THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
- Tax period
- 2023-07-01 to 2024-06-30
- Filed
- 2025-05-13
- IRS object ID
- 202521339349304742
- Schema version
- 2023v6.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-05-13T13:51:47+00:00 | ReturnTs |
| Tax Period End | 2024-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 350921680 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4801 Olympia Park Plaza Suite 4000 | AddressLine1Txt |
| City | Louisville | CityNm |
| State Abbreviation | KY | StateAbbreviationCd |
| ZIP | 402412098 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222171 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | The New London Hospital Association Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | NEWL | BusinessNameControlTxt |
| Phone | 6035262911 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1Txt |
| City | New London | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03257 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Lisa Cohen | PersonNm |
| Person Title | Chief Financial Officer | PersonTitleTxt |
| Phone | 6035262911 | PhoneNum |
| Signature | 2025-05-13 | 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 |
| Preparation | 2025-05-13 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lauren Geddes Wirth | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1Txt |
| City | New London | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03257 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $100,159,685 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.newlondonhospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1918 | FormationYr |
| Legal Domicile State | NH | LegalDomicileStateCd |
| Activity Or Mission | To continually improve the wellbeing of individuals in our region by providing high-quality healthcare to our communities. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 576 | TotalEmployeeCnt |
| Total Volunteers | 44 | TotalVolunteersCnt |
| Total Gross UBI | $51,308 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $30,379 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,188,596 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,653,676 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $92,124,650 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $96,678,754 | CYProgramServiceRevenueAmt |
| PY Investment Income | $678,150 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,113,803 | CYInvestmentIncomeAmt |
| PY Other Revenue | $516,412 | PYOtherRevenueAmt |
| CY Other Revenue | $628,678 | CYOtherRevenueAmt |
| PY Total Revenue | $94,507,808 | PYTotalRevenueAmt |
| CY Total Revenue | $100,074,911 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $130,868 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $124,312 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,660,872 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $59,654,430 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $460,000 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $32,895,574 | PYOtherExpensesAmt |
| CY Other Expenses | $33,756,688 | CYOtherExpensesAmt |
| PY Total Expenses | $86,687,314 | PYTotalExpensesAmt |
| CY Total Expenses | $93,535,430 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $7,820,494 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,539,481 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $118,204,798 | TotalAssetsBOYAmt |
| Total Assets EOY | $127,418,616 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $55,098,076 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $55,351,017 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $63,106,722 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $72,067,599 | NetAssetsOrFundBalancesEOYAmt |
| Mission | The mission of the New London Hospital Association is To continually improve the wellbeing of individuals in our region by providing high-quality healthcare to our communities. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $85,694,516 | ExpenseAmt |
| Grant | $124,312 | GrantAmt |
| Revenue | $96,810,107 | RevenueAmt |
| Desc | NEW LONDON HOSPITAL ASSOCIATION, INC. (NLHA) IS THE PRINCIPAL PROVIDER OF PRIMARY AND SECONDARY HEALTH CARE FOR 15 TOWNS IN SULLIVAN AND MERRIMACK COUNTIES IN NEW HAMPSHIRE. THE HOSPITAL PROVIDES ACUTE AND PRIMARY HEALTH CARE - FROM EMERGENCY SERVICES TO FAMILY MEDICAL PRACTICE TO SURGICAL CARE AND ESSENTIAL WELLNESS AND PREVENTION SERVICES FOR THE 33,000 RESIDENTS IN ITS SERVICE AREA, A SIGNIFICANT PORTION OF WHOM ARE UNINSURED, UNDER-INSURED, AND/OR DEPENDENT ON MEDICAID/MEDICARE BENEFITS. THIS INCLUDES A LARGELY ELDERLY POPULATION AND A SIGNIFICANT NUMBER OF RURAL, LOW-INCOME FAMILIES. NLHA EMPLOYED 57 PROVIDERS IN FISCAL 2024, OF WHICH 18 WERE PRIMARY CARE, 2 WERE PEDIATRICS, AND 37 WERE SPECIALTY PROVIDERS COVERING GENERAL SURGERY, ANESTHESIOLOGY, CARDIOLOGY, EMERGENCY MEDICINE, EXPRESS CARE, HOSPITALISTS, AND RHEUMATOLOGY. DURING FY 24, NLHA HAD A TOTAL OF 1,941 PATIENT DISCHARGES CONSISTING OF 6,295 PATIENT DAYS AND ATTENDED TO 8,111 EMERGENCY ROOM VISITS & 8,775 Express Care (Emergency Room B) Visits totaling 16,886 Emergency visits. | Desc |
| Total Program Service Expenses | $85,694,516 | 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 | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (true) | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | 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 | Yes (true) | 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 110 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 576 | 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 | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| 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 | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | 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 | false | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | NH | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Lisa Cohen | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6035262911 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 county road | AddressLine1Txt |
| City | New london | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03257 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| Jane Rastallis | |||||||||
| Trustee / Secretary | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| John Hollinger | |||||||||
| Trustee/Chair | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Karen Bonewald | |||||||||
| Trustee / Treasurer | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Lauren Geddes Wirth MD | |||||||||
| Trustee/President/CEO-Interim Ex-officio (as of 4/3/24) | 40.0 | 0 | Yes (X) | Yes (X) | $113,948 | $0 | $19,098 | ||
| Martin T Manion | |||||||||
| Trustee/President/CEO (through 4/2/24) | 0.5 | 40.0 | Yes (X) | Yes (X) | $0 | $383,541 | $21,050 | ||
| MICHAEL MADAN MD | |||||||||
| Trustee / Medical Staff President | 40.0 | 0 | Yes (X) | Yes (X) | $371,095 | $0 | $22,133 | ||
| Steve Allenby | |||||||||
| Trustee/Vice Chair | 0.5 | 0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| CAROL MAJEWSKI RN | |||||||||
| TRUSTEE (through 6/30/24) | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Casey Biuso | |||||||||
| Trustee | 0.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Christopher Martin | |||||||||
| Trustee | 0.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Craig W Beck | |||||||||
| Trustee | 0.5 | 40.0 | Yes (X) | $0 | $343,241 | $69,142 | |||
| JEAN Ten HAKEN MSN RN CENP | |||||||||
| Trustee | 0.5 | 40.0 | Yes (X) | $0 | $264,443 | $6,457 | |||
| John Kirk | |||||||||
| Trustee / Physician | 2.0 | 0 | Yes (X) | $0 | $0 | $0 | |||
| MARK PITKIN | |||||||||
| TRUSTEE | 0.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Michael Liberty | |||||||||
| Trustee (as of 1/1/24) | 0.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Peter NICHOLS | |||||||||
| Trustee (as of 7/1/23) | 0.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Robert Friedlander Jr | |||||||||
| Trustee (as of 1/1/24) | 0.5 | 0 | Yes (X) | $0 | $0 | $0 | |||
| Samuel Shields | |||||||||
| Trustee | 0.5 | 41.0 | Yes (X) | $0 | $358,191 | $27,595 | |||
| Wendy Fielding | |||||||||
| Trustee | 0.5 | 41.0 | Yes (X) | $0 | $443,212 | $47,649 | |||
| Karen Beinhaur | |||||||||
| Chief Nursing Officer | 40.0 | 0 | Yes (X) | $195,428 | $0 | $47,327 | |||
| LISA COHEN | |||||||||
| CHIEF FINANCIAL OFFICER | 40.0 | 0 | Yes (X) | $183,180 | $0 | $26,938 | |||
| Lori Underwood | |||||||||
| Chief Operating Officer | 40.0 | 0 | Yes (X) | $207,281 | $0 | $35,359 | |||
| Amanda Dostaler | |||||||||
| Physician | 40.0 | 0 | $259,047 | $0 | $52,326 | Yes (X) | |||
| ANDREW TORKELSON MD | |||||||||
| Physician | 40.0 | 0 | $313,137 | $0 | $20,810 | Yes (X) | |||
| Dawn Straniero | |||||||||
| Nurse Practioner | 40.0 | 0 | $167,460 | $0 | $28,689 | Yes (X) | |||
| Mitchell Miller | |||||||||
| Physician | 40.0 | 0 | $264,678 | $0 | $35,193 | Yes (X) | |||
| STEPHEN BISSAH MD | |||||||||
| PHYSICIAN | 40.0 | 0 | $432,863 | $0 | $63,794 | Yes (X) | |||
| Brian Frenkiewich | |||||||||
| Trustee/NLH Medical Staff President | 40.0 | 0 | $376,769 | $0 | $62,913 | Yes (X) | |||
| Kirk Dufty | |||||||||
| Chief Medical Officer | 40.0 | 0.0 | $0 | $143,962 | $25,322 | Yes (X) | |||
| Susan A Reeves EDD RN | |||||||||
| Trustee | 0.0 | 40.0 | $0 | $917,950 | $42,718 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,884,886 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $2,854,540 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $654,513 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 68 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MARY HITCHCOCK MEMORIAL HOSPITAL | |||||
| ONE MEDICAL CENTER DR | LEBANON | NH | 03756 | HEALTHCARE STAFFING | $4,485,805 |
| AMERICAN HEALTHCARE STAFFING ASSN INC | |||||
| PO BOX 945 | TRAVERSE CITY | MI | 49685 | HEALTHCARE STAFFING | $4,291,604 |
| CONIFER REVENUE CYCLE SOLUTIONS LLC | |||||
| 14201 Dallas Pkwy | DALLAS | TX | 75254 | Revenue Management Services | $3,830,702 |
| DARTMOUTH-HITCHCOCK CLINIC | |||||
| ONE MEDICAL CENTER DR | LEBANON | NH | 03756 | HEALTHCARE STAFFING | $1,922,488 |
| NEW ENGLAND ALLIANCE FOR HEALTH | |||||
| ONE MEDICAL CENTER DRIVE | LEBANON | NH | 03756 | SERVICES | $690,974 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 18 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $124,964 | FundraisingAmt |
| Government Grants | $958,114 | GovernmentGrantsAmt |
| All Other Contributions | $570,598 | AllOtherContributionsAmt |
| Noncash Contributions | $26,935 | NoncashContributionsAmt |
| Total Contributions | $1,653,676 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Net patient service revenue | 622110 | $92,164,889 | $92,164,889 |
| Ambulance services | 621910 | $548,202 | $548,202 |
| Other program service revenue | 622110 | $267,674 | $267,674 |
| Pharmacy Income | 446110 | $3,697,989 | $3,697,989 |
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 | $96,678,754 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,133,637 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $51,308 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,082,329 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,600 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,600 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,600 | TotalRevenueColumnAmt |
| Exclusion | $2,600 | ExclusionAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $19,834 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | -$19,834 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$19,834 | TotalRevenueColumnAmt |
| Exclusion | -$19,834 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $24,652 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $124,964 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $64,940 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$40,288 | TotalRevenueColumnAmt |
| Exclusion | -$40,288 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| Child Care Center | 624410 | $380,770 | $380,770 | |
| Cafeteria Income | 722212 | $154,243 | $154,243 | |
| Vendor Rebates | 622110 | $131,353 | $131,353 |
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 | $666,366 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $100,074,911 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $96,810,107 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $51,308 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,559,820 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,905 | TotalAmt |
| Program Services | $110,905 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,407 | TotalAmt |
| Program Services | $13,407 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,628,923 | TotalAmt |
| Program Services | $345,525 | ProgramServicesAmt |
| Management And General | $1,283,398 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $415,917 | TotalAmt |
| Program Services | $415,917 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,896,743 | TotalAmt |
| Program Services | $43,574,224 | ProgramServicesAmt |
| Management And General | $3,089,935 | ManagementAndGeneralAmt |
| Fundraising | $232,584 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,066,166 | TotalAmt |
| Program Services | $1,923,077 | ProgramServicesAmt |
| Management And General | $133,072 | ManagementAndGeneralAmt |
| Fundraising | $10,017 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,168,992 | TotalAmt |
| Program Services | $5,731,281 | ProgramServicesAmt |
| Management And General | $407,070 | ManagementAndGeneralAmt |
| Fundraising | $30,641 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,477,689 | TotalAmt |
| Program Services | $2,306,101 | ProgramServicesAmt |
| Management And General | $159,576 | ManagementAndGeneralAmt |
| Fundraising | $12,012 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,966 | TotalAmt |
| Program Services | $55,966 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,876,505 | TotalAmt |
| Program Services | $3,108,767 | ProgramServicesAmt |
| Management And General | $665,301 | ManagementAndGeneralAmt |
| Fundraising | $102,437 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,851 | TotalAmt |
| Program Services | $2,763 | ProgramServicesAmt |
| Management And General | $46,088 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,267,741 | TotalAmt |
| Program Services | $1,073,146 | ProgramServicesAmt |
| Management And General | $190,274 | ManagementAndGeneralAmt |
| Fundraising | $4,321 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $196,116 | TotalAmt |
| Program Services | $177,368 | ProgramServicesAmt |
| Management And General | $18,748 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,706,743 | TotalAmt |
| Program Services | $1,648,179 | ProgramServicesAmt |
| Management And General | $58,564 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $171,518 | TotalAmt |
| Program Services | $151,584 | ProgramServicesAmt |
| Management And General | $18,580 | ManagementAndGeneralAmt |
| Fundraising | $1,354 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,245 | TotalAmt |
| Program Services | $4,245 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,132,836 | TotalAmt |
| Program Services | $1,132,836 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,755,722 | TotalAmt |
| Program Services | $4,643,764 | ProgramServicesAmt |
| Management And General | $111,674 | ManagementAndGeneralAmt |
| Fundraising | $284 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788,159 | TotalAmt |
| Program Services | $401,294 | ProgramServicesAmt |
| Management And General | $386,865 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies & Pharmaceutical | $14,083,404 | $14,083,404 | ||
| MEDICAID ENHANCEMENT & OTHER TAXES | $3,582,816 | $3,582,816 | ||
| Equipment Rental & Maintenance | $1,508,455 | $1,034,193 | $474,262 | |
| Academic, Dues and Other Support | $354,899 | $59,539 | $230,420 | $64,940 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $222,712 | TotalAmt |
| Program Services | $114,215 | ProgramServicesAmt |
| Management And General | $107,087 | ManagementAndGeneralAmt |
| Fundraising | $1,410 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,535,430 | TotalAmt |
| Program Services | $85,694,516 | ProgramServicesAmt |
| Management And General | $7,380,914 | ManagementAndGeneralAmt |
| Fundraising | $460,000 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,943,474 | BOYAmt |
| EOY | $17,915,411 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,736,980 | BOYAmt |
| EOY | $21,084,846 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,932,819 | BOYAmt |
| EOY | $11,666,016 | 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 |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $554,877 | BOYAmt |
| EOY | $689,257 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $443,303 | BOYAmt |
| EOY | $189,809 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $109,263,037 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $64,283,811 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,546,915 | BOYAmt |
| EOY | $44,979,226 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,557 | BOYAmt |
| EOY | $9,688 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,588,512 | BOYAmt |
| EOY | $19,105,692 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,200,000 | BOYAmt |
| EOY | $2,200,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,248,361 | BOYAmt |
| EOY | $9,578,671 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,204,798 | BOYAmt |
| EOY | $127,418,616 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,706,923 | BOYAmt |
| EOY | $6,524,674 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
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 | $31,781 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,359,372 | BOYAmt |
| EOY | $48,826,343 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,098,076 | BOYAmt |
| EOY | $55,351,017 | 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 | $58,394,538 | BOYAmt |
| EOY | $67,590,667 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,712,184 | BOYAmt |
| EOY | $4,476,932 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,106,722 | BOYAmt |
| EOY | $72,067,599 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,204,798 | BOYAmt |
| EOY | $127,418,616 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,539,481 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,308,824 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $112,572 | 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 | $14,301 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $14,301 | 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 | New London Hospital Association pays dues to various organizations related to its exempt mission. The amount reported under other activities refers to the amount of lobbying activities identified in dues payments to outside organizations. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,435,556 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $265,060 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $2,700,616 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,411,012 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $131,116 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $106,572 | OtherExpendituresAmt |
| End Year Balance | $2,435,556 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,592,725 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$174,667 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,046 | OtherExpendituresAmt |
| End Year Balance | $2,411,012 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,598,461 | BeginningYearBalanceAmt |
| Other Expenditures | $5,736 | OtherExpendituresAmt |
| End Year Balance | $2,592,725 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,809,705 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $73,437 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $284,681 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $2,598,461 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.0 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.0 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | 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 | $1,241,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,241,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,857,725 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,769,358 | DepreciationAmt |
| Book Value | $30,088,367 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $49,031,502 | OtherCostOrOtherBasisAmt |
| Depreciation | $36,056,750 | DepreciationAmt |
| Book Value | $12,974,752 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,132,810 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,457,703 | DepreciationAmt |
| Book Value | $675,107 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $44,979,226 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Investment in Pooled Funds | Desc |
| Book Value | $19,105,692 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $19,105,692 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Beneficial Interest in Trusts | $1,575,788 |
| Other Miscellaneous Assets | $2,159,446 |
| Due from affiliates | $0 |
| Right of Use | $1,452,031 |
| Investment in DHMIP | $4,391,406 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,578,671 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Right of Use Liability | $1,485,861 |
| Deferred Compensation | $2,158,446 |
| Due to Affilliate | $27,710,443 |
| Estimated Third-Party Payor Settlement | $17,471,593 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $48,826,343 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part V, Line 4 Intended uses of endowment funds | FormAndLineReferenceDesc |
| Explanation | The income from the endowment funds is used to assist in the payment of the hospital's program-related expenses. | ExplanationTxt |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | GOLF INVITATIONAL | Event1Nm |
| Gross Receipts Event1 | $22,250 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $22,250 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $0 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $9,943 | RentFacilityCostsEvent1Amt |
| Other Direct Expenses Event1 | $925 | OtherDirectExpensesEvent1Amt |
| Event2 | HOSPITAL DAYS | Event2Nm |
| Gross Receipts Event2 | $41,166 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $40,914 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $252 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $5,212 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $7,117 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $86,200 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $61,800 | CharitableContriOtherEventsAmt |
| Gross Revenue Other Events | $24,400 | GrossRevenueOtherEventsAmt |
| Rent Fclty Costs Other Events | $10,986 | RentFcltyCostsOtherEventsAmt |
| Food And Beverage Other Events | $21,241 | FoodAndBeverageOtherEventsAmt |
