THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-07-13
IRS object ID: 202011959349304401
Schema version: 2018v3.1
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	2020-07-13T18:03:50-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	175 Powder Forest Drive	AddressLine1Txt
City	Simsbury	CityNm
State Abbreviation	CT	StateAbbreviationCd
ZIP	060897902	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222171	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	New London Hospital Association Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NEWL	BusinessNameControlTxt
Phone	6035262911	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	273 County Road	AddressLine1Txt
City	New London	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03257	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Lisa Cohen	PersonNm
Person Title	Chief Financial Officer	PersonTitleTxt
Signature	2020-07-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kristin Anderson	PreparerPersonNm
PTIN	P01231300	PTIN
Phone	8606789200	PhoneNum

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-22 18:59:49Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Martin Thomas Manion	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	273 County Road	AddressLine1Txt
City	New London	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03257	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$71,741,549	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.newlondonhospital.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1918	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Providing safe quality care for every patient, every time in partnership with patients, family, and healthcare providers resulting in a healthier community.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	632	TotalEmployeeCnt
Total Volunteers	103	TotalVolunteersCnt
Total Gross UBI	$6,356	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$877	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$684,540	PYContributionsGrantsAmt
CY Contributions Grants	$878,017	CYContributionsGrantsAmt
PY Program Service Revenue	$58,901,744	PYProgramServiceRevenueAmt
CY Program Service Revenue	$64,072,097	CYProgramServiceRevenueAmt
PY Investment Income	$874,316	PYInvestmentIncomeAmt
CY Investment Income	$640,082	CYInvestmentIncomeAmt
PY Other Revenue	$5,019,730	PYOtherRevenueAmt
CY Other Revenue	$546,130	CYOtherRevenueAmt
PY Total Revenue	$65,480,330	PYTotalRevenueAmt
CY Total Revenue	$66,136,326	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	$37,612,028	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$35,982,798	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$147,617	CYTotalFundraisingExpenseAmt
PY Other Expenses	$27,802,004	PYOtherExpensesAmt
CY Other Expenses	$28,062,535	CYOtherExpensesAmt
PY Total Expenses	$65,414,032	PYTotalExpensesAmt
CY Total Expenses	$64,045,333	CYTotalExpensesAmt
PY Revenues Less Expenses	$66,298	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,090,993	CYRevenuesLessExpensesAmt
Total Assets BOY	$87,292,728	TotalAssetsBOYAmt
Total Assets EOY	$88,540,634	TotalAssetsEOYAmt
Total Liabilities BOY	$49,755,869	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$48,403,216	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$37,536,859	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$40,137,418	NetAssetsOrFundBalancesEOYAmt
Mission	New London Hospital is a 25-bed rural community, critical access hospital dedicated to serving the Lake Sunapee region of New Hampshire.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$56,616,995	ExpenseAmt
Revenue	$64,294,712	RevenueAmt
Desc	NEW LONDON HOSPITAL ASSOCIATION, INC. (NLHA) IS THE PRINCIPAL PROVIDER OF PRIMARY AND SECONDARY HEALTH CARE FOR 15 TOWNS IN SULLIVAN AND MERRIMACK COUNTIES IN NEW HAMPSHIRE. THE HOSPITAL PROVIDES ACUTE AND PRIMARY HEALTH CARE - FROM EMERGENCY SERVICES TO FAMILY MEDICAL PRACTICE TO SURGICAL CARE AND ESSENTIAL WELLNESS AND PREVENTION SERVICES FOR THE 32,912 RESIDENTS IN ITS SERVICE AREA, A SIGNIFICANT PORTION OF WHOM ARE UNINSURED, UNDER-INSURED, AND/OR DEPENDENT ON MEDICAID/MEDICARE BENEFITS. THIS INCLUDES A LARGELY ELDERLY POPULATION AND A SIGNIFICANT NUMBER OF RURAL, LOW-INCOME FAMILIES. NLHA EMPLOYED 65 PROVIDERS IN 2019, OF WHICH 16 WERE PRIMARY CARE, 3 WERE PEDIATRICS, AND 46 WERE SPECIALTY PROVIDERS COVERING GENERAL SURGERY, ANESTHESIOLOGY, ORTHOPEDICS, CARDIOLOGY, NEUROLOGY, EMERGENCY MEDICINE, HOSPITALISTS, GYNECOLOGY, AND RHEUMATOLOGY.	Desc
Total Program Service Expenses	$56,616,995	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	Yes (true)	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	124	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	632	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Lisa Cohen	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6035262911	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	273 county road	AddressLine1Txt
City	New london	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03257	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
BRUCE KING
PRES/CEO/TRUSTEE EX-OFFICIO	40.0	0	Yes (X)	Yes (X)	$584	$359,492	$55,770
DOUGLAS LYON
TRUSTEE/CHAIR	8.0	0	Yes (X)	Yes (X)	$0	$0	$0
Susan A Reeves EDDRN
TRUSTEE/VICE CHAIR	8.0	46.0	Yes (X)	Yes (X)	$0	$460,665	$56,959
KAREN EBEL
TRUSTEE/SECRETARY	8.0	0	Yes (X)	Yes (X)	$0	$0	$0
STANLEY CUNDEY
Treasurer Starting 1/19	2.0	0	Yes (X)	Yes (X)	$0	$0	$0
ANDREW TORKELSON MD
Trustee, PRES-ELECT MEDICAL STAFF	40.0	0	Yes (X)	Yes (X)	$328,640	$0	$5,268
STEPHEN KANTOR MD
TRUSTEE/MEDICAL DIRECTOR	40.0	0	Yes (X)		$427,679	$0	$34,028
Steve Allenby
Trustee	2.0	0	Yes (X)		$0	$0	$0
Craig W Beck
Trustee	2.0	40.0	Yes (X)		$0	$239,906	$23,691
John Hollinger
Trustee	2.0	0	Yes (X)		$0	$0	$0
John Kirk
Trustee	2.0	0	Yes (X)		$46,188	$0	$0
Stephen Leblanc
TRUSTEE	2.0	46.0	Yes (X)		$0	$678,320	$60,874
CAROL MAJEWSKI RN
TRUSTEE	2.0	40.0	Yes (X)		$0	$193,547	$34,369
Mary Oseid MHCDS
Trustee	2.0	40.0	Yes (X)		$0	$276,886	$60,259
MARK PITKIN
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
Jane Rastallis
Trustee	2.0	0	Yes (X)		$0	$0	$0
ROBERT REX
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
PATRICIA STEVENSON
TRUSTEE	2.0	0	Yes (X)		$0	$0	$0
SALLY PATTON
CHIEF NURSING OFFICER	40.0	0		Yes (X)	$120,517	$0	$21,441
DAVID FOSS
CHIEF INFORMATION OFFICER	40.0	0		Yes (X)	$125,456	$0	$28,736
Greg Curtis
Chief Medical Officer	40.0	0		Yes (X)	$143,969	$0	$2,896
LISA COHEN
CHIEF FINANCIAL OFFICER	40.0	0		Yes (X)	$143,114	$0	$20,224
TIMOTHY GARDNER MD
PHYSICIAN	40.0	0			$290,079	$0	$4,215	Yes (X)
STEPHEN BISSAH MD
PHYSICIAN	40.0	0			$346,508	$0	$30,474	Yes (X)
DAVID CORBIN MD
PHYSICIAN	40.0	0			$447,447	$0	$41,057	Yes (X)
CHRISTOPHER MAZUR MD
Physician	40.0	0			$274,821	$0	$41,624	Yes (X)
MICHAEL MADAN MD
Physician	40.0	0			$266,456	$0	$22,404	Yes (X)
JAMES MURPHY MD
Fmr CO-CHIEF MEDICAL OFFICER	40.0	0			$235,256	$0	$335		Yes (X)
STEPHEN POWELL MD
FORMER CHIEF MEDICAL OFFICER	40.0	0			$333,000	$0	$29,456		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,529,714	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$2,208,816	TotReportableCompRltdOrgAmt
Total Other Compensation	$574,080	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	52	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DR	LEBANON	NH	03756	PHYSICIAN STAFFING	$2,542,241
AMERICAN HEALTHCARE STAFFING ASSN INC
PO BOX 945	TRAVERSE CITY	MI	49685	HEALTHCARE STAFFING	$1,177,176
DARTMOUTH HITCHCOCK CLINIC
ONE MEDICAL CENTER DR	LEBANON	NH	03756	PHYSICIAN STAFFING	$1,089,532
ALLSCRIPTS HEALTHCARE SOLUTIONS INC
222 Merchandise Mart Plaza	Chicago	IL	60654	Healthcare Services	$616,147	Suite 2024
NEW ENGLAND ALLIANCE FOR HEALTH
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	PURCHASING SERVICES	$613,682

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$88,676	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$8,648	GovernmentGrantsAmt
All Other Contributions	$780,693	AllOtherContributionsAmt
Noncash Contributions	$31,320	NoncashContributionsAmt
Total Contributions	$878,017	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net patient service revenue	621111	$62,544,549	$62,544,549
Ambulance services	621910	$444,806	$444,806
Other program service revenue	621111	$1,082,742	$1,082,742

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$64,072,097	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$247,383	TotalRevenueColumnAmt
Unrelated Business Revenue	$6,356	UnrelatedBusinessRevenueAmt
