2025-08-14T09:18:15+00:00 2024-09-30 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2023-10-01 030183721 Windsor Hospital Corporation WIND 8026746711 289 County Road Windsor VT 05089 Celeste Pitts Interim CFO 8026746711 2025-08-14 true KIM SCIFRES P01316095 5023263996 2025-08-14 2023 2025-03-06 01:10:19Z Mt Ascutney Hospital and Health Center Matthew Foster MD 289 County Road Windsor VT 05089 81054145 false X mtascutneyhospital.org X 1933 VT TO IMPROVE THE LIVES OF THOSE WE SERVE. 21 14 571 86 81162 77769 1269039 1730530 67018764 72210645 1845137 1085217 1675094 1502385 71808034 76528777 0 0 37199009 40751242 0 129935 31242814 33861207 68441823 74612449 3366211 1916328 82148267 91569667 37292788 38128349 44855479 53441318 MT. ASCUTNEY HOSPITAL AND HEALTH CENTER'S MISSION IS TO IMPROVE THE LIVES OF THOSE WE SERVE. false false 63756163 73439800 MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (MAHHC) OPERATES A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHICH PROVIDES PRIMARY AND SECONDARY HEALTH CARE. MAHHC PRIMARY SERVICE AREA INCLUDES BRIDGEWATER, BROWNSVILLE, HARTLAND, READING, WEATHERSFIELD, WINDSOR, & WOODSTOCK (VT) AS WELL AS CLAREMONT, CORNISH, AND PLAINFIELD (NH). THE HOSPITAL PROVIDES ESSENTIAL HEALTH CARE SERVICES INCLUDING EMERGENCY DEPARTMENT/MEDICAL/SURGICAL INPATIENT, AND ANCILLARY DIAGNOSTIC TESTS, IMAGING/RADIOLOGY PROCEDURES, AND WELLNESS/PREVENTION SERVICES. MAHHC STAFFS A TOTAL OF 25 ACUTE MEDICAL/SURGICAL BEDS AND 10 ACUTE REHABILITATION BEDS. DURING THE YEAR, THERE WERE 926 DISCHARGES, 1,610 SURGERIES, 67,416 LAB TESTS, AND 14,828 IMAGING PROCEDURES. MAHHC IDENTIFIED ACCESS TO PRIMARY CARE AS A CENTRAL COMMUNITY NEED AND IS COMMITTED TO PROVIDING THE PHYSICIAN SERVICES OF FAMILY PRACTICE, INTERNAL MEDICINE AND PEDIATRICS IN WINDSOR AND WOODSTOCK. MAHHC PROVIDES FREE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. FOREGONE CHARGES FURNISHED UNDER MAHHC'S FREE CARE POLICY AMOUNT TO $641,772 IN FY24. 63756163 true true false true false false false false true true true false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 65 0 true 571 true true true false false false false false false false false false false false X 21 14 false false true false true true true true true false false true true true true true true true true false X Celeste Pitts 8026746711 289 County Road Windsor VT 05089 Alan C Keiller Trustee / Vice Chair 1.0 0 X X 0 0 0 John Tansey Trustee / Chair 1.0 0 X X 0 0 0 Joscelyn Caple Interim CEO (as of 9/2/24) 40.0 0.5 X X 0 301934 58356 Pamela Brown Trustee / Secretary 1.0 0 X X 0 0 0 Vincent Fusca III Trustee / Treasurer 1.0 0 X X 0 0 0 Winfield Brown Interim CEO 7/31/23 - 8/30/24 40.0 0.5 X X 0 137633 8880 Bryan Huot Trustee (as of 8/1/24) 1.0 0 X 0 0 0 Carol Vivian Trustee (as of 8/1/24) 1.0 0 X 0 0 0 Clare Drebitko MD Trustee 1.0 0 X 191085 0 32784 Deanna Howard Trustee 1.0 0.5 X 0 0 0 Eric Crainich Trustee (as of 8/1/24) 1.0 0 X 0 0 0 John Gerstmayr Trustee (through 8/1/24) 1.0 0 X 0 0 0 John Gilman Trustee 1.0 0.5 X 0 0 0 Leesa Taft DNP MSN APRN Trustee/ Med Staff Pres (as of 1/1/23) 1.0 0 X 211390 0 5627 Lisa Richmond Trustee (as of 8/1/24) 1.0 0 X 0 0 0 Matthew S Houde Trustee 1.0 40.0 X 0 285002 60242 Michael Fuerst Trustee (as of 8/1/24) 1.0 0 X 0 0 0 Patricia PUTNAM Trustee (as of 8/1/24) 1.0 0 X 0 0 0 Patrick F Jordan III MBA Trustee 0.5 42.5 X 0 979872 71266 Samuel Shields Trustee (as of 8/1/24) 1.0 40.5 X 0 358191 27595 Stephen D Surgenor MD Trustee (through 12/31/23) 1.0 40.0 X 0 496952 72787 Steve Crihfield Trustee (through 8/1/24) 1.0 0 X 0 0 0 Terri Decker Trustee (as of 8/1/24) 1.0 0 X 0 0 0 Thomas Sullivan Trustee (as of 8/1/24) 1.0 1.0 X 0 0 0 William Palmer Trustee (as of 8/1/24) 1.0 0 X 139980 0 415 Celeste Pitts CFO (as of 8/5/24) 40.0 2.0 X 0 0 0 David Sanville Chief Financial Officer (through 2/29/24) 34.0 0.5 X 288441 0 31240 Hannah Bianchi Chief Operating Officer 40.0 0 X 220106 0 9055 Joseph Iannoni Interim CFO (2/15/24 to 8/14/24) 40.0 0.5 X 0 0 0 Catherine Schneider Physician 40.0 0 X 284540 0 31590 Christopher Connor Ophthalmologist 40.0 0 X 275184 0 21100 Francesco Congiusta Hospitalist 40.0 0 X 276453 0 37059 Herbert Ip Physician 40.0 0 X 301301 0 38450 Jason Fritzhand Physician 40.0 0 X 321341 0 14250 Joseph L Perras MD President/CEO/Ex-officio (through 8/6/23) 0.0 41.5 X 288346 332483 33818 2798167 2892067 554514 65 true true