| Entertainment Other Events | $875 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $8,641 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $149,616 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $124,964 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $24,652 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $26,141 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $21,241 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $875 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $16,683 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $64,940 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$40,288 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 225 | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,635,736 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,635,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0175 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,655,840 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,375,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $10,291,576 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $9,375,196 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,635,736 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0175 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $518,537 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $518,537 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0055 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $37,659 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $37,659 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0004 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,219,634 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,099,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $119,786 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0013 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | $2,775,830 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,099,848 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $675,982 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0072 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $13,067,406 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,475,044 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,311,718 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0247 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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 | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | 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 | $20,835,112 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $22,348,972 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,513,860 | 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 | New London Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1Txt |
| City | New London | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03257 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | https://www.newlondonhospital.org | WebsiteAddressTxt |
| State License | 02407 | 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 |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New London Hospital | 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 | 24 | 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.newlondonhospital.org/about/annual-community-reports/ | OwnWebsiteURLTxt |
| 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.newlondonhospital.org/about/annual-community-reports/ | 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.newlondonhospital.org/services/billing-charges/ | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | https://www.newlondonhospital.org/services/billing-charges/ | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | https://www.newlondonhospital.org/services/billing-charges/ | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (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 AND ARE IDENTIFIED THROUGH CHNA. |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. Recruitment Messaging: Nothing about us without us. To emphasize the importance of local voices, the CHNA 2024 recruitment theme is the well-known advocacy phrase hing about us without us". The theme is a celebration of New London Hospital's commitment to "providing high-quality healthcare to our communities" that is responsive to the uniqueness of our rural catchment area. Sample Size To ensure a representative survey sample capture the "minimum sample size" is calculated. The minimum sample size reflects the minimum number of respondents needed to produce a desired result. Specifically, if the study were to be reproduced 100 times, over that 95% of the time the result would be the same with a 5% margin of error. For our minimum sample size, the total population size is our entire catchment area (n=33123) and the cohort for sampling is the town level (see Table 3). Using the proportion of the catchment population, the minimum sample size calculator estimates the sample size that will produce a meaningful result per cohort (town). While the town cohorts have a range of demographics (i.e., gender, age, etc) we will not stratify by demographics due to the small sample size. In order to achieve the minimum survey sample size, multiply the Minimum Survey Sample Number by the expected response rate of 33%. The previous leader response rate is 59% yet the resident response rate is unknown, so using the average survey response rate of 33% seemed a reasonable approach. This provides us the benchmark for recruitment. To achieve the overall NLHA Catchment goal of 1391 respondents, we will need to recruit 4,212 individuals to participate. The overall NLHA catchment goal is supported by individual recruitment numbers by town (see Table 3). Implementation Strategy Both targeted respondent pools in the CHNA (leader and resident) will have the option of filling out the 10 minute survey either by paper or via Qualtrics (a digital link). The 2024 CHNA will deployed a series of techniques to ensure broad community input. This included: 1. Direct engagement in the community (physical as well as digital) sorted/identified by town of residence - four in person community events including in Newport (2), Bradford, and Franklin which serves Danbury and Wilmot to provide people an opportunity to fill in the hard copy survey. We also sent over 400 paper copies to the meals on wheels program through Newport, Bradford, and Franklin serving Danbury and Wilmot. 2. Community Health Partner Email Distribution Lists, restricted to town of residence 3. Social Media (New London Hospital as well as partner organizations with highlights by town) 4. Hard copies of the survey were shared with the 14 libraries in our service area with survey drop boxes for people to drop off the survey in their community. To enhance town participation, town assets will be included in the recruitment strategy using 'snowball recruitment' which asks participants to share the survey link with others in their community. Specifically, the local public assets are: 1. Town Library: libraries are being contacted within each town to serve as a point of distribution for both the digital link and the paper surveys. For each library, a "ballot box" will be placed to maintain confidentiality of the respondents. 2. Town Halls: administrators at each town hall are being recruited to share the digital links and provide the paper surveys to the public. 3. Local Leaders: local community leaders such as school administrators, fire and police, as well as elected officials are being recruited to solicit resident input. 4. Business: the largest employer(s), and/or local small business, are being identified and will be recruited to engage employees. The Program Manager for Community Health engaged in outreach with each of these domains at the town level to promote equity in recruitment success. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. The 2024 Community Health Needs Assessment Partnership includes New London Hospital Association, Dartmouth Health, Alice Peck day memorial Hospital, Valley regional Healthcare, Mt. Ascutney Hospital and Health Center, Cheshire Medical Center, Visiting Nurse and Hospice for Vermont and New Hampshire with technical support from the New Hampshire Community Health Institute/JSI. |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. In addition to working with the entities listed on line 6A, NLHA worked closely with the member organizations of the Greater Sullivan County Public Health Network (GSCPHN) to disseminate surveys virtually. NLHA also worked closely with Newport Senior Center, Bradford Senior Center, Franklin Senior Center and 14 libraries within the NLH service area to provide paper ballots for community members. |