Exclusion	$241,027	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,926,447	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,533,748	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$392,699	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$392,699	TotalRevenueColumnAmt
Exclusion	$392,699	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$44,520	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$88,676	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$71,475	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$26,955	TotalRevenueColumnAmt
Exclusion	-$26,955	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Child Care Center	624410	$350,470	$350,470
Other Revenue	621111	$222,615		$222,615

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$573,085	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,136,326	TotalRevenueColumnAmt
Related Or Exempt Func Income	$64,294,712	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$6,356	UnrelatedBusinessRevenueAmt
Exclusion	$957,241	ExclusionAmt

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,215,179	TotalAmt
Program Services	$90,145	ProgramServicesAmt
Management And General	$1,125,034	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$29,624,952	TotalAmt
Program Services	$29,495,869	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$129,083	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,114,474	TotalAmt
Program Services	$1,337,788	ProgramServicesAmt
Management And General	$1,776,686	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,028,193	TotalAmt
Program Services	$1,813,170	ProgramServicesAmt
Management And General	$206,603	ManagementAndGeneralAmt
Fundraising	$8,420	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$228,176	TotalAmt
Program Services	$228,176	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$130,081	TotalAmt
Program Services	$130,081	ProgramServicesAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,986,981	TotalAmt
Program Services	$5,781,120	ProgramServicesAmt
Management And General	$1,205,861	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$117,876	TotalAmt
Program Services	$117,876	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$125,429	TotalAmt
Program Services	$94,023	ProgramServicesAmt
Management And General	$24,501	ManagementAndGeneralAmt
Fundraising	$6,905	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,922,482	TotalAmt
Program Services	$2,669,008	ProgramServicesAmt
Management And General	$250,551	ManagementAndGeneralAmt
Fundraising	$2,923	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$26,054	TotalAmt
Program Services	$26,054	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,109,102	TotalAmt
Program Services	$1,109,102	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,925,497	TotalAmt
Program Services	$3,925,497	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$852,531	TotalAmt
Program Services	$151,997	ProgramServicesAmt
Management And General	$700,534	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAID ENHANCEMENT & OTHER TAXES	$2,539,324	$2,539,324
Medical Supplies & Pharmaceutical	$6,298,099	$6,298,099
Dues & Licenses	$1,990,951	$0	$1,990,951

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$809,952	TotalAmt
Program Services	$809,666	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$286	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,045,333	TotalAmt
Program Services	$56,616,995	ProgramServicesAmt
Management And General	$7,280,721	ManagementAndGeneralAmt
Fundraising	$147,617	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$9,418,768	BOYAmt
EOY	$10,758,886	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$42,448	BOYAmt
EOY	$46,568	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,570	BOYAmt
EOY	$24,404	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,138,512	BOYAmt
EOY	$12,165,243	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$868,144	BOYAmt
EOY	$916,252	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,543,576	BOYAmt
EOY	$1,420,990	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$86,544,161	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$44,597,768	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$42,437,844	BOYAmt
EOY	$41,946,393	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$15,759,904	BOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$15,056,917	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,372,806	BOYAmt
EOY	$2,363,751	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$3,706,156	BOYAmt
EOY	$3,841,230	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$87,292,728	BOYAmt
EOY	$88,540,634	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$9,338,742	BOYAmt
EOY	$6,603,583	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$1,016,856	BOYAmt
EOY	$1,530,667	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,400,271	BOYAmt
EOY	$40,268,966	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$49,755,869	BOYAmt
EOY	$48,403,216	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$32,896,956	BOYAmt
EOY	$35,518,230	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$492,586	BOYAmt
EOY	$484,032	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,147,317	BOYAmt
EOY	$4,135,156	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$37,536,859	BOYAmt
EOY	$40,137,418	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$87,292,728	BOYAmt
EOY	$88,540,634	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,090,993	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$194,368	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$315,198	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	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	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$10,792	OtherActivitiesAmt
Total Lobbying Expenditures	$10,792	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	THE PERCENTAGE OF NEW HAMPSHIRE HOSPITAL ASSOCIATION DUES EXPENDED FOR LOBBYING PURPOSES WAS 18.7%, AND THE PERCENTAGE OF AMERICAN HOSPITAL ASSOCIATION DUES WAS 22.73%.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,809,705	BeginningYearBalanceAmt
End Year Balance	$2,809,705	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,809,705	BeginningYearBalanceAmt
End Year Balance	$2,809,705	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,809,705	BeginningYearBalanceAmt
End Year Balance	$2,809,705	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,809,705	BeginningYearBalanceAmt
End Year Balance	$2,809,705	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,809,705	BeginningYearBalanceAmt
End Year Balance	$2,809,705	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.0	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	1.0	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (true)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,300,521	OtherCostOrOtherBasisAmt
Book Value	$1,300,521	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$52,525,337	OtherCostOrOtherBasisAmt
Depreciation	$20,249,095	DepreciationAmt
Book Value	$32,276,242	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,282,906	OtherCostOrOtherBasisAmt
Depreciation	$22,733,959	DepreciationAmt
Book Value	$7,548,947	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,435,397	OtherCostOrOtherBasisAmt
Depreciation	$1,614,714	DepreciationAmt
Book Value	$820,683	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$41,946,393	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

Field	Value	IRS element (for citing)
Desc	INVESTMENT IN MIP	Desc
Book Value	$15,056,917	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$15,056,917	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
Capital Lease Obligations	$591,313
Other Liabilities	$0
Deferred Compensation	$1,585,381
Due to D-HH	$27,240,931
Estimated Third-Party Payor Settlement	$10,851,341

Field	Value	IRS element (for citing)
Total Liability	$40,268,966	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	The income from the endowment funds is used to assist in the payment of the hospital's program-related expenses.	ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	Gala	Event1Nm
Gross Receipts Event1	$49,565	GrossReceiptsEvent1Amt
Charitable Contri Event1	$26,765	CharitableContriEvent1Amt
Gross Revenue Event1	$22,800	GrossRevenueEvent1Amt
Cash Prizes Event1	$0	CashPrizesEvent1Amt
Non Cash Prizes Event1	$0	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$7,715	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$16,154	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,000	EntertainmentEvent1Amt
Other Direct Expenses Event1	$4,631	OtherDirectExpensesEvent1Amt
Event2	Golf Tournament	Event2Nm
Gross Receipts Event2	$47,720	GrossReceiptsEvent2Amt
Charitable Contri Event2	$26,000	CharitableContriEvent2Amt
Gross Revenue Event2	$21,720	GrossRevenueEvent2Amt
Cash Prizes Event2	$0	CashPrizesEvent2Amt
Non Cash Prizes Event2	$1,400	NonCashPrizesEvent2Amt
Rent Facility Costs Event2	$17,343	RentFacilityCostsEvent2Amt
Food And Beverage Event2	$2,096	FoodAndBeverageEvent2Amt
Entertainment Event2	$0	EntertainmentEvent2Amt
Other Direct Expenses Event2	$1,202	OtherDirectExpensesEvent2Amt
Other Events Total	1	OtherEventsTotalCnt
Gross Receipts Other Events	$35,911	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$35,911	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$0	GrossRevenueOtherEventsAmt
Cash Prizes Other Events	$0	CashPrizesOtherEventsAmt
Non Cash Prizes Other Events	$0	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$5,232	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$0	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$150	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$14,552	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$133,196	GrossReceiptsTotalAmt
Charitable Contributions Tot	$88,676	CharitableContributionsTotAmt
Gross Revenue Total Events	$44,520	GrossRevenueTotalEventsAmt
Cash Prizes Total Events	$0	CashPrizesTotalEventsAmt
Non Cash Prizes Total Events	$1,400	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$30,290	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$18,250	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,150	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$20,385	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$71,475	DirectExpenseSummaryEventsAmt
Net Income Summary	-$26,955	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$850,606	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$850,606	NetCommunityBenefitExpnsAmt
Total Expense	0.0133	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$6,232,927	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,277,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$955,293	NetCommunityBenefitExpnsAmt
Total Expense	0.0149	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$7,083,533	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,277,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,805,899	NetCommunityBenefitExpnsAmt
Total Expense	0.0282	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$226,857	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$226,857	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$155,953	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$155,953	NetCommunityBenefitExpnsAmt
Total Expense	0.0024	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,006,743	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,006,743	NetCommunityBenefitExpnsAmt
Total Expense	0.0469	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$30,380	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,380	NetCommunityBenefitExpnsAmt
Total Expense	0.0005	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,419,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,419,933	NetCommunityBenefitExpnsAmt
Total Expense	0.0534	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$10,503,466	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,277,634	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,225,832	NetCommunityBenefitExpnsAmt
Total Expense	0.0816	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$57,153	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$57,153	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$21,323	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$21,323	NetCommunityBenefitExpnsAmt
Total Expense	0.0003	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$517	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$517	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$78,993	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,993	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,502,318	BadDebtExpenseAmt
Reimbursed By Medicare	$25,320,434	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$26,897,911	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,577,477	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	New London Hospital	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	273 County Road	AddressLine1Txt
City	New London	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03257	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.newlondonhospital.org	WebsiteAddressTxt
State License	02407	StateLicenseNum
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	New London Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.newlondonhospital.org/about/annual-community-reports/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.newlondonhospital.org/	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
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
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.newlondonhospital.org/services/billing-charges/	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.newlondonhospital.org/services/billing-charges/	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.newlondonhospital.org/services/billing-charges/	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH CHNA.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. During the period January through June 2018, a Community Health Needs Assessment of the New London Hospital service area was completed by New London Hospital in partnership with Dartmouth-Hitchcock, Alice Peck Day Memorial Hospital, Valley Regional Healthcare, Mt. Ascutney Hospital and Health Center, 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 15 municipalities comprising the New London Hospital service area with a total resident population of 32,912 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 to income, age, disability, and social or physical isolation. The 2018 Community Health Needs Assessment Survey conducted by New London Hospital yielded 717 individual responses of which 80% were residents of towns within the primary service area or approximately 2% of the total adult population. In addition to the survey of community residents, the 2018 Community Health Needs Assessment included a similar survey sent by direct email to key stakeholders and community leaders from around the region. This activity occurred in conjunction with all the Community Health Needs Assessment partners with the survey going to 265 individuals across the greater Upper Valley region of NH and VT including the New London region. A total of 153 completed responses were received (58%), of which 35 respondents indicated serving or being most familiar with the New London region. A set of four discussion groups were convened in the spring of 2018 as part of the effort by New London Hospital to understand the health-related needs of the community and to plan programs and services that address those needs. These discussion groups reached out to organizations serving populations affected by poverty, lack of insurance, homelessness, and behavioral health issues. The purpose of the discussion groups was to get input on health issues that matter to the community and thoughts and perceptions about the health of the community. These discussion groups which were convened representing a variety of important community sectors and perspectives included New London Hospital Volunteers, Kearsarge Interfaith Leadership Council, Newport Food Pantry, and Newport parents and school personnel.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. NEW LONDON HOSPITAL ASSOCIATION CONDUCTED THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH DARTMOUTH-HITCHCOCK, VALLEY REGIONAL HEALTH CARE, ALICE PECK DAY MEMORIAL HOSPITAL, MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, VISITING NURSE AND HOSPICE FOR VT AND NH, AND THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. DURING DECEMBER 2018, IN ADDITION TO WORKING WITH THE ENTITIES LISTED ON LINE 6A, NLH WORKED CLOSELY WITH THE MEMBER ORGANIZATIONS OF THE GREATER SULLIVAN COUNTY PUBLIC HEALTH COUNCIL FOR THE LAKE SUNAPEE REGION TO DISSEMINATE SURVEYS, SERVE AS KEY INFORMANTS, AND TO PROVIDE OVERALL REVIEW AND FEEDBACK RE: FINDINGS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.
Schedule H, Part V, Section B, Line 7 Facility , 1	Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. THE NEEDS ASSESSMENT WAS DISTRIBUTED TO NON-PROFIT ORGANIZATIONS THROUGHOUT THE REGION INCLUDING THE GREATER SULLIVAN COUNTY PUBLIC HEALTH COUNCIL. IT IS ALSO AVAILABLE FROM THE ORGANIZATION UPON REQUEST.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. THE NEW LONDON HOSPITAL ASSOCIATION IS INCREASING BOTH COMMUNITY BENEFITS SPENDING AND PARTNERSHIPS TO ADDRESS IDENTIFIED COMMUNITY NEEDS BASED ON THE MOST RECENT CHNA. THESE ARE IN THE AREAS OF ACCESS TO AFFORDABLE HEALTH INSURANCE, HEALTH CARE SERVICES, PRESCRIPTION DRUGS, AND MENTAL HEALTH SERVICES, AVAILABILITY OF PRIMARY CARE SERVICES, INVESTMENTS IN BEHAVIORAL HEALTH AND SUBSTANCE USE NEEDS, STRENGTHENING FAMILIES AND CHILDREN, CANCER CARE AND TREATMENT, AVAILABILITY OF PRIMARY CARE AND SENIOR CITIZEN SERVICES, AND COMMUNITY PARTNER COLLABORATIONS. IN FY 2019, THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT STRATEGIES WERE CONSISTENT WITH THE INTENTIONS IDENTIFIED IN THE FY2018 COMMUNITY HEALTH IMPROVEMENT PLANS. AREAS WERE ANALYZED AND THE HOSPITAL RESPONDED BY INCREASING INVESTMENTS, MAINTAINING SIMILAR LEVELS OF INVESTMENTS FOR SERVICES AND INITIATIVES, OR LIMITING INVESTMENT IN AREAS WHERE OTHER COMMUNITY ORGANIZATIONS ALREADY PROVIDE LEADERSHIP AND SERVICES TO ADDRESS THE NEED, AND/OR WHERE THE IDENTIFIED NEED IS SIGNIFICANTLY OUTSIDE THE MISSION/SERVICES/SCOPE. COLLABORATION WITH COMMUNITY GROUPS HAS ALLOWED SERVICES TO EXPAND INTO NEW AREAS AND BRING FORTH ADDITIONAL RESOURCES TO THE COMMUNITY AND REMOVE BARRIERS TO HEALTHCARE. IN ADDITION, THE ASSOCIATION'S AFFILIATION WITH DARTHMOUTH-HITHCOCK HAS ALSO PROVIDED SUPPORT FOR THE IDENTIFIED COMMUNITY BASED NEEDS. THE NEW LONDON HOSPITAL ASSOCIATION'S COMMUNITY HEALTH IMPROVEMENT PLAN IS A 3-YEAR DOCUMENT IDENTIFYING ANTICIPATED INVESTMENTS AND ACTIVITIES THAT IT WILL TAKE TO ADDRESS NEEDS IDENTIFIED IN THE MOST RECENT CENTRAL NEW HAMPSHIRE'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
Schedule H, Part V, Section B, Line 20 Facility , 1	Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. MAILINGS AND PHONE CALLS ARE USED AS ADDITIONAL FOLLOW UP MEASURES TO ENSURE THAT PATIENTS ARE AWARE OF THE VARIOUS TYPES OFF DISCOUNTS AND FINANCIAL ASSISTANCE THAT THE ORGANIZATION OFFERS. ASSISTANCE IS OFFERED TO ANYONE IN NEED TO COMPLETE THE NECESSARY PAPERWORK FOR FINANCIAL ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Newport Health Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11 John Stark Hwy	AddressLine1Txt
City	Newport	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03773	ZIPCd

Field	Value	IRS element (for citing)
Facility	Rural health clinic	FacilityTxt

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 9 PART V, LINE 9	NEW LONDON HOSPITAL CONDUCTED A NEW CHNA WHICH WAS COMPLETED IN FY18 AND APPROVED BY THE BOARD IN JUNE OF 2018. THE COMMUNITY HEALTH IMPLEMENTATION PLAN/STRATEGY ("CHIP") WAS APPROVED BY THE BOARD ON OCTOBER 25, 2018.
Schedule H, Part V, Section B, Line 13 PART V, Line 13G	IN ORDER TO RECEIVE FINANCIAL ASSISTANCE, AN INDIVIDUAL MUST BE A RESIDENT IN ONE OF 15 COMMUNITIES IN NH OR THEIR PRIMARY CARE PHYSICIAN MUST BE ON-STAFF AT NEW LONDON HOSPITAL
Schedule H, Part V, Section B, Line 16 PART V, Line 16 I	THE ORGANIZATION REVIEWED THE SERVICE AREA AND DETERMINED NO TRANSLATIONS WERE NECESSARY FOR THE POPULATION SERVED.
Schedule H, Part I, Line 7g Subsidized Health Services	THE NEW LONDON HOSPITAL ASSOCIATION IS DEDICATED TO SERVING AND SUPPORTING THE COMMUNITY IT SERVES BY ENSURING ACCESS TO PROGRAMS THAT COULD NOT BE PROVIDED WITHOUT THE ORGANIZATION SUBSIDIZING THEIR SERVICES. IN FY 2019, THE HOSPITAL SUBSIDIZED HEALTH CARE SERVICES TO THE COMMUNITY IN EXCESS OF $3 MILLION. THIS INCLUDED SUPPORT FOR PRIMARY CARE SERVICES, AMBULANCE, MOBILE INTEGRATED HEALTH, COMMUNITY WELLNESS PROGRAMS AND GRANTS, MENTAL HEALTH SERVICES, AND THE MEDICATION BRIDGE PROGRAM. WITH A FOCUS ON WELLNESS, PRIMARY CARE IS THE UTMOST IMPORTANCE TO OUR PATIENTS AND THEIR FAMILIES. THE HOSPITAL HAS LOCATIONS FOR PRIMARY CARE IN NEW LONDON AND NEWPORT, NEW HAMPSHIRE, TO EXPAND ACCESS TO THE COMMUNITIES WE SERVE. NEW LONDON HOSPITAL HAS AN AMBULANCE SERVICE THAT SERVED 7 OF OUR LOCAL COMMUNITIES IN FY 2019. ADVANCED LIFE SUPPORT IS PROVIDED BY PARAMEDICS IN CONJUNCTION WITH EMERGENCY SERVICES TO PROVIDE CRITICAL CARE TO THE RESIDENTS OF OUR COMMUNITIES. A MOBILE INTEGRATED HEALTH UNIT HAS BEEN INTRODUCED TO OUR COMMUNITIES TO PROVIDE CARE TO OUR PATIENTS UPON LEAVING THE HOSPITAL TO ENSURE THAT THEY CAN UNDERSTAND THE ASPECTS OF THEIR CARE PLAN AND HAVE ACCESS TO THE NECESSARY RESOURCES FOR RECOVERY. NEW LONDON HOSPITAL HAS DEVELOPED WELLNESS PROGRAMS TO OFFER EDUCATION AND PROVIDE ASSISTANCE TO OUR COMMUNITY MEMBERS IN MAKING AND SUSTAINING HEALTHIER LIFESTYLE CHOICES. THE COST OF PRESCRIPTION DRUGS IS OFTEN BEYOND THE MEANS OF MANY OF THE RESIDENTS IN OUR COMMUNITIES. THE HOSPITAL SUPPORTS THE MEDICATION BRIDGE PROGRAM, WHICH WORKS WITH UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THEM IN ACCESSING PRESCRIPTION MEDICATIONS.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	The amounts were derived from the organization's cost accounting systems.
Schedule H, Part II Community Building Activities	THE HOSPITAL PARTICIPATES IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES INCLUDING COMMUNITY SUPPORT AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE HOSPITAL SUPPORTS MANY LOCAL SERVICE AGENCIES THROUGH THE PARTICIPATION OF MEMBERS OF ITS MANAGEMENT TEAM ON LOCAL COMMITTEES AND BOARDS. THE HOSPITAL SUBSIDIZES THE COST OF OPERATIONS FOR THE ABC'S CHILDCARE CENTER, WHICH PROVIDES HIGH QUALITY CHILDCARE AT AFFORDABLE PRICES. THE CHILDCARE CENTER IS OPEN TO FULL AND PART-TIME EMPLOYEES OF THE ORGANIZATION AND TO THE COMMUNITY TO PROVIDE A NURTURING, SAFE AND STIMULATING ENVIRONMENT FOR THE CHILDREN OF THE COMMUNITY TO GROW AND LEARN.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The hospital is unable to estimate accurately the amount of bad debt expense attributable to patients eligible for financial assistance. Although a portion of bad debt expense may be related to patients who would qualify for charity care, a reportable figure cannot be reasonably estimated.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	NLH IS INCLUDED IN THE DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE AMOUNT REPORTED ON SCHEDULE H REPRESENTS NLH'S PORTION ONLY. NLH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR FINANCIAL ASSISTANCE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. BECAUSE NLH DOES NOT ANTICIPATE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. NLH GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS. MOST ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY ARRANGEMENTS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBT. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The costing methodology was according to the Internal Revenue Service guidance. Shortfalls in Medicare were anticipated because of the organization's central role of serving the needs of the community. This shortfall is considered a community benefit expenditure.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	NEW LONDON HOSPITAL ASSOCIATION HAS A CREDIT AND COLLECTION POLICY THAT ADDRESSES THE PROCEDURES FOR PATIENTS WHO QUALIFY FOR REDUCED-COST CARE. THE POLICY PROHIBITS USING EXTRAORDINARY COLLECTION PRACTICES OR PLACING AMOUNTS WITH COLLECTION AGENCIES. IF A FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENT HAS A BALANCE FOR WHICH THEY ARE RESPONSIBLE, AFTER A FINANCIAL ASSISTANCE DISCOUNT IS APPLIED, THE STANDARD PRACTICES ARE FOLLOWED AS OUTLINED IN THE CREDIT AND COLLECTIONS POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	- New London Hospital: Line 16a URL: https://www.newlondonhospital.org/services/billing-charges/;
Schedule H, Part V, Section B, Line 16b FAP Application website	- New London Hospital: Line 16b URL: https://www.newlondonhospital.org/services/billing-charges/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- New London Hospital: Line 16c URL: https://www.newlondonhospital.org/services/billing-charges/;
Schedule H, Part VI, Line 2 Needs assessment	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL USES REGULAR FEEDBACK FROM THE COMMUNITY, PROVIDED THROUGHOUT THE YEAR, TO ASSESS ITS HEALTH NEEDS. THE HEALTH STAFF PARTICIPATES IN OR LEADS MULTIPLE COMMUNITY COALITIONS AND PROJECTS COLLABORATING AND CONNECTING WITH A WIDE ARRAY OF COMMUNITY-BASED HEALTH, MUNICIPAL, SCHOOL, SERVICE ORGANIZATION, REGIONAL PLANNING AND STATE PUBLIC HEALTH STAKEHOLDERS. WE REGULARLY REVIEW EMERGING NH STATE HEALTH DATA; QUANTITATIVE AND QUALITATIVE DATA FROM LOCAL SOURCES (NEWSPAPERS, REGIONAL PLANNING OFFICES, COMMUNITY FORUMS), AND CONVERSATIONS WITH COMMUNITY PARTNERS TO IDENTIFY CONCERNS THAT ARE EMERGING, INTENSIFYING, OR ARE THE SOURCE OF LOCAL ATTENTION SINCE THE LAST CHNA WAS CONDUCTED.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	THE ORGANIZATION STRIVES TO EDUCATE PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IN A VARIETY OF FORUMS, AND ENCOURAGES PATIENTS TO APPLY FOR ASSISTANCE THEY MAY BE ELIGIBLE FOR. THE ORGANIZATION POSTS INFORMATION IN REGARDS TO FINANCIAL ASSISTANCE ON THE HOSPITAL'S WEBSITE, UPON ADMISSION, UPON REQUEST AND THROUGHOUT THE BILLING PROCESS.
Schedule H, Part VI, Line 4 Community information	THE NEW LONDON HOSPITAL ASSOCIATION IS THE PRINCIPAL PROVIDER OF PRIMARY AND SECONDARY HEALTHCARE FOR 15 TOWNS IN SULLIVAN AND MERRIMACK COUNTIES OF CENTRAL NEW HAMPSHIRE. THE TOWNS WITHIN THE SERVICE AREA INCLUDE: ANDOVER, BRADFORD, CROYDON, DANBURY, GOSHEN, GRANTHAM, LEMPSTER, NEW LONDON, NEWBURY, NEWPORT, SPRINGFIELD, SUNAPEE, SUTTON, WASHINGTON, AND WILMOT. THE SERVICE AREA HAS A POPULATION OF 32,912, ACCORDING TO THE UNITED STATES CENSUS BUREAU, WHICH APPROXIMATES ABOUT 2 5% OF NEW HAMPSHIRE'S POPULATION. MEDIAN HOUSEHOLD INCOME VARIES WIDELY, FROM $51K-$95K ANNUALLY; 22.9% OF THE POPULATION IS OVER THE AGE OF 65; 5.4% OF CHILDREN LIVE IN HOUSEHOLDS WHOSE MEDIAN HOUSEHOLD INCOME IS LESS THAN 100% OF FEDERAL POVERTY LEVEL, 22.1% OF CHILDREN LIVE IN HOUSEHOLDS WITH INCOME LESS THAN 200% OF FEDERAL POVERTY LEVEL; 0.4% OF THE REGION'S RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY; AND 8.1% LACKED HEALTH INSURANCE. THE REGION IS SERVED BY NEW LONDON HOSPITAL ASSOCIATION, GREATER SULLIVAN COUNTY PUBLIC HEALTH NETWORK AND VALLEY REGIONAL HOSPITAL. THERE PRESENTLY ARE NO MEDICALLY UNDERSERVED AREAS IN THE REGION.
Schedule H, Part VI, Line 5 Promotion of community health	THE NEW LONDON HOSPITAL ASSOCIATION PLAYS AN ACTIVE ROLE IN PROMOTING COMMUNITY HEALTH AND OFFERS EDUCATIONAL PROGRAMS INCLUDING CLASSES AND WORKSHOPS. NLH OFFERS A VARIETY OF HEALTH PROMOTION, EDUCATION PROGRAMS, AND DIRECT SERVICES FOR THE COMMUNITY SPANNING A BROAD SPECTRUM OF HEALTH AND WELLNESS TOPICS. THE ORGANIZATION PROVIDES HEALTH EDUCATION CLASSES INCLUDING SAFE SITTER, SMOKING CESSATION, HEALTHY LIFESTYLE, AND PROGRAMS TO SUPPORT NEW PARENTS. ADDITIONAL CLASSES INCLUDE CPR, EMS, AND HEALTH CARE PROVIDER EDUCATION TO ALLOW EMERGENCY MEDICAL TRAINING TO RESIDENTS OF OUR COMMUNITY. OTHER INITIATIVES INCLUDE HOSTING OR LEADING COMMUNITY PARTNERSHIPS TO ADDRESS SUBSTANCE MISUSE AND TREATMENT AND TO IMPROVE PUBLIC HEALTH. CASH CONTRIBUTIONS, CONTRACTED SERVICES, AND IN-KIND CONTRIBUTIONS OF STAFF TIME AND EXPERTISE ARE USED TO SUPPORT THESE STRATEGIES WHICH IMPROVE THE HEALTH OF THE COMMUNITY. THE FRIENDS OF NEW LONDON HOSPITAL ART COMMITTEE, CONSISTING OF A VOLUNTEER GROUP OF LOCAL ARTISTS AND COMMUNITY MEMBERS, EXHIBITS ART WITHIN THE HOSPITAL. THIS COMMUNITY PROGRAM DRAWS FROM THE EXTENSIVE ART COMMUNITY IN THE AREA, INVITING ARTISTS TO EXHIBIT AND SELL THEIR WORK OR SUBMIT THEIR WORKS FOR PERMANENT DISPLAY. ART CAN PLAY A POWERFUL ROLE IN BRINGING COMFORT AND RELIEF TO THOSE RECEIVING TREATMENT OR CARE IN A HOSPITAL SETTING. THIS COLLABORATION ENHANCES THE ENVIRONMENT FOR THE HOSPITAL, PATIENTS, FAMILIES, GUESTS AND STAFF AND HAS PROVEN TO BE A SUCCESSFUL PARTNERSHIP. The New London Hospital Association, Inc. extends professional staff privileges to qualified physicians, advanced practice registered nurses, and physician assistants. The New London Hospital Medical Staff is an open medical staff. OF THE 18 VOTING MEMBERS OF THE NEW LONDON HOSPITAL ASSOCIATION BOARD OF TRUSTEES AT FY19 END, 9 ARE NEITHER CONTRACTORS NOR EMPLOYEES OF THE HOSPITAL OR ITS AFFILIATES. The majority of New London Hospital Association's volunteer Board of Trustees, the governing body of the organization, represent a broad range of interests which exist in the communities it serves. In particular the trustees of the New London Hospital Association are representative of the consumer interests of the various neighborhoods and localities which are serviced by the hospital.
Schedule H, Part VI, Line 6 Affiliated health care system	NEW LONDON HOSPITAL ASSOCIATION IS AN AFFILIATE OF DARTMOUTH-HITCHCOCK HEALTH. THIS RELATIONSHIP ALLOWS THE STREAMLINING OF PATIENT CARE BETWEEN MEMBERS OF THE TWO HEALTHCARE SYSTEM AND STRENGTHENS THE CENTER AS A REGIONAL RESOURCE FOR THE KEARSARGE/LAKE SUNAPEE REGION IN CENTRAL NEW HAMPSHIRE. THE AFFILIATION ALLOWS MORE PATIENTS TO RECEIVE CARE CLOSER TO HOME, FREES UP BED CAPACITY FOR TERTIARY CARE PATIENTS AT DARTMOUTH-HITCHCOCK MEDICAL CENTER IN LEBANON, AND ALLOWS THE NEW LONDON HOSPITAL ASSOCIATION TO CONTINUE ITS ROLE IN PROVIDING PRIMARY CARE AND SPECIALIZED CLINICAL SERVICES IN A PATIENT AND FAMILY-FRIENDLY ENVIRONMENT. IT ENABLES NLH TO MORE EFFECTIVELY PURSUE A COMMON VISION WITH OTHER D-HH ENTITIES OF THE FUTURE OF HEALTH CARE THAT IS BASED ON CREATING A SUSTAINABLE HEALTH SYSTEM, FOCUSING ON POPULATION HEALTH, DELIVERING VALUE-BASED CARE, AND EMBRACING THE OPPORTUNITIES PROVIDED BY NEW PAYMENT MODELS. IN ADDITION TO THE NEW LONDON HOSPITAL ASSOCIATION AND DARTMOUTH-HITCHCOCK HEALTH, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH-HITCHCOCK CLINIC, CHESHIRE MEDICAL CENTER, WINDSOR HOSPITAL CORPORATION, ALICE PECK DAY MEMORIAL HOSPITAL, VISITING NURSE ASSOCIATION AND HOSPICE OF NEW HAMPSHIRE AND VERMONT, AND A NUMBER OF OTHER RELATED ORGANIZATIONS WHOSE PRIMARY MISSION IS HEALTH CARE IN THE REGION. THE NEW LONDON HOSPITAL ASSOCIATION AND OTHER MEMBERS OF THE AFFILIATED HEALTH CARE SYSTEM OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING, MANAGEMENT, AND THEY SHARE IDENTICAL MISSIONS.
Schedule H, Part VI, Line 7 State filing of community benefit report	NH

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRUCE KING
PRES/CEO/TRUSTEE EX-OFFICIO	$584	$309,810	$0	$250	$0	$49,432	$0	$26,580	$0	$29,190	$584	$415,262	$0	$0
Susan A Reeves EDDRN
TRUSTEE/VICE CHAIR	$0	$457,787	$0	$250	$0	$2,628	$0	$26,580	$0	$30,379	$0	$517,624	$0	$0
ANDREW TORKELSON MD
Trustee, PRES-ELECT MEDICAL STAFF	$224,041	$0	$91,961	$0	$12,638	$0	$0	$0	$5,268	$0	$333,908	$0	$0	$0
STEPHEN KANTOR MD
TRUSTEE/MEDICAL DIRECTOR	$423,587	$0	$3,438	$0	$654	$0	$0	$0	$34,028	$0	$461,707	$0	$0	$0
Craig W Beck
Trustee	$0	$239,656	$0	$250	$0	$0	$0	$17,846	$0	$5,845	$0	$263,597	$0	$0
Stephen Leblanc
TRUSTEE	$0	$640,573	$0	$10,250	$0	$27,497	$0	$26,580	$0	$34,294	$0	$739,194	$0	$0
CAROL MAJEWSKI RN
TRUSTEE	$0	$192,535	$0	$250	$0	$762	$0	$19,422	$0	$14,947	$0	$227,916	$0	$0
Mary Oseid MHCDS
Trustee	$0	$257,606	$0	$250	$0	$19,030	$0	$37,819	$0	$22,440	$0	$337,145	$0	$0
JAMES MURPHY MD
Fmr CO-CHIEF MEDICAL OFFICER	$229,672	$0	$250	$0	$5,334	$0	$0	$0	$335	$0	$235,591	$0	$0	$0
STEPHEN POWELL MD
FORMER CHIEF MEDICAL OFFICER	$332,387	$0	$250	$0	$363	$0	$0	$0	$29,456	$0	$362,456	$0	$0	$0
DAVID FOSS
CHIEF INFORMATION OFFICER	$114,722	$0	$250	$0	$10,484	$0	$0	$0	$28,736	$0	$154,192	$0	$0	$0
LISA COHEN
CHIEF FINANCIAL OFFICER	$134,371	$0	$250	$0	$8,493	$0	$0	$0	$20,224	$0	$163,338	$0	$0	$0
TIMOTHY GARDNER MD
PHYSICIAN	$289,320	$0	$250	$0	$509	$0	$0	$0	$4,215	$0	$294,294	$0	$0	$0
STEPHEN BISSAH MD
PHYSICIAN	$345,604	$0	$250	$0	$654	$0	$0	$0	$30,474	$0	$376,982	$0	$0	$0
DAVID CORBIN MD
PHYSICIAN	$446,194	$0	$250	$0	$1,003	$0	$0	$0	$41,057	$0	$488,504	$0	$0	$0
CHRISTOPHER MAZUR MD
Physician	$271,799	$0	$250	$0	$2,772	$0	$0	$0	$41,624	$0	$316,445	$0	$0	$0
MICHAEL MADAN MD
Physician	$265,240	$0	$250	$0	$966	$0	$0	$0	$22,404	$0	$288,860	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule J, Part I, Line 1a Health or social club dues or initiation fees	FormAndLineReferenceDesc
Explanation	MHMH HAS IN PLACE A MANAGEMENT SELF DEVELOPMENT PLAN (MSDP) DESIGNED TO PROMOTE PROFESSIONAL AND PERSONAL DEVELOPMENT. THE MSDP IS CAPPED AT 2% OF GROSS PAY AND MAY BE UTILIZED FOR EXPENSES SUCH AS PROFESSIONAL DUES, MEETINGS AND SEMINARS, TUITION REIMBURSEMENT, AND OTHER MISCELLANEOUS ITEMS THAT PROMOTE PROFESSIONAL KNOWLEDGE. THE MONIES MAY ALSO BE USED FOR UP TO A 50% REIMBURSEMENT OF THE COST OF A FITNESS/WELLNESS PROGRAM DESIGNED TO MAINTAIN THE HEALTH OF MANAGEMENT PERSONNEL. ALL EXPENSES ARE SUBMITTED FOR APPROVAL BEFORE REIMBURSEMENT.	ExplanationTxt

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	$31,320	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Securities - Publicly traded - Number of Items	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a Process to establish compensation of top management official	The President/CEO is paid by a related organization, therefore line 15a is marked No in accordance with instructions. HOWEVER, THE PRESIDENT'S/CEO'S COMPENSATION IS DETERMINED BY THE NEW LONDON HOSPITAL ASSOCIATION'S EXECUTIVE COMMITTEE AND MARY HITCHCOCK MEMORIAL HOSPITAL'S EXECUTIVE BOARD, THE EMPLOYER, AFTER CONSIDERING COMPENSATION FOR PRESIDENTS AND CEOS OF VARIOUS SIZED HOSPITALS IN THE REGION. COMPENSATION IS REVIEWED AND DOCUMENTED ANNUALLY WITH THE LAST REVIEW COMPLETED IN FY 2019.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Executive Committee is composed of the Chairman, Chairman-elect, the President, the Vice-Chairman, the Secretary, the Treasurer, and the President of the Medical Staff. The Executive Committee has all powers and authority of the Board of Trustees between meetings of the Board of Trustees when time and circumstance require those powers to be exercised.
Form 990, Part VI, Line 6 Classes of members or stockholders	The organization's sole member IS DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE NON-PROFIT CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	The sole member, DARTMOUTH-HITCHCOCK HEALTH, HAS THE POWER TO APPOINT 1/3 OF THE MEMBERS , and ratify the nomination of 2/3 of the members, of the organization's Board of Trustees.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	The following actions of the Corporation require the approval of the Member: (i) material governance, programmatic and financial decisions, including the elimination or addition of major health care services or programs and the purchase or sale of real property; (ii) to appoint one-third of the members of the NLHA Board of Trustees as set forth in Section 3(a)(i) of Article III hereof; (iii) to ratify the nomination of two-thirds of the members of the Board of Trustees as set forth in Section 3(a)(ii) of Artice III hereof; (iv) to remove any NLHA trustee not acting in the best interests of the D-H System as set forth in Section 6 of Article III hereof; (v) borrowings and dispositions of the Corporation's assets; (vi) establishment of key strategic relationships, including acquiring ownership or contractual participation in a network, system, affiliation, joint venture, alliance or similar arrangement with an organization that is not part of the D-H System or which in not addressed in an NLHA strategic plan that has been approved by the Member; (vii) adoption of operating and capital budgets and strategic plans; (viii) adoption of policies relating to academic and research programs and affiliations; (ix) to reallocate the assets and resources of NLHA and the Member, as appropriate, to serve the overall best interests of the D-H System as set forth in Article II hereof; (x) to appoint, evaluate, compensate and terminate the NLHA CEO as set forth in Section 4 of Article VI hereof (xi) amendments to the Corporation's Articles of Agreement or By-Laws if such amendment would have the effect of impacting the Member's reserved powers or may reasonably be expected to have a material strategic, competitive or financial impact on the D-H System as set forth in Article XII hereof; and (xii) dissolution or liquidation of the Corporation.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS REVIEWED BY EXTERNAL TAX ADVISORS, THE DIRECTOR OF CORPORATE FINANCE, AND THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL 990 IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO THE OFFICIAL FILING OF OF THE FORMS.
Form 990, Part VI, Line 12c Conflict of interest policy	EACH YEAR, A WRITTEN CONFLICT OF INTEREST SURVEY IS SENT TO EACH TRUSTEE AND OFFICER INQUIRING ABOUT SITUATIONS THAT COULD RESULT IN CONFLICTS OF INTEREST. THESE INDIVIDUALS ALSO HAVE A DUTY TO VOLUNTARILY DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO ASSUMING THEIR RESPONSIBILITIES OR AT THE TIME ANY POTENTIAL CONFLICT ARISES. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE ORGANIZATION REQUIRES THE INDIVIDUAL TO REMOVE THEMSELVES FROM ANY VOTING OR DECISION MAKING WITH RESPECT TO THE CONFLICT. OVERSIGHT OF THE POLICY IS THE RESPONSIBILITY OF THE AUDIT COMMITTEE.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	THE PRESIDENT OF THE MEDICAL STAFF'S AND ANY OTHER PAID OFFICERS' COMPENSATION IS DETERMINED BY THE NEW LONDON HOSPITAL ASSOCIATION'S (NLH) EXECUTIVE COMMITTEE. COMPENSATION LEVELS ARE REVIEWED PERIODICALLY BY NLH'S SENIOR DIRECTOR OF HUMAN RESOURCES AND THE CEO OF NLH. THESE REVIEWS INCLUDE COMPARISONS OF COMPENSATION LEVELS TO INDEPENDENT SALARY SURVEY DATA FOR COMPARABLE POSITIONS IN THE REGION, WITH THE LAST REVIEW CONDUCTED AND DOCUMENTED IN FY 2019.
Form 990, Part VI, Line 19 Required documents available to the public	THE NEW LONDON HOSPITAL MAKES GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees	Laboratory and Medical Services - Total Expense: 5781120, Program Service Expense: 5781120, Management and General Expenses: , Fundraising Expenses: ; Administrative & Information Services - Total Expense: 1205861, Program Service Expense: , Management and General Expenses: 1205861, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	Net Asset Transfers - 315198;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Dartmouth Hitchcock Health
one medical center drive	lebanon	NH	03756	264812335	parent org	NH	501(c)(3)	7	Na	false
VNA & HOSPICE OF NH AND VT
205 BILLINGS FARM ROAD 5	WILDER	VT	05088	036006494	HOSPICE	VT	501(c)(3)	10	D-HH	false
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	HOSPITAL	NH	501(c)(3)	3	D-HH	false
WINDSOR HOSPITAL CORPORATION
289 COUNTY ROAD	WINDSOR	VT	05089	030183721	HOSPITAL	VT	501(c)(3)	3	D-HH	false
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222140	HOSPITAL	NH	501(c)(3)	3	D-HH	false
DARTMOUTH HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SERVICES	NH	501(c)(3)	10	D-HH	false
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DRIVE	LEBANON	NH	03766	020222791	HOSPITAL	NH	501(c)(3)	3	D-HH	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
Kearsarge Community Services Inc
273 county road	new london	NH	03257	020460136	real estate holding	NH	NLHA	C Corporation	$71,169	$1,116,926	1	Yes (true)
New London Medical Center East
273 county road	new london	NH	03257	020480857	real estate	NH	NLHA	C Corporation	$11,329	$17,274	1	Yes (true)
New London Physician Group Inc
273 county road	new london	NH	03257	020494420	physician group	NH	NLHA	C Corporation	$0	$0	1	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Kearsarge Community Services Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	P	TransactionTypeTxt
Involved	$205,350	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt