WINDSOR HOSPITAL CORPORATION: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: WINDSOR HOSPITAL CORPORATION (EIN 03-0183721)
Tax period: 2022-10-01 to 2023-09-30
Filed: 2024-07-29
IRS object ID: 202442119349301309
Schema version: 2022v5.0
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 J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-07-29T14:09:55+00:00	ReturnTs
Tax Period End	2023-09-30	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	9600 Brownsboro Road Suite 400	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402413902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	030183721	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Windsor Hospital Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	WIND	BusinessNameControlTxt
Phone	8026746711	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 County Road	AddressLine1Txt
City	Windsor	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	David Sanville	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2024-07-29	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KIM SCIFRES	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2024-08-08 14:25:15Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	Mt Ascutney Hospital and Health Center	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 County Road	AddressLine1Txt
City	Windsor	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$72,068,578	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	mtascutneyhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE LIVES OF THOSE WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	13	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	560	TotalEmployeeCnt
Total Volunteers	96	TotalVolunteersCnt
Total Gross UBI	$34,607	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$15,943	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,072,769	PYContributionsGrantsAmt
CY Contributions Grants	$1,269,039	CYContributionsGrantsAmt
PY Program Service Revenue	$64,552,211	PYProgramServiceRevenueAmt
CY Program Service Revenue	$67,018,764	CYProgramServiceRevenueAmt
PY Investment Income	$232,187	PYInvestmentIncomeAmt
CY Investment Income	$1,845,137	CYInvestmentIncomeAmt
PY Other Revenue	$394,483	PYOtherRevenueAmt
CY Other Revenue	$1,675,094	CYOtherRevenueAmt
PY Total Revenue	$66,251,650	PYTotalRevenueAmt
CY Total Revenue	$71,808,034	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$36,943,223	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$37,199,009	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$193,461	CYTotalFundraisingExpenseAmt
PY Other Expenses	$28,021,376	PYOtherExpensesAmt
CY Other Expenses	$31,242,814	CYOtherExpensesAmt
PY Total Expenses	$64,964,599	PYTotalExpensesAmt
CY Total Expenses	$68,441,823	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,287,051	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,366,211	CYRevenuesLessExpensesAmt
Total Assets BOY	$75,448,583	TotalAssetsBOYAmt
Total Assets EOY	$82,148,267	TotalAssetsEOYAmt
Total Liabilities BOY	$36,562,016	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$37,292,788	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$38,886,567	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$44,855,479	NetAssetsOrFundBalancesEOYAmt
Mission	MT. ASCUTNEY HOSPITAL AND HEALTH CENTER'S MISSION IS TO IMPROVE THE LIVES OF THOSE WE SERVE.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$55,602,636	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$68,470,798	RevenueAmt
Desc	MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (MAHHC) OPERATES A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHICH PROVIDES PRIMARY AND SECONDARY HEALTH CARE. MAHHC PRIMARY SERVICE AREA INCLUDES BRIDGEWATER, BROWNSVILLE, HARTLAND, READING, WEATHERSFIELD, WINDSOR, & WOODSTOCK (VT) AS WELL AS CLAREMONT, CORNISH, AND PLAINFIELD (NH). THE HOSPITAL PROVIDES ESSENTIAL HEALTH CARE SERVICES INCLUDING EMERGENCY DEPARTMENT/MEDICAL/SURGICAL INPATIENT, AND ANCILLARY DIAGNOSTIC TESTS, IMAGING/RADIOLOGY PROCEDURES, AND WELLNESS/PREVENTION SERVICES. MAHHC STAFFS A TOTAL OF 25 ACUTE MEDICAL/SURGICAL BEDS AND 10 ACUTE REHABILITATION BEDS. DURING THE YEAR, THERE WERE 951 DISCHARGES, 1,613 SURGERIES, 66,622 LAB TESTS, AND 14,580 IMAGING PROCEDURES. MAHHC IDENTIFIED ACCESS TO PRIMARY CARE AS A CENTRAL COMMUNITY NEED AND IS COMMITTED TO PROVIDING THE PHYSICIAN SERVICES OF FAMILY PRACTICE, INTERNAL MEDICINE AND PEDIATRICS IN WINDSOR AND WOODSTOCK. MAHHC PROVIDES FREE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. FOREGONE CHARGES FURNISHED UNDER MAHHC'S FREE CARE POLICY AMOUNT TO $389,555 IN FY23.	Desc
Total Program Service Expenses	$55,602,636	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	Yes (true)	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	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	63	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	560	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	13	GoverningBodyVotingMembersCnt
Independent Voting Member	8	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
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	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	David Sanville	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	8026746711	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 County Road	AddressLine1Txt
City	Windsor	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 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
Alan C Keiller
Trustee / Vice Chair	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
John Tansey
Trustee / Chair	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Joseph L Perras MD
President/CEO/Ex-officio	40.0	1.0	Yes (X)	Yes (X)	$482,977	$0	$13,902
Pamela Brown
Trustee / Secretary	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Richard Marasa MD
Trustee / Medical Staff Pres (through 12/31/22)	40.0	0	Yes (X)	Yes (X)	$284,859	$0	$37,474
Vincent Fusca III
Trustee / Treasurer	1.0	0	Yes (X)	Yes (X)	$0	$0	$0
Deanna Howard
Trustee	1.0	0.5	Yes (X)		$0	$0	$0
John Gerstmayr
Trustee	1.0	0	Yes (X)		$0	$0	$0
John Gilman
Trustee	1.0	0.5	Yes (X)		$0	$0	$0
Leesa Taft DNP MSN APRN
Trustee/ Med Staff Pres (as of 1/1/23)	1.0	0	Yes (X)		$201,393	$0	$5,444
Matthew Houde
Trustee	1.0	40.0	Yes (X)		$0	$259,082	$58,718
Patrick F Jordan III MBA
Trustee	0.5	42.5	Yes (X)		$0	$829,011	$69,885
Stephen Surgenor MD
Trustee	1.0	40.0	Yes (X)		$0	$483,301	$70,942
Steve Crihfield
Trustee	1.0	0	Yes (X)		$0	$0	$0
Steven Smith MD
Trustee (Through 12/2022)	1.0	40.0	Yes (X)		$0	$208,318	$63,277
David Sanville
Chief Financial Officer	34.0	0.5		Yes (X)	$251,241	$0	$29,663
Hannah Bianchi
Chief Operating Officer	40.0	0		Yes (X)	$203,850	$0	$8,166
Alden Hall
Physician	40.0	0			$304,060	$0	$12,800	Yes (X)
Christopher Connor
Ophthalmologist	40.0	0			$348,758	$0	$22,197	Yes (X)
Francesco Congiusta
Hospitalist	40.0	0			$271,750	$0	$32,535	Yes (X)
Herbert Ip
Physician	40.0	0			$268,578	$0	$36,970	Yes (X)
Jason Fritzhand
Physician	40.0	0			$244,021	$0	$665	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,861,487	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,779,712	TotReportableCompRltdOrgAmt
Total Other Compensation	$462,637	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	61	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	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
AMERICAN HEALTHCARE SERVICES ASSOCIATION
PO BOX 670529	Dallas	TX	752670529	STAFFING SERVICES	$3,279,508
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	Healthcare Services	$1,927,785
EMERGENCY SERVICES OF NE INC
PO BOX 12	Chester	VT	05143	STAFFING SERVICES	$1,927,403
Dartmouth-Hitchcock Clinic
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	Healthcare Services	$787,405
MEDSTEAM ANESTHESIA PLLC
PO BOX 63467	CHARLOTTE	SC	282633467	ANESTHESIA STAFFING	$585,023

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	15	CntrctRcvdGreaterThan100KCnt
Related Organizations	$40,000	RelatedOrganizationsAmt
Government Grants	$455,997	GovernmentGrantsAmt
All Other Contributions	$773,042	AllOtherContributionsAmt
Total Contributions	$1,269,039	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue	622110	$62,635,552	$62,635,552
Health care Reform Payments	622110	$2,717,271	$2,717,271
Program and miscellaneous	622110	$1,665,941	$1,665,941

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	$67,018,764	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$584,362	TotalRevenueColumnAmt
Unrelated Business Revenue	$34,607	UnrelatedBusinessRevenueAmt
Exclusion	$549,755	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$45,299	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$45,299	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,299	TotalRevenueColumnAmt
Exclusion	$45,299	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,500,000	SecuritiesAmt
Other	$21,319	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$260,101	SecuritiesAmt
Other	$443	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$1,239,899	SecuritiesAmt
Other	$20,876	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,260,775	TotalRevenueColumnAmt
Exclusion	$1,260,775	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Cafeteria	722514	$177,761	$177,761
Stimulus Funds	622110	$1,270,324		$1,270,324
Other Income	622110	$181,710		$181,710

Miscellaneous Revenue MiscellaneousRevenueGrp

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)
Other Revenue Total	$1,629,795	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$71,808,034	TotalRevenueColumnAmt
Related Or Exempt Func Income	$68,470,798	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$34,607	UnrelatedBusinessRevenueAmt
Exclusion	$2,033,590	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,865,925	TotalAmt
Program Services	$1,554,872	ProgramServicesAmt
Management And General	$311,053	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$27,566,564	TotalAmt
Program Services	$22,934,643	ProgramServicesAmt
Management And General	$4,595,399	ManagementAndGeneralAmt
Fundraising	$36,522	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,011,209	TotalAmt
Program Services	$841,299	ProgramServicesAmt
Management And General	$168,570	ManagementAndGeneralAmt
Fundraising	$1,340	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,728,809	TotalAmt
Program Services	$3,930,293	ProgramServicesAmt
Management And General	$788,301	ManagementAndGeneralAmt
Fundraising	$10,215	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,026,502	TotalAmt
Program Services	$1,685,995	ProgramServicesAmt
Management And General	$337,822	ManagementAndGeneralAmt
Fundraising	$2,685	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$8,299	TotalAmt
Management And General	$8,299	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$16,342,091	TotalAmt
Program Services	$13,277,654	ProgramServicesAmt
Management And General	$2,964,083	ManagementAndGeneralAmt
Fundraising	$100,354	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$214,878	TotalAmt
Program Services	$112,994	ProgramServicesAmt
Management And General	$95,913	ManagementAndGeneralAmt
Fundraising	$5,971	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$127,328	TotalAmt
Program Services	$86,079	ProgramServicesAmt
Management And General	$40,985	ManagementAndGeneralAmt
Fundraising	$264	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$503,066	TotalAmt
Program Services	$166,551	ProgramServicesAmt
Management And General	$329,111	ManagementAndGeneralAmt
Fundraising	$7,404	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,501,249	TotalAmt
Program Services	$780,137	ProgramServicesAmt
Management And General	$721,112	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$39,949	TotalAmt
Program Services	$23,362	ProgramServicesAmt
Management And General	$16,223	ManagementAndGeneralAmt
Fundraising	$364	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$483,916	TotalAmt
Program Services	$405,426	ProgramServicesAmt
Management And General	$77,861	ManagementAndGeneralAmt
Fundraising	$629	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,322,266	TotalAmt
Program Services	$1,941,998	ProgramServicesAmt
Management And General	$377,249	ManagementAndGeneralAmt
Fundraising	$3,019	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$804,313	TotalAmt
Program Services	$547,566	ProgramServicesAmt
Management And General	$256,747	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Medical and other supplies	$5,311,757	$4,678,997	$626,033	$6,727
Dues, Fees, and Taxes	$2,997,514	$2,367,524	$629,769	$221
Miscellaneous Expenses	$586,188	$267,246	$301,196	$17,746

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$68,441,823	TotalAmt
Program Services	$55,602,636	ProgramServicesAmt
Management And General	$12,645,726	ManagementAndGeneralAmt
Fundraising	$193,461	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,823,030	BOYAmt
EOY	$8,263,696	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,838,799	BOYAmt
EOY	$6,082,366	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$601,324	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,248,907	BOYAmt
EOY	$6,500,934	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	$450,451	BOYAmt
EOY	$444,918	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$594,853	BOYAmt
EOY	$518,433	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$49,909,634	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$31,932,153	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$16,768,379	BOYAmt
EOY	$17,977,481	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$32,924,083	BOYAmt
EOY	$34,190,955	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	$8,198,757	BOYAmt
EOY	$8,169,484	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$75,448,583	BOYAmt
EOY	$82,148,267	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$8,808,223	BOYAmt
EOY	$10,444,700	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,379,678	BOYAmt
EOY	$2,909,991	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,374,115	BOYAmt
EOY	$23,938,097	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$36,562,016	BOYAmt
EOY	$37,292,788	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	$31,181,984	BOYAmt
EOY	$36,693,917	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,704,583	BOYAmt
EOY	$8,161,562	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$38,886,567	BOYAmt
EOY	$44,855,479	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$75,448,583	BOYAmt
EOY	$82,148,267	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,366,211	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$985,558	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$1,617,143	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
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	$9,346	OtherActivitiesAmt
Total Lobbying Expenditures	$9,346	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	Mt. Ascutney Hospital and Health Center pays dues to various organizations related to its exempt mission. The amount reported under other activities in line 1i refers to the amount of lobbying activities identified in dues payments to these outside organizations.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,444,909	BeginningYearBalanceAmt
Investment Earnings Or Losses	$490,948	InvestmentEarningsOrLossesAmt
Other Expenditures	$221,826	OtherExpendituresAmt
End Year Balance	$5,714,031	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$6,547,496	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$885,991	InvestmentEarningsOrLossesAmt
Other Expenditures	$216,596	OtherExpendituresAmt
End Year Balance	$5,444,909	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,256,278	BeginningYearBalanceAmt
Investment Earnings Or Losses	$1,496,142	InvestmentEarningsOrLossesAmt
Other Expenditures	$204,924	OtherExpendituresAmt
End Year Balance	$6,547,496	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,052,695	BeginningYearBalanceAmt
Investment Earnings Or Losses	$404,533	InvestmentEarningsOrLossesAmt
Other Expenditures	$200,950	OtherExpendituresAmt
End Year Balance	$5,256,278	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$5,060,299	BeginningYearBalanceAmt
Investment Earnings Or Losses	$188,211	InvestmentEarningsOrLossesAmt
Other Expenditures	$195,815	OtherExpendituresAmt
End Year Balance	$5,052,695	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.7382	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.2618	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$410,000	OtherCostOrOtherBasisAmt
Book Value	$410,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,045,327	OtherCostOrOtherBasisAmt
Depreciation	$12,056,977	DepreciationAmt
Book Value	$6,988,350	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,340,498	OtherCostOrOtherBasisAmt
Depreciation	$9,763,930	DepreciationAmt
Book Value	$4,576,568	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,113,809	OtherCostOrOtherBasisAmt
Depreciation	$10,111,246	DepreciationAmt
Book Value	$6,002,563	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$17,977,481	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
Investment in Pooled Funds	$32,335,327	F
Beneficial Interest Trusts	$1,620,682	F
Charitable Remainder Trusts	$234,946	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$34,190,955	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
Rental Deposits	$13,278
Equity in subsidiary	$2,673,056
Other receivables	$544,475
Right of use assets, net	$4,938,675

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$8,169,484	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Est. Settlement w/3rd party payors	$676,651
Affiliate note payable	$17,585,805
Post retirement benefit obligation	$340,444
Right of Use Obligations	$5,128,867
Other Liabilities	$206,330

Field	Value	IRS element (for citing)
Total Liability	$23,938,097	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

The intended use of the endowment funds is to promote and advance the following mission-related programs: healthcare services, charity care, community outreach and advocacy, and equipment purchases.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

The Organization's parent company and subsidiaries are exempt from income tax under Section 501(c)(3) of the Internal Revenue Code. However, the Organization is subject to federal income tax on any unrelated business taxable income. ASC Subtopic 740-10, Accounting for Uncertainty in Income Taxes, addresses the accounting uncertainty of income taxes recognized in an enterprise's financial statements and prescribes a threshold of "more-likely-than-not" for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Subtopic 740-10 also provides guidance on measurement classification, interest and penalties and disclosure. The Organization has determined that the provisions of Subtopic 740-10 do not have a material effect on the Organization's financial statements. The Organization believes it is no longer subject to examinations for fiscal years prior to 2020.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
Indiv Hospital Tailored Policy	Yes (X)	IndivHospitalTailoredPolicyInd
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	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	$154,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$154,065	NetCommunityBenefitExpnsAmt
Total Expense	0.0023	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,913,751	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,474,882	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,438,869	NetCommunityBenefitExpnsAmt
Total Expense	0.0795	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	$8,067,816	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,474,882	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,592,934	NetCommunityBenefitExpnsAmt
Total Expense	0.0817	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$983,155	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$513,637	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$469,518	NetCommunityBenefitExpnsAmt
Total Expense	0.0069	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$360,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$360,253	NetCommunityBenefitExpnsAmt
Total Expense	0.0053	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,683,979	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,337,942	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,346,037	NetCommunityBenefitExpnsAmt
Total Expense	0.0197	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	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$11,027,387	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,851,579	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,175,808	NetCommunityBenefitExpnsAmt
Total Expense	0.0318	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$19,095,203	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,326,461	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,768,742	NetCommunityBenefitExpnsAmt
Total Expense	0.1135	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$90,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,953	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	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	$90,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$90,953	NetCommunityBenefitExpnsAmt
Total Expense	0.0013	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	$24,458,277	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$25,914,937	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,456,660	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	Windsor Hospital Corporation	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 County Road	AddressLine1Txt
City	Windsor	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Field	Value	IRS element (for citing)
Website Address	https://www.mtascutneyhospital.org	WebsiteAddressTxt
State License	863	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	Distinct Part Rehab Unit	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Windsor Hospital Corporation	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	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	WWW.MAPPVT.ORG/PNGgrant	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	21	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
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.mtascutneyhospital.org/your-visit/billing-financial-assistance	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.mtascutneyhospital.org/your-visit/billing-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
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	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - WINDSOR HOSPITAL CORPORATION. METHODS EMPLOYED IN THE ASSESSMENT INCLUDED A SURVEY OF AREA RESIDENTS MADE AVAILABLE THROUGH THE ELECTRONIC MAIL, PHYSICAL PRINTED SURVEYS DISTRIBUTED THROUGH THE COMMUNITIES' WEBSITE LINKS, A SURVEY OF KEY COMMUNITY STAKEHOLDERS WHO ARE AGENCY, MUNICIPAL OR HEALTH AND HUMAN SERVICE / COMMUNITY LEADERS, A SERIES OF ELEVEN COMMUNITY DISCUSSION GROUPS CONVENED IN THE MT. ASCUTNEY HOSPITAL SERVICE AREA, AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS WAS DONE. THE ORGANIZATIONS OTHER THAN HOSPITALS CONSULTED IN CONDUCTING THE CHNA INCLUDED LAKE SUNAPEE REGION VNA AND HOSPICE, VISITNG NURSE AND HOSPICE OF VT AND NH (HOME-VISITNG PROGRAMS FOR FAMILIES WITH YOUNG CHILDREN AND FOR SENIORS WITH COMPLEX HEALTH NEEDS), THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE/JSI, AND OTHER COMMUNITY ORGANIZATIONS SERVING PEOPLE AFFECTED BY POVERTY AND POOR HEALTH. THESE GROUPS HELPED TO RECEIVE INPUT FROM ALL SECTORS, INCLUDNG THE UNINSURED, INCOME-VULNERABLE, AND MEDICALLY UNDERSERVED POPULATIONS. AT THE BEGINNING OF THE KEY COMMUNITY STAKEHOLDER SURVEY, RESPONDENTS WERE ASKED TO INDICATE THE REGION THEY PRIMARILY SERVE OR ARE MOST FAMILIAR WITH. A TOTAL OF 57 KEY STAKEHOLDER RESPONDENTS INDICATED THAT THEIR RESPONSES WERE REFLECTIVE OF THE GREATER WINDSOR AREA. RESPONDENTS REPRESENTED THE FOLLOWING SECTORS: - HUMAN SERVICE/SOCIAL SERVICES - EDUCATION/YOUTH SERVICES - COMMUNITY MEMBER/VOLUNTEER - PUBLIC HEALTH - MUNICIPAL/COUNTY/STATE GOVERNMENT - MEDICAL CARE/HOSPITAL - FAITH ORGANIZATION - LONG-TERM CARE - MENTAL HEALTH/BEHAVIORAL HEALTH - CIVIC/CULTURAL ORGANIZATION - FIRE/EMERGENCY MEDICAL SERVICE - HOME HEALTH CARE - BUSINESS/OTHER
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - WINDSOR HOSPITAL CORPORATION. THE CHNA WAs CONDUCTED WITH OTHER HOSPITAL FACILITIES INCLUDING DARTMOUTH-HITCHCOCK, ALICE PECK DAY MEMORIAL HOSPITAL, NEW LONDON HOSPITAL, AND VALLEY REGIONAL HEALTHCARE.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - WINDSOR HOSPITAL CORPORATION. ORGANIZATIONS, OTHER THAN HOSPITALS WHO PARTICIPATED WITH MAHHC TO CONDUCT THE CHNA INCLUDED: LAKE SUNAPEE REGION VNA AND HOSPICE, VISITING NURSE AND HOSPICE FOR VT AND NH, TECHNICAL SUPPORT FROM THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE/JSI; COMMUNITY PARTNERS WHO ASSISTED IN DISSEMINATING THE CHNA THROUGH THEIR NETWORKS INCLUDED WINDSOR SOUTHEAST SUPERVISORY UNION, WINDSOR CENTRAL SUPERVISORY UNION, HUMAN SERVICE AGENCIES FROM THE GREATER UPPER VALLEY INTEGRATED SERVICES TEAM, MAHHC IMMUNIZATION CLINICS, LOCAL BLACK LIVES MATTER/JEDI COMMITTEE, PARENT-CHILD CENTERS, VERMONT STUDENT ASSISTANCE CORPORATION, SOUTH EASTERN VERMONT COMMUNITY ACTION, ECONOMIC SERVICES, WISE, VEGGIE VAN GO, LOCAL TOWN GOVERNMENT'S, AND WINDSOR VT ROTARY.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - WINDSOR HOSPITAL CORPORATION. THE CHNA REPORT WAS PREPARED AND MADE AVAILABLE AND DISTRIBUTED THROUGH PRESENTATIONS MADE TO THE HOSPITAL'S BOARD OF TRUSTEES, THE MT. ASCUTNEY COMMUNITY HEALTH COMMITTEE, AS WELL AS THE BLUEPRINT COMMUNITY HEALTH TEAM, WINDSOR CONNECTION RESOURCE CENTER, PATCH TEAM, WINDSOR HSA COMMUNITY COLLABORATIVE, GREATER UPPER VALLEY INTEGRATED SERVICES TEAM, MAHHC COMMUNITY HEALTH COMMITTEE AND A REGIONAL CONVENING OF ALL NETWORKS AND WORKGROUPS OF THE COMMUNITY HEALTH IMPLEMENTATION PLAN. AN ELECTRONIC COPY WAS DISSEMINATED TO THE LOCAL TOWN SELECTBOARDS OF WINDSOR, HARTLAND, WEATHERSFIELD, BROWNSVILLE, AND WOODSTOCK. THE CHNA AND ALL INFORMATION IN THE NEEDS ASSESSMENT IS AVAILABLE FOR STAKEHOLDERS. THE CHNA IS ALSO AVAILABLE, UPON REQUEST, VIA PAPER COPY AT THE HOSPITAL'S MAIN INFORMATION DESK.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - WINDSOR HOSPITAL CORPORATION. THE MISSION OF MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (MAHHC) IS TO IMPROVE THE LIVES OF THOSE WE SERVE. TO ACCOMPLISH THIS, WE AND OUR COMMUNITY PARTNERS REGULARLY REACH OUT TO ENGAGE IN DIALOGUE WITH PEOPLE ACROSS OUR AREA ABOUT PRESSING HEALTH NEEDS. THE RESULT OF THIS WORK IS A COMPREHENSIVE LOCAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS ASSESSMENT IS DESIGNED TO IDENTIFY COMMUNITY HEALTH CONCERNS AND PRIORITIES AND LEAD TO OPPORTUNITIES TO IMPROVE COMMUNITY HEALTH AND HEALTHCARE DELIVERY SYSTEMS. THE GEOGRAPHIC AREA COVERED BY THE ASSESSMENT INCLUDES 13 MUNICIPALITIES IN VERMONT AND NEW HAMPSHIRE THAT COMPRISE THE MAHHC SERVICE AREA. THE CHNA LEADS TO A LOCAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WITH STRATEGIES AND METRICS TO IMPROVE HEALTH AND REDUCE RISKS LEADING TO CHRONIC DISEASE NOT ONLY FOR INDIVIDUALS, BUT FOR THE ENTIRE COMMUNITY. THIS CHNA/CHIP PROCESS, WHICH INCORPORATES INPUT FROM PEOPLE WHO REPRESENT THE COMMUNITY'S BROAD INTERESTS, IS AN ESSENTIAL PART OF CREATING AN ACCOUNTABLE COMMUNITY FOR HEALTH. THE ASSESSMENT PROCESS FOSTERS ENGAGEMENT, AND THE RESULTS HELP US TO UNDERSTAND THE SPECIFIC ISSUES FACING OUR COMMUNITIES SO THAT WE CAN DEVELOP EFFECTIVE, COLLECTIVE IMPACT SOLUTIONS. IN FISCAL YEAR 2023, WE IMPLEMENTED THE FOLLOWING PROGRAMS WITHIN OUR COMMUNITY HEALTH IMPROVEMENT PLAN DESIGNED TO ADDRESS THE PRIORITY HEALTH NEEDS AREA OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. HEALTH EQUITY DECADES LONG STIGMATIZATION OF SUBSTANCE USE AND MENTAL HEALTH CONDITIONS HAS CREATED BARRIERS TO SEEKING HELP. MUCH OF OUR COMMUNITY WORK AIMS TO REDUCE STIGMA, HONORING THE DIGNITY OF EACH PERSON AND HELPING TO INSTILL A SENSE OF BELONGING AND WORTHINESS. SEE WWW.WEAREWORTHWHILE.ORG AND HTTPS://BIT.LY/GPA_SFL OTHER HEALTH EQUITY PROJECTS AIMED AT DECREASING HEALTH DISPARITIES INCLUDE PROVIDING TRANSPORTATION FOR MEDICAL CARE ACCESS AND INCREASED FOOD SECURITY OPTIONS. SUBSTANCE USE TREATMENT AND RECOVERY WE CONTINUED OUR COMMUNITY-BASED INVESTMENTS IN SUBSTANCE USE PREVENTION BY SUBAWARDING FUNDING FOR PREVENTION AND SUPPORTED THE TWICE ANNUAL DEA DRUG TAKE BACK EVENT COLLECTIONS. WE UPDATED A HEALTH DISPARITY DATA REPORT AND CONTINUED ROBUST IMPLEMENTATION OF OUR WWW.WEAREWORTHWHILE.ORG ANTI-SELF-STIGMA CAMPAIGN. WE CONTINUED OUR EMERGENCY DEPARTMENT INITIATIVES: INCREASE ACCESS TO MEDICATION-ASSISTED TREATMENT, ALCOHOL DETOXIFICATION, NARCAN DISTRIBUTION, AND RECOVERY COACHING. WE HAVE WORKED WITH THE SYRINGE SERVICE PROGRAM AND CONNECTICUT VALLEY ADDICTION RECOVERY (CVAR) TO INCREASE EDUCATION AND ACCESS TO HARM REDUCTION SERVICES. MAHHC IS THE ADMINSTRATIVE ENTITY FOR THE STATE OF VERMONT'S HUB AND SPOKE, MAT TREATMENT FRAMEWORK, SUPPORTIING FINANCIAL STABILITY FOR OPIOID AND ALCOHOL TREATMENT PROVIDERS. HEALTHY YOUTH AND FAMILY THROUGH PREVENTION SEVERAL FACTORS IN OUR CULTURE AND SOCIETY CAN INFLUENCE A CHILD OR A FAMILY'S LIFE FOR BETTER OR WORSE. WE WORK TO MANAGE RISK FACTORS AND BUILD PROTECTIVE FACTORS THAT CAN CONTRIBUTE TO POSITIVE, LIFE-LONG IMPACTS. OUR FAMILY WELLNESS PROGRAM PROVIDED 791 WELLNESS COACHING SESSIONS TO PATIENTS AND FAMILIES. WE INVESTED TIME AND EXPERTISE IN SUPPORTING ONGOING, WEEKLY PLAYGROUP CONNECTIONS AND MONTHLY CIRCLE OF SECURITY PARENTING SESSIONS, ONLINE AND IN PERSON. WE CONTINUE TO OFFER THE NATIONALLY RECOGNIZED DULCE PROGRAM, ENTERING THE 5TH YEAR WITH MT ASCUTNEY PEDIATRICS. 202 FAMILIES ENGAGED IN THE DULCE ELEMENT OF PEDIATRICS. SOCIAL SERVICES OUR AREA OF VT HAS ONE OF THE MOST RAPIDLY AGING DEMOGRAPHIC POPULATIONS IN THE STATE AS WELL AS MANY EXPERIENCING POVERTY. MAHHC COMMUNITY HEALTH WORKS TO ADDRESS SENIOR HEALTH AND THE SUPPORT THE SOCIAL CONDITIONS THAT HELP MEET PEOPLE'S BASIC NEEDS. MT ASCUTNEY HEALTH CONNECTIONS IS PART OF THE VT FREE AND REFERRAL CLINICS SYSTEM IN VT. WE DISTRIBUTE VOUCHERS TO MAKE MEDICATION AND DENTAL WORK MORE AFFORDABLE FOR MANY. THE GOAL IS TO ELIMINATE BARRIERS TO ACCESSING MEDICAL CARE. MEDICATION DENTAL VOUCHER SUPPORT IN 2023 TOTALED $30,620. VOLUNTEERS IN ACTION IS PART OF SOCIAL SERVICES AT MAHHC. VIA PROVIDES SERVICES THAT ALLOW MANY TO AGE IN PLACE AND MAINTAIN INDEPENDENCE WITH ASSISTANCE WITH MEALS, TRANSPORTATION, FRIENDLY VISITING, ETC. VIA IS A NEIGHBOR-HELPING-NEIGHBOR APPROACH. IN 2023, VIA PROVIDED 1,940 VOLUNTEER RIDES, DRIVING 16,962 MILES. THE RIDES TO WELLNESS (GAS VOUCHERS TO HEALTH APPOINTMENTS) ALSO PROVIDED 416 RIDES, DRIVING 5,130 MILES. FOR FOOD SECURITY, VIA PROVIDED 19,000 MEALS ON WHEELS AND COLLABORATED WITH THE VERMONT FOOD BANK ON THE VEGGIEVANGO MONTHLY PROGRAM WHICH DISTRIBUTES FREE PRODUCE SERVING 3802 HOUSEHOLDS IN 2023. AT THE MAHHC RUN WINDSOR RESOURCE CENTER, STAFF HELPED A RECORD NUMBER OF 5,653 PEOPLE NAVIGATE TO IMPORTANT SOCIAL SERVICES. BROKEN DOWN, THESE SERVICES HELPED: 43% SENIOR CITIZENS, 21% PERSONS EXPERIENCING MENTAL HEALTH OR SUBSTANCE USE, 25% PERSONS NEEDING HELP WITH BASIC NEEDS SUCH AS FOOD, CLOTHING, LAUNDRY, PERSONAL CARE PRODUCTS, AND SHOWERS.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Windsor Hospital Corporation. Patients whose family income exceeds 300% of FPL may be eligible to receive a discount based on the self-pay balance. Discounts will be granted such that the total self-pay bill does not exceed 10% of 2 years gross income, plus 10% of assets in excess of the sheltered asset calculation as described in the policy. Any discounts for patients whose family exceeds 300% of FPL must be approved by the financial assistance appeals committee based on a written appeal from the patient or responsible party.
Schedule H, Part V, Section B, Line 13 Facility , 1	Facility , 1 - Windsor Hospital Corporation. MAHHC applies a discount, calculated annually, to the FAP eligible patient's gross charges and balances where there is no insurance, or to medically necessary services processed by insurance carriers resulting in a balance, which the patient is expected to pay. This assures a patient is not billed at an amount greater than generally billed to patients with insurance. This policy is reference in the Financial Assistance for Healthcare Services policy (FAP).
Schedule H, Part V, Section B, Line 16 Facility , 1	Facility , 1 - Windsor Hospital Corporation. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON MAHHC'S WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY PLAIN-LANGUAGE SUMMARY. MAHHC PROVIDES THE PLAIN-LANGUAGE SUMMARY BROCHURE TO ALL INPATIENTS, EMERGENCY DEPARTMENT INTAKES, UNINSURED, AND SELF-PAY INDIVIDUALS. MAHHC CONTINUES TO NOTIFY PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABLE TO THEM. ADDITIONALLY, MAHHC 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. MAHHC SCREENS 100% OF UNINSURED INPATIENT AND SAME-DAY PATIENTS PRIOR TO ADMISSION. AS PART OF THIS PROCESS, MAHHC 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	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT	THE STATE OF VERMONT DOES NOT ADMINISTER ANY COMMUNITY BENEFIT REPORTING REGULATIONS.
Schedule H, Part V, Section B, Line 16i	The financial assistance policy located on the hospital's website is downloadable in English; other languages are available upon request. Due to the demographics of the service area another language has not been deemed necessary as the non-English speaking population is estimated to be less than 5% of the total population and consists of multiple other languages spoken by far fewer than 1,000 people each.
Schedule H, Part I, Line 7g Subsidized Health Services	The organization did not include any subsidized health service costs attributable to a physician clinic on part I, line 7G.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	A cost-to-charge ratio is used in calculating the amounts in lines 7a. A cost accounting system which addresses all patients' segments was used to calculate the amounts reported in the table for all other lines. There is no amount of bad debt included in line 7.
Schedule H, Part II Community Building Activities	THE COMMUNITY BUILDING ACTIVITIES INCLUDE COLLABORATIONS WITH VARIOUS LOCAL AGENCIES SUCH AS THE HOUSING COMMUNITY HEALTH IMPROVEMENT PLAN WORKGROUP AND THE WINDSOR IMPROVEMENT CORPORATION TO IMPROVE THE HEALTH OF THE PEOPLE IN THE AREAS THAT MAHHC SERVES. Additionally, we manage the Windsor Connection Resource Center which hosts many community partner associations including, but not limited to: independent mental health counselors, Health Care & Rehabilitation Services, Senior Solutions, Turning Point Recovery Center of Springfield, Visiting Nurse and Hospice for Vermont and New Hampshire, Vermont Adult Learning, Vermont Department for Children and Families, Vermont Department of Labor, and Vermont Economic Services.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	AS A RESULT OF NEW ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606), EFFECTIVE FY21 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 effective FY21 as a result of new 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	AS A RESULT OF ACCOUNTING CHANGES (ASC 606), BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDE 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 shortfall represents the PPS reimbursement difference of the rehab units. Since the reimbursement does not cover the costs of these units, a subsidy is created. Because the hospital determined that these services are important to the service area, the hospital covers the subsidy. The costing methodology used in the calculation was the cost to charge ratio.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	MAHHC's collection policy and charitable care policies are consistently applied to all patients. Our collection policy applies to any balance owed by the patient whether it is a balance after insurance, a balance with no insurance, or a balance after an adjustment for partial charitable care. Statements and write-off criteria are the same for all like balances, regardless of the reason for the balance and regardless of whether it is a balance after charitable care or not. Patients for financial assistance receive the appropriate adjustment on their bill. If a balance remains after that adjustment, they are billed according to the collection policy for it.
Schedule H, Part V, Section B, Line 16a FAP website	- Windsor Hospital Corporation: Line 16a URL: https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance;
Schedule H, Part V, Section B, Line 16b FAP Application website	- Windsor Hospital Corporation: Line 16b URL: https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- Windsor Hospital Corporation: Line 16c URL: https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance;
Schedule H, Part VI, Line 2 Needs assessment	IN THE FIRST HALF OF 2021 A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED BY MT. ASCUTNEY HOSPITAL AND HEALTH CENTER IN PARTNERSHIP WITH DARTMOUTH-HITCHCOCK, ALICE PECK DAY MEMORIAL HOSPITAL, VALLEY REGIONAL HEALTH CARE, NEW LONDON HOSPITAL, VISITING NURSE AND HOSPICE OF VERMONT AND NEW HAMPSHIRE, AND THE JOHN SNOW INSTITUTE. THE PURPOSE OF THE ASSESSMENT WAS TO IDENTIFY COMMUNITY HEALTH NEEDS, PRIORITIES AND OPPORTUNITIES FOR COMMUNITY HEALTH AND HEALTH CARE DELIVERY SYSTEM IMPROVEMENT. FOR THE PURPOSE OF THE ASSESSMENT THE GEOGRAPHIC AREA FOR MT. ASCUTNEY HOSPITAL AND HEALTH CENTER WAS 13 MUNICIPALITIES IN VERMONT AND NEW HAMPSHIRE WITH A TOTAL RESIDENT POPULATION OF 44,035 PEOPLE. METHODS EMPLOYED IN THE ASSESSMENT INCLUDED SURVEYS OF COMMUNITY RESIDENTS MADE AVAILABLE ONLINE AND ON PAPER PLACED IN NUMEROUS LOCATIONS THROUGHOUT THE REGION. WE DID A DIRECT EMAIL SURVEY OF KEY STAKEHOLDERS AND COMMUNITY LEADERS REPRESENTING MULTIPLE COMMUNITY SECTORS. WE ORGANIZED AND DELIVERED A SET OF COMMUNITY DISCUSSION GROUPS. WE COMPILED THE RESULTS FROM THE ASSESSMENT ACTIVITIES AND FOCUSED SPECIFICALLY ON BEHAVIORAL HEALTH NEEDS AND GAPS AND A REVIEW OF POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS. ALL INFORMATION FROM THE COLLECTIVE ACTIVITIES WERE ANALYZED TO PRODUCE THE ASSESSMENT WHICH LEAD US IN FOCUSING OUR WORK TO SERVE VULNERABLE AND DISPROPORTIONALLY SERVED POPULATIONS IN THE REGION INCLUDING POPULATIONS THAT EXPERIENCE LIMITED HEALTHCARE TO HEALTH-RELATED SERVICES OR RESOURCES DUE TO INCOME, AGE, DISABILITY AND SOCIAL OR PHYSICAL ISOLATION. IN ADDITION, THE MAHHC COMMUNITY HEALTH STAFF PARTICIPATE IN OR LEAD MULTIPLE COMMUNITY COALITIONS AND PROJECTS CONNECTING US TO A WIDE ARRAY OF COMMUNITY-BASED HEALTH, MUNICIPAL, SCHOOL, SERVICE ORGANIZATION, REGIONAL PLANNING AND STATE PUBLIC HEALTH STAKEHOLDERS. WE REGULARLY REVIEW EMERGING VT STATE HEALTH DATA; QUANTITATIVE AND QUALITATIVE DATA FROM LOCAL SOURCES (NEWSPAPERS, REGIONAL PLANNING OFFICES, COMMUNITY FORUMS), AND CONVERSATIONS WITH COMMUNITY PARTNERS TO IDENTIFY CONCERNS THAT ARE EMERGING, INTENSIFYING, OR ARE THE SOURCE OF LOCAL ATTENTION SINCE THE LAST CHNA WAS CONDUCTED.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENTS WHO ARE IDENTIFIED AS WITHOUT INSURANCE AT REGISTRATION OR REFERRED TO BY A PHYSICIAN/PROVIDER ARE PROVIDED WITH INFORMATION AS TO AVAILABLE LOCAL, STATE AND FEDERAL SERVICES BY DEDICATED STAFF. PATIENTS ARE ALSO ASSISTED IN APPLYING FOR HEALTH INSURANCE, WHETHER ON THE COMMERCIAL EXCHANGE OR WITH GOVERNMENTAL INSURERS. INFORMATION AND THE APPLICATION FOR FINANCIAL ASSISTANCE IS PROVIDED, ALONG WITH ASSISTANCE IN COMPLETING THE APPLICATION IF NEEDED. THE APPLICATIONS ARE REVIEWED TO ASSURE THAT ALL REQUIRED INFORMATION IS PROVIDED. THE WEBSITE, PATIENT STATEMENTS, AND FINANCIAL BROCHURES ALL INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE AND HOW TO APPLY.
Schedule H, Part VI, Line 4 Community information	MAHHC'S PRIMARY SERVICE AREA INCLUDES BRIDGEWATER, BROWNSVILLE, HARTLAND, READING, WEATHERSFIELD, WINDSOR, AND WOODSTOCK (VT) AS WELL AS CLAREMONT, CORNISH, AND PLAINFIELD (NH). MAHHC IS THE LARGEST EMPLOYER IN THE TOWN OF WINDSOR, WITH MANY OF ITS RESIDENTS HAVING LOWER THAN AVERAGE PAYING JOBS AND WHO STRUGGLE WITH FINANCIAL STABILITY, WHICH INCLUDES TRANSPORTATION DIFFICULTIES.
Schedule H, Part VI, Line 5 Promotion of community health	THE HOSPITAL SUPPORTS A DIRECTOR OF COMMUNITY HEALTH, THE MT. ASCUTNEY PREVENTION PROGRAM (MAPP) AND A COMMUNITY HEALTH COMMITTEE WHICH IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES. OUR STAFF CONTINUE TO ORGANIZE, LEAD AND IMPLEMENT POPULATION HEALTH PROGRAMS, HEALTH PROMOTION AND PREVENTION PROGRAMS THAT ADDRESS HIGH RISK BEHAVIOR SUCH AS ALCOHOL, TOBACCO AND DRUG MISUSE. WE PROMOTE EXERCISE AND NUTRITION PROGRAMS. WE ORGANIZED AND IMPLEMENTED THE COMMUNITY HEALTH IMPLEMENTATION PLAN. WE SERVE AS AN INTEGRATOR AND LEADER OF COMMUNITY HEALTH BY CHAIRING AND LEADING THE FOLLOWING COMMUNITY COLLABORATIONS; THE WINDSOR HSA COMMUNITY COLLABORATIVE, THE WINDSOR PATCH TEAM, THE BLUEPRINT FOR HEALTH CARE COORDINATION TEAM, THE 6 MULTISECTOR WORK GROUPS RESULTING FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. More than half of the MAHHC Board of Trustees are independent of the organization and the Dartmouth-Health system and reside within the community service area, supporting the health of the local communities. MAHHC EXTENDS PROFESSIONAL STAFF PRIVILEGES TO QUALIFIED AND APPROPRIATE PHYSICIANS AND ALLIED MIDLEVEL PROVIDERS. THIS INCLUDES PHYSICIANS AND MIDLEVEL WHO ARE EMPLOYEES OF DARTMOUTH HITCHCOCK CLINIC, MARY HITCHCOCK MEMORIAL HOSPITAL, AND DARTMOUTH COLLEGE, WHO ALSO MAY HOLD A FACULTY APPOINTMENT AT GEISEL SCHOOL OF MEDICINE. IN ADDITION TO DH-RELATED PHYSICIANS AND MIDLEVEL PROVIDERS, MAHHC EXTENDS PRIVILEGES TO QUALIFIED AND APPROPRIATE PHYSICIANS AND MIDLEVEL PROVIDERS WHO ARE EMPLOYED BY MT. ASCUTNEY HOSPITAL AND HEALTH CENTER AND OTHER QUALIFIED AND APPROPRIATE INDEPENDENT PRACTITIONERS.
Schedule H, Part VI, Line 6 Affiliated health care system	THE HOSPITAL'S DIRECTOR OF COMMUNITY HEALTH IS AN ACTIVE PARTICIPANT IN THE REGIONAL COMMUNITY HEALTH COMMITTEE WHICH IS LEAD AND ORGANIZED BY DARTMOUTH-HITCHCOCK. THE HOSPITAL IS AFFILIATED, FORMALLY, WITH DARTMOUTH-HITCHCOCK AS ARE THE OTHER LOCAL HOSPITALS, ALICE PECK DAY MEMORIAL HOSPITAL, NEW LONDON HOSPITAL, AND VALLEY REGIONAL HOSPITAL. THESE HOSPITAL REPRESENTATIVES COLLABORATE AND COMPARE SOLUTIONS AND OFFER SUPPORT TO EACH OTHER IN OUR COMMUNITY HEALTH PROGRAMS.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
Joseph L Perras MD
President/CEO/Ex-officio	$438,802	$0	$35,200	$0	$8,975	$0	$12,500	$0	$1,402	$0	$496,879	$0	$0	$0
Richard Marasa MD
Trustee / Medical Staff Pres (through 12/31/22)	$282,046	$0	$0	$0	$2,814	$0	$11,532	$0	$25,942	$0	$322,333	$0	$0	$0
Patrick F Jordan III MBA
Trustee	$0	$777,526	$0	$0	$0	$51,485	$0	$29,250	$0	$40,635	$0	$898,896	$0	$0
Matthew Houde
Trustee	$0	$248,406	$0	$0	$0	$10,676	$0	$19,650	$0	$39,068	$0	$317,800	$0	$0
Steven Smith MD
Trustee (Through 12/2022)	$0	$196,001	$0	$0	$0	$12,317	$0	$19,359	$0	$43,918	$0	$271,595	$0	$0
Stephen Surgenor MD
Trustee	$0	$457,259	$0	$0	$0	$26,042	$0	$29,250	$0	$41,692	$0	$554,243	$0	$0
Leesa Taft DNP MSN APRN
Trustee/ Med Staff Pres (as of 1/1/23)	$200,883	$0	$0	$0	$510	$0	$4,042	$0	$1,402	$0	$206,837	$0	$0	$0
David Sanville
Chief Financial Officer	$227,209	$0	$13,000	$0	$11,033	$0	$10,358	$0	$19,305	$0	$280,904	$0	$0	$0
Hannah Bianchi
Chief Operating Officer	$189,474	$0	$10,500	$0	$3,875	$0	$8,166	$0	$0	$0	$212,016	$0	$0	$0
Christopher Connor
Ophthalmologist	$345,944	$0	$0	$0	$2,814	$0	$12,200	$0	$9,997	$0	$370,954	$0	$0	$0
Alden Hall
Physician	$303,551	$0	$0	$0	$510	$0	$12,142	$0	$658	$0	$316,860	$0	$0	$0
Herbert Ip
Physician	$268,379	$0	$0	$0	$199	$0	$11,005	$0	$25,966	$0	$305,548	$0	$0	$0
Francesco Congiusta
Hospitalist	$271,573	$0	$0	$0	$177	$0	$11,055	$0	$21,479	$0	$304,285	$0	$0	$0
Jason Fritzhand
Physician	$218,511	$0	$25,000	$0	$510	$0	$0	$0	$665	$0	$244,686	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE CEO'S COMPENSATION AMOUNT IS DETERMINED BY A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE MAHHC BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION.
Schedule J, Part I, Line 7 Non-fixed payments	A bonus was paid to several employees during calendar year 2022. These amounts were based on a combination of performance and gross pay.
Schedule J, Part II NOTE REGARDING COMPENSATION	FORM 990, SCHEDULE J, PART II COLUMN B, PARTS I, II, AND III REPRESENT ACTUAL AMOUNTS PAID TO EMPLOYEES BY MAHHC AND RELATED ORGANIZATIONS. THESE AMOUNTS ARE REPORTED TO EMPLOYEES ON THEIR ANNUAL W-2 FORMS AS COMPENSATION. COLUMNS C AND D REPRESENT ITEMS EARNED, HOWEVER, NOT PAID DIRECTLY TO THE EMPLOYEE AS CASH PAYMENTS DURING THE CALENDAR YEAR. COLUMN C INCLUDES RETIREMENT BENEFITS IN A CALENDAR YEAR. COLUMN D REPRESENTS NONTAXABLE BENEFITS SUCH AS THE COST OF HEALTHCARE COVERAGE PROVIDED BY MAHHC ON BEHALF OF ITS EMPLOYEES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1a Delegate broad authority to a committee	An Executive Committee, consisting of the Chair, Vice-Chair, Secretary and Treasurer, Immediate Past Chair, and such other trustees elected by the board as may be necessary to make a committee of not less than five members. This committee shall, in the interim between meetings of the board, exercise all of the power of the body, but in accordance with the general power of the hospital and direction of the board.
Form 990, Part VI, Line 6 Classes of members or stockholders	Dartmouth-Hitchcock Health (D-HH), a New Hampshire voluntary corporation, is the sole corporate member of Mt. Ascutney Hospital and Health Center.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	Dartmouth-Hitchcock Health (D-HH), a New Hampshire voluntary corporation, is the sole corporate member of Mt. Ascutney Hospital and Health Center. D-HH has the power to appoint 1/3 of the members of the Mt. Ascutney Hospital and Health Center board of trustees.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The sole member has the right to ratify Mt. Ascutney Hospital and Health 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 Mt. Ascutney Hospital and Health 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 chief financial officer before the filing of the return. In addition, 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	Mt. Ascutney Hospital and Health Center's BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. The Compliance and audit services department of an affiliate, Dartmouth-Hitchcock, CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS AND TRUSTEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE DEPARTMENT THEN REPORTS TO EACH BOARD ANY POTENTIAL CONFLICTS FOR THEIR REVIEW. PER THE POLICY, ANY CONFLICTS OR OTHERWISE PERCEIVED CONFLICTS ARE REQUIRED TO BE ADDRESSED BY THE BOARD OF TRUSTEEES ON AN ONGOING BASIS. IN THE EVENT A CONFLICT ARISES, THE INDIVIDUAL MAY BE REMOVED FROM PARTICIPATING IN ANY DECISION-MAKING REGARDING THE IDENTIFIED CONFLICT AND/OR ITS CORRESPONDING TRANSACTIONS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON ON THE BASIS OF SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE 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 15a Process to establish compensation of top management official	The compensation committee of Mt. Ascutney Hospital and Health Center's board meets annually to review and approve compensation for the president/CEO, which is recommended by the compensation committee of a related organization. The compensation is determined using an outside consultant and comparability survey and/or study including contemporaneous substantiation. This process was last undertaken in FY23. The compensation committee consists of the executive committee and a D-HH representative.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS EVALUATED BY INTERNAL HUMAN RESOURCES STAFF USING NATIONAL BENCHMARKING DATA (ALONG WITH ONGOING EVALUATIONS BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS). THE LAST FORMAL PROCESS WAS COMPLETED IN 2023. EXTERNAL BENCHMARKING FROM AN INDEPENDENT THIRD PARTY HAS BEEN USED FOR ANY OFFICER WHO WAS HIRED OR RECEIVED A COMPENSATION ADJUSTMENT SINCE THE LAST FORMAL PROCESS. COMPENSATION RATES ARE DETERMINED BY FOLLOWING THE GUIDELINES OF THE COMPENSATION COMMITTEE CHARTER AND PHILOSOPHY DOCUMENTS AND A FORMAL REVIEW BY COMPENSATION COMMITTEE MEMBERS. Included in this process is the CFO and the chief operating officer.
Form 990, Part VI, Line 19 Required documents available to the public	Mt. Ascutney Hospital and Health Center makes governing documents, conflict of interest policy, and financial statements available to members of the public upon request.
Form 990, Part IX, Line 11g Other Fees	Medical & Health Related Services - Total Expense: 9960828, Program Service Expense: 9960828, Management and General Expenses: , Fundraising Expenses: ; Professional Consultants & Other - Total Expense: 6381263, Program Service Expense: 3316826, Management and General Expenses: 2964083, Fundraising Expenses: 100354;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Amount of fund asset transfers - 1528381; Gain on pension plan termination - 27241; Equity in subsidiary income - 61521;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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
HISTORIC HOMES OF RUNNEMEDE INC
40 MAXWELL PERKINS LANE	WINDSOR	VT	05089	237396147	ASSISTED LIVING FACILITY	VT	501(c)(3)	10	WINDSOR HOSPITAL CORPORATION	Yes (true)
MOUNT ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION
289 COUNTY ROAD	WNDSOR	VT	05089	030300481	INACTIVE	VT	501(c)(3)	3	WINDSOR HOSPITAL CORPORATION	Yes (true)
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264812335	PARENT ORG	NH	501(c)(3)	7	NOT APPLICABLE	false
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222140	HOSPITAL	NH	501(c)(3)	3	DARTMOUTH-HITCHCOCK HEALTH	false
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SERVICES	NH	501(c)(3)	10	DARTMOUTH-HITCHCOCK HEALTH	false
THE NEW LONDON HOSPITAL ASSOCIATION INC
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	HOSPITAL	NH	501(c)(3)	3	DARTMOUTH-HITCHCOCK HEALTH	false
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	HOSPITAL	NH	501(c)(3)	3	DARTMOUTH-HITCHCOCK HEALTH	false
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DRIVE	LEBANON	NH	03766	020222791	HOSPITAL	NH	501(c)(3)	3	DARTMOUTH-HITCHCOCK HEALTH	false
VISITING NURSE AND HOSPICE FOR VERMONT AND NEW HAMPSHIRE
88 Prospect Street	White River Junction	VT	05001	036006494	HOSPICE	VT	501(c)(3)	10	DARTMOUTH-HITCHCOCK HEALTH	false
DARTMOUTH -HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222715483	SUPPORTING ORG.	NH	501(c)(3)	Type I	NOT APPLICABLE	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Mount Ascutney Professional Center Owners Assoc	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 County Road	AddressLine1Txt
City	Windsor	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Field	Value	IRS element (for citing)
EIN	030320283	EIN
Primary Activities	Real Estate Management	PrimaryActivitiesTxt
Legal Domicile State	VT	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Windsor Hospital Corporation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corporation	EntityTypeTxt
Share Of Total Income	$104,200	ShareOfTotalIncomeAmt
Share Of EOY Assets	$10,339	ShareOfEOYAssetsAmt
Ownership	1	OwnershipPct
Controlled Organization	Yes (true)	ControlledOrganizationInd

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	false	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	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	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	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Historic Homes of Runnemede Inc
Q	$272,946	FMV
Mount Ascutney Professional Owners Assoc
K	$106,232	FMV