| Schedule H, Part V, Section B, Line 7 Facility , 1 | Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. The CHNA has been made available both digitally and hard copy to 14 libraries in our 15-town service area (each town in our service area except Grantham and Croydon share a library). Additionally, 14 community conversations were held in the 14 libraries to provide an opportunity for the community to review results in person in their town and provide input into the direction of the CHIP. We have hard copies in the waiting areas of Newport Health Center (NHC) and in the Lobby, Emergency Department, and Express Care at New London Hospital location. The CHNA has also been provided to community partners and presentations have been given to requesting organizations on the results of the CHNA. It is also available on request. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. Given the cyclical nature of the Community Health Needs Assessment (CHNA), the Community Health Improvement Plan (CHIP) will focus on strengthening interventions on persistent themes (e.g., healthcare affordability and availability) across cycles that remain a priority area and evaluating additional programming for new and emerging themes (e.g., provider cultural awareness). To achieve these goals, the CHIP will utilize a combination of these four strategies: 1. Strengthening existing NLH efforts that seek to improve healthcare availability and affordability. This includes access to affordable medications as well as mental and dental health care. 2. Evaluate and engage partnerships for impact with a specific focus on special populations identified in the 2024 CHNA: seniors, LGBTQIA+, veterans, youth, and indigenous populations. 3. Engage in community health programming that seeks to address social determinants of health (SDoH) factors influencing our service area. 4. Develop a health literacy plan that will expand on the communities understanding of health resources in our service area. The CHIP categorizes issue areas by AIM including 1) access to healthcare, 2) connect public health programs in the community, and 3) address social determinants of health (SDoH). A full list of NLH programs is listed in our CHIP online at https://www.newlondonhospital.org/about/annual-and-community-reports |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - New London Hospital. PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF NLHA. |
| Schedule H, Part V, Section B, Line 13 Facility , 1 | Facility , 1 - New London Hospital. NLHA HAS A SEPARATE UNINSURED DISCOUNT POLICY THAT OUTLINES HOW THE DISCOUNT IS CALCULATED ANNUALLY AND IS APPLIED PRIOR TO BILLING ANY UNINSURED PATIENT. THIS ASSURES A PATIENT IS NOT BILLED AT AN AMOUNT GREATER THAN THE AMOUNT GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS POLICY IS REFERENCED IN THE FINANCIAL ASSISTANCE POLICY |
| Schedule H, Part V, Section B, Line 16 Facility , 1 | Facility , 1 - New London Hospital. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON NLHA'S WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY PLAIN-LANGUAGE SUMMARY. NLHA PROVIDES THE PLAIN-LANGUAGE SUMMARY BROCHURE TO ALL INPATIENTS, EMERGENCY DEPARTMENT INTAKES, UNINSURED, AND SELF-PAY INDIVIDUALS. NLHA CONTINUES TO NOTIFY PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABLE TO THEM. ADDITIONALLY, NLHA 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. NLHA SCREENS 100% OF UNINSURED INPATIENT AND SAME-DAY PATIENTS PRIOR TO ADMISSION. AS PART OF THIS PROCESS, NLHA CHECKS ALL STATE AND FEDERAL PROGRAMS TO SEE IF INDIVIDUALS ARE ELIGIBLE FOR ASSISTANCE. PATIENTS ARE ALSO SCREENED TO DETERMINE QUALIFICATION FOR FINANCIAL ASSISTANCE AND THE APPLICATION IS PROVIDED AND/OR COMPLETED AT THIS TIME. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Newport Health Center | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 John Stark Hwy | AddressLine1Txt |
| City | Newport | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03773 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | Rural health clinic | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 3c Other factors used in determining eligibility other than FPG | NLHA USES THE FPG GUIDELINES IN DETERMINING THE INITIAL LEVEL OF FINANCIAL ASSISTANCE PROVIDED. IN ADDITION, NLHA ALLOWS FOR CATASTROPHIC ASSISTANCE CONSIDERATION BASED ON A CALCULATION OF 10% OF TWO YEARS INCOME PLUS 10% OF AMOUNT OVER SHELTERED ASSETS. IF THE PROJECTED OR CURRENT SELF-PAY BALANCE IS GREATER THAN THIS CALCULATION, THE SELF-PAY BALANCE IS REDUCED TO THE SUM OF 10% OF TWO YEARS INCOME PLUS 10% OF ASSETS. EACH HOUSEHOLD IS ALLOWED CERTAIN SHELTERED ASSETS WHICH ARE NOT USED WHEN CALCULATING HOUSEHOLD INCOME OR ASSETS SAVINGS IS SHELTERED UP TO 100% OF FPL BASED ON FAMILY SIZE, EQUITY IN PRIMARY RESIDENCE UP TO $200,000 UP TO 55 AND $250,000 FOR AGED 55 AND OLDER, AND A RETIREMENT SHELTER OF UP TO $100,000 IN RETIREMENT ASSETS AS LONG AS IT IS EMPLOYER BASED CONTRIBUTIONS IF WORKING OR IRA IF SELF-EMPLOYED. IF A PATIENT IS RETIRED, PRIOR RETIREMENT ACCOUNTS WOULD BE INCLUDED AS A SHELTERED ASSET. |
| Schedule H, Part I, Line 7 DESCRIBE SUBSIDIZED HEALTH SERVICE COSTS FROM PHYSICIAN CLINIC ON LINE 7G | LINE 7G DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. |
| Schedule H, Part I, Line 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLE | THE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES FOR LINES 7A AND 7B. LINES 7E, 7F, AND 7G ARE BASED ON ACTUAL COSTS. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | AS A RESULT OF ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606), BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | Bad Debt is not treated as an expense due to accounting guidance (Statement 15 and ASC 606). As a result, an amount attributable to patients eligible under the organization's financial assistance policy is unable to be reasonably estimated. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | NLHA IS INCLUDED IN THE DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. AS A RESULT OF the adoption of 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 9b Collection practices for patients eligible for financial assistance | NEW LONDON HOSPITAL ASSOCIATION HAS A CREDIT AND COLLECTION POLICY THAT ADDRESSES THE PROCEDURES FOR PATIENTS WHO QUALIFY FOR REDUCED-COST CARE. THE POLICY PROHIBITS USING EXTRAORDINARY COLLECTION PRACTICES OR PLACING AMOUNTS WITH COLLECTION AGENCIES. IF A FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENT HAS A BALANCE FOR WHICH THEY ARE RESPONSIBLE, AFTER A FINANCIAL ASSISTANCE DISCOUNT IS APPLIED, THE STANDARD PRACTICES ARE FOLLOWED AS OUTLINED IN THE CREDIT AND COLLECTIONS POLICY. |
| Schedule H, Part V, Section B, Line 16a FAP website | - New London Hospital: Line 16a URL: https://www.newlondonhospital.org/services/billing-charges/; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - New London Hospital: Line 16b URL: https://www.newlondonhospital.org/services/billing-charges/; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - New London Hospital: Line 16c URL: https://www.newlondonhospital.org/services/billing-charges/; |
| Schedule H, Part VI, Line 2 Needs assessment | NLH assesses the needs of the community primarily through a triennial Community Health Needs Assessment (CHNA) which most recently occurred in 2024. Since the ACA was enacted, NLHA has conducted four CHNA (2015, 2018, 2021 and now 2024) using a combination of surveys (leader and resident) as well as a small number of focus groups and a few key informant interviews. The surveys are provided as both a digital option and paper. Each cycle solicited feedback using 'a convenience sampling' approach for the entire NLHA catchment area. Convenience sampling is a low-cost approach which is dependent on the availability and willingness of a survey participant. While the convenience sampling approach is an easily understood, as well as arguably the least costly method for soliciting input on surveys, NLH engaged in an revised recruitment strategy to strengthen the sample proportion of the population within each town for our 2024 CHNA. Historically, the CHNA convenience sample has produced a very low response rate outside of New London. For example, in the 2021 CHNA, the response rate in New London was 31% , however, New London's population represents 13% population within our catchment area . Conversely, Newport's population represents roughly 21% of the total population within our catchment yet the response rate was less than 7%. The rates are even more disproportionate with the smaller communities within our catchment area. In response to this differential, in 2024 NLHA was committed to revisiting the recruitment strategy to increase the likelihood that the response rate will proportional to the town population. The overall goal of the recruitment strategy was to reach a minimum number of samples to reach a 95% confidence interval with a 5% margin of error. For the 2024 NLH CHNA recruitment strategy please see section Schedule H, Part V, Section B, Line 5 - Input from persons who represent broad interest of community. Based on this revised recruitment strategy, NLH CHNA convenience sample includes 1,352 survey respondents with the distribution of these responses better aligned with the population distribution. For example, in 2024 the response rate in New London was 17% instead of 31% (2021) because New London's population represents 13% population within our catchment area. Additionally, Newport's response rate for 2024 was 13% instead of 7% (2021) which is closer to the proportion of the population for Newport (represents roughly 21% of the total population within our catchment area). For some of the most rural towns, the recruitment strategy made a dramatic difference in having a better distribution in our survey responses. For example, the Town of Washington saw a +455% increase in their response rate from 2021 to 2024 (11 in 2021 versus 61 in 2024). To maintain awareness of the communities needs, NLH has continued to engage with the infrastructure set up in the recruitment strategy bringing both the board approved CHNA and subsequent Community Health Improvement Plan (CHIP) results to the towns through the library infrastructure hosting 14 CHNA community conversations and 11 CHIP community conversations. - Community Partnerships - NLH Pharmacy - Newport Police Department - Sullivan County Sheriffs Department - Colby Sawyer College - Granite Hope Veterans Coalition (co-chair) - Spring Ledge Farm - Morgan Hill Bookstore - NH Falls Task Committee - Sullivan County Community Partners - Sullivan County Public Health Network - Sullivan County Transportation Network - Kearsarge Neighborhood Partners (KNP) - Kearsarge Community Network (KCN) - Climate and Health Initiative for Children in Kearsarge & Sunapee (CHICKS) Committee - NH Hunger Solutions - TLC Rainbow Roundtable - NH Queer Consortium - Foundation for Health Communities (Health Equity Peer Group, Population Health Peer Group, Community Benefit - co-chair) - Dartmouth Health and New London Hospital (NLH) Committees - DH Population Health Group - DH Community Health Group - NLH Falls Committee |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | NLHA provides the Financial Assistance Policy (FAP) for patients both in person and online depending on the patients preferences. The policy is available on NLH website, upon admission, upon request and throughout the billing process. |
| Schedule H, Part VI, Line 4 Community information | NLHA includes fifteen towns within its primary catchment: Andover, Bradford, Croydon, Danbury, Goshen, Grantham, Lempster, New London, Newbury, Newport, Springfield, Sunapee, Sutton, Washington, Wilmot. The primary catchment area includes two physical facilities, a critical access hospital headquartered in New London as well as a satellite health center in Newport which includes an ancillary support site for pediatrics through the Newport Middle/High School called Tiger Treatment Center. The total population of the New London Hospital primary service area in 2022 was 33,192 according to the United States Census Bureau (American Community Survey) equivalent to about 2.4% of the total population of New Hampshire. The estimated service area population has increased by approximately 0.4% or about 120 people over the last 3 years. New Hampshire's population grew by about 2% over the same time frame. Compared to New Hampshire (NH) overall, the service area population has proportionally more seniors - about 24% are 65+ compared to about 19% in NH overall - and the median age of service area residents is 6 years older than the state overall. A substantial range is observed for this statistic within the region from 18% of residents in both Newport and Springfield aged 65+ to 36% of New London residents. A similar range is observed for the percentage of residents who are under 18 years of age from 11% in Washington to 24% in Lempster. The region overall has similar demographics compared to New Hampshire with regard to median household income, the percent of people living in poverty, the percent of household with children headed by a single parent, and the percent of people living with a disability. However, there is a substantial range within the region on these measures. For example, the town with the highest median household income community (Sutton, $130,568) has median household income over twice as high as the lowest income community (Goshen, $59,896). Similarly, a substantial range is observed for the percent of people living below the federal poverty level (FPL) with an estimate of 0% in Grantham compared to about 13% of residents in Danbury and 14% of residents in Newport and Sunapee. Overall, the percent of residents within the service area living below the federal poverty level mirrors the statewide percentage at about 7% of households. 96% of the population of the New London Hospital service area identifies as 'White about 2% identify as Hispanic ethnicity. In general, the service area is somewhat less diverse with regard to race and ethnicity compared to New Hampshire overall. |
| Schedule H, Part VI, Line 5 Promotion of community health | The New London Hospital Association plays an active role in promoting community health by supporting community based educational programs such as the Tai Ji Quan program which is an evidence based program for falls prevention, Drug Take Back programming in the spring and fall to reduce substance misuse in the community, as well as a wide variety of educational materials provided throughout the clinical areas of both NLH and NHC on topics related to healthy lifestyle, smoking cessation, cancer screenings, programs to support new parents. NLHA partners with libraries within our fifteen town service area to provide educational materials for patrons directly in the community. Additionally, cash contributions, contracted services, and in-kind contributions of staff time and expertise are used to support these strategies to improve the health of the community. |
| Schedule H, Part VI, Line 6 Affiliated health care system | NEW LONDON HOSPITAL ASSOCIATION IS AN AFFILIATE OF DARTMOUTH-HITCHCOCK HEALTH. THIS RELATIONSHIP ALLOWS THE STREAMLINING OF PATIENT CARE BETWEEN MEMBERS OF THE TWO HEALTHCARE SYSTEM AND STRENGTHENS THE CENTER AS A REGIONAL RESOURCE FOR THE KEARSARGE/LAKE SUNAPEE REGION IN CENTRAL NEW HAMPSHIRE. THE AFFILIATION ALLOWS MORE PATIENTS TO RECEIVE CARE CLOSER TO HOME, FREES UP BED CAPACITY FOR TERTIARY CARE PATIENTS AT DARTMOUTH-HITCHCOCK MEDICAL CENTER IN LEBANON, AND ALLOWS THE NEW LONDON HOSPITAL ASSOCIATION TO CONTINUE ITS ROLE IN PROVIDING PRIMARY CARE AND SPECIALIZED CLINICAL SERVICES IN A PATIENT AND FAMILY-FRIENDLY ENVIRONMENT. IT ENABLES NLHA TO MORE EFFECTIVELY PURSUE A COMMON VISION WITH OTHER D-HH ENTITIES OF THE FUTURE OF HEALTH CARE THAT IS BASED ON CREATING A SUSTAINABLE HEALTH SYSTEM, FOCUSING ON POPULATION HEALTH, DELIVERING VALUE-BASED CARE, AND EMBRACING THE OPPORTUNITIES PROVIDED BY NEW PAYMENT MODELS. IN ADDITION TO THE NEW LONDON HOSPITAL ASSOCIATION AND DARTMOUTH-HITCHCOCK HEALTH, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH-HITCHCOCK CLINIC, CHESHIRE MEDICAL CENTER, WINDSOR HOSPITAL CORPORATION, ALICE PECK DAY MEMORIAL HOSPITAL, VISITING NURSE ASSOCIATION AND HOSPICE OF NEW HAMPSHIRE AND VERMONT, AND A NUMBER OF OTHER RELATED ORGANIZATIONS WHOSE PRIMARY MISSION IS HEALTH CARE IN THE REGION. THE NEW LONDON HOSPITAL ASSOCIATION AND OTHER MEMBERS OF THE AFFILIATED HEALTH CARE SYSTEM OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING, MANAGEMENT, AND THEY SHARE IDENTICAL MISSIONS. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | NH |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable
Recipient Business Name RecipientBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | FOUNDATION FOR HEALTHY COMMUNITIES | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 AIRPORT RD | AddressLine1Txt |
| City | CONCORD | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03301 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Recipient EIN | 020275078 | RecipientEIN |
| IRC Section | 501 (c)(3) | IRCSectionDesc |
| Cash Grant | $110,905 | CashGrantAmt |
| Valuation Method Used | BOOK | ValuationMethodUsedDesc |
| Purpose Of Grant | PROGRAM SUPPORT | PurposeOfGrantTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 1 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | ASSISTANCE TO FAMILIES THROUGH THE WELLNESS CONNECTION PROGRAM | GrantTypeTxt |
| Recipient | 35 | RecipientCnt |
| Cash Grant | $13,407 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | Each award established by the New London Hospital Association has written guidelines and procedures. Award payments are processed in accordance with the specific terms of each award and coordinators are responsible for assuring all terms are met, including proper documentation of expenses. | ExplanationTxt |
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 | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Brian Frenkiewich | ||||||||||||||
| Trustee/NLH Medical Staff President | $238,084 | $0 | $138,283 | $0 | $402 | $0 | $19,800 | $0 | $43,113 | $0 | $439,682 | $0 | $0 | $0 |
| MICHAEL MADAN MD | ||||||||||||||
| Trustee / Medical Staff President | $368,127 | $0 | $0 | $0 | $2,968 | $0 | $19,800 | $0 | $2,333 | $0 | $393,228 | $0 | $0 | $0 |
| Martin T Manion | ||||||||||||||
| Trustee/President/CEO (through 4/2/24) | $0 | $317,497 | $0 | $40,800 | $0 | $25,244 | $0 | $19,800 | $0 | $1,250 | $0 | $404,591 | $0 | $0 |
| Wendy Fielding | ||||||||||||||
| Trustee | $0 | $363,306 | $0 | $28,000 | $0 | $51,906 | $0 | $31,590 | $0 | $16,059 | $0 | $490,861 | $0 | $0 |
| Craig W Beck | ||||||||||||||
| Trustee | $0 | $314,706 | $0 | $23,100 | $0 | $5,435 | $0 | $26,352 | $0 | $42,790 | $0 | $412,383 | $0 | $0 |
| JEAN Ten HAKEN MSN RN CENP | ||||||||||||||
| Trustee | $0 | $239,699 | $0 | $23,970 | $0 | $774 | $0 | $5,273 | $0 | $1,184 | $0 | $270,900 | $0 | $0 |
| Samuel Shields | ||||||||||||||
| Trustee | $0 | $313,919 | $0 | $37,800 | $0 | $6,472 | $0 | $24,990 | $0 | $2,605 | $0 | $385,786 | $0 | $0 |
| Susan A Reeves EDD RN | ||||||||||||||
| Trustee | $0 | $674,530 | $0 | $113,800 | $0 | $129,620 | $0 | $31,590 | $0 | $11,128 | $0 | $960,668 | $0 | $0 |
| Kirk Dufty | ||||||||||||||
| Chief Medical Officer | $0 | $132,073 | $0 | $0 | $0 | $11,889 | $0 | $10,144 | $0 | $15,178 | $0 | $169,284 | $0 | $0 |
| LISA COHEN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $158,727 | $0 | $16,500 | $0 | $7,953 | $0 | $11,317 | $0 | $15,621 | $0 | $210,118 | $0 | $0 | $0 |
| Lori Underwood | ||||||||||||||
| Chief Operating Officer | $175,134 | $0 | $19,000 | $0 | $13,147 | $0 | $13,198 | $0 | $22,161 | $0 | $242,640 | $0 | $0 | $0 |
| Karen Beinhaur | ||||||||||||||
| Chief Nursing Officer | $176,928 | $0 | $18,500 | $0 | $0 | $0 | $12,210 | $0 | $35,117 | $0 | $242,755 | $0 | $0 | $0 |
| ANDREW TORKELSON MD | ||||||||||||||
| Physician | $294,485 | $0 | $10,000 | $0 | $8,652 | $0 | $18,269 | $0 | $2,541 | $0 | $333,947 | $0 | $0 | $0 |
| STEPHEN BISSAH MD | ||||||||||||||
| PHYSICIAN | $408,932 | $0 | $465 | $0 | $23,466 | $0 | $19,800 | $0 | $43,994 | $0 | $496,657 | $0 | $0 | $0 |
| Amanda Dostaler | ||||||||||||||
| Physician | $256,153 | $0 | $2,750 | $0 | $144 | $0 | $16,018 | $0 | $36,308 | $0 | $311,373 | $0 | $0 | $0 |
| Mitchell Miller | ||||||||||||||
| Physician | $242,480 | $0 | $20,000 | $0 | $2,198 | $0 | $16,000 | $0 | $19,193 | $0 | $299,871 | $0 | $0 | $0 |
| Dawn Straniero | ||||||||||||||
| Nurse Practioner | $165,371 | $0 | $0 | $0 | $2,089 | $0 | $7,029 | $0 | $21,660 | $0 | $196,149 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation | The CEO IS EMPLOYED AND PAID BY A RELATED ORGANIZATION WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, FORM 990 INFORMATION FROM OTHER ORGANIZATIONS, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION. |
| 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 NLHA 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 ON BEHALF OF ITS EMPLOYEES. |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp (22 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | $100 gift certificate | 1 | $100 | Cost |
| Yes (X) | $50 gift certificate | 1 | $50 | Cost |
| Yes (X) | $30 gift certificate | 1 | $30 | Cost |
| Yes (X) | 4 rounds of golf with cart, weekday rate | 1 | $240 | Cost |
| Yes (X) | 18 Holes Greens Fees for a Twosome (excluding cart) | 1 | $40 | Cost |
| Yes (X) | $100 gift card to Bob Skinner Ski & Sport | 1 | $100 | Cost |
| Yes (X) | One Power Boat Tube Rider | 1 | $125 | Cost |
| Yes (X) | 4 Lift Tickets; 4 Rentals; 4 Private Lessons | 4 | $3,624 | Cost |
| Yes (X) | 4 Lift Tickets; 4 Rentals; 4 Private Lessons | 4 | $3,624 | Cost |
| Yes (X) | One lab grown diamond @1.0 ct | 1 | $2,400 | Cost |
| Yes (X) | 72 cookes for annual golf tournament | 1 | $212 | Cost |
| Yes (X) | One week at Bermuda property for Gala auction | 1 | $3,500 | Cost |
| Yes (X) | 72 Cookies for NLH 20th Annual Golf Invitational - Rescheduled from September 18th to October 10th | 1 | $212 | Cost |
| Yes (X) | Coupon for Four (4) 18-hole rounds of golf | 1 | $350 | Cost |
| Yes (X) | "Brand Charger Sling Bag" valued at $52.45 and a "B.active Portable Hammock" valued at $35.30 | 1 | $88 | Cost |
| Yes (X) | S'Mores mobile at Hospital Days on the Green total valued $1500.00 | 1 | $1,500 | Cost |
| Yes (X) | Donation of advertising space for Hospital Days Ads | 1 | $2,742 | Cost |
| Yes (X) | $250 Gift Card to Simon Pearce - Thank you to Matt Hall to be used in Auction | 1 | $250 | Cost |
| Yes (X) | Certificate valid for a foursome at the State of the Art Golf Simulator | 1 | $250 | Cost |
| Yes (X) | Certificate valid for a foursome at the State of the Art Golf Simulator. | 1 | $250 | Cost |
| Yes (X) | 4 Tickets for 24/25 Ski Season, includes Rentals and Lessons | 4 | $3,624 | Cost |
| Yes (X) | 4 Tickets for 24/25 Ski Season, includes Rentals and Lessons | 4 | $3,624 | Cost |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8283 Received | 0 | Form8283ReceivedCnt |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | The President/CEO is paid by a related organization, therefore line 15a is marked No in accordance with instructions. HOWEVER, THE PRESIDENT/CEO'S COMPENSATION IS DETERMINED BY THE NEW LONDON HOSPITAL ASSOCIATION'S EXECUTIVE COMMITTEE AND MARY HITCHCOCK MEMORIAL HOSPITAL'S (THE EMPLOYER) EXECUTIVE BOARD AFTER CONSIDERING COMPENSATION FOR PRESIDENTS AND CEOS OF VARIOUS-SIZED HOSPITALS IN THE REGION. COMPENSATION IS REVIEWED AND DOCUMENTED ANNUALLY WITH THE LAST REVIEW COMPLETED IN FY 2023. |
| Form 990, Part VI, Line 1a Delegate broad authority to a committee | The Executive Committee shall be composed from time to time of the following members of the Board of Trustees: the then current Chairman, the Chairman-elect, the President, the then current Vice Chairman, the then current Secretary, the then current Treasurer, the then current Assistant Treasurer, and the President of the Medical Staff. The Executive Committee shall possess all powers and authority of the Board of Trustees (except those powers which the Articles of Agreement, these By-Laws or applicable laws or regulations do not permit to be delegated) between meetings of the Board of Trustees when time and circumstance require those powers to be exercised. The Executive Committee shall meet at the call of its Chairman. At least annually and based on policies established by the Board of Trustees, the Executive Committee shall evaluate the performance and review the compensation of the President. Written minutes of all meetings of the Executive Committee shall be distributed to the Board of Trustees promptly following any meeting of the Executive Committee. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | The organization's sole member is DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE NON-PROFIT CORPORATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | The sole member, DARTMOUTH-HITCHCOCK HEALTH, HAS THE POWER TO APPOINT 1/3 OF THE MEMBERS and to ratify the nomination of 2/3 of the members of the organization's Board of Trustees. |
| Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders | Notwithstanding any other provision of these By-Laws, the following actions of the Corporation require the approval of the Member: (i) material governance, programmatic and financial decisions, including the elimination or addition of major health care services or programs and the purchase or sale of real property; (ii) to appoint one-third of the members of the NLHA Board of Trustees as set forth in Section 3(a)(i) of Article III hereof; (iii) to ratify the nomination of two-thirds of the members of the Board of Trustees as set forth in Section 3(a)(ii) of Article III hereof; (iv) to remove any NLHA trustee not acting in the best interests of the D-H System as set forth in Section 6 of Article III hereof; (v) borrowings and dispositions of the Corporation's assets; (vi) establishment of key strategic relationships, including acquiring ownership or contractual participation in a network, system, affiliation, joint venture, alliance or similar arrangement with an organization that is not part of the D-H System or which in not addressed in an NLHA strategic plan that has been approved by the Member; (vii) adoption of operating and capital budgets and strategic plans; (viii) adoption of policies relating to academic and research programs and affiliations; (ix) to reallocate the assets and resources of NLHA and the Member, as appropriate, to serve the overall best interests of the D-H System as set forth in Article II hereof; (x) to appoint, evaluate, compensate and terminate the NLHA CEO as set forth in Section 4 of Article VI hereof (xi) amendments to the Corporation's Articles of Agreement or By-Laws if such amendment would have the effect of impacting the Member's reserved powers or may reasonably be expected to have a material strategic, competitive or financial impact on the D-H System as set forth in Article XII hereof; and (xii) dissolution or liquidation of the Corporation. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | THE FORM 990 IS REVIEWED BY EXTERNAL TAX ADVISORS, THE DIRECTOR OF FINANCIAL COMPLIANCE, AND NLHA'S CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL 990 IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO THE OFFICIAL FILING OF OF THE FORMS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | EACH YEAR, A WRITTEN CONFLICT OF INTEREST SURVEY IS SENT TO EACH TRUSTEE AND OFFICER INQUIRING ABOUT SITUATIONS THAT COULD RESULT IN CONFLICTS OF INTEREST. THESE INDIVIDUALS ALSO HAVE A DUTY TO VOLUNTARILY DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO ASSUMING THEIR RESPONSIBILITIES OR AT THE TIME ANY POTENTIAL CONFLICT ARISES. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE ORGANIZATION REQUIRES THE INDIVIDUAL TO REMOVE THEMSELVES FROM ANY VOTING OR DECISION MAKING WITH RESPECT TO THE CONFLICT. OVERSIGHT OF THE POLICY IS THE RESPONSIBILITY OF THE AUDIT COMMITTEE. |
| Form 990, Part VI, Line 15b Process to establish compensation of other employees | THE PRESIDENT OF THE MEDICAL STAFF AND ANY OTHER PAID OFFICERS' COMPENSATION LEVELS ARE REVIEWED PERIODICALLY BY NLHA'S SENIOR DIRECTOR OF HUMAN RESOURCES AND THE CEO OF NLHA. THESE REVIEWS INCLUDE COMPARISONS OF COMPENSATION LEVELS TO INDEPENDENT SALARY SURVEY DATA FOR COMPARABLE POSITIONS IN THE REGION, WITH THE LAST REVIEW CONDUCTED AND DOCUMENTED IN FY 2024. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE NEW LONDON HOSPITAL MAKES GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Net Asset Transfers - 112572; |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Dartmouth-Hitchcock Health | ||||||||||
| one medical center drive | lebanon | NH | 03756 | 264812335 | PARENT ORGANIZATION | NH | 501(c)(3) | 7 | Na | false |
| VISITING NURSE ASSOCIATION AND HOSPICE OF VERMONT AND NEW HAMPSHIRE INC | ||||||||||
| 88 Prospect Street | White River Junction | VT | 05001 | 036006494 | HOSPICE | VT | 501(c)(3) | 10 | D-HH | false |
| CHESHIRE MEDICAL CENTER | ||||||||||
| 580 COURT STREET | KEENE | NH | 03431 | 020354549 | HOSPITAL | NH | 501(c)(3) | 3 | D-HH | false |
| WINDSOR HOSPITAL CORPORATION | ||||||||||
| 289 COUNTY ROAD | WINDSOR | VT | 05089 | 030183721 | HOSPITAL | VT | 501(c)(3) | 3 | D-HH | false |
| MARY HITCHCOCK MEMORIAL HOSPITAL | ||||||||||
| ONE MEDICAL CENTER DRIVE | LEBANON | NH | 03756 | 020222140 | HOSPITAL | NH | 501(c)(3) | 3 | D-HH | false |
| DARTMOUTH-HITCHCOCK CLINIC | ||||||||||
| ONE MEDICAL CENTER DRIVE | LEBANON | NH | 03756 | 222519596 | PHYSICIAN SERVICES | NH | 501(c)(3) | 10 | D-HH | false |
| ALICE PECK DAY MEMORIAL HOSPITAL | ||||||||||
| 10 ALICE PECK DAY DRIVE | LEBANON | NH | 03766 | 020222791 | HOSPITAL | NH | 501(c)(3) | 3 | D-HH | false |
| Southwestern Vermont Healthcare Corporation | ||||||||||
| 100 Hospital Drive | Bennington | VT | 05201 | 030179435 | Hospital | VT | 501(c)(3) | 3 | DHH | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Woodis Merrifield Irrev Trust | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1Txt |
| City | New London | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03257 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | Charitable Trust | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | Trust | EntityTypeTxt |
| Share Of Total Income | $73,336 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,575,788 | ShareOfEOYAssetsAmt |
| Ownership | 0.7 | OwnershipPct |
| Controlled Organization | false | 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 | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |