219	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$130,382	TotalAmt
Program Services	$111,829	ProgramServicesAmt
Management And General	$18,456	ManagementAndGeneralAmt
Fundraising	$97	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,648,497	TotalAmt
Program Services	$1,344,264	ProgramServicesAmt
Management And General	$292,368	ManagementAndGeneralAmt
Fundraising	$11,865	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$491,428	TotalAmt
Program Services	$464,438	ProgramServicesAmt
Fundraising	$26,990	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$6,971,347	TotalAmt
Program Services	$5,995,662	ProgramServicesAmt
Management And General	$975,685	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$319,999	TotalAmt
Program Services	$262,857	ProgramServicesAmt
Management And General	$52,177	ManagementAndGeneralAmt
Fundraising	$4,965	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$41,563	TotalAmt
Program Services	$39,793	ProgramServicesAmt
Management And General	$1,503	ManagementAndGeneralAmt
Fundraising	$267	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,866,602	TotalAmt
Program Services	$1,866,602	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$9,895,561	TotalAmt
Program Services	$6,352,212	ProgramServicesAmt
Management And General	$3,543,349	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,696,429	TotalAmt
Program Services	$3,680,409	ProgramServicesAmt
Management And General	$16,020	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
MEDICAL SUPPLIES	$58,589,562	$58,589,562
MEDICAID ENHANCEMENT & PILOT TAXES	$11,098,083	$11,098,083
Shared Services - Related Party	$6,273,036	$4,130,820	$2,142,216
EQUIPMENT RENTAL AND MAINTENANCE	$5,085,518	$2,885,347	$2,197,385	$2,786

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,090,626	TotalAmt
Program Services	$2,963,298	ProgramServicesAmt
Management And General	$1,070,322	ManagementAndGeneralAmt
Fundraising	$57,006	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$340,012,110	TotalAmt
Program Services	$320,681,048	ProgramServicesAmt
Management And General	$18,837,429	ManagementAndGeneralAmt
Fundraising	$493,633	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,605,587	BOYAmt
EOY	$13,317,225	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$248	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,513,441	BOYAmt
EOY	$19,977,731	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,904,983	BOYAmt
EOY	$5,351,475	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,076,029	BOYAmt
EOY	$192,410	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$282,952,071	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$217,567,776	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$68,069,459	BOYAmt
EOY	$65,384,295	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$27,699,843	BOYAmt
EOY	$30,731,826	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,994,264	BOYAmt
EOY	$22,439,269	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$161,863,854	BOYAmt
EOY	$157,394,231	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,484,959	BOYAmt
EOY	$18,013,915	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,118,884	BOYAmt
EOY	$716,871	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$20,886,037	BOYAmt
EOY	$21,400,085	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$44,757,774	BOYAmt
EOY	$25,900,223	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,247,654	BOYAmt
EOY	$66,031,094	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,224,026	BOYAmt
EOY	$49,166,790	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$35,392,174	BOYAmt
EOY	$42,196,347	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$75,616,200	BOYAmt
EOY	$91,363,137	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$161,863,854	BOYAmt
EOY	$157,394,231	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,014,370	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,036,782	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,695,785	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$40,357	OtherActivitiesAmt
Total Lobbying Expenditures	$40,357	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	CHESHIRE MEDICAL CENTER PAYS DUES TO VARIOUS ORGANIZATIONS RELATED TO ITS EXEMPT MISSION AND A THIRD PARTY REPRESENTING THE RURAL HOSPITAL COALITION. THE AMOUNT REPORTED UNDER OTHER ACTIVITIES ON LINE 1i REFERS TO THE AMOUNT OF LOBBYING ACTIVITIES IDENTIFIED IN DUES TO OUTSIDE ORGANIZATIONS ALONG WITH THE THIRD PARTY REPRESENTATIVE.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$28,610,974	BeginningYearBalanceAmt
Investment Earnings Or Losses	$2,768,487	InvestmentEarningsOrLossesAmt
Other Expenditures	$652,595	OtherExpendituresAmt
End Year Balance	$30,726,866	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$26,585,077	BeginningYearBalanceAmt
Contributions	$5,499	ContributionsAmt
Investment Earnings Or Losses	$2,628,523	InvestmentEarningsOrLossesAmt
Other Expenditures	$608,125	OtherExpendituresAmt
End Year Balance	$28,610,974	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$25,835,380	BeginningYearBalanceAmt
Contributions	$10,971	ContributionsAmt
Investment Earnings Or Losses	$1,320,761	InvestmentEarningsOrLossesAmt
Other Expenditures	$582,035	OtherExpendituresAmt
End Year Balance	$26,585,077	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$27,658,744	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$1,666,734	InvestmentEarningsOrLossesAmt
Other Expenditures	$156,630	OtherExpendituresAmt
End Year Balance	$25,835,380	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$21,594,703	BeginningYearBalanceAmt
Contributions	$2,020,506	ContributionsAmt
Investment Earnings Or Losses	$4,806,606	InvestmentEarningsOrLossesAmt
Other Expenditures	$763,071	OtherExpendituresAmt
End Year Balance	$27,658,744	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.2634	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.7366	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$218,161	OtherCostOrOtherBasisAmt
Book Value	$218,161	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$82,799,225	OtherCostOrOtherBasisAmt
Depreciation	$62,479,710	DepreciationAmt
Book Value	$20,319,515	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,961,313	OtherCostOrOtherBasisAmt
Depreciation	$17,968,621	DepreciationAmt
Book Value	$21,992,692	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$159,973,372	OtherCostOrOtherBasisAmt
Depreciation	$137,119,445	DepreciationAmt
Book Value	$22,853,927	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$65,384,295	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Closely-held equity interests
Financial derivatives
Investment in Pooled Fund	$30,731,826	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$30,731,826	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
Due from Affiliate	$19,784,702
Deferred 457(b) Plan Assets	$378,669
Other Assets	$2,275,898

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$22,439,269	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
Federal Income Taxes
DUE TO RELATED PARTY	$19,651,117
RESERVES FOR ESTIMATED 3RD PARTY SETTLEMENTS	$5,578,849
Right of Use Lease Obligations	$670,257

Field	Value	IRS element (for citing)
Total Liability	$25,900,223	TotalLiabilityAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$0	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$0	TotalRevenuePerForm990Amt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$0	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$0	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	THE ENDOWMENT FUNDS ARE HELD BY CHESHIRE HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION. THE INTENDED USE OF ENDOWMENT FUNDS IS TO SUPPORT AND ADVANCE THE HEALTH AND WELLNESS MISSION-RELATED PROGRAMS OF CHESHIRE MEDICAL CENTER.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,923,672	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,923,672	NetCommunityBenefitExpnsAmt
Total Expense	0.00860	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,436,474	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,719,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,717,063	NetCommunityBenefitExpnsAmt
Total Expense	0.02270	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$37,360,146	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,719,411	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,640,735	NetCommunityBenefitExpnsAmt
Total Expense	0.03130	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$454,630	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$454,630	NetCommunityBenefitExpnsAmt
Total Expense	0.00134	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,461,919	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,311	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,395,608	NetCommunityBenefitExpnsAmt
Total Expense	0.00999	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,162,667	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,542,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,620,097	NetCommunityBenefitExpnsAmt
Total Expense	0.00771	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$327,228	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$50,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$277,228	NetCommunityBenefitExpnsAmt
Total Expense	0.00082	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$8,406,444	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,658,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,747,563	NetCommunityBenefitExpnsAmt
Total Expense	0.01985	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$45,766,590	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$28,378,292	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$17,388,298	NetCommunityBenefitExpnsAmt
Total Expense	0.05114	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$802,190	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$129,193	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$672,997	NetCommunityBenefitExpnsAmt
Total Expense	0.00198	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$537,941	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$537,941	NetCommunityBenefitExpnsAmt
Total Expense	0.00158	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$1,340,131	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$129,193	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,210,938	NetCommunityBenefitExpnsAmt
Total Expense	0.00356	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$103,096,686	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$152,782,094	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$49,685,408	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHESHIRE MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580 COURT STREET	AddressLine1Txt
City	KEENE	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03431	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.cheshiremed.org	WebsiteAddressTxt
State License	00014	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	IN-PATIENT REHAB	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	CHESHIRE MEDICAL CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	false	CHNAConductedInd
Organization Incur Excise Tax	Yes (true)	OrganizationIncurExciseTaxInd
Form4720 Filed	Yes (true)	Form4720FiledInd
Excise Report Form4720 For All	$50,000	ExciseReportForm4720ForAllAmt
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.dartmouth-hitchcock.org/patients-visitors/financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.dartmouth-hitchcock.org/patients-visitors/financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.dartmouth-hitchcock.org/patients-visitors/financial-assistance	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Cheshire Medical Center. PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF CMC.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Cheshire Medical Center. CMC HAS A SEPARATE UNINSURED DISCOUNT POLICY THAT OUTLINES HOW THE DISCOUNT IS CALCULATED ANNUALLY AND IS APPLIED PRIOR TO BILLING ANY UNINSURED PATIENT. THIS ASSURES A PATIENT IS NOT BILLED AT AN AMOUNT GREATER THAN THE AMOUNT GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS POLICY IS REFERENCED IN THE FINANCIAL ASSISTANCE POLICY.
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Cheshire Medical Center. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON CMC'S WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY PLAIN-LANGUAGE SUMMARY. CMC PROVIDES THE PLAIN-LANGUAGE SUMMARY BROCHURE TO ALL INPATIENTS, EMERGENCY DEPARTMENT INTAKES, UNINSURED, AND SELF-PAY INDIVIDUALS. CMC CONTINUES TO NOTIFY PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABLE TO THEM. ADDITIONALLY, CMC POSTS INFORMATION ABOUT THE POLICY IN PUBLIC AREAS THROUGHOUT THE FACILITIES INCLUDING ADMISSION OFFICES, PUBLIC AREA BOARDS THROUGHOUT THE FACILITIES, THE EMERGENCY ROOMS, AND FINANCIAL ASSISTANCE POLICY BROCHURES IN PATIENT AREAS. CMC SCREENS 100% OF UNINSURED INPATIENT AND SAME-DAY PATIENTS PRIOR TO ADMISSION. AS PART OF THIS PROCESS, CMC CHECKS ALL STATE AND FEDERAL PROGRAMS TO SEE IF INDIVIDUALS ARE ELIGIBLE FOR ASSISTANCE. PATIENTS ARE ALSO SCREENED TO DETERMINE QUALIFICATION FOR FINANCIAL ASSISTANCE AND THE APPLICATION IS PROVIDED AND/OR COMPLETED AT THIS TIME.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CHESHIRE MEDICAL CENTER COLLECTING STATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580-590 COURT STREET	AddressLine1Txt
City	KEENE	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03431	ZIPCd

Field	Value	IRS element (for citing)
Facility	COLLECTING STATION	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B Line 3	Schedule H, Part VI - Supplemental information regarding Part V, Section B, line 3 Part V, Section B, line 3 asks whether the hospital facility conducted a community health needs assessment (CHNA) during the tax year or either of the two immediately preceding tax years. Under Treas. Reg. Section 1.501(r)-3, a CHNA is considered conducted only when all required steps have been completed, including adoption of the CHNA report by an authorized body of the hospital facility and making the CHNA report widely available to the public. Cheshire Medical Center answered line 3 "No" because its CHNA was not adopted by an authorized body of the hospital facility and made widely available to the public until after June 30, 2025. Accordingly, the facility is reporting and paying the section 4959 excise tax on Form 4720 for the failure to meet section 501(r)(3) for the tax year ended June 30, 2025. Before June 30, 2025, however, the facility had made substantial progress toward completion of the CHNA process. Prior to that date, the facility had defined the community it serves, assessed the health needs of that community, solicited and considered input from persons representing the broad interests of the community, and undertaken analysis and drafting of the CHNA report. The final CHNA report and related implementation strategy were completed and are now publicly available on the hospital facility's website at: https://www.cheshiremed.org/about/community-benefits-reporting
Schedule H, Part V, Section B, Line 12 Section 501(r)(3) failure	Description of Failure For the taxable year ending June 30, 2025, Cheshire Medical Center did not complete the required CHNA approval and implementation strategy approval process within the timeframes required by section 501(r)(3). The CHNA for the current cycle was not adopted by an authorized body of the hospital facility within the required three-year period ending June 30, 2025. In addition, the related implementation strategy was not adopted by the governing body by November 15, 2025, the required deadline following the end of the taxable year. Description of Correction In accordance with Rev. Proc. 2015-21, Cheshire Medical Center obtained formal governing body approval of both the CHNA and the implementation strategy on January 29, 2026. Following approval, the CHNA and implementation strategy were finalized and made widely available to the public. Description of Practices or Procedures Going Forward This situation was inadvertent and administrative in nature and did not reflect a failure to identify or address community health needs. The underlying CHNA activities and related planning were performed, and the delay was limited to the timing of formal governing body approval. Cheshire Medical Center has updated its internal compliance calendar and governance procedures to ensure that future CHNAs are completed within the required three-year cycle and that implementation strategies are adopted within the required timeframe. Cheshire Medical Center remains committed to full compliance with Section 501(r)(3).
Schedule H, Part I, Line 7g Subsidized Health Services	The amount on line 7g, column c, does not include any costs attributable to a physician clinic.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The costing methodology used to calculate the amounts reported was a cost-to-charge ratio derived from worksheet 2, ratio of patient care to cost-to-charges for lines 7a and 7b. Lines 7e, 7f, 7g, and 7i are based on actual costs.
Schedule H, Part II Community Building Activities	The Center for Population Health at Cheshire Medical Center is the state-designated coalition building entity for the Monadnock Regional Public Health Network, which brings together organizations and individuals from around the region to promote and provide for the public health in lieu of a local governmental public health department model. Cheshire Medical Center receives some grant dollars through the New Hampshire Department of Health and Human Services to provide local public health service organization and oversight. However, Cheshire is committed to the health and wellbeing of its region and commits additional community benefit support beyond what the grant is able to financially reimburse, providing additional funding for expert staff support, direct public health programming, and community organizing around public health initiatives. The Regional Public Health Network coalition, known as the Healthy Monadnock Alliance, is driven by a shared set of priority areas identified through community health needs assessment. Currently the priority areas around which coalition members unite concern improving access to healthcare, food access, active living, substance use prevention and supports for youth, emergency preparedness, and behavioral health for community members.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AS A RESULT OF ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606), BAD DEBT IS NO LONGER AN EXPENSE BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Bad Debt is no longer treated as an expense due to accounting guidance (Statement 15 and ASC 606). As a result, an amount attributable to patients eligible under the organization's financial assistance policy is unable to be reasonably estimated.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	THE CHESHIRE MEDICAL CENTER IS INCLUDED IN THE DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. AS A RESULT OF ACCOUNTING CHANGES (ASC 606), BAD DEBT IS NO LONGER AN EXPENSE BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. THEREFORE, THERE IS NO SEPARATE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	THE COSTING METHODOLOGY WAS COMPLETED ACCORDING TO GUIDANCE PROVIDED BY THE INTERNAL REVENUE SERVICE. THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT BECAUSE THE CHESHIRE MEDICAL CENTER IS THE ONLY HOSPITAL/MEDICAL CENTER IN CHESHIRE COUNTY, NEW HAMPSHIRE AND IS DESIGNATED BY CMS AS A MEDICARE DEPENDENT HOSPITAL (MDH) DUE TO GREATER THAN HALF OF OUR AVERAGE DAILY CENSUS BEING COMPRISED OF MEDICARE PATIENTS. OUR PRESENCE IN THE COMMUNITY ALLOWS THE RESIDENTS OF CHESHIRE COUNTY, ESPECIALLY THE ELDERLY POPULATION, TO RECEIVE COMPREHENSIVE HOSPITAL AND MEDICAL SERVICES CLOSE TO HOME.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	CHESHIRE MEDICAL CENTER HAS A CREDIT AND COLLECTION POLICY THAT ADDRESSES THE PROCEDURES FOR PATIENTS WHO QUALIFY FOR REDUCED-COST CARE. THE POLICY PROHIBITS USING EXTRAORDINARY COLLECTION PRACTICES OR PLACING AMOUNTS WITH COLLECTION AGENCIES. IF A FINANCIAL-ASSISTANCE-POLICY-ELIGIBLE PATIENT HAS A BALANCE FOR WHICH THEY ARE RESPONSIBLE AFTER A FINANCIAL ASSISTANCE DISCOUNT IS APPLIED, THE STANDARD PRACTICES ARE FOLLOWED AS OUTLINED IN THE CREDIT AND COLLECTIONS POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	- CHESHIRE MEDICAL CENTER: Line 16a URL: https://www.dartmouth-hitchcock.org/patients-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- CHESHIRE MEDICAL CENTER: Line 16b URL: https://www.dartmouth-hitchcock.org/patients-visitors/financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- CHESHIRE MEDICAL CENTER: Line 16c URL: https://www.dartmouth-hitchcock.org/patients-visitors/financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITON TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL USES REGULAR FEEDBACK FROM THE COMMUNITY, PROVIDED THROUGHOUT THE YEAR, TO ASSESS ITS HEALTH NEEDS. Center for Population Health department staff participate in or lead multiple community coalitions and projects collaborating and connecting with a wide array of stakeholders. We regularly review emerging public health data and statistics at the state level and gather local statistics through a variety of methods including a social drivers of health screener administered to primary care patients at our facilities, a community health and wellbeing survey conducted every 2-3 years with support from the University of New Hampshire survey center, and other locally available data.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Cheshire Medical Center is committed to providing medically necessary care to all patients regardless of ability to pay for services. As part of the Dartmouth Health System, Cheshire Medical participates in several shared policies for patient payment supports including financial assistance support programs and family resource counseling to connect patients with needed services. Patients are screened for assistance qualification through a number of departments and can access information on assistance policies by viewing them online, being connected to a community health worker embedded within the hospital, or reading printed educational information available across hospital service sites. More information on policies and available services for patients can be found here: (https://www.dartmouth-hitchcock.org/patients-visitors/financial-assistance).
Schedule H, Part VI, Line 4 Community information	Cheshire Medical Center is the only hospital in its primary service area which is described below. Geography: Cheshire Medical Center serves Cheshire County in the southwestern corner of New Hampshire. The county is comprised of 22 towns and 1 city, ranging in population from a few hundred to several thousand, and the county seat is the city of Keene where Cheshire Medical Center's main campus is located. Cheshire County is designated as a rural county with a low-density population, as more than two thirds of people (69%) reside in a rural area. General Population: The latest population estimates put a total county population of 77,703 residents. The county is an aging one, with more than 1 in 5 residents (23%) age 65 or older. There are around 14,000 children under the age of 18 residing in the county, or 18% of the overall population. Most community members identify as non-Hispanic white (93%), with English being the predominantly spoken language (95%). Socioeconomic Factors: The median household income is around $69,000 annually. Most adult residents over the age of 25 have completed high school (94%), and two thirds of residents have completed some college education (68%). 70% of households own their home. 1 in 4 residents age 16-64 are unemployed (26%). 1 out of 10 residents lives in poverty (10%), and the same proportion of residents are experiencing food insecurity (11%), with 1 in 10 children living in poverty and 15% living in single parent homes. 7% of the adult population is not covered by any type of health insurance, while only 4% of children are uninsured. Population Health Epidemiology: The average life expectancy of Cheshire County residents is 78 years, on par with the state average. 15% of the adult population report being in poor or fair health overall, experiencing on average 4 days a month of poor physical health and 5 days a month of poor mental health. 1 in 3 adults are obese (31%), and 1 in 5 residents report having little to no regular physical activity (20%).
Schedule H, Part VI, Line 5 Promotion of community health	Cheshire Medical Center's Center for Population Health promotes the health and wellbeing of the Greater Monadnock Community through a variety of programs and services geared toward different communities of interest. The Center for Population Health is the principal supporter of The Healthy Monadnock Alliance, which serves as the Greater Monadnock Regional Public Health Network. Working in collaboration with other respected agencies and non-profits, the department supports population health initiatives like assessments and planning as well as offers direct community programs through the hospital like worksite wellness, school-based supports, nutrition and active lifestyle classes, mental health and substance abuse recovery classes and support groups, etc. The Center for Population Health also collects and reports information about other Community Benefit programs conducted by other hospital departments and staff. Our annual Community Benefits Highlights Report highlights just a few of the other programs and initiatives Cheshire Medical Center employs to address the needs identified in the community each year. In the previous year, Cheshire Medical Center has offered support to a regional mobile dental clinic, conducted a "Teddy Bear Clinic" for parents and families in the community to empower children's health, provided emergency medical services training such as CPR and Naloxone administration, entered the second year of support for a Family Medicine Residency program to train physicians to care for rural populations, and more. Information about additional activities and programs to address the health of the community can be found here: (https://www.cheshiremed.org/about/community-benefits-reporting). Cheshire Medical Center's volunteer Board of Trustees represents a broad range of interests which exist in the communities it serves. In particular the trustees who are neither employees nor independent contractors (nor family members thereof) of the Cheshire Medical Center, are representative of the consumer interests of the various neighborhoods and localities which are serviced by the hospital. CMC EXTENDS PROFESSIONAL STAFF PRIVILEGES TO QUALIFIED AND APPROPRIATE PHYSICIANS WHO ARE EMPLOYEES OF DARTMOUTH HITCHCOCK CLINIC, MARY HITCHCOCK MEMORIAL HOSPITAL, AND DARTMOUTH COLLEGE, WHO ALSO HOLD A FACULTY APPOINTMENT AT GEISEL SCHOOL OF MEDICINE.
Schedule H, Part VI, Line 6 Affiliated health care system	As part of the Dartmouth Health System, Cheshire Medical Center and its affiliate clinic sites promote the health and wellbeing of our communities through the Dartmouth Health 2030 Strategic Plan: One Team One Vision (https://www.dartmouth-health.org/2030). The plan outlines 3 strategic goals to provide the highest value and safest care for patients, create an environment of excellence that attracts and inspires innovation, and build partnerships to improve the health of populations we collectively serve. In particular, the system is focused on growing sites of care and services in rural southern New Hampshire areas, design innovative care models that address an aging population, and measurably improve health equity in our region. Cheshire Medical Center also serves as the principal supporter of The Healthy Monadnock Alliance, which is the regional public health network of the Monadnock Region. Cheshire Medical Center staff play a critical role in helping identify, design, and evaluate different initiatives and programs that support the region's public health through this strong community system.
Schedule H, Part VI, Line 7 State filing of community benefit report	NH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Patient and family support/assistance	44	$4,868	Book
Nursing and healthcare scholarships	22	$102,172	Book

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds	FormAndLineReferenceDesc
Explanation	AWARD PAYMENTS ARE PROCESSED IN ACCORDANCE WITH THE SPECIFIC TERMS OF EACH AWARD. THE COORDINATORS OF THE PROGRAM ARE RESPONSIBLE FOR ASSURING THAT ALL TERMS ARE MET, INCLUDING PROPER DOCUMENTATION OF EXPENSES WITH RECEIPTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jennifer L DiNubila DO
Former Med Staff Pres.	$0	$79,345	$0	$0	$0	$20,886	$0	$4,802	$0	$9,473	$0	$114,506	$0	$0
Leslie Pitts MD
Trustee/Ex-Officio Med. Staff Pres (through 10/31/24)	$0	$292,642	$0	$0	$0	$774	$0	$28,170	$0	$40,271	$0	$361,857	$0	$0
Joseph L Perras MD
Trustee/CEO/President ex-officio	$0	$504,078	$0	$42,400	$0	$23,562	$0	$20,700	$0	$33,569	$0	$624,309	$0	$0
Serena Shomody
Trustee/Med Staff Pres. (as of 11/1/24)	$0	$305,664	$0	$0	$0	$23,270	$0	$25,705	$0	$29,051	$0	$383,690	$0	$0
Cherie Holmes MD
Trustee	$0	$356,978	$0	$0	$0	$30,418	$0	$32,970	$0	$19,511	$0	$439,877	$0	$0
Stephen LeBlanc
Trustee	$0	$733,963	$0	$155,000	$0	$127,148	$0	$32,970	$0	$36,329	$0	$1,085,410	$0	$0
Maria Padin MD
TRUSTEE (through 12/31/24)	$0	$505,838	$0	$62,420	$0	$31,037	$0	$32,970	$0	$35,572	$0	$667,837	$0	$0
Andrew G Tremblay MD
TRUSTEE	$0	$307,122	$0	$0	$0	$414	$0	$29,284	$0	$35,860	$0	$372,680	$0	$0
Michael Waters
Trustee / DH Treasurer	$0	$328,262	$0	$39,600	$0	$7,008	$0	$32,970	$0	$1,449	$0	$409,289	$0	$0
Gina OBrien MD
Trustee	$0	$420,681	$0	$17,700	$0	$5,603	$0	$20,700	$0	$7,537	$0	$472,221	$0	$0
Teresa Malcolm MD
Trustee (as of 4/01/25)	$0	$318,408	$0	$33,960	$0	$910	$0	$20,700	$0	$40,586	$0	$414,564	$0	$0
Daniel Gross
Former Chief Financial Officer	$116,300	$0	$27,140	$0	$2,359	$0	$8,755	$0	$11,837	$0	$166,391	$0	$0	$0
Kathryn F Willbarger
COO	$307,502	$0	$30,900	$0	$864	$0	$32,331	$0	$4,494	$0	$376,091	$0	$0	$0
Anne Tyrol
Chief Nursing Officer	$227,233	$0	$24,000	$0	$270	$0	$15,818	$0	$28,004	$0	$295,325	$0	$0	$0
AnnMarie Coppo
Interim CFO (through 4/28/25)	$161,887	$0	$0	$0	$501	$0	$11,929	$0	$36,480	$0	$210,797	$0	$0	$0
Todd Roberts
CFO (as of 4/28/25)	$0	$208,902	$0	$25,200	$0	$8,078	$0	$14,531	$0	$1,003	$0	$257,714	$0	$0
Erli Chen
PHYSICiST	$249,027	$0	$0	$0	$20,906	$0	$24,211	$0	$14,585	$0	$308,729	$0	$0	$0
Sandra M Phipps
VP PHILANTHROPY/COMM RELATIONS	$183,726	$0	$0	$0	$1,126	$0	$14,556	$0	$18,620	$0	$218,028	$0	$0	$0
Matthew Borden
Pharmacist	$183,226	$0	$0	$0	$143	$0	$10,972	$0	$886	$0	$195,227	$0	$0	$0
Lisa Hanamoto
RN Baylor-WN-IP/PRCD	$182,678	$0	$0	$0	$5,338	$0	$14,167	$0	$12,383	$0	$214,566	$0	$0	$0
Christy Lambert
RN-First Assist	$173,559	$0	$5,000	$0	$226	$0	$11,801	$0	$13,366	$0	$203,952	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation

THE CEO IS PAID BY DARTMOUTH-HITCHCOCK CLINIC, A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, FORM 990 OF OTHER ORGANIZATIONS, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION.

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan

Dartmouth Hitchcock Clinic (DHC) sponsors a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable DHC to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen to new participants in 1998. THE FOLLOWING INDIVIDUAL HAS A SPLIT DOLLAR LIFE PLAN ARRANGEMENT AND RESPECTIVE EMPLOYER PREMIUM: STEPHEN LEBLANC $70,131. Separate from the Split Dollar Life plan, the following individuals received payments from a nonqualified retirement plan (which are reflected in schedule J, Part II, Column B (III)): Stephen LeBlanc $65,562 Maria Padin $25,884 Cherie Holmes $12,932 Gina O'Brien $3,377 Theresa Malcolm $496 Jennifer DiNubila $6,552

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NH HEALTH AND ED FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	020279866	BondIssuerEIN
CUSIP	64461XMG7	CUSIPNum
Bond Issued	2025-05-28	BondIssuedDt
Issue Price	$20,340,118	IssuePriceAmt
Purpose	Refund the 2012 Cheshire Medical Center Issue Dated 11/28/2012.	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$20,340,118	TotalProceedsAmt
Issuance Costs From Proceeds	$145,308	IssuanceCostsFromProceedsAmt
Other Spent Proceeds	$20,194,810	OtherSpentProceedsAmt
Refunding Tax Exempt Bonds	Yes (true)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	false	RefundingTaxableBondsInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (true)	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Engage Bond Counsel Research	false	EngageBondCounselResearchInd
Private Bus Use By Others	0.0	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.0	PrivateBusConcerningUBIPct
Total Private Business Use	0.0	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropPct
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Term Of Hedge	0	TermOfHedgePct
Superintegrated Hedge	false	SuperintegratedHedgeInd
Hedge Terminated	false	HedgeTerminatedInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Term Of GIC	0	TermOfGICPct
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part I Bond A	FormAndLineReferenceDesc
Explanation	The proceeds of this bond issue benefited the following subsidiaries of Dartmouth-Hitchcock Obligated group - Dartmouth-Hitchcock Health (EIN: 26-4812335), Alice Peck Day Memorial Hospital (EIN: 02-0222791), Mary Hitchcock Memorial Hospital (EIN: 02-0222140), Cheshire Medical Center (EIN: 02-0354549), Valley Regional Hospital, Inc. (EIN: 02-0222118), and Dartmouth-Hitchcock Clinic (EIN: 22-2519596). The portion of the issue that has been loaned to each subsidiary is being reported on that subsidiary member's schedule K.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a PROCESS TO ESTABLISH CEO COMPENSATION	THE CEO IS PAID BY A RELATED ORGANIZATION. EXECUTIVE COMPENSATION IS EVALUATED BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS AND NATIONAL DATA BENCHMARKING. THE TALENT DEVELOPMENT AND COMPENSATION COMMITTEE, ALONG WITH INDEPENDENT TRUSTEES, APPROVE THE FINAL COMPENSATION IN CONSIDERATION WITH THE INDEPENDENT THIRD-PARTY FIRM'S RECOMMENDATIONS AND SUGGESTIONS. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2025.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	As described in the organization's bylaws, the Executive Committee shall consist of the officers of the Board of Trustees of the Corporation and an additional trustee recommended by the Chairperson of the Board and approved by the Board. The Chairperson of the Board of Trustees shall be the Chairperson of the Executive Committee, which shall work at the direction of (and report to) the Board of Trustees, undertaking specific activities assigned to it by the full Board. The Executive Committee shall serve as a resource in the following areas: policy formulation, preparation of background material and analysis for Board deliberations, evaluation of the CEO's performance and recommendations on compensation, and other areas in which the Board requires the deliberation of the officers. The Executive Committee shall have the power to transact all regular business of the Corporation between meetings of the Board. The Executive Committee shall also perform functions of the "Executive Compensation Committee."
Form 990, Part VI, Line 6 Classes of members or stockholders	DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE CHESHIRE MEDICAL CENTER.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF THE CHESHIRE MEDICAL CENTER. D-HH HAS THE POWER TO APPOINT 1/3 OF THE MEMBERS OF THE CHESHIRE MEDICAL CENTER'S BOARD OF TRUSTEES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE SOLE MEMBER HAS THE RIGHT TO RATIFY THE CHESHIRE MEDICAL CENTER'S NOMINATION OF 2/3 OF THE MEMBERS OF THE BOARD OF TRUSTEES; REMOVE TRUSTEES AFTER CONSULTATION WITH THE CHAIRPERSON OF THE BOARD, APPROVE THE DISSOLUTION OR LIQUIDATION OF THE CHESHIRE MEDICAL CENTER; APPOINT, EVALUATE, TERMINATE, AND APPROVE THE COMPENSATION OF THE PRESIDENT AND CEO; AND OTHER GOVERNANCE DECISIONS.
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 THE FORMS.
Form 990, Part VI, Line 12c Conflict of interest policy	CHESHIRE MEDICAL CENTER'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 FOR 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 CURCUMSTANCES, 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 15b Process to establish compensation of other employees	THE EXECUTIVE COMMITTEE HAS A COMPENSATION REVIEW PROCESS TO PROVIDE AN ORDERLY STRUCTURE FOR EXECUTIVE COMPENSATION DECISIONS. ANNUALLY, THE COMMITTEE USES A MULTI-TIERED APPROACH THAT INCLUDES INDEPENDENT COMPARABILITY DATA TO GAUGE APPROPRIATE COMPARATIVE MARKET LEVELS OF COMPENSATION AND BENEFITS. AN ANNUAL PERFORMANCE EVALUATION IS BASED ON SUBJECTIVE AND OBJECTIVE CRITERIA WHICH FLOWS FROM THE ORGANIZATION'S STRATEGIC PLAN. BY WAY OF QUESTIONNAIRE, BOARD MEMBERS PARTICIPATE IN THE PERFORMANCE REVIEW PROCESS AND A SUMMARY REPORT IS SHARED WITH THE CEO. VARIABLE PAY IS AWARDED BASED ON ACHIEVEMENT OF SPECIFIC QUALITATIVE AND QUANTITATIVE GOALS. IN CONJUNCTION WITH THE EXECUTIVE COMMITTEE, CHALLENGING AND MEASURABLE GOALS ARE ESTABLISHED, WHICH PROVIDE ALIGNMENT BETWEEN EXECUTIVE COMPENSATION AND ACHIEVEMENT OF THE HOSPITAL'S STRATEGIC INITIATIVES. DURING FY25, COMPENSATION FOR THE FOLLOWING POSITIONS WERE REVIEWED: CHIEF NURSING OFFICER, CHIEF OPERATING OFFICER, AND THE CHIEF FINANCIAL OFFICER. THE PRESIDENT OF THE MEDICAL STAFF IS PAID BY A RELATED PARTY WHO CONDUCTED A SIMILAR REVIEW.
Form 990, Part VI, Line 19 Required documents available to the public	THE CHESHIRE MEDICAL CENTER MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Other - Total Revenue: 420367, Related or Exempt Function Revenue: 420367, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	Contracted Healthcare Services - Total Expense: 69795565, Program Service Expense: 69795565, Management and General Expenses: , Fundraising Expenses: ; Lab and Radiology Services - Total Expense: 1880028, Program Service Expense: 1880028, Management and General Expenses: , Fundraising Expenses: ; Consulting and Other Services - Total Expense: 25413614, Program Service Expense: 23502213, Management and General Expenses: 1823182, Fundraising Expenses: 88219;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	NET ASSET TRANSFERS - 4695785; Total - 4695785;
Form 990, Part XII, Line 3a FINANCIAL STATEMENTS AND REPORTING	THE MEDICAL CENTER WAS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM. DURING FISCAL YEAR 2025, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FEDERAL FUNDING WHICH MET THE MINIMUM THRESHOLD SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133 . DUE TO THE NATURE OF THE CONSOLIDATED FINANCIAL STATEMENTS, THE AUDIT WAS PERFORMED ON THE FINANCIAL INFORMATION OF ALL ORGANIZATIONS, INCLUDING CHESHIRE MEDICAL CENTER.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CHESHIRE HEALTH FOUNDATION
580 COURT STREET	KEENE	NH	03431	020202220	SUPPORTING ORGANIZATION	NH	501(c)(3)	Type I	CMC	Yes (true)
CHESHIRE HEALTH SERVICES
580-590 COURT STREET	KEENE	NH	03431	473379283	HEALTHCARE	NH	501(c)(3)	3	CMC	Yes (true)
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SERVICES	NH	501(c)(3)	10	D-HH	false
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264812335	PARENT ORGANIZATION	NH	501(c)(3)	7	NA	false
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222140	HOSPITAL	NH	501(c)(3)	3	D-HH	false
THE NEW LONDON HOSPITAL ASSOCIATION INC
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	HOSPITAL	NH	501(c)(3)	3	D-HH	false
WINDSOR HOSPITAL CORPORATION
289 COUNTY ROAD	WINDSOR	VT	05089	030183721	HOSPITAL	VT	501(c)(3)	3	D-HH	false
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DRIVE	LEBANON	NH	03766	020222791	HOSPITAL	NH	501(c)(3)	3	D-HH	false
DARTMOUTH HEALTH HOME CARE INC
88 Prospect Street	White River Junction	VT	05001	036006494	HOSPICE	VT	501(c)(3)	10	D-HH	false
SOUTHWESTERN VERMONT HEALTH CARE CORPORATION
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	030179435	HOSPITAL	VT	501(c)(3)	3	D-HH	false
Valley Regional Healthcare Inc
243 Elm Street	Claremont	NH	03743	020397338	Supporting Organization	NH	501(c)(3)	Type II	D-HH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
KEENE HEALTH ENTERPRISES
580 COURT STREET	KEENE	NH	03431	020374999	REAL ESTATE HOLDING	NH	CMC	C Corporation	$0	$0	1	Yes (true)
KEENE HEALTH REALTY
580 COURT STREET	KEENE	NH	03431	020374998	REAL ESTATE HOLDING	NH	CMC	C Corporation	-$63,827	$416,423	1	Yes (true)
KEENE HEALTH SERVICES
580 COURT STREET	KEENE	NH	03431	020374997	REAL ESTATE HOLDING	NH	CMC	C Corporation	$882	$1,428,780	1	Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (true)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Cheshire Health Foundation
K	$72,000	Book
Cheshire Health Foundation
C	$8,031,532	Book
Cheshire Health Foundation
Q	$75,551	Book