WINDSOR HOSPITAL CORPORATION: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: WINDSOR HOSPITAL CORPORATION (EIN 03-0183721)
Tax period: 2018-10-01 to 2019-09-30
Filed: 2020-08-10
IRS object ID: 202002239349300500
Schema version: 2018v3.2
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 J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-08-10T06:09:18-05:00	ReturnTs
Tax Period End	2019-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	020476956	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	TYLER SIMMS & ST SAUVEUR CPAS PC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	19 MORGAN DRIVE	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03766	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	030183721	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WINDSOR HOSPITAL CORPORATION	BusinessNameLine1Txt

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 COUNTY ROAD	AddressLine1Txt
City	WINDSOR	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID SANVILLE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8026746711	PhoneNum
Signature	2020-08-04	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	W JAY SIMMS	PreparerPersonNm
PTIN	P00435321	PTIN
Phone	6036530044	PhoneNum
Preparation	2020-08-04	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	216.107.201.226	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2020-08-04	IPDt
IP Tm	12:13:35	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	82E8EB1BC7A9FC6D44F35340D6ED55145F6B871F	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MT ASCUTNEY HOSPITAL & HEALTH CENTER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	DAVID SANVILLE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 COUNTY ROAD	AddressLine1Txt
City	WINDSOR	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$55,744,734	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	MTASCUTNEYHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE LIVES OF THOSE WE SERVE. OUR ACTIVITIES INCLUDE PROVIDING HEALTHCARE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	539	TotalEmployeeCnt
Total Volunteers	152	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,057,821	PYContributionsGrantsAmt
CY Contributions Grants	$1,332,952	CYContributionsGrantsAmt
PY Program Service Revenue	$53,629,858	PYProgramServiceRevenueAmt
CY Program Service Revenue	$53,489,218	CYProgramServiceRevenueAmt
PY Investment Income	$883,372	PYInvestmentIncomeAmt
CY Investment Income	$704,709	CYInvestmentIncomeAmt
PY Other Revenue	$77,823	PYOtherRevenueAmt
CY Other Revenue	$168,749	CYOtherRevenueAmt
PY Total Revenue	$55,648,874	PYTotalRevenueAmt
CY Total Revenue	$55,695,628	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$32,199,150	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,429,358	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$271,040	CYTotalFundraisingExpenseAmt
PY Other Expenses	$21,315,219	PYOtherExpensesAmt
CY Other Expenses	$21,228,616	CYOtherExpensesAmt
PY Total Expenses	$53,514,369	PYTotalExpensesAmt
CY Total Expenses	$54,657,974	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,134,505	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,037,654	CYRevenuesLessExpensesAmt
Total Assets BOY	$54,844,981	TotalAssetsBOYAmt
Total Assets EOY	$56,791,953	TotalAssetsEOYAmt
Total Liabilities BOY	$26,292,087	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$30,202,152	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$28,552,894	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$26,589,801	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MT. ASCUTNEY HOSPITAL AND HEALTH CENTER'S MISSION IS TO IMPROVE THE LIVES OF THOSE WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$42,863,463	ExpenseAmt
Revenue	$53,623,724	RevenueAmt
Desc	MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (MAHHC) OPERATES A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHICH PROVIDES PRIMARY AND SECONDARY HEALTH CARE. MAHHC'S PRIMARY SERVICE AREA INCLUDES WINDSOR, CLAREMONT, WOODSTOCK, HARTLAND, SPRINGFIELD, AND BROWNSVILLE. THE HOSPITAL PROVIDES ESSENTIAL HEALTHCARE SERVICES INCLUDING EMERGENCY DEPARTMENT, MED/SURG INPATIENT, AND ANCILLARY DIAGNOSTIC TESTS, IMAGING/RADIOLOGY PROCEDURES, AND WELLNESS/PREVENTION SERVICES. MAHHC STAFFS A TOTAL OF 25 ACUTE MED/SURG BEDS AND 10 ACUTE REHABILITATION BEDS. DURING THE YEAR, THERE WERE 1,049 DISCHARGES, 1,655 SURGERIES, 61,477 LAB TESTS, AND 12,426 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 AMOUNTED TO $818,147 IN FY19.	Desc
Total Program Service Expenses	$42,863,463	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	68	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	539	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	DAVID SANVILLE	PersonNm
Phone	8026746711	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 COUNTY ROAD	AddressLine1Txt
City	WINDSOR	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN GILMAN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
HON DONNA SWEANEY
VICE-CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
STEVEN SMITH MD
TRUSTEE	1.00	Yes (X)	$0	$178,488	$46,388		40.00
ALAN KEILLER
CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
MARIA PADIN MD
TRUSTEE	1.00	Yes (X)	$0	$405,936	$60,559		40.00
VINCENT FUSCA III
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
DEANNA S HOWARD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
MATTHEW S HOUDE
TRUSTEE	1.00	Yes (X)	$0	$228,470	$39,768		40.00
STEPHEN D SURGENOR MD
TRUSTEE	1.00	Yes (X)	$0	$494,340	$49,722		40.00
JOHN TANSEY
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
JOSEPH PERRAS MD
PRESIDENT & CEO	40.00	Yes (X)	$371,209	$0	$10,994	Yes (X)	1.00
PAMELA BROWN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
PATRICK JORDAN
TRUSTEE	1.00	Yes (X)	$0	$595,188	$43,639		40.00
STEVE CRIHFELD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
ANNICE MASON MD
TRUSTEE	1.00	Yes (X)	$193,665	$0	$30,474
LYNN PETERSONMDTHRU 122018
TRUSTEE	1.00	Yes (X)	$0	$0	$0
WILLIAM PALMERMDTHRU 122018
TRUSTEE	1.00	Yes (X)	$0	$212,018	$31,880
MICHAEL NEWBOLD THRU 32019
TRUSTEE	1.00	Yes (X)	$0	$0	$0
DAVID SANVILLE
CFO	32.00		$196,540	$0	$29,366	Yes (X)
PETER RAUERT
PHYSICIAN	40.00		$403,866	$0	$30,335			Yes (X)
DENNIS HEIBEIN
PHYSICIAN	40.00		$253,272	$0	$20,396			Yes (X)
CHRISTOPHER CONNER
PHYSICIAN	40.00		$361,250	$0	$31,182			Yes (X)
MARY JOYCE
PHYSICIAN	40.00		$243,473	$0	$31,096			Yes (X)
ALDEN HALL
PHYSICIAN	40.00		$237,187	$0	$9,467			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,260,462	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,114,440	TotReportableCompRltdOrgAmt
Total Other Compensation	$465,266	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	8	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL DRIVE	LEBANON	NH	03756	LEADERSHIP, PHYSICIANS AND MEDICAL SERVI	$3,263,926
EMERGENCY SERVICES OF NEW ENGLAND
PO BOX 12	CHESTER	VT	05143	MEDICAL STAFF PROVIDERS FOR EMERGENCY RO	$1,529,689
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	15251	MNGMT & SUPPORT STAFF - ENVMMNTL SRVS	$770,623
CERNER
PO BOX 959156	ST LOUIS	MO	63195	SUPPORT FOR EMR	$612,335
AHSA
PO BOX 1930	EDMOND	OK	73083	TEMPORARY NURSING/CLINICAL STAFFING	$190,705

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Government Grants	$905,595	GovernmentGrantsAmt
All Other Contributions	$427,357	AllOtherContributionsAmt
Noncash Contributions	$30,519	NoncashContributionsAmt
Total Contributions	$1,332,952	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICE REVENUE	621110	$44,221,861	$44,221,861
HEALTH CARE REFORM PAYMENTS	621110	$6,627,522	$6,627,522
PROGRAM & MISC OTHER	621110	$2,639,835	$2,639,835

Field	Value	IRS element (for citing)
Total Program Service Revenue	$53,489,218	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$271,119	TotalRevenueColumnAmt
Exclusion	$271,119	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$24,026	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$24,026	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$24,026	TotalRevenueColumnAmt
Exclusion	$24,026	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$464,131	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$30,541	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$464,131	SecuritiesAmt
Other	-$30,541	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$433,590	TotalRevenueColumnAmt
Exclusion	$433,590	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$28,782	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$18,565	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,217	TotalRevenueColumnAmt
Exclusion	$10,217	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EQUITY IN INCOME OF SUBSIDIARIES	Desc
Business	900003	BusinessCd
Total Revenue Column	$134,506	TotalRevenueColumnAmt
Related Or Exempt Func Income	$134,506	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$134,506	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,695,628	TotalRevenueColumnAmt
Related Or Exempt Func Income	$53,623,724	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$738,952	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$640,092	TotalAmt
Management And General	$640,092	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$26,185,013	TotalAmt
Program Services	$22,329,088	ProgramServicesAmt
Management And General	$3,717,276	ManagementAndGeneralAmt
Fundraising	$138,649	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$715,628	TotalAmt
Program Services	$530,609	ProgramServicesAmt
Management And General	$181,418	ManagementAndGeneralAmt
Fundraising	$3,601	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,075,721	TotalAmt
Program Services	$2,947,011	ProgramServicesAmt
Management And General	$1,108,722	ManagementAndGeneralAmt
Fundraising	$19,988	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,812,904	TotalAmt
Program Services	$1,309,098	ProgramServicesAmt
Management And General	$494,923	ManagementAndGeneralAmt
Fundraising	$8,883	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$18,858	TotalAmt
Management And General	$18,858	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$114,551	TotalAmt
Management And General	$114,551	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,302,201	TotalAmt
Program Services	$2,326,398	ProgramServicesAmt
Management And General	$1,947,384	ManagementAndGeneralAmt
Fundraising	$28,419	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$107,952	TotalAmt
Program Services	$11,839	ProgramServicesAmt
Management And General	$71,847	ManagementAndGeneralAmt
Fundraising	$24,266	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$72,122	TotalAmt
Program Services	$59,934	ProgramServicesAmt
Management And General	$11,783	ManagementAndGeneralAmt
Fundraising	$405	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$315,630	TotalAmt
Program Services	$113,760	ProgramServicesAmt
Management And General	$193,723	ManagementAndGeneralAmt
Fundraising	$8,147	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$618,466	TotalAmt
Program Services	$606,286	ProgramServicesAmt
Management And General	$12,134	ManagementAndGeneralAmt
Fundraising	$46	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$81,409	TotalAmt
Program Services	$51,256	ProgramServicesAmt
Management And General	$28,784	ManagementAndGeneralAmt
Fundraising	$1,369	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$231,937	TotalAmt
Program Services	$167,482	ProgramServicesAmt
Management And General	$63,319	ManagementAndGeneralAmt
Fundraising	$1,136	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,385,663	TotalAmt
Program Services	$1,722,687	ProgramServicesAmt
Management And General	$651,286	ManagementAndGeneralAmt
Fundraising	$11,690	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$619,834	TotalAmt
Program Services	$398,537	ProgramServicesAmt
Management And General	$219,709	ManagementAndGeneralAmt
Fundraising	$1,588	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED SERVICES	$5,067,982	$4,770,212	$297,770
SUPPLIES	$3,444,356	$3,213,665	$230,111	$580
DUES/FEES/TAXES	$2,232,318	$1,863,776	$365,890	$2,652
UTILITIES	$647,868	$34,540	$613,328

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$967,469	TotalAmt
Program Services	$407,285	ProgramServicesAmt
Management And General	$540,563	ManagementAndGeneralAmt
Fundraising	$19,621	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$54,657,974	TotalAmt
Program Services	$42,863,463	ProgramServicesAmt
Management And General	$11,523,471	ManagementAndGeneralAmt
Fundraising	$271,040	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$7,170,204	BOYAmt
EOY	$7,769,055	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$174,261	BOYAmt
EOY	$1,005,914	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$692,307	BOYAmt
EOY	$1,066,871	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,004,348	BOYAmt
EOY	$5,314,165	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$459,566	BOYAmt
EOY	$386,754	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$472,047	BOYAmt
EOY	$558,925	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$45,945,059	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$27,828,304	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$18,085,242	BOYAmt
EOY	$18,116,755	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$17,206,629	BOYAmt
EOY	$17,808,032	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,888,026	BOYAmt
EOY	$1,851,391	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,692,351	BOYAmt
EOY	$2,914,091	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$54,844,981	BOYAmt
EOY	$56,791,953	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,599,443	BOYAmt
EOY	$5,672,758	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$953,292	BOYAmt
EOY	$1,147,853	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$567,610	BOYAmt
EOY	$779,234	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$18,171,742	BOYAmt
EOY	$22,602,307	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,292,087	BOYAmt
EOY	$30,202,152	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$21,306,927	BOYAmt
EOY	$19,412,279	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,354,615	BOYAmt
EOY	$1,314,990	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,891,352	BOYAmt
EOY	$5,862,532	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$28,552,894	BOYAmt
EOY	$26,589,801	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$54,844,981	BOYAmt
EOY	$56,791,953	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,037,654	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$18,938	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$2,981,809	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$12,355	OtherActivitiesAmt
Total Lobbying Expenditures	$12,355	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PAID $9,900 IN THE FORM OF DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (VAHHS). VAHHS IS A MEMBER-OWNED ORGANIZATION DEVOTED TO IMPROVING THE HEALTH STATUS OF COMMUNITIES THROUGHOUT VERMONT THROUGH ACTIVITIES WHICH INCLUDE ADVOCACY, POLICY DEVELOPMENT, EDUCATION AND RESEARCH. THE HOSPITAL ALSO PAID $2,455 IN THE FORM OF DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA).	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Agent Trustee Etc	0	AgentTrusteeEtcInd

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,958,242	BeginningYearBalanceAmt
Investment Earnings Or Losses	$289,494	InvestmentEarningsOrLossesAmt
Other Expenditures	$187,437	OtherExpendituresAmt
End Year Balance	$5,060,299	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,667,571	BeginningYearBalanceAmt
Investment Earnings Or Losses	$475,456	InvestmentEarningsOrLossesAmt
Other Expenditures	$184,785	OtherExpendituresAmt
End Year Balance	$4,958,242	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,431,980	BeginningYearBalanceAmt
Investment Earnings Or Losses	$420,076	InvestmentEarningsOrLossesAmt
Other Expenditures	$184,485	OtherExpendituresAmt
End Year Balance	$4,667,571	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,759,330	BeginningYearBalanceAmt
Investment Earnings Or Losses	-$30,485	InvestmentEarningsOrLossesAmt
Other Expenditures	$296,865	OtherExpendituresAmt
End Year Balance	$4,431,980	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.83490	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16510	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$18,601,081	OtherCostOrOtherBasisAmt
Depreciation	$9,623,528	DepreciationAmt
Book Value	$8,977,553	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,118,726	OtherCostOrOtherBasisAmt
Depreciation	$10,383,006	DepreciationAmt
Book Value	$3,735,720	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,815,252	OtherCostOrOtherBasisAmt
Depreciation	$7,821,770	DepreciationAmt
Book Value	$4,993,482	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,116,755	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
RENTAL DEPOSITS	$5,560
EQUITY IN SUBSIDIARY	$2,563,153
OTHER RECEIVABLES	$345,378

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$2,914,091	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
DUE TO AFFILIATES	$640,173
EST. SETTLEMENTS W/ 3RD PARTY PAYORS	$2,974,040
MARY HITCHCOCK MEMORIAL HOSPITAL (RELATED) NOTE PAYABLE	$10,847,332
OTHER LIABILITIES	$670,477
POST RETIREMENT BENEFIT OBLIGATION	$7,470,285

Field	Value	IRS element (for citing)
Total Liability	$22,602,307	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$52,598,895	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$18,938	NetUnrealizedGainsInvstAmt
Other Revenue	-$2,981,809	OtherRevenueAmt
Revenue Not Reported	-$3,000,747	RevenueNotReportedAmt
Revenue Subtotal	$55,599,642	RevenueSubtotalAmt
Investment Expenses Not Incld	$114,551	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$18,565	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$95,986	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$55,695,628	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$54,561,988	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$18,565	OtherExpensesIncludedAmt
Expenses Not Reported	$18,565	ExpensesNotReportedAmt
Expenses Subtotal	$54,543,423	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$114,551	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$114,551	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$54,657,974	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	IN GENERAL, THE AMOUNT OF THE ORIGINAL GIFT AND ANY REQUIRED ACCUMULATIONS BY THE DONOR ARE NOT EXPENDABLE. HOWEVER, THE MARKET VALUE OF THE FUND MAY FALL BELOW THAT AMOUNT DEPENDING ON CURRENT FINANCIAL CONDITIONS IN THE UNDERLYING INVESTMENTS. UNDER THE POLICY OF THE HOSPITAL, THE ENDOWMENT ASSETS ARE INVESTED MODERATELY WITH THE INTENT OF PROVIDING A PREDICTABLE STREAM OF FUNDING TO THE HOSPITAL. THE HOSPITAL INVESTS IN EQUITY FUNDS, BOND FUNDS AND MONEY MARKET INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN LIMITED RISK CONSTRAINTS. ACTUAL RETURNS IN ANY YEAR MAY VARY FROM BUDGETED AMOUNTS DUE TO MARKET FLUCTUATIONS.
PART X, LINE 2:	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 2016.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	OTHER COMPONENTS OF NET PERIODIC BENEFIT COST 133,993. CHANGE IN NET ASSETS TO RECOGNIZE FUNDED STATUS OF POST-RETIREMENT PLANS -3,240,994. TRANSFER OF NET ASSETS FROM DARTMOUTH HITCHCOCK CLINIC 125,192.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES -18,565.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES 18,565.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$28,782	GrossReceiptsEvent1Amt
Gross Revenue Event1	$28,782	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$2,915	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$4,019	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$6,948	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$4,683	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$28,782	GrossReceiptsTotalAmt
Gross Revenue Total Events	$28,782	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$2,915	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$4,019	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$6,948	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$4,683	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$18,565	DirectExpenseSummaryEventsAmt
Net Income Summary	$10,217	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$345,697	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$345,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00630	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,411,524	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,078,105	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,333,419	NetCommunityBenefitExpnsAmt
Total Expense	0.09760	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,757,221	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,078,105	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,679,116	NetCommunityBenefitExpnsAmt
Total Expense	0.10390	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,093,606	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,573,800	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$519,806	NetCommunityBenefitExpnsAmt
Total Expense	0.00950	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$235,665	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$235,665	NetCommunityBenefitExpnsAmt
Total Expense	0.00430	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,447,254	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,444,743	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,002,511	NetCommunityBenefitExpnsAmt
Total Expense	0.01830	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,593	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,593	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,778,118	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,018,543	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,759,575	NetCommunityBenefitExpnsAmt
Total Expense	0.03210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,535,339	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,096,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,438,691	NetCommunityBenefitExpnsAmt
Total Expense	0.13600	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$818,147	BadDebtExpenseAmt
Reimbursed By Medicare	$23,152,601	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$24,139,350	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$986,749	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WINDSOR HOSPITAL CORPORATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	289 COUNTY ROAD	AddressLine1Txt
City	WINDSOR	CityNm
State Abbreviation	VT	StateAbbreviationCd
ZIP	05089	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	DISTINCT PART REHAB UNIT	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	WINDSOR HOSPITAL CORPORATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	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	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE O	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	18	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE O	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	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 (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE O	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE O	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCHEDULE O	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 Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
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 (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 5: METHODS EMPLOYED IN THE ASSESSMENT INCLUDED A SURVEY OF AREA RESIDENTS MADE AVAILABLE THROUGH ELECTRONIC MAIL, PHYSICAL PRINTED SURVEYS DISTRIBUTED THROUGH THE COMMUNITIES AT APPROXIMATELY 72 SITES AND WEBSITE LINKS, A SURVEY OF KEY COMMUNITY STAKEHOLDERS WHO ARE AGENCY, MUNICIPAL OR COMMUNITY LEADERS, A SERIES OF COMMUNITY DISCUSSION GROUPS CONVENED IN THE MT. ASCUTNEY HOSPITAL SERVICE AREA, AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS. AT THE BEGINNING OF THE SURVEY, RESPONDENTS WERE ASKED TO INDICATE THE REGION THEY PRIMARILY SERVE OR ARE MOST FAMILIAR WITH. A TOTAL OF 137 KEY STAKEHOLDER RESPONDENTS INDICATED THAT THEIR RESPONSES WERE REFLECTIVE OF THE GREATER WINDSOR SERVICE AREA. RESPONDENTS REPRESENTED THE FOLLOWING SECTORS:HUMAN SERVICE/SOCIAL SERVICE MENTAL /BEHAVIORAL HEALTH HOME HEALTH CARE PRIMARY HEALTH CAREMEDICAL SUBSPECIALTYPUBLIC SAFETY/FIRE EMERGENCY MEDICAL SERVICES EDUCATION/YOUTH SERVICES MUNICIPAL/COUNTY GOVERNMENT COMMUNITY MEMBER/VOLUNTEER
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 6A: OTHER FACILITIES WERE MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH), ALICE PECK DAY MEMORIAL HOSPITAL, NEW LONDON HOSPITAL AND VALLEY REGIONAL HOSPITAL. DURING JANUARY THROUGH JULY 2018, MAHHC COMPLETED OUR COMMUNITY NEEDS ASSESSMENT IN PARTNERSHIP WITH AFOREMENTIONED NEIGHBORING HOSPITALS INCLUDING THE VISITING NURSES AND HOSPICE OF VT AND NH, AS WELL AS MHMH, USING SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENT TOOLS AND APPROACHES, ALLOWING US TO COMPARE COMMUNITY HEALTH NEEDS ACROSS A BROAD GEOGRAPHIC, MULTI-HOSPITAL REGION.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 6B: THROUGH JANUARY JULY 2018, MAHHC WORKED WITH MARY HITCHCOCK MEMORIAL HOSPITAL AND COMMUNITY PARTNERS (72 ORGANIZATIONS) TO DISSEMINATE SURVEYS, SERVE AT KEY INFORMANTS (137) AND TO PROVIDE OVERALL REVIEW AND FEEDBACK REGARDING FINDINGS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 7D: A BENEFIT REPORT WAS PREPARED AND MADE AVAILABLE AND DISTRIBUTED THROUGH 5 COMMUNITY PRESENTATIONS, (INCLUDING 2 REGIONAL SUMMITS WITH OVER 100 PARTICIPANTS) CONDUCTED BY THE COMMUNITY BENEFIT STAFF, AS WELL AS A THOROUGH PRESENTATION MADE TO HOSPITAL'S BOARD OF TRUSTEES. THE MT. ASCUTNEY COMMUNITY HEALTH COMMITTEE, AS WELL AS THE WINDSOR AREA COMMUNITY PARTNERSHIP, AND WOODSTOCK HEALTH AND WELLNESS NETWORK, PARTICIPATED IN THE DISTRIBUTION OF THE REPORT. THE CHNA AND ALL INFORMATION IN THE NEEDS ASSESSMENT IS AVAILABLE FOR STAKEHOLDERS. THE CHNA IS ALSO AVAILABLE VIA PAPER COPY FOR PUBLIC INSPECTION UPON REQUEST, AT THE HOSPITAL'S MAIN INFORMATION DESK.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: 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, PRIORITIES AND OPPORTUNITIES TO IMPROVE COMMUNITY HEALTH AND HEALTH CARE DELIVERY SYSTEMS.THE GEOGRAPHIC AREA COVERED BY THE ASSESSMENT INCLUDES 13 MUNICIPALITIES IN VERMONT AND NEW HAMPSHIRE THAT COMPRISE THE MT. ASCUTNEY HOSPITAL AND HEALTH CENTER 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. IT'S THE LAW FOR TAX-EXEMPT HOSPITALS, AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. BUT IT'S ALSO SOUND MEDICINE. THE ASSESSMENT PROCESS FOSTERS ENGAGEMENT, AND THE RESULTS HELP US UNDERSTAND THE SPECIFIC ISSUES FACING OUR COMMUNITIES SO THAT WE CAN DEVELOP EFFECTIVE, COLLECTIVE SOLUTIONS.IN 2019, WE IMPLEMENTED THE FOLLOWING PROGRAMS WITHIN OUR COMMUNITY HEALTH IMPLEMENTATION PLAN DESIGNED TO ADDRESS THE PRIORITY HEALTH NEEDS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. 1. MENTAL HEALTHA FULL-TIME PSYCHIATRIST IS EMBEDDED IN THE PATIENT CENTERED MEDICAL HOME PROVIDING THERAPY.WE HAVE A CONTRACTUAL AGREEMENT FOR MONTHLY PEDIATRIC PSYCHIATRY CONSULTATION FOR HIGH RISK PEDIATRIC PATIENTS AND THEIR FAMILIES. WE HAVE AN EMBEDDED HCRS CLINICIAN AVAILABLE IN OUR PATIENT CENTERED MEDICAL HOME 3-4 DAYS A WEEK. WE HAVE PROVIDED TWO WELLNESS RECOVERY ACTION PLAN (WRAP) SELF-MANAGEMENT COURSES. WE HAVE PROVIDED FIVE ADULT MENTAL HEALTH FIRST AID COURSES AND TWO CHILDREN MENTAL HEALTH FIRST AID COURSES ADDRESSING MENTAL HEALTH AND SUICIDE PREVENTION TO BUILD KNOWLEDGE AND CAPACITY OF OUR STAFF. WE HAVE DISTRIBUTED 7 CASES OF GUN LOCKS AS PART OF OUR SUICIDE PREVENTION INITIATIVE. WE HAVE INCREASED STAFF SUPPORT THROUGH CHAPLAINCY SERVICES. WE HAVE UPDATED OUR COMMUNITY BASED MENTAL HEALTH RESOURCE GUIDE TO IMPROVE ACCESS TO CARE IN THE COMMUNITY. WE STARTED A SUPPORT GROUP FOR PARENTS WHO HAVE EXPERIENCED THE DEATH OF A CHILD. WE INCREASED THE NUMBER OF HOURS OF CHAPLAINCY SERVICES TO IMPROVE OUR SUPPORT OF STAFF AND PATIENTS. WE IMPLEMENTED A WORK UNITED PROGRAM TO PROVIDE SUPPORT FOR STAFF. 2. ALCOHOL AND DRUG MISUSE, INCLUDING HEROIN AND PAIN MEDICATIONS MEDICAL BASED PREVENTIONWE TRACK AND DISSEMINATE THE OUTCOMES OF THE QUARTERLY VERMONT PRESCRIPTION MONITORING SYSTEM AMONG PROVIDERS. WINDSOR COUNTY HAS ACHIEVED THE LOWEST RATE OF OPIOID ANALGESIC PRESCRIPTIONS IN THE STATE FOR 3 YEARS. WINDSOR COUNTY HAS A SECOND LOWEST RATE OF PRESCRIPTIONS OF BENZODIAZEPINES AND STIMULUS MEDICATIONS FOR 3 YEARS. WE HAVE IMPLEMENTED SCREENING BRIEF INTERVENTION AND REFERRAL TO TREATMENT (SBIRT) IN THE CLINIC. IN 2019, 384+ INDIVIDUALS WERE SCREENED AND REFERRED TO TREATMENT AS INDICATED. MAHHC HIRES STAFF IN CONJUNCTION WITH THE BLUEPRINT FOR HEALTH WITHIN THE HUB AND SPOKE PROGRAM. WE PROVIDE NURSES AND COUNSELORS FOR THE SPECIALTY ADDICTION CONNECTICUT VALLEY RECOVERY SERVICES AND BRADFORD PSYCHIATRIC ASSOCIATES. WE ALSO PROVIDE SPOKE STAFF SUPPORT AT OHC AND PEDIATRIC PATIENTS RECEIVING MEDICATION ASSISTED THERAPY. TWO OF OUR SPOKE NURSES HAVE BECOME CERTIFIED IN ACUPUNCTURE FOR RECOVERY. THIS CERTIFICATION IS CALLED ACCUDETOX. WITH THE LEADERSHIP OF DR. PERRAS, INTENSIVE WORK HAS BEEN DONE BY DR. MARASA, SEAMUS GEOGHEGAN AND THEIR TEAM IN THE EMERGENCY DEPARTMENT TO OPEN UP RAPID ACCESS TO MEDICATION ASSISTED THERAPY. BEST PRACTICE PROTOCOLS WERE IMPLEMENTED. THIS PROGRAM LINKS PATIENTS STRUGGLING WITH ADDICTION DIRECTLY TO THERAPY AT CONNECTICUT VALLEY RECOVERY SERVICES FOR ONGOING CARE. WE ALSO PROVIDE MEDICATION ASSISTED THERAPY FOR PARENTS WITH OUR PEDIATRIC CLINIC. OUR EMERGENCY DEPARTMENT HAS ALSO BECOME A NALOXONE DISTRIBUTION SITE FOR THE COMMUNITY PLACING LIFESAVING MEDICATION IN THE HANDS OF FRIENDS AND RELATIVES WHOSE LOVED ONES OTHERWISE MAY HAVE DIED FROM AN OVERDOSE. A MULTIDISCIPLINARY TEAM CONSISTING OF A PRIMARY CARE PROVIDER, AN ADDICTION SPECIALIST PROVIDER, A PAIN SPECIALIST PROVIDER, A PHYSIATRIST, A PHYSICAL THERAPIST, A RECREATIONAL THERAPIST, HOSPITAL ADMINISTRATOR, SELF-MANAGEMENT COORDINATOR, MASSEUSE, AND ACUPUNCTURIST CONTINUE TO MEET ON A MONTHLY BASIS TO PROVIDE CONSULT AND SUPPORT TO PROVIDERS MANAGING THE CARE OF CHRONIC PAIN PATIENTS. WE STARTED A MULTISECTOR WORK GROUP WITH COMMUNITY PARTNERS TO PLAN AN EFFORT THAT WILL REDUCE THE BARRIER TO TREATMENT FOR SUBSTANCE MISUSE. WE PROVIDED TWO CHRONIC PAIN SELF-MANAGEMENT CLASSES. WE CREATED A MULTISECTOR WORK GROUP TO ADDRESS THE BARRIERS TO SUBSTANCE USE DISORDER TREATMENT.COMMUNITY BASED PREVENTION THE MT. ASCUTNEY PREVENTION PARTNERSHIP WORKS WITH MULTIPLE PARTNERS TO SUCCESSFULLY DECREASE ACCESS TO DANGEROUS MEDICATIONS OR "ADULT ONLY" SUBSTANCES, INCREASE POLICIES THAT WORK TO PREVENT SUBSTANCE MISUSE, AND FIND WAYS TO INCREASE FACTORS THAT PROTECT YOUTH AND COMMUNITIES FROM RISKY CHOICES. THIS PAST YEAR, WE HAVE WORKED TO LAUNCH A NEW WEBSITE, VISIT WWW.MAPPVT.ORG. OTHER ACTIVITIES INCLUDE THE FOLLOWING: WE DISSEMINATED 30 MAIL BACK ENVELOPE KIOSKS ACROSS WINDSOR & ORANGE COUNTIES THROUGH MULTIPLE PARTNERSHIPS. CREATED "HOME VISITORS" MAIL BACK ENVELOPE PACKETS FOR DISTRIBUTION TO VISITING NURSE, SENIOR SOLUTIONS, MEALS ON WHEELS, SASH, ETC. WORKERS. WE CONTINUED TO SUPPORT 2X ANNUAL DRUG TAKE BACK DAYS WITH GRANT FUNDS, WE PURCHASED MICHIGAN MODEL PREVENTION CURRICULA FOR 100% OF WINDSOR SOUTHEAST SUPERVISORY UNION (WSESU) SCHOOLS. WE CREATED SCHOOL POLICY CHECKLIST FOR SCHOOLS WORKING TO ASSESS STRENGTHS AND OPPORTUNITIES FOR EXISTING POLICIES. WE CO-CREATED TOWN PLAN HEALTH CHAPTER TEMPLATE WITH TWO RIVERS OTTAUQUECHEE REGIONAL COMMISSIONS. CHAPTER WAS ADOPTED BY TOWNS OF BRIDGEWATER, PLYMOUTH, AND IS BEING CONSIDERED BY OTHERS. WE CREATED AND PRESENTED TO TWO MUNICIPALITIES ON THE IMPACTS OF MARIJUANA COMMERCIALIZATION IN AN EFFORT TO ENGAGE IN A TOWN VISIONING PROCESS. WE CONDUCTED NEW MARIJUANA LAW SURVEY ACROSS WINDSOR & ORANGE COUNTIES, 685 RESPONSES. ENGAGED DATA ANALYST TO DRAFT REPORT AND THEN USED RESULTS TO DESIGN MJ EDUCATION CAMPAIGN. WE CREATED CBD INFORMATIONAL FLYER, CBD PRESS RELEASE, AND SHARED ACROSS COMMUNITIES AND WITH PEDIATRIC CLINICS. WE PROVIDED FACILITATION OF COMMUNITY DIALOGUE AROUND COMMUNITY ACTION AND PREVENTION IN TOWN OF HARTLAND AND IN WINDSOR CENTRAL SUPERVISORY UNION (WCSU). SUPPORTED WCSU IN ADDRESSING SUBSTANCE MISUSE IN NEW DISTRICT STRATEGIC PLAN AND PROVIDED ONGOING SUPPORT FOR STUDENT ASSISTANCE PROFESSIONAL (SAP) AND EMPOWER UP! MENTORING PROGRAM. WE CONTRACT AND SUPPORT FOR GIFFORD AND LITTLE RIVERS HEALTH CARE TO ADDRESS GAPS IN PREVENTION EFFORTS ACROSS ORANGE COUNTY.MAHHC WORKED WITH SPRINGFIELD TURNING POINT RECOVERY CENTER TO PREPARE FOR AND IMPLEMENT A PROGRAM THAT LINKS RECOVERY COACHES TO PATIENTS IN THE EMERGENCY DEPARTMENT FOR SUPPORT IN THE RECOVERY PROCESS FOR SUBSTANCE USE DISORDER. THIS SERVICE IS AVAILABLE 7 DAYS A WEEK 24 HOURS A DAY. ONCE THE PATIENT CONSENTS, THE RECOVERY COACHES WILL MEET WITH THE PATIENT IN THE EMERGENCY DEPARTMENT. THEY WILL ALSO FOLLOW THE PATIENT TO PROVIDE SUPPORT IN THE FIRST 10 DAYS AFTER THEIR EMERGENCY DEPARTMENT VISIT. 3. ACCESS TO AFFORDABLE HEALTH INSURANCE, HEALTH SERVICES AND PRESCRIPTION DRUGS OUR WINDSOR COMMUNITY HEALTH CLINIC LINKS THE UNINSURED AND UNDERINSURED PATIENTS TO PRIMARY CARE SERVICES. THE STAFF IN THAT CLINIC ASSIST PATIENTS IN THE APPLICATION FOR HEALTH INSURANCES FOR WHICH THEY ARE ELIGIBLE. THROUGH DONATIONS AND GRANTS WE HAVE ORGANIZED A MEDICATION, TRANSPORTATION AND SUPPLY/MEDICAL EQUIPMENT VOUCHER PROGRAM FOR PATIENTS. WE PROVIDE ASSISTANCE WITH THE PATIENT ASSISTANCE PROGRAM TO PHARMACEUTICAL COMPANIES.(SEE CONTINUED EXPLANATION ON SCHEDULE O)
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 13B: PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF FPL MAY BE ELIGIBLE TO RECEIVE A DISCOUNT BASED ON THE SELF-PAY BALANCE. DISCOUNTS WILL BE GRANTED SUCH THAT THE TOTAL SELF-PAY BILL DOES NOT EXCEED 10% OF 2 YEARS GROSS INCOME, PLUS 10% OF ASSETS IN EXCESS OF THE SHELTERED ASSET CALCULATION DESCRIBED EARLIER IN THE POLICY. ANY DISCOUNTS OTHER THAN THOSE DESCRIBED ABOVE MUST BE APPROVED BY THE FINANCIAL ASSISTANCE APPEALS COMMITTEE BASED ON A WRITTEN APPEAL FROM THE PATIENT OR RESPONSIBLE PARTY.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 13H: MAHHC APPLIES A DISCOUNT TO THE FAP ELIGIBLE PATIENT'S GROSS CHARGES TO ALL 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. THE DISCOUNT IS CALCULATED ANNUALLY. THIS ASSURES A PATIENT IS NOT BILLED AT AN AMOUNT GREATER THAN GENERALLY BILLED TO PATIENTS WITH INSURANCE.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 16J: THE MAHHC FINANCIAL ASSISTANCE POLICY IS POSTED ON MAHHC WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY VERSION. MAHHC PROVIDES THE PATIENT FRIENDLY BROCHURE VERSION OF THE POLICY TO ALL UNINSURED PATIENTS. MAHHC ALSO NOTIFIES PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABILITY. ADDITIONALLY, MAHHC POSTS INFORMATION ABOUT THE POLICY IN PUBLIC AREAS THROUGHOUT THE FACILITY INCLUDING ADMISSION OFFICES. MAHHC SCREENS UNINSURED PATIENTS AND A REPRESENTATIVE FROM THE WINDSOR COMMUNITY HEALTH DEPARTMENT (1 FULLTIME EMPLOYEE) CONNECTS WITH THE PATIENT TO ASSIST IN GETTING THEM SIGNED UP ON HEALTH PLANS OR APPLY FOR FINANCIAL ASSISTANCE.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENTS SEGMENTS. A COST-TO-CHARGE RATIO WAS USED.
PART I, LINE 7G:	PHYSICIAN CLINIC COSTS INCLUDED WITHIN SUBSIDIZED HEALTH SERVICES ARE $2,559,711 OF THE TOTAL COMMUNITY BENEFIT EXPENSES AND $3,208,191 OF THE DIRECT OFFSETTING REVENUE.
PART III, LINE 2:	BAD DEBT EXPENSE IS DERIVED FROM THE WRITE OFF OF PATIENT ACCOUNTS AFTER THEY HAVE BEEN SENT 4 STATEMENTS OVER A COURSE OF 120 DAYS. ALSO, BAD DEBT EXPENSE CONTAINS ESTIMATES FOR FUTURE WRITE-OFFS BASED ON MANAGEMENT'S JUDGEMENTS AND FINANCIAL MODELS.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF INDIVIDUAL ACCOUNTS AND HISTORICAL ADJUSTMENTS. BALANCES STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE PROVISION FOR DOUBTFUL ACCOUNTS AND A CREDIT TO ACCOUNTS RECEIVABLE.IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE FOR THE PURPOSES OF ESTIMATING THE APPROPRIATE AMOUNTS OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR DOUBTFUL ACCOUNTS. DATA IN EACH MAJOR PAYOR SOURCE ARE REGULARLY REVIEWED TO EVALUATE THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES RELATING TO SERVICES PROVIDED TO PATIENTS HAVING THIRD-PARTY COVERAGE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A CORRESPONDING PROVISION FOR DOUBTFUL ACCOUNTS ARE ESTABLISHED AT VARYING LEVELS BASED ON THE AGE OF THE RECEIVABLES AND PAYOR SOURCE. FOR RECEIVABLES RELATING TO SELF-PAY PATIENTS, A PROVISION FOR DOUBTFUL ACCOUNTS IS MADE IN THE PERIOD SERVICES ARE RENDERED BASED ON EXPERIENCE INDICATING THE INABILITY OR UNWILLINGNESS OF PATIENTS TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACTUAL WRITE-OFFS ARE CHARGED AGAINST THE PROVISION FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE SHORTFALL REPRESENTS THE PPS REIMBURSEMENT DIFFERENCE ON 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 OUR SERVICE AREA, THE HOSPITAL COVERS THE SUBSIDY. THE COSTING METHODOLOGY USED ABOVE WAS THE COST TO CHARGE RATIO.
PART III, LINE 9B:	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 WHO QUALIFY 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 THE REMAINDER.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE NEEDS OF THE COMMUNITY ARE ASSESSED THROUGH ONGOING REVIEW OF HEALTH INDICATORS SUCH AS THE YOUTH RISK BEHAVIOR SURVEY, BRFSS, QUALITY INDICATORS FROM BOTH THE HOSPITAL AND EXTERNAL EVALUATIONS SUCH AS ONE CARE VERMONT AND PRACTICE PROFILES. COMMUNITY HEALTH NEEDS ARE ALSO ASSESSED THROUGH PATIENT SATISFACTION SURVEYS AND THE PATIENT COMPLAINT PROCESS. THE HOSPITAL ALSO HAS A COMMUNITY HEALTH TEAM EMBEDDED IN OUR PATIENT CENTERED MEDICAL HOME WHO RESPOND TO THE NEEDS OF PATIENTS WITH COMPLEX CHRONIC CARE NEEDS.
PART VI, LINE 3:	WINDSOR COMMUNITY HEALTH CLINIC (A DEPARTMENT WITHIN THE HOSPITAL) PROVIDES INFORMATION AND ONE-ON-ONE ASSISTANCE WITH ANY INDIVIDUAL THAT IS IDENTIFIED WITHOUT INSURANCE. THIS BEGINS AT THE TIME THAT A PATIENT PRESENTS FOR THEIR HEALTH CARE APPOINTMENT; THE REGISTRATION STAFF MAKE THE INTRODUCTION AND PROVIDE INFORMATION TO THE PATIENT ON THE SERVICES. ALSO, A REFERRAL FROM THE PHYSICIAN/PROVIDER MAY DIRECT A PATIENT TO THIS DEPARTMENT. THE STAFF OF THIS DEPARTMENT ASSIST PATIENTS IN APPLYING FOR HEALTH INSURANCE, WHETHER ON THE COMMERCIAL "EXCHANGE", OR IN GOVERNMENTAL INSURERS. THEY ALSO PROVIDE INFORMATION ON AND THE APPLICATION FOR FINANCIAL ASSISTANCE; OFTEN TIME, ASSISTING PATIENTS WITH COMPLETING THE APPLICATION. THIS IS A DEDICATED STAFF THAT IS ON SITE DURING THE NORMAL BUSINESS HOURS WHEN THE MAJORITY OF PATIENTS WOULD BE SEEKING CARE.
PART VI, LINE 4:	MAHHC'S PRIMARY SERVICE AREA INCLUDES WINDSOR, HARTLAND, WOODSTOCK, SPRINGFIELD, WEATHERSFIELD, BROWNSVILLE, VT AND CORNISH, AND CLAREMONT, NH. MAHHC IS THE LARGEST EMPLOYER IN THE TOWN OF WINDSOR, WITH MANY OF ITS RESIDENTS HAVING LOWER THAN AVERAGE PAYING JOBS AND STRUGGLE WITH FINANCIAL STABILITY; INCLUDING TRANSPORTATION DIFFICULTIES.
PART VI, LINE 5:	THE HOSPITAL HAS ESTABLISHED A DIRECTOR OF COMMUNITY HEALTH, A PREVENTION EDUCATION AND HEALTH PROMOTION DEPARTMENT AND A COMMUNITY HEALTH COMMITTEE WHICH IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES. OUR STAFF ORGANIZE, LEAD AND IMPLEMENT HEALTH PROMOTION AND PREVENTION PROGRAMS FOR HIGH RISK BEHAVIORS SUCH AS ALCOHOL, TOBACCO AND DRUG MISUSE. WE PROMOTE EXERCISE AND NUTRITION PROGRAMS IN A WELL-ESTABLISHED CAMPAIGN WORKING WITH THE VERMONT DEPARTMENT OF HEALTH IN THE 3-4-50 CAMPAIGN. THIS CAMPAIGN INVOLVES OUTREACH AND ENGAGEMENT TO AND WITH THE COMMUNITY TO DECREASE THE THREE BEHAVIORS OF TOBACCO USE, LACK OF EXERCISE AND POOR NUTRITION THAT ARE RELATED TO THE FOUR CONDITIONS OF HEART DISEASE AND STROKE, DIABETES, CANCER AND RESPIRATORY DISEASES THAT ACCOUNT FOR OVER 50% OF THE DEATHS IN VERMONT. THIS YEAR OUR OUTREACH IMPACTED OVER 1000 PEOPLE. WE SERVE AS AN INTEGRATOR AND LEADER OF COMMUNITY HEALTH BY CHAIRING AND LEADING THE FOLLOWING COMMUNITY PARTNERSHIPS; WINDSOR AREA COMMUNITY PARTNERSHIP, WINDSOR PATCH TEAM, BLUEPRINT FOR HEALTH EXTENDED TEAM, WINDSOR HSA COMMUNITY COLLABORATIVE AND WINDSOR DRUG TASK FORCE. MISSION STATEMENTS AND MINUTES ARE AVAILABLE PER REQUEST.
PART VI, LINE 6:	THE HOSPITAL COMMUNITY BENEFIT STAFF IS AN ACTIVE PARTICIPANT IN THE REGIONAL COMMUNITY HEALTH COMMITTEE, WHICH IS LEAD AND ORGANIZED BY DARTMOUTH-HITCHCOCK. THE HOSPITAL IS AFFILIATED, FORMALLY, WITH DARTMOUTH-HITCHCOCK, AS ARE OTHER LOCAL HOSPITALS, ALICE PECK DAY MEMORIAL HOSPITAL AND NEW LONDON HOSPITAL. VALLEY REGIONAL HOSPITAL IS ALSO PART OF THE REGIONAL COMMUNITY HEALTH COMMITTEE. THE PARTICIPANTS COLLABORATE, COMPARE SOLUTIONS AND OFFER SUPPORT TO EACH OTHER AS ALL ARE SERVING OVERLAPPING SERVICE AREAS.
PART VI, LINE 2	DURING THE PERIOD JANUARY THROUGH JULY 2018, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED BY MT. ASCUTNEY HOSPITAL AND HEALTH CENTER IN PARTNERSHIP WITH DARTMOUTH-HITCHCOCK, ALICE PECK DAY MEMORIAL HOSPITAL, VALLEY REGIONAL HEALTHCARE, NEW LONDON HOSPITAL AND VISITING NURSE AND HOSPICE FOR VT AND NH, AND THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE. THE PURPOSE OF THE ASSESSMENT WAS TO IDENTIFY COMMUNITY HEALTH CONCERNS, PRIORITIES AND OPPORTUNITIES FOR COMMUNITY HEALTH AND HEALTH CARE DELIVERY SYSTEMS IMPROVEMENT. FOR THE PURPOSE OF THE ASSESSMENT, THE GEOGRAPHIC AREA OF INTEREST WAS 13 MUNICIPALITIES IN VERMONT AND NEW HAMPSHIRE COMPRISING THE MT. ASCUTNEY HOSPITAL AND HEALTH CENTER SERVICE AREA WITH A TOTAL RESIDENT POPULATION OF 44,035 PEOPLE. METHODS EMPLOYED IN THE ASSESSMENT INCLUDED SURVEYS OF COMMUNITY RESIDENTS MADE AVAILABLE ON-LINE AND PAPER SURVEYS PLACED IN NUMEROUS LOCATIONS THROUGHOUT THE REGION; A DIRECT EMAIL SURVEY OF KEY STAKEHOLDERS AND COMMUNITY LEADERS REPRESENTING MULTIPLE COMMUNITY SECTORS; A SET OF COMMUNITY DISCUSSION GROUPS; COMPILATION OF RESULTS FROM ASSESSMENT ACTIVITIES FOCUSED SPECIFICALLY ON BEHAVIORAL HEALTH NEEDS AND GAPS; AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS. ALL INFORMATION COLLECTION ACTIVITIES AND ANALYSES SOUGHT TO FOCUS ASSESSMENT ACTIVITIES ON VULNERABLE AND DISPROPORTIONATELY SERVED POPULATIONS IN THE REGION INCLUDING POPULATIONS THAT COULD EXPERIENCE LIMITED ACCESS TO HEALTH-RELATED SERVICES OR RESOURCES DUE TOINCOME, AGE, DISABILITY, AND SOCIAL OR PHYSICAL ISOLATION.
PART VI, LINE 3	UNINSURED PATIENTS, ARE PRO-ACTIVELY SCREENED TO IDENTIFY FOR POTENTIAL QUALIFICATION FOR OTHER FEDERAL, STATE OR OTHER LOCAL PROGRAMS. A FULL-TIME EMPLOYEE, WHO IS DEDICATED TO SERVING THIS POPULATION GETS IN CONTACT WITH THE PATIENT TO HELP THEM COMPLETE THE APPLICATIONS, INCLUDING MAHHC FINANCIAL ASSISTANCE PROGRAM. THIS WORK IS THE SINGLE FOCUS OF HER JOB, AND SHE MAKES HERSELF AVAILABLE TO THE PATIENT IN PERSON, BY PHONE OR EMAIL.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	0	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN SMITH MD
TRUSTEE	$0	$177,050	$0	$250	$0	$1,188	$0	$23,773	$0	$22,615	$0	$224,876	$0	$0
MARIA PADIN MD
TRUSTEE	$0	$387,774	$0	$5,250	$0	$12,912	$0	$37,334	$0	$23,225	$0	$466,495	$0	$0
MATTHEW S HOUDE
TRUSTEE	$0	$210,958	$0	$250	$0	$17,262	$0	$17,433	$0	$22,335	$0	$268,238	$0	$0
STEPHEN D SURGENOR MD
TRUSTEE	$0	$463,604	$0	$250	$0	$30,486	$0	$29,196	$0	$20,526	$0	$544,062	$0	$0
JOSEPH PERRAS MD
PRESIDENT & CEO	$371,209	$0	$0	$0	$0	$0	$10,994	$0	$0	$0	$382,203	$0	$0	$0
PATRICK JORDAN
TRUSTEE	$0	$593,350	$0	$250	$0	$1,588	$0	$21,080	$0	$22,559	$0	$638,827	$0	$0
ANNICE MASON MD
TRUSTEE	$193,665	$0	$0	$0	$0	$0	$7,105	$0	$23,369	$0	$224,139	$0	$0	$0
WILLIAM PALMERMDTHRU 122018
TRUSTEE	$0	$210,580	$0	$250	$0	$1,188	$0	$19,987	$0	$11,893	$0	$243,898	$0	$0
DAVID SANVILLE
CFO	$196,540	$0	$0	$0	$0	$0	$8,192	$0	$21,174	$0	$225,906	$0	$0	$0
PETER RAUERT
PHYSICIAN	$403,866	$0	$0	$0	$0	$0	$10,994	$0	$19,341	$0	$434,201	$0	$0	$0
DENNIS HEIBEIN
PHYSICIAN	$253,272	$0	$0	$0	$0	$0	$10,167	$0	$10,229	$0	$273,668	$0	$0	$0
CHRISTOPHER CONNER
PHYSICIAN	$361,250	$0	$0	$0	$0	$0	$10,994	$0	$20,188	$0	$392,432	$0	$0	$0
MARY JOYCE
PHYSICIAN	$243,473	$0	$0	$0	$0	$0	$9,922	$0	$21,174	$0	$274,569	$0	$0	$0
ALDEN HALL
PHYSICIAN	$237,187	$0	$0	$0	$0	$0	$9,467	$0	$0	$0	$246,654	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 3

DARTMOUTH-HITCHCOCK UTILIZES A COMPENSATION COMMITTEE AND A COMPENSATION SURVEY, DARTMOUTH-HITCHCOCK PROVIDES THE AMOUNT THAT THE CEO IS PAID BY WINDSOR HOSPITAL CORPORATION.

FORM 990, SCHEDULE J, PART II COLUMN B

PARTS I, II, AND III REPRESENT ACTUAL AMOUNTS PAID TO EMPLOYEES BY WINDSOR HOSPITAL CORPORATION 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 AS WELL AS ANY CHANGES IN PENSION ACTUARIAL VALUE (IF APPLICABLE) IN A CALENDAR YEAR. COLUMN D REPRESENTS NONTAXABLE BENEFITS SUCH AS THE COST OF HEALTHCARE COVERAGE PROVIDED BY THE ORGANIZATION ON BEHALF OF ITS EMPLOYEES.

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$30,519	NoncashContributionsRptF990Amt
Method Of Determining Revenues	MARKET VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 32B:	FormAndLineReferenceDesc
Explanation	MAHHC USES THE WEALTH MANAGEMENT FUNCTION AT THEIR BANK TO RECEIVE STOCK DONATIONS FOR THE HOSPITAL. THE BANK IS NOTIFIED OF AN INCOMING STOCK DONATION AND THE BANK LIQUIDATES IT AND REMITS IT TO THE HOSPITAL. THE BANK DOES NOT SOLICIT THE DONATIONS.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER IS A PART OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM, WHICH OWNS FOR-PROFIT SUBSIDIARIES THAT PROVIDE SERVICES AND SUPPORT THE MISSION OF THE ORGANIZATION. AS A RESULT, SOME OFFICERS OF THE MAHHC ALSO MAY BE OFFICERS OF FOR-PROFIT ENTITIES WITHIN THE HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6	DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	DARTMOUTH-HITCHCOCK HEALTH HAS THE POWER TO APPOINT 1/3 OF THE MEMBERS OF MAHHC'S BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER HAS THE RIGHT TO RATIFY MOUNT ASCUTNEY HOSPITAL & 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 MAHHC; APPOINT, EVALUATE, TERMINATE, AND APPROVE THE COMPENSATION OF THE PRESIDENT AND CEO; AND OTHER GOVERNANCE DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11B	BOARD OF TRUSTEES REVIEWED PRIOR TO FILING, PROVIDED MULTIPLE DAYS TO PROVIDE FEEDBACK AND/OR QUESTIONS AND HOSPITAL THEN FILED AFTER THERE WAS SATISFACTION.
FORM 990, PART VI, SECTION B, LINE 12C	THE FINANCE AND AUDIT COMMITTEE MONITOR AND REPORT TO THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION COMMITTEE OF THE BOARD MEETS ANNUALLY TO REVIEW AND RECOMMEND COMPENSATION FOR THE CEO, USING INDEPENDENT SURVEYS OF AREA COMPENSATION FOR EXECUTIVES OF VARIOUS SIZED HOSPITALS. THE COMPENSATION COMMITTEE IS MADE UP OF THE EXECUTIVE COMMITTEE AND A DARTMOUTH HITCHCOCK HEALTH REPRESENTATIVE. OTHER OFFICERS AND KEY EMPLOYEES SALARIES ARE DETERMINED, BY THE HR DEPARTMENT USING COMPARABLE MARKET DATA.
FORM 990, PART VI, SECTION C, LINE 19	ALL INTERNAL POLICIES, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST
FORM 990, PART XI, LINE 9:	CHANGE IN NET ASSETS TO RECOGNIZE FUNDED STATUS OF POST RETIREMENT PLANS -3,240,994. OTHER COMPONENTS OF NET PERIODIC BENEFIT COST 133,993. TRANSFER OF NET ASSETS FROM DARTMOUTH HITCHCOCK-HEALTH 125,192.
SCHEDULE H, PART V, LINE 7A:	HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/2019-11/FY2018_MT A_COMMUNITY_HEALTH_NEEDS_ASSESSMENT_10.3.18.PDF
SCHEDULE H, PART V, LINE 10A:	HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/2019-11/2019_COMM UNITYHEALTHIMPLEMENTATIONPLAN.PDF
SCHEDULE H, PART V, LINE 11 CONTINUED:	4. FAMILY STRENGTHENING INCLUDING POVERTY AND CHILDHOOD TRAUMA WE HAVE EMBEDDED A FAMILY WELLNESS PROGRAM IN OUR PEDIATRIC CLINIC THAT HAS IMPLEMENTED THE VERMONT FAMILY BASED APPROACH METHODOLOGY. WE HAVE PROVIDED PARENT EDUCATION THROUGH THE COLLABORATIVE PROBLEM-SOLVING COURSE AND THE CIRCLE OF SECURITY COURSE. WE PROVIDE EDUCATION PROGRAMMING AND ACTIVITIES TO BUILD ASSETS WITHIN THE COMMUNITY TO ADDRESS ADVERSE CHILDHOOD EXPERIENCES AND TRAUMA. WE HAVE WORKED WITH THE PARENT-CHILD CENTERS OF SPRINGFIELD AND HARTFORD TO IMPLEMENT THE DULCE PROGRAM FOR 0 TO 6-MONTH-OLD'S IN OUR PEDIATRIC CLINIC. WE HAVE ORGANIZED FAMILY-FRIENDLY ACTIVITIES THAT ARE COMMUNITY BASED SUCH AS YOGA, EXERCISE, GARDENING, AND PLAY GROUPS. AS PART OF OUR COMMUNITY HEALTH IMPLEMENTATION PLAN, WE STARTED A MULTISECTOR WORK GROUP TO STRENGTHEN FAMILIES THAT IS ADDRESSING SOCIAL ISOLATION. 5. ACCESS TO PRIMARY CARE SERVICES ACTIVE RECRUITMENT LED TO THE HIRE OF 3 PRIMARY CARE PROVIDERS TO DECREASE VACANCIES. SIGNIFICANT AMOUNT OF LEADERSHIP, QUALITY AND CLINICAL PROVIDERS WAS INVESTED IN PREPARATION FOR NCQA RECERTIFICATION OF OUR PATIENT CENTERED MEDICAL HOME. WE HAVE CREATED A DASHBOARD OF QUALITY INDICATORS FOR CHRONIC DISEASE, PANEL MANAGEMENT AND PREVENTION. WE HAVE ORGANIZED AND IMPLEMENTED QUALITY IMPROVEMENT PROJECTS TO IMPROVE OUTCOMES IN OUR PATIENT POPULATION FOR HYPERTENSION AND DIABETES. WE HAVE ORGANIZED, BUILT EXPERTISE AND IMPLEMENTED CARE COORDINATION IN CARE MANAGEMENT PROGRAMS FOR HIGH RISK CHRONIC CARE PATIENTS. 6. HEALTH CARE FOR SENIORS WE ESTABLISHED A MULTISECTOR WORK GROUP AND WORKED WITH AGING IN PLACE GROUPS AND SENIORS TOGETHER TO IMPROVE THE RESOURCES AND SERVICES FOR SENIORS. WE CONTINUE TO LEAD A REGIONAL COMMUNITY BASED FALLS PREVENTION PROGRAM INVOLVING EMS, LONG-TERM CARE, RESIDENTIAL CARE PHYSICAL THERAPY AND OUR PATIENT CENTERED MEDICAL HOME UTILIZING CDC BEST PRACTICE TOOLS AND STRATEGIES. WE PARTICIPATED IN THE LEADERSHIP AND BOARD OF THE SCOTLAND HOUSE ADULT DAY HEALTH AND WELLNESS PROGRAM. WE HIRED THE WELLNESS NURSE IN THE SUPPORT AND SERVICES AT HOME PROGRAMS SERVING OVER 100 PATIENTS WITH ASSESSMENTS, EDUCATION, MONITORING AND CARE COORDINATION. WE HIRED THE HOUSING AND SUPPORTIVE SERVICES COORDINATOR WHO WORKED TO DECREASE SOCIAL ISOLATION BY PROVIDING ONE-ON-ONE VISITING, CLASSES AND EVENTS FOR RESIDENCE IN OLDE WINDSOR VILLAGE. WE ENGAGED SENIORS IN INTERGENERATIONAL ACTIVITIES SUCH AS OUR BACKPACK PROGRAM FOR SCHOOL SUPPLIES AND PEN PALS. 7. AFFORDABLE HOUSING WE PROVIDED SPACE FOR THE HOUSING MATTERS HOME BUYERS WORKSHOPS. WE FORMULATED A PARTNERSHIP WITH THE SPRINGFIELD WARMING SHELTER AND RECRUITED A COMMUNITY DRIVING TEAM TO BRING RESIDENCE OF WINDSOR TO THE WARMING SHELTER AS NEEDED. WE CREATED A MULTISECTOR WORK GROUP WITHIN OUR COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS THE LACK OF HOUSING FOR OUR REGION AND INCREASE HOUSING OPTIONS FOR THE VULNERABLE. WE ENTERED INTO A PARTNERSHIP AGREEMENT WITH HARTFORD DISTRICT COORDINATED ENTRY TO PROVE OPTIONS FOR THE HOMELESS. 8. AVAILABILITY OF AFFORDABLE ADULT HEALTH CARE THROUGH DONATIONS WE PROVIDED DENTAL VOUCHERS TO ELIGIBLE PATIENTS THROUGH OUR WINDSOR COMMUNITY HEALTH CLINIC. WE HOSTED TWO FLOSS BAR DENTAL CLINICS FOR ADULTS TO PROVIDE SCREENING AND CLEANING IN THE ABSENCE OF A DENTIST IN THE TOWN. WE ORGANIZED AND IMPLEMENTED A DENTAL CLINIC IN THE SCHOOL WITH SUPPORT OF NORTHEAST DELTA DENTAL. 9. FOOD INSECURITY SCREENING FOR FOOD INSECURITY IS COMPLETED BY THE PEDIATRIC CLINIC AND THE COMMUNITY HEALTH TEAM. WE HOST THE VERMONT FOOD BANK, VEGGIE VAN GO EVERY MONTH WITH THE DELIVERY OF FREE VEGETABLES TO THE COMMUNITY. THIS SERVICE PROVIDES VEGETABLES TO 215-250 FAMILIES EACH MONTH. WE PROVIDED BOTH THE PREVENT TYPE 2 DIABETES SELF-MANAGEMENT WORKSHOPS AND THE DIABETES SELF-MANAGEMENT WORKSHOPS. WE SERVED AS A COMMUNITY LEADER IN THE DELIVERY OF SUMMER MEAL PROGRAMS CALLED OUR SUMMER PICNIC SERIES WORKING WITH THE SCHOOL AND AREA CHURCHES. WE SERVED 2500 MEALS THIS PAST SUMMER. STAFF VOLUNTEERS TIME PARTICIPATING IN DONATION OF FOOD AND SERVING COMMUNITY DINNERS EACH MONTH. WE PARTICIPATE IN FOOD DRIVES ON A MONTHLY BASIS AND THIS YEAR WORKED WITH RISEVT TO PROVIDE MEDICAL NUTRITION FOR CHRONIC DISEASE AT THE AREA FOOD SHELVES. 10. TRANSPORTATION THROUGH THE ASSISTANCE OF A GRANT WE PROVIDED GAS CARDS AND MILEAGE FOR VOLUNTEERS TO PROVIDE RIDES TO WELLNESS PROGRAM BRINGING PATIENTS TO MEDICAL APPOINTMENTS. WE PROVIDE TRANSPORTATION VOUCHERS THROUGH THE WINDSOR COMMUNITY HEALTH CLINIC. WE ORGANIZED A COMMUNITY DRIVING TEAM FOR THE HOMELESS TO THE WARMING SHELTER IN SPRINGFIELD.
SCHEDULE H, PART V, LINE 16A:	HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/2020-02/FINANCIAL -ASSISTANCE-FOR-HEALTHCARE-SERVICES-POLICY-101119.PDF
SCHEDULE H, PART V, LINE 16B:	HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/2019-11/FINANCIAL -ASSISTANCE-APPLICATION.PDF
SCHEDULE H, PART V, LINE 16C:	HTTPS://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/2019-10/MAHHC-FIN ANCIAL-ASSISTANCE-POLICY-BROCHURE.PDF

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 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	Direct Controlling NADirectControllingNACd
HISTORIC HOMES OF RUNNEMEDE
289 COUNTY ROAD	WINDSOR	VT	05089	237396147	PROVIDING SVCS FOR THE AGING	VT	501(C)(3)	LINE 11	WINDSOR HOSPITAL CORPORATION	Yes (1)
MOUNT ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION INC
289 COUNTY ROAD	WINDSOR	VT	05089	030300481	HEALTH EDUCATION & PROMOTION	VT	501(C)(3)	LINE 3	WINDSOR HOSPITAL CORPORATION	Yes (1)
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222140	HOSPITAL	NH	501(C)(3)	LINE 3	DARTMOUTH-HITCHCOCK HEALTH	0
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYS SVCS	NH	501(C)(3)	LINE 11	DARTMOUTH-HITCHCOCK HEALTH	0
THE NEW LONDON HOSPITAL ASSOC INC
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	HOSPITAL	NH	501(C)(3)	LINE 3	DARTMOUTH-HITCHCOCK HEALTH	0
VISITING NURSE ASSOCIATION AND HOSPICE OF VT AND NH INC
205 BILLINGS FARM RD NO 5	WILDER	VT	05088	036006494	HOSPICE	VT	501(C)(3)	LINE 11	DARTMOUTH-HITCHCOCK HEALTH	0
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	HOSPITAL	NH	501(C)(3)	LINE 3	DARTMOUTH-HITCHCOCK HEALTH	0
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DR	LEBANON	NH	03766	020222791	HOSPITAL	NH	501(C)(3)	LINE 3	DARTMOUTH-HITCHCOCK HEALTH	0
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264812335	PARENT ORG	NH	501(C)(3)	LINE 7		0	N/A

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	HISTORIC HOMES OF RUNNEMEDE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	Q	TransactionTypeTxt
Involved	$172,924	InvolvedAmt
Method Of Amount Determination	ACTUAL	MethodOfAmountDeterminationTxt