false AMERICAN HEALTHCARE SERVICES ASSOCIATION PO BOX 670529 Dallas TX 752670529 STAFFING SERVICES 4614630 MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 Healthcare Services 3095050 EMERGENCY SERVICES OF NE INC PO BOX 12 Chester VT 05143 STAFFING SERVICES 2082814 Dartmouth-Hitchcock Clinic ONE MEDICAL CENTER DRIVE LEBANON NH 03756 Healthcare Services 1326450 CERNER CORPORATION PO BOX 959156 ST LOUIS MO 631959156 SOFTWARE SERVICES 872152 25 30000 1285453 415077 1730530 Patient Service Revenue 622110 67647341 67647341 Health care Reform Payments 622110 1983869 1983869 Program and miscellaneous 622110 2579435 2579435 0 0 0 0 72210645 361364 81162 280202 46799 46799 0 46799 46799 5000000 249221 4417197 108171 582803 141050 723853 723853 Stimulus Funds 622110 989778 989778 Cafeteria 722514 273230 273230 Other Income 622110 192578 192578 0 0 0 0 1455586 76528777 73439800 81162 1277285 X 1486878 1267153 219725 30211249 25737098 4464492 9659 1165025 992490 172163 372 5662004 4819537 836707 5760 2226086 1896412 328962 712 17410 17410 18202474 17056258 1061736 84480 88287 28708 47724 11855 139679 79922 59661 96 404004 161914 237382 4708 1575364 791697 783667 50211 24923 23543 1745 489045 416960 71939 146 2588412 2200488 387147 777 831124 522800 308324 Medical and other supplies 5757570 4972741 780555 4274 Dues, Fees, and Taxes 3067913 2432945 634456 512 Miscellaneous Expenses 649714 354117 290758 4839 0 0 0 0 74612449 63756163 10726351 129935 8263696 12438379 6082366 3092716 42599 6500934 8930377 0 0 0 0 444918 493877 518433 727324 52972330 34250347 17977481 18721983 34190955 38419557 0 8169484 8702855 82148267 91569667 10444700 10664169 2909991 1979557 0 0 23938097 25484623 37292788 38128349 X 36693917 43950233 8161562 9491085 44855479 53441318 82148267 91569667 X 1916328 5081779 1587732 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 12787 12787 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Mt. Ascutney Hospital and Health Center pays dues to various organizations related to its exempt mission. The amount reported under other activities in line 1i refers to the amount of lobbying activities identified in dues payments to these outside organizations. 5714031 1136315 236086 6614260 5444909 490948 221826 5714031 6547496 -885991 216596 5444909 5256278 1496142 204924 6547496 5052695 404533 200950 5256278 0.0 0.6378 0.3622 false false 410000 410000 18922671 12582114 6340557 15914080 10908700 5005380 17725579 10759533 6966046 18721983 Investment in Pooled Funds 36210110 F Beneficial Interest Trusts 1912758 F Charitable Remainder Trusts 296689 F 38419557 Rental Deposits 13278 Equity in subsidiary 2776258 Other receivables 677787 Right of use assets, net 5235532 8702855 Est. Settlement w/3rd party payors 1924234 Affiliate note payable 17542481 Post retirement benefit obligation 392354 Right of Use Obligations 5395356 Other Liabilities 230198 25484623 X Schedule D, Part V, Line 4 Intended uses of endowment funds The intended use of the endowment funds is to promote and advance the following mission-related programs: healthcare services, charity care, community outreach and advocacy, and equipment purchases. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization's parent company and subsidiaries are exempt from income tax under Section 501(c)(3) of the Internal Revenue Code. However, the Organization is subject to federal income tax on any unrelated business taxable income. ASC Subtopic 740-10, Accounting for Uncertainty in Income Taxes, addresses the accounting uncertainty of income taxes recognized in an enterprise's financial statements and prescribes a threshold of "more-likely-than-not" for recognition and derecognition of tax positions taken or expected to be taken in a tax return. Subtopic 740-10 also provides guidance on measurement classification, interest and penalties and disclosure. The Organization has determined that the provisions of Subtopic 740-10 do not have a material effect on the Organization's financial statements. The Organization believes it is no longer subject to examinations for fiscal years prior to 2021. true true X true X 250 true X true true false true true 283293 0 283293 0.0038 8022198 2714593 5307605 0.0711 0 0 0 0.0 0 0 8305491 2714593 5590898 0.0749 2047253 1161960 885293 0.0119 442487 0 442487 0.0059 11124480 10461643 662837 0.0089 0 0 0 0.0 0 0 0 0.0 0 0 13614220 11623603 1990617 0.0267 0 0 21919711 14338196 7581515 0.1016 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 25716689 27903522 -2186833 X true true 1 1 Windsor Hospital Corporation 289 County Road Windsor VT 05089 https://www.mtascutneyhospital.org 863 X X X X Distinct Part Rehab Unit Windsor Hospital Corporation 1 false false true X X X X X X X X X 23 true true true true X HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS X X true 22 true HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/ABOUT/COMMUNITY-HEALTH-NEEDS false true X 250.0 400.0 X X X X X X X true true X X X true X https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance X https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance X https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance X X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AS IDENTIFIED THROUGH THE CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - WINDSOR HOSPITAL CORPORATION. METHODS EMPLOYED IN THE ASSESSMENT INCLUDED A SURVEY OF AREA RESIDENTS MADE AVAILABLE THROUGH THE ELECTRONIC MAIL, PHYSICAL PRINTED SURVEYS DISTRIBUTED THROUGH THE COMMUNITIES' WEBSITE LINKS, A SURVEY OF KEY COMMUNITY STAKEHOLDERS WHO ARE AGENCY, MUNICIPAL OR HEALTH AND HUMAN SERVICE / COMMUNITY LEADERS, A SERIES OF FOUR COMMUNITY DISCUSSION GROUPS CONVENED IN THE MT. ASCUTNEY HOSPITAL SERVICE AREA, AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS WAS DONE. THE CHNA WAS CONDUCTED IN PARTNERSHIP WITH DARTMOUTH HEALTH, VALLEY REGIONAL HOSPITAL, ALICE PECK DAY MEMORIAL HOSPITAL, NEW LONDON HOSPITAL, CHESHIRE MEDICAL AND VISITING NURSE AND HOSPICE OF VT AND NH WITH SUPPORT PROVIDED BY THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE/JSI. AT THE BEGINNING OF THE KEY COMMUNITY STAKEHOLDER SURVEY, RESPONDENTS WERE ASKED TO INDICATE THE REGION THEY PRIMARILY SERVE OR ARE MOST FAMILIAR WITH. A TOTAL OF 57 KEY STAKEHOLDER RESPONDENTS INDICATED THAT THEIR RESPONSES WERE REFLECTIVE OF THE GREATER WINDSOR AREA. RESPONDENTS REPRESENTED THE FOLLOWING SECTORS: - HUMAN SERVICE/SOCIAL SERVICES - EDUCATION/YOUTH SERVICES - COMMUNITY MEMBER/VOLUNTEER - PUBLIC HEALTH - MUNICIPAL/COUNTY/STATE GOVERNMENT - MEDICAL CARE/HOSPITAL - FAITH ORGANIZATION - LONG-TERM CARE - MENTAL HEALTH/BEHAVIORAL HEALTH - CIVIC/CULTURAL ORGANIZATION - FIRE/EMERGENCY MEDICAL SERVICE - HOME HEALTH CARE - BUSINESS/OTHER Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - WINDSOR HOSPITAL CORPORATION. THE CHNA WAS CONDUCTED WITH OTHER HOSPITAL FACILITIES INCLUDING DARTMOUTH-HITCHCOCK, ALICE PECK DAY MEMORIAL HOSPITAL, NEW LONDON HOSPITAL, CHESHIRE HOSPITAL AND VALLEY REGIONAL HEALTHCARE. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - WINDSOR HOSPITAL CORPORATION. ORGANIZATIONS, OTHER THAN HOSPITALS WHO PARTICIPATED WITH MAHHC TO CONDUCT THE CHNA INCLUDED: VISITING NURSE AND HOSPICE FOR VT AND NH, TECHNICAL SUPPORT FROM THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE/JSI. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - WINDSOR HOSPITAL CORPORATION. THE CHNA REPORT WAS PREPARED AND MADE AVAILABLE AND DISTRIBUTED THROUGH PRESENTATIONS MADE TO THE HOSPITAL'S BOARD OF TRUSTEES, THE MT. ASCUTNEY COMMUNITY HEALTH COMMITTEE, AS WELL AS THE BLUEPRINT COMMUNITY HEALTH TEAM, WINDSOR CONNECTION RESOURCE CENTER, WINDSOR HSA COMMUNITY COLLABORATIVE, AND A REGIONAL CONVENING OF ALL NETWORKS AND WORKGROUPS OF THE COMMUNITY HEALTH IMPLEMENTATION PLAN. THE CHNA AND ALL INFORMATION IN THE NEEDS ASSESSMENT IS AVAILABLE FOR STAKEHOLDERS. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - WINDSOR HOSPITAL CORPORATION. THE MISSION OF MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (MAHHC) IS TO IMPROVE THE LIVES OF THOSE WE SERVE. TO ACCOMPLISH THIS, WE AND OUR COMMUNITY PARTNERS REGULARLY REACH OUT TO ENGAGE IN DIALOGUE WITH PEOPLE ACROSS OUR AREA ABOUT PRESSING HEALTH NEEDS. THE RESULT OF THIS WORK IS A COMPREHENSIVE LOCAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS ASSESSMENT IS DESIGNED TO IDENTIFY COMMUNITY HEALTH CONCERNS AND PRIORITIES AND LEAD TO OPPORTUNITIES TO IMPROVE COMMUNITY HEALTH AND HEALTHCARE DELIVERY SYSTEMS. THE GEOGRAPHIC AREA COVERED BY THE ASSESSMENT INCLUDES 13 MUNICIPALITIES IN VERMONT AND NEW HAMPSHIRE THAT COMPRISE THE MAHHC SERVICE AREA. THE CHNA LEADS TO A LOCAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WITH STRATEGIES AND METRICS TO IMPROVE HEALTH AND REDUCE RISKS LEADING TO CHRONIC DISEASE NOT ONLY FOR INDIVIDUALS, BUT FOR THE ENTIRE COMMUNITY. THIS CHNA/CHIP PROCESS, WHICH INCORPORATES INPUT FROM PEOPLE WHO REPRESENT THE COMMUNITY'S BROAD INTERESTS, IS AN ESSENTIAL PART OF CREATING AN ACCOUNTABLE COMMUNITY FOR HEALTH. THE ASSESSMENT PROCESS FOSTERS ENGAGEMENT, AND THE RESULTS HELP US TO UNDERSTAND THE SPECIFIC ISSUES FACING OUR COMMUNITIES SO THAT WE CAN DEVELOP EFFECTIVE, COLLECTIVE IMPACT SOLUTIONS. IN FISCAL YEAR 2024, WE IMPLEMENTED THE FOLLOWING PROGRAMS WITHIN OUR COMMUNITY HEALTH IMPROVEMENT PLAN DESIGNED TO ADDRESS THE PRIORITY HEALTH NEEDS AREA OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. HEALTH EQUITY: DECADES LONG STIGMATIZATION OF SUBSTANCE USE AND MENTAL HEALTH CONDITIONS HAS CREATED BARRIERS TO SEEKING HELP. MUCH OF OUR COMMUNITY WORK AIMS TO REDUCE STIGMA, HONORING THE DIGNITY OF EACH PERSON AND HELPING TO INSTILL A SENSE OF BELONGING AND WORTHINESS. SEE WWW.WEAREWORTHWHILE.ORG AND HTTPS://BIT.LY/GPA_SFL OTHER HEALTH EQUITY PROJECTS AIMED AT DECREASING HEALTH DISPARITIES INCLUDE PROVIDING TRANSPORTATION FOR MEDICAL CARE ACCESS AND INCREASED FOOD SECURITY OPTIONS. SUBSTANCE USE TREATMENT AND RECOVERY WE CONTINUED OUR COMMUNITY-BASED INVESTMENTS IN SUBSTANCE USE PREVENTION BY SUBAWARDING FUNDING FOR PREVENTION AND SUPPORTED THE TWICE ANNUAL DEA DRUG TAKE BACK EVENT COLLECTIONS. WE UPDATED A HEALTH DISPARITY DATA REPORT AND CONTINUED ROBUST IMPLEMENTATION OF OUR WWW.WEAREWORTHWHILE.ORG ANTI-SELF-STIGMA CAMPAIGN. WE CONTINUED OUR EMERGENCY DEPARTMENT INITIATIVES: INCREASE ACCESS TO MEDICATION-ASSISTED TREATMENT, ALCOHOL DETOXIFICATION, NARCAN DISTRIBUTION, AND RECOVERY COACHING. WE HAVE WORKED WITH THE SYRINGE SERVICE PROGRAM AND CONNECTICUT VALLEY ADDICTION RECOVERY (CVAR) TO INCREASE EDUCATION AND ACCESS TO HARM REDUCTION SERVICES. MAHHC IS THE ADMINSTRATIVE ENTITY FOR THE STATE OF VERMONT'S HUB AND SPOKE, MAT TREATMENT FRAMEWORK, SUPPORTIING FINANCIAL STABILITY FOR OPIOID AND ALCOHOL TREATMENT PROVIDERS. HEALTHY YOUTH AND FAMILY THROUGH PREVENTION SEVERAL FACTORS IN OUR CULTURE AND SOCIETY CAN INFLUENCE A CHILD OR A FAMILY'S LIFE FOR BETTER OR WORSE. WE WORK TO MANAGE RISK FACTORS AND BUILD PROTECTIVE FACTORS THAT CAN CONTRIBUTE TO POSITIVE, LIFE-LONG IMPACTS. OUR FAMILY WELLNESS PROGRAM PROVIDES WELLNESS COACHING SESSIONS TO PATIENTS AND FAMILIES. WE INVEST TIME AND EXPERTISE IN SUPPORTING ONGOING, WEEKLY PLAYGROUP CONNECTIONS AND MONTHLY CIRCLE OF SECURITY PARENTING SESSIONS, ONLINE AND IN PERSON. WE CONTINUE TO OFFER THE NATIONALLY RECOGNIZED DULCE PROGRAM, ENTERING THE 5TH YEAR WITH MT ASCUTNEY PEDIATRICS. 79 FAMILIES ENGAGED IN THE DULCE ELEMENT OF PEDIATRICS. SOCIAL SERVICES OUR AREA OF VT HAS ONE OF THE MOST RAPIDLY AGING DEMOGRAPHIC POPULATIONS IN THE STATE AS WELL AS MANY EXPERIENCING POVERTY. MAHHC COMMUNITY HEALTH WORKS TO ADDRESS SENIOR HEALTH AND THE SUPPORT THE SOCIAL CONDITIONS THAT HELP MEET PEOPLE'S BASIC NEEDS. MT ASCUTNEY HEALTH CONNECTIONS IS PART OF THE VT FREE AND REFERRAL CLINICS SYSTEM IN VT. WE DISTRIBUTE VOUCHERS TO MAKE MEDICATION AND DENTAL WORK MORE AFFORDABLE FOR MANY. THE GOAL IS TO ELIMINATE BARRIERS TO ACCESSING MEDICAL CARE. VOLUNTEERS IN ACTION IS PART OF SOCIAL SERVICES AT MAHHC. VIA PROVIDES SERVICES THAT ALLOW MANY TO AGE IN PLACE AND MAINTAIN INDEPENDENCE WITH ASSISTANCE WITH MEALS, TRANSPORTATION, FRIENDLY VISITING, ETC. VIA IS A NEIGHBOR-HELPING-NEIGHBOR APPROACH. IN 2024, VIA PROVIDED OVER 500 VOLUNTEER RIDES, DRIVING NEARLY 8,000 MILES. THE RIDES TO WELLNESS PROGAM GIVE GAS VOUCHERS TO MEMBERS OF THE COMMUNITY FOR HEALTH APPOINTMENTS. FOR FOOD SECURITY, VIA PROVIDED 20,000 MEALS ON WHEELS AND COLLABORATED WITH THE VERMONT FOOD BANK TO PROVIDE OVER 4,000 MEALSN AND EDUCATION/OUTREACH TO IMPROVE FOOD SECURITY THROUGH THE VEGGIEVANGO PROGRAM WHICH SERVING 80 HOUSEHOLDS IN 2024. AT THE MAHHC RUN WINDSOR RESOURCE CENTER, STAFF HELP AN AVERAGE OF 20 WALK-INS A DAY. THE SERVICES AND ITEMS ARE OFFERED FREE OF COST AND STIGMA. WE ASSIST WITH NAVIGATION TO IMPORTANT SOCIAL SERVICES, FREE FOOD, CLOTHING AND PERSONAL HYGIENE ITEMS INCLUDING FAXING/PRINTING/SCANNING, SHOWER, LAUNDRY (2 LOADS PER PERSON PER WEEK), COOLING & WARM SHELTER, RECOVERY COACHES AND NARCAN AVAILABILE. MANY HEALTH & HUMAN SERVICES OFFICES ARE CO-LOACTED AT THE CENTER. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Windsor Hospital Corporation. Patients whose family income is equal to or less than 600% of FPL may be eligible for Catastrophic Financial Assistance. The amount owed to the hospital must exceed 20% of the household income. The amount owed would be reduced so that is equal to 20% of the patient's household income. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Windsor Hospital Corporation. MAHHC applies a discount, calculated annually, to the FAP eligible patient's gross charges and balances where there is no insurance, or to medically necessary services processed by insurance carriers resulting in a balance, which the patient is expected to pay. This assures a patient is not billed at an amount greater than generally billed to patients with insurance. This policy is reference in the Financial Assistance for Healthcare Services policy (FAP). Schedule H, Part V, Section B, Line 16 Facility , 1 Facility , 1 - Windsor Hospital Corporation. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON MAHHC'S WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY PLAIN-LANGUAGE SUMMARY. MAHHC PROVIDES THE PLAIN-LANGUAGE SUMMARY BROCHURE TO ALL INPATIENTS, EMERGENCY DEPARTMENT INTAKES, UNINSURED, AND SELF-PAY INDIVIDUALS. MAHHC CONTINUES TO NOTIFY PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABLE TO THEM. ADDITIONALLY, MAHHC POSTS INFORMATION ABOUT THE POLICY IN PUBLIC AREAS THROUGHOUT THE FACILITIES INCLUDING ADMISSION OFFICES, PUBLIC AREA BOARDS THROUGHOUT THE FACILITIES, THE EMERGENCY ROOMS, AND FINANCIAL ASSISTANCE POLICY BROCHURES IN PATIENT AREAS. MAHHC SCREENS 100% OF UNINSURED INPATIENT AND SAME-DAY PATIENTS PRIOR TO ADMISSION. AS PART OF THIS PROCESS, MAHHC CHECKS ALL STATE AND FEDERAL PROGRAMS TO SEE IF INDIVIDUALS ARE ELIGIBLE FOR ASSISTANCE. PATIENTS ARE ALSO SCREENED TO DETERMINE QUALIFICATION FOR FINANCIAL ASSISTANCE AND THE APPLICATION IS PROVIDED AND/OR COMPLETED AT THIS TIME. 0 Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT THE STATE OF VERMONT DOES NOT ADMINISTER ANY COMMUNITY BENEFIT REPORTING REGULATIONS. Schedule H, Part V, Section B, Line 16i The financial assistance policy located on the hospital's website is downloadable in English; other languages are available upon request. Due to the demographics of the service area another language has not been deemed necessary as the non-English speaking population is estimated to be less than 5% of the total population and consists of multiple other languages spoken by far fewer than 1,000 people each. Schedule H, Part I, Line 7g Subsidized Health Services A portion of the subsidized services costs come from providing primary care services to the community in a rural setting. Mt. Ascutney Hospital sees the value in our community members having the ability to meet with a primary care specialist to address their needs before they become more costly emergencies. As such we keep the doors of these clinics open in spite of revenue and expense limitations that prevent income from completely covering the expenses necessary to keep them running. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance A cost-to-charge ratio is used in calculating the amounts in lines 7a. A cost accounting system which addresses all patients' segments was used to calculate the amounts reported in the table for all other lines. There is no amount of bad debt included in line 7. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount AS A RESULT OF ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606), EFFECTIVE FY21 BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Bad Debt is no longer treated as an expense effective FY21 as a result of new accounting guidance (Statement 15 and ASC 606). As a result, an amount attributable to patients eligible under the organization's financial assistance policy is unable to be reasonably estimated. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote AS A RESULT OF ACCOUNTING CHANGES (ASC 606), BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDE AS A REDUCTION IN NET PATIENT REVENUE. THEREFORE, THERE IS NO SEPARATE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The shortfall represents the PPS reimbursement difference of the rehab units. Since the reimbursement does not cover the costs of these units, a subsidy is created. Because the hospital determined that these services are important to the service area, the hospital covers the subsidy. The costing methodology used in the calculation was the cost to charge ratio. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance MAHHC's collection policy and charitable care policies are consistently applied to all patients. Our collection policy applies to any balance owed by the patient whether it is a balance after insurance, a balance with no insurance, or a balance after an adjustment for partial charitable care. Statements and write-off criteria are the same for all like balances, regardless of the reason for the balance and regardless of whether it is a balance after charitable care or not. Patients for financial assistance receive the appropriate adjustment on their bill. If a balance remains after that adjustment, they are billed according to the collection policy for it. Schedule H, Part V, Section B, Line 16a FAP website - Windsor Hospital Corporation: Line 16a URL: https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Windsor Hospital Corporation: Line 16b URL: https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Windsor Hospital Corporation: Line 16c URL: https://www.mtascutneyhospital.org/your-visit/billing-financial-assistance; Schedule H, Part VI, Line 2 Needs assessment The community resident survey was distributed electronically through email and social media communication channels, on the Mt. Ascutney Hospital website, promoted through posters and fliers with links and QR codes posted around the region, and by paper copies made available at a variety of distribution points throughout the region including libraries, clinics, and community meeting spaces. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS WHO ARE IDENTIFIED AS WITHOUT INSURANCE AT REGISTRATION OR REFERRED TO BY A PHYSICIAN/PROVIDER ARE PROVIDED WITH INFORMATION AS TO AVAILABLE LOCAL, STATE AND FEDERAL SERVICES BY DEDICATED STAFF. PATIENTS ARE ALSO ASSISTED IN APPLYING FOR HEALTH INSURANCE, WHETHER ON THE COMMERCIAL EXCHANGE OR WITH GOVERNMENTAL INSURERS. INFORMATION AND THE APPLICATION FOR FINANCIAL ASSISTANCE IS PROVIDED, ALONG WITH ASSISTANCE IN COMPLETING THE APPLICATION IF NEEDED. THE APPLICATIONS ARE REVIEWED TO ASSURE THAT ALL REQUIRED INFORMATION IS PROVIDED. THE WEBSITE, PATIENT STATEMENTS, AND FINANCIAL BROCHURES ALL INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE AND HOW TO APPLY. Schedule H, Part VI, Line 4 Community information MAHHC'S PRIMARY SERVICE AREA INCLUDES BRIDGEWATER, BROWNSVILLE, HARTLAND, READING, WEATHERSFIELD, WINDSOR, AND WOODSTOCK (VT) AS WELL AS CLAREMONT, CORNISH, AND PLAINFIELD (NH). MAHHC IS THE LARGEST EMPLOYER IN THE TOWN OF WINDSOR, WITH MANY OF ITS RESIDENTS HAVING LOWER THAN AVERAGE PAYING JOBS AND WHO STRUGGLE WITH FINANCIAL STABILITY, WHICH INCLUDES TRANSPORTATION DIFFICULTIES. Schedule H, Part VI, Line 5 Promotion of community health OUR STAFF CONTINUE TO ORGANIZE, LEAD AND IMPLEMENT POPULATION HEALTH PROGRAMS, HEALTH PROMOTION AND PREVENTION PROGRAMS THAT ADDRESS HIGH RISK BEHAVIOR SUCH AS ALCOHOL, TOBACCO AND DRUG MISUSE. WE PROMOTE EXERCISE AND NUTRITION PROGRAMS. WE ORGANIZED AND IMPLEMENTED THE COMMUNITY HEALTH IMPLEMENTATION PLAN. WE SERVE AS AN INTEGRATOR AND LEADER OF COMMUNITY HEALTH BY CHAIRING AND LEADING THE FOLLOWING COMMUNITY COLLABORATIONS; THE WINDSOR HSA COMMUNITY COLLABORATIVE, THE BLUEPRINT FOR HEALTH CARE COORDINATION TEAM, THE 6 MULTISECTOR WORK GROUPS RESULTING FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT. false false false false false false false true false Joseph L Perras MD President/CEO/Ex-officio (through 8/6/23) 253145 195154 0 128661 35201 8668 11550 17895 815 3558 300711 353936 0 0 Joscelyn Caple Interim CEO (as of 9/2/24) 0 285889 0 0 0 16045 0 18810 0 39546 0 360290 0 0 Patrick F Jordan III MBA Trustee 0 777017 0 140000 0 62855 0 31590 0 39676 0 1051138 0 0 Matthew S Houde Trustee 0 248195 0 26000 0 10807 0 21590 0 38652 0 345244 0 0 Stephen D Surgenor MD Trustee (through 12/31/23) 0 473066 0 0 0 23886 0 31590 0 41197 0 569739 0 0 Clare Drebitko MD Trustee 190753 0 0 0 332 0 6692 0 26092 0 223869 0 0 0 Leesa Taft DNP MSN APRN Trustee/ Med Staff Pres (as of 1/1/23) 209510 0 0 0 1880 0 4214 0 1413 0 217017 0 0 0 Samuel Shields Trustee (as of 8/1/24) 0 313919 0 37800 0 6472 0 24990 0 2605 0 385786 0 0 David Sanville Chief Financial Officer (through 2/29/24) 252566 0 23418 0 12457 0 11840 0 19400 0 319681 0 0 0 Hannah Bianchi Chief Operating Officer 198884 0 21000 0 222 0 9055 0 0 0 229161 0 0 0 Christopher Connor Ophthalmologist 272370 0 0 0 2814 0 11058 0 10042 0 296284 0 0 0 Herbert Ip Physician 298602 0 2500 0 199 0 12383 0 26067 0 339751 0 0 0 Francesco Congiusta Hospitalist 276254 0 0 0 199 0 11282 0 25777 0 313512 0 0 0 Jason Fritzhand Physician 280828 0 40000 0 513 0 12862 0 1388 0 335591 0 0 0 Catherine Schneider Physician 283078 0 0 0 1462 0 11546 0 20044 0 316130 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE CEO'S COMPENSATION AMOUNT IS DETERMINED BY A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE MAHHC BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION. Schedule J, Part I, Line 7 Non-fixed payments A bonus was paid to several employees during calendar year 2023. Jason Fritzhand received a retention bonus, and the others were paid based on a combination of performance and gross pay. Schedule J, Part II NOTE REGARDING COMPENSATION FORM 990, SCHEDULE J, PART II COLUMN B, PARTS I, II, AND III REPRESENT ACTUAL AMOUNTS PAID TO EMPLOYEES BY MAHHC AND RELATED ORGANIZATIONS. THESE AMOUNTS ARE REPORTED TO EMPLOYEES ON THEIR ANNUAL W-2 FORMS AS COMPENSATION. COLUMNS C AND D REPRESENT ITEMS EARNED, HOWEVER, NOT PAID DIRECTLY TO THE EMPLOYEE AS CASH PAYMENTS DURING THE CALENDAR YEAR. COLUMN C INCLUDES RETIREMENT BENEFITS IN A CALENDAR YEAR. COLUMN D REPRESENTS NONTAXABLE BENEFITS SUCH AS THE COST OF HEALTHCARE COVERAGE PROVIDED BY MAHHC ON BEHALF OF ITS EMPLOYEES. Form 990, Part VI, Line 1a Delegate broad authority to a committee An Executive Committee, consisting of the Chair, Vice-Chair, Secretary and Treasurer, and D-HH CEO or designee. This committee shall, in the interim between meetings of the board, exercise all of the power of the body, but in accordance with the general power of the hospital and direction of the board. Form 990, Part VI, Line 4 Significant changes to organizational documents The bylaws have been amended to include the integration of Valley Regional Hospital. The board representatives have been increased to add a 1/3 representation from Valley Regional as well as adjusting the representation from Mt. Ascutney and Dartmouth Health to 1/3 each. Form 990, Part VI, Line 6 Classes of members or stockholders Dartmouth-Hitchcock Health (D-HH), a New Hampshire voluntary corporation, is the sole corporate member of Mt. Ascutney Hospital and Health Center. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Dartmouth-Hitchcock Health (D-HH), a New Hampshire voluntary corporation, is the sole corporate member of Mt. Ascutney Hospital and Health Center. D-HH has the power to appoint 1/3 of the members of the Mt. Ascutney Hospital and Health Center board of trustees. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The sole member has the right to ratify Mt. Ascutney Hospital and Health Center's nomination of 2/3 of the members of the board of trustees; remove trustees after consultation with the chairperson of the board; approve the dissolution or liquidation of Mt. Ascutney Hospital and Health Center; appoint, evaluate, terminate, and approve the compensation of the president and ceo; and other governance decisions. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 is reviewed by external tax advisors and the chief financial officer before the filing of the return. In addition, once the return has been fully prepared, a final 990 is sent to each board member and time is allocated for comments and responses prior to the official filing of the forms. Form 990, Part VI, Line 12c Conflict of interest policy Mt. Ascutney Hospital and Health Center's BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. The Compliance and audit services department of an affiliate, Dartmouth-Hitchcock, CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS AND TRUSTEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE DEPARTMENT THEN REPORTS TO EACH BOARD ANY POTENTIAL CONFLICTS FOR THEIR REVIEW. PER THE POLICY, ANY CONFLICTS OR OTHERWISE PERCEIVED CONFLICTS ARE REQUIRED TO BE ADDRESSED BY THE BOARD OF TRUSTEEES ON AN ONGOING BASIS. IN THE EVENT A CONFLICT ARISES, THE INDIVIDUAL MAY BE REMOVED FROM PARTICIPATING IN ANY DECISION-MAKING REGARDING THE IDENTIFIED CONFLICT AND/OR ITS CORRESPONDING TRANSACTIONS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON ON THE BASIS OF SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CURCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT SUCH PERSON HAS IN FACT FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. Form 990, Part VI, Line 15a Process to establish compensation of top management official The compensation committee of Mt. Ascutney Hospital and Health Center's board meets annually to review and approve compensation for the president/CEO, which is recommended by the compensation committee of a related organization. The compensation is determined using an outside consultant and comparability survey and/or study including contemporaneous substantiation. This process was last undertaken in FY24. The compensation committee consists of the executive committee and a D-HH representative. Form 990, Part VI, Line 15b Process to establish compensation of other employees COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS EVALUATED BY INTERNAL HUMAN RESOURCES STAFF USING NATIONAL BENCHMARKING DATA (ALONG WITH ONGOING EVALUATIONS BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS). THE LAST FORMAL PROCESS WAS COMPLETED IN 2024. EXTERNAL BENCHMARKING FROM AN INDEPENDENT THIRD PARTY HAS BEEN USED FOR ANY OFFICER WHO WAS HIRED OR RECEIVED A COMPENSATION ADJUSTMENT SINCE THE LAST FORMAL PROCESS. COMPENSATION RATES ARE DETERMINED BY FOLLOWING THE GUIDELINES OF THE COMPENSATION COMMITTEE CHARTER AND PHILOSOPHY DOCUMENTS AND A FORMAL REVIEW BY COMPENSATION COMMITTEE MEMBERS. Included in this process is the CFO and the chief operating officer. Form 990, Part VI, Line 19 Required documents available to the public Mt. Ascutney Hospital and Health Center makes governing documents, conflict of interest policy, and financial statements available to members of the public upon request. Form 990, Part IX, Line 11g Other Fees Medical & Health Related Services - Total Expense: 11224581, Program Service Expense: 10078365, Management and General Expenses: 1061736, Fundraising Expenses: 84480; Professional Consultants & Other - Total Expense: 6977893, Program Service Expense: 6977893, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Amount of fund asset transfers - 1536440; Loss on pension plan termination - -51910; Equity in subsidiary income - 103202; HISTORIC HOMES OF RUNNEMEDE INC 40 MAXWELL PERKINS LANE WINDSOR VT 05089 237396147 ASSISTED LIVING FACILITY VT 501(c)(3) 10 WINDSOR HOSPITAL CORPORATION true MOUNT ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION 289 COUNTY ROAD WNDSOR VT 05089 030300481 INACTIVE VT 501(c)(3) 3 WINDSOR HOSPITAL CORPORATION true DARTMOUTH-HITCHCOCK HEALTH ONE MEDICAL CENTER DRIVE LEBANON NH 03756 264812335 PARENT ORG NH 501(c)(3) 7 NOT APPLICABLE false MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 HOSPITAL NH 501(c)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false DARTMOUTH-HITCHCOCK CLINIC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222519596 PHYSICIAN SERVICES NH 501(c)(3) 10 DARTMOUTH-HITCHCOCK HEALTH false THE NEW LONDON HOSPITAL ASSOCIATION INC 273 COUNTY ROAD NEW LONDON NH 03257 020222171 HOSPITAL NH 501(c)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false CHESHIRE MEDICAL CENTER 580 COURT STREET KEENE NH 03431 020354549 HOSPITAL NH 501(c)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03766 020222791 HOSPITAL NH 501(c)(3) 3 DARTMOUTH-HITCHCOCK HEALTH false VISITING NURSE AND HOSPICE FOR VERMONT AND NEW HAMPSHIRE 88 Prospect Street White River Junction VT 05001 036006494 HOSPICE VT 501(c)(3) 10 DARTMOUTH-HITCHCOCK HEALTH false DARTMOUTH -HITCHCOCK MEDICAL CENTER ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222715483 SUPPORTING ORG. NH 501(c)(3) Type I NOT APPLICABLE false SOUTHWESTERN VERMONT HEALTH CARE CORPORATION 030179435 Hospital VT 501(c)(3) 3 Dartmouth-Hitchcock Health false Valley Regional Healthcare Inc 243 Elm Street Claremont NH 03743 020397338 Hospital NH 501(c)(3) 3 Dartmouth-Hitchcock Health false Mount Ascutney Professional Center Owners Assoc 289 County Road Windsor VT 05089 030320283 Real Estate Management VT Windsor Hospital Corporation C Corporation 105649 9116 1 true Beneficial Interest Trust 289 County Road Windsor VT 05089 Charitable Trust VT MAHHC Trust false false false true false true false false false false false true false false false true true true true false Historic Homes of Runnemede Inc Q 648197 FMV Mount Ascutney Professional Owner's Assoc K 117349 FMV