2024-07-29T14:09:55+00:00 2023-09-30 350921680 CROWE LLP 9600 Brownsboro Road Suite 400 Louisville KY 402413902 990 2022-10-01 030183721 Windsor Hospital Corporation WIND 8026746711 289 County Road Windsor VT 05089 David Sanville CFO 2024-07-29 true KIM SCIFRES P01316095 5023263996 2022 2024-08-08 14:25:15Z Mt Ascutney Hospital and Health Center Joseph L Perras MD 289 County Road Windsor VT 05089 72068578 false X mtascutneyhospital.org X 1933 VT TO IMPROVE THE LIVES OF THOSE WE SERVE. 13 8 560 96 34607 15943 1072769 1269039 64552211 67018764 232187 1845137 394483 1675094 66251650 71808034 0 0 36943223 37199009 0 193461 28021376 31242814 64964599 68441823 1287051 3366211 75448583 82148267 36562016 37292788 38886567 44855479 MT. ASCUTNEY HOSPITAL AND HEALTH CENTER'S MISSION IS TO IMPROVE THE LIVES OF THOSE WE SERVE. false false 55602636 0 68470798 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. 55602636 true true false true false false false false true true true false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 63 0 true 560 true true true false false false false false false false false false false false X 13 8 false false false false true true true true true false false true true true true true true true true false X David Sanville 8026746711 289 County Road Windsor VT 05089 Alan C Keiller Trustee / Vice Chair 1.0 0 X X 0 0 0 John Tansey Trustee / Chair 1.0 0 X X 0 0 0 Joseph L Perras MD President/CEO/Ex-officio 40.0 1.0 X X 482977 0 13902 Pamela Brown Trustee / Secretary 1.0 0 X X 0 0 0 Richard Marasa MD Trustee / Medical Staff Pres (through 12/31/22) 40.0 0 X X 284859 0 37474 Vincent Fusca III Trustee / Treasurer 1.0 0 X X 0 0 0 Deanna Howard Trustee 1.0 0.5 X 0 0 0 John Gerstmayr Trustee 1.0 0 X 0 0 0 John Gilman Trustee 1.0 0.5 X 0 0 0 Leesa Taft DNP MSN APRN Trustee/ Med Staff Pres (as of 1/1/23) 1.0 0 X 201393 0 5444 Matthew Houde Trustee 1.0 40.0 X 0 259082 58718 Patrick F Jordan III MBA Trustee 0.5 42.5 X 0 829011 69885 Stephen Surgenor MD Trustee 1.0 40.0 X 0 483301 70942 Steve Crihfield Trustee 1.0 0 X 0 0 0 Steven Smith MD Trustee (Through 12/2022) 1.0 40.0 X 0 208318 63277 David Sanville Chief Financial Officer 34.0 0.5 X 251241 0 29663 Hannah Bianchi Chief Operating Officer 40.0 0 X 203850 0 8166 Alden Hall Physician 40.0 0 X 304060 0 12800 Christopher Connor Ophthalmologist 40.0 0 X 348758 0 22197 Francesco Congiusta Hospitalist 40.0 0 X 271750 0 32535 Herbert Ip Physician 40.0 0 X 268578 0 36970 Jason Fritzhand Physician 40.0 0 X 244021 0 665 2861487 1779712 462637 61 false true false AMERICAN HEALTHCARE SERVICES ASSOCIATION PO BOX 670529 Dallas TX 752670529 STAFFING SERVICES 3279508 MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 Healthcare Services 1927785 EMERGENCY SERVICES OF NE INC PO BOX 12 Chester VT 05143 STAFFING SERVICES 1927403 Dartmouth-Hitchcock Clinic ONE MEDICAL CENTER DRIVE LEBANON NH 03756 Healthcare Services 787405 MEDSTEAM ANESTHESIA PLLC PO BOX 63467 CHARLOTTE SC 282633467 ANESTHESIA STAFFING 585023 15 40000 455997 773042 1269039 Patient Service Revenue 622110 62635552 62635552 Health care Reform Payments 622110 2717271 2717271 Program and miscellaneous 622110 1665941 1665941 0 0 0 0 67018764 584362 34607 549755 45299 45299 0 45299 45299 1500000 21319 260101 443 1239899 20876 1260775 1260775 Cafeteria 722514 177761 177761 Stimulus Funds 622110 1270324 1270324 Other Income 622110 181710 181710 0 0 0 0 1629795 71808034 68470798 34607 2033590 X 1865925 1554872 311053 27566564 22934643 4595399 36522 1011209 841299 168570 1340 4728809 3930293 788301 10215 2026502 1685995 337822 2685 8299 8299 16342091 13277654 2964083 100354 214878 112994 95913 5971 127328 86079 40985 264 503066 166551 329111 7404 1501249 780137 721112 39949 23362 16223 364 483916 405426 77861 629 2322266 1941998 377249 3019 804313 547566 256747 Medical and other supplies 5311757 4678997 626033 6727 Dues, Fees, and Taxes 2997514 2367524 629769 221 Miscellaneous Expenses 586188 267246 301196 17746 0 0 0 0 68441823 55602636 12645726 193461 4823030 8263696 5838799 6082366 601324 5248907 6500934 0 0 0 0 450451 444918 594853 518433 49909634 31932153 16768379 17977481 32924083 34190955 0 8198757 8169484 75448583 82148267 8808223 10444700 4379678 2909991 0 0 0 0 23374115 23938097 36562016 37292788 X 31181984 36693917 7704583 8161562 38886567 44855479 75448583 82148267 X 3366211 985558 1617143 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 9346 9346 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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. 5444909 490948 221826 5714031 6547496 -885991 216596 5444909 5256278 1496142 204924 6547496 5052695 404533 200950 5256278 5060299 188211 195815 5052695 0.0 0.7382 0.2618 false false 410000 410000 19045327 12056977 6988350 14340498 9763930 4576568 16113809 10111246 6002563 17977481 Investment in Pooled Funds 32335327 F Beneficial Interest Trusts 1620682 F Charitable Remainder Trusts 234946 F 34190955 Rental Deposits 13278 Equity in subsidiary 2673056 Other receivables 544475 Right of use assets, net 4938675 8169484 Est. Settlement w/3rd party payors 676651 Affiliate note payable 17585805 Post retirement benefit obligation 340444 Right of Use Obligations 5128867 Other Liabilities 206330 23938097 X 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. true true X true X 225 true X true true true false true true 154065 0 154065 0.0023 7913751 2474882 5438869 0.0795 0 0 0 0.0 0 0 8067816 2474882 5592934 0.0817 983155 513637 469518 0.0069 360253 0 360253 0.0053 9683979 8337942 1346037 0.0197 0 0 0 0.0 0 0 0 0.0 0 0 11027387 8851579 2175808 0.0318 0 0 19095203 11326461 7768742 0.1135 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 0 0 0 0.0 90953 0 90953 0.0013 0 0 90953 0 90953 0.0013 true 0 0 24458277 25914937 -1456660 X true true 1 1 Windsor Hospital Corporation 289 County Road Windsor VT 05089 https://www.mtascutneyhospital.org 863 X X X X Distinct Part Rehab Unit Windsor Hospital Corporation 1 false false true X X X X X X X X X 21 true true true true X HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS X WWW.MAPPVT.ORG/PNGgrant X X true 21 true HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS false true X 225.0 300.0 X X X X X X X true true X X X true X https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance X https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance X https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance X X X X X X true X false X X X X true X false false 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. 0 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. false false false false false false false true false Joseph L Perras MD President/CEO/Ex-officio 438802 0 35200 0 8975 0 12500 0 1402 0 496879 0 0 0 Richard Marasa MD Trustee / Medical Staff Pres (through 12/31/22) 282046 0 0 0 2814 0 11532 0 25942 0 322333 0 0 0 Patrick F Jordan III MBA Trustee 0 777526 0 0 0 51485 0 29250 0 40635 0 898896 0 0 Matthew Houde Trustee 0 248406 0 0 0 10676 0 19650 0 39068 0 317800 0 0 Steven Smith MD Trustee (Through 12/2022) 0 196001 0 0 0 12317 0 19359 0 43918 0 271595 0 0 Stephen Surgenor MD Trustee 0 457259 0 0 0 26042 0 29250 0 41692 0 554243 0 0 Leesa Taft DNP MSN APRN Trustee/ Med Staff Pres (as of 1/1/23) 200883 0 0 0 510 0 4042 0 1402 0 206837 0 0 0 David Sanville Chief Financial Officer 227209 0 13000 0 11033 0 10358 0 19305 0 280904 0 0 0 Hannah Bianchi Chief Operating Officer 189474 0 10500 0 3875 0 8166 0 0 0 212016 0 0 0 Christopher Connor Ophthalmologist 345944 0 0 0 2814 0 12200 0 9997 0 370954 0 0 0 Alden Hall Physician 303551 0 0 0 510 0 12142 0 658 0 316860 0 0 0 Herbert Ip Physician 268379 0 0 0 199 0 11005 0 25966 0 305548 0 0 0 Francesco Congiusta Hospitalist 271573 0 0 0 177 0 11055 0 21479 0 304285 0 0 0 Jason Fritzhand Physician 218511 0 25000 0 510 0 0 0 665 0 244686 0 0 0 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. 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; HISTORIC HOMES OF RUNNEMEDE INC 40 MAXWELL PERKINS LANE WINDSOR VT 05089 237396147 ASSISTED LIVING FACILITY VT 501(c)(3) 10 WINDSOR HOSPITAL CORPORATION true MOUNT ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION 289 COUNTY ROAD WNDSOR VT 05089 030300481 INACTIVE VT 501(c)(3) 3 WINDSOR HOSPITAL CORPORATION 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 Mount Ascutney Professional Center Owners Assoc 289 County Road Windsor VT 05089 030320283 Real Estate Management VT Windsor Hospital Corporation C Corporation 104200 10339 1 true false false true false true false false false false false true false false false true true true true false Historic Homes of Runnemede Inc Q 272946 FMV Mount Ascutney Professional Owners Assoc K 106232 FMV