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THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
Tax period
2017-07-01 to 2018-06-30
Filed
2019-05-16
IRS object ID
201901369349301135
Schema version
2017v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-05-16T18:13:35-05:00ReturnTs
Tax Period End2018-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020222171EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1New London Hospital Association IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% LISA COHENInCareOfNm
Business Name ControlNEWLBusinessNameControlTxt
Phone6035262911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1Txt
CityNew LondonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA COHEN CPAPersonNm
Person TitleCFOPersonTitleTxt
Signature2019-05-13SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address130.189.185.98IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id02156120191345000002FederalOriginalSubmissionId
Federal Original Submission Id2019-05-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD6D2E33E719154A82F90EF6A6F770779CD24C547AtSubmissionCreationDeviceId
At Submission Filing Device Id8754BDCA76DE6AB38AF93E83577F37D68CF10907AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLISA COHEN CPAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1Txt
CityNew LondonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$70,773,394GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.newlondonhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1918FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionNLHA IS A RURAL COMMUNITY CRITICAL ACCESS HOSPITAL.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee669TotalEmployeeCnt
Total Volunteers101TotalVolunteersCnt
Total Gross UBI-$5,612TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$21,388NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,263,621PYContributionsGrantsAmt
CY Contributions Grants$684,540CYContributionsGrantsAmt
PY Program Service Revenue$61,885,703PYProgramServiceRevenueAmt
CY Program Service Revenue$58,901,744CYProgramServiceRevenueAmt
PY Investment Income-$791,923PYInvestmentIncomeAmt
CY Investment Income$874,316CYInvestmentIncomeAmt
PY Other Revenue-$381,241PYOtherRevenueAmt
CY Other Revenue$5,019,730CYOtherRevenueAmt
PY Total Revenue$61,976,160PYTotalRevenueAmt
CY Total Revenue$65,480,330CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,804,407PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,612,028CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$141,339CYTotalFundraisingExpenseAmt
PY Other Expenses$26,472,992PYOtherExpensesAmt
CY Other Expenses$27,802,004CYOtherExpensesAmt
PY Total Expenses$64,277,399PYTotalExpensesAmt
CY Total Expenses$65,414,032CYTotalExpensesAmt
PY Revenues Less Expenses-$2,301,239PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$66,298CYRevenuesLessExpensesAmt
Total Assets BOY$84,095,102TotalAssetsBOYAmt
Total Assets EOY$87,292,728TotalAssetsEOYAmt
Total Liabilities BOY$47,094,816TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,755,869TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$37,000,286NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,536,859NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNEW 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$53,977,292ExpenseAmt
Revenue$63,575,544RevenueAmt
DescNEW LONDON HOSPITAL ASSOCIATION, INC. (NHLA) IS THE PRINCIPAL PROVIDER OF PRIMARY AND SECONDARY HEALTH CARE FOR 15 TOWNS IN SULLIVAN AND MERRIMACK COUNTIES IN NEW HAMPSHIRE. THE HOSPITAL PROVIDEs ACCUTE 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, UNDERINSURED, AND/OR DEPENEDENT ON MEDICAID/MEDICARE BENEFITS. THIS INCLUDES A LARGELY ELDERLY POPULATION AND A SIGNIFICANT NUMBER OF RURAL, LOW-INCOME FAMILIES. NLHA employed 49 providers in 2018, of which 22 were primary care, 3 were pediatrics, and 24 were specialty providers covering general surgery, anesthesiology, orthopedics, cardiology, neurology, emergency medicine, hospitalists, gynecology, and rheumatology.Desc
Prog Srvc Accom Acty3ProgSrvcAccomActy3Grp
Total Program Service Expenses$53,977,292TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (true)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document121IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee669EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyfalseForm990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLISA COHENPersonNm
Phone6035262911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 COUNTY ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Bruce King
Trustee Ex-Officio, Pres, CEO50.00.0Yes (X)Yes (X)$0$358,188$72,711
Carol Majewski RN
Trustee2.050.0Yes (X)$0$188,103$62,501
Douglas Lyon
Trustee/Vice Chair8.00.0Yes (X)Yes (X)$0$0$0
John Butterly MD
Trustee part year2.00.0Yes (X)$0$0$0
Karen Ebel
Trustee/Secretary8.00.0Yes (X)Yes (X)$0$0$0
Mark Pitkin
Trustee2.00.0Yes (X)$0$0$0
Patricia Steverson
Trustee part year2.00.0Yes (X)$0$0$0
Robert Rex
Trustee2.00.0Yes (X)$0$0$0
Stanley Cundey
Trustee2.00.0Yes (X)$0$0$0
Stephen Kantor MD
Trustee/Pres. Elect Med. staff50.00.0Yes (X)$406,331$0$50,733
Stephen LeBlanc
Trustee2.060.01Yes (X)$0$790,399$221,976
Susan Reeves EdD RN
Trustee/Vice Chair8.060.0Yes (X)Yes (X)$0$197,910$28,709
David Marshall
Trustee, Treasurer2.00.0Yes (X)Yes (X)$0$0$0
Peter Hager
Trustee part year2.00.0Yes (X)$0$0$0
Lawrence Schissel MD
Trustee/Pres. med. staff50.00.0Yes (X)$212,561$0$33,082
Donald Griffin
CFO part year50.00.0Yes (X)$123,172$0$13,868
Sally Patton
Cheif Nursing Officer50.00.0Yes (X)$114,578$0$25,987
David Foss
Chief Information Officer50.00.0Yes (X)$121,531$0$26,062
James Murphy MD
Co-Chief medical Officer/MD50.00.0Yes (X)$262,021$0$5,278
Stephen Powell MD
Part Year Chief Med Offcr/MD50.00.0Yes (X)$543,593$0$47,406
Lisa Cohen
Chief Finance Offcr part year50.00.0Yes (X)$116,818$0$17,856
Andrew Torkelson MD
Physician50.00.0$303,557$0$2,988Yes (X)
Timothy Gardner MD
Physician50.00.0$297,860$0$2,528Yes (X)
Stephen Bissah MD
Physician50.00.0$425,510$0$46,665Yes (X)
Brian Frenkiewich MD
Physician50.00.0$267,836$0$29,324Yes (X)
David Corbin MD
Physician50.00.0$402,568$0$51,047Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,597,936TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,534,600TotReportableCompRltdOrgAmt
Total Other Compensation$738,721TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K13IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Mary Hitchcock Memorial Hospital
One Medical Center DrLEBANONNH03756Physician Staffing$2,167,216
Dartmouth Hitchcock Clinic
One medical Center DrLEBANONNH03756Physician Staffing$928,807
New England Alliance for Health
One Medical Center DriveLEBANONNH03756Purchasing Services$676,871
American Healthcare Staffing Assn I
PO Box 945TRAVERS CITYMI49685Healthcare Staffing$664,609
NH Imaging Services
One Pillsbury Street Suite 200CONCORDNH03301Radiology Services$537,069
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K40CntrctRcvdGreaterThan100KCnt
Fundraising$105,907FundraisingAmt
Government Grants$150,090GovernmentGrantsAmt
All Other Contributions$428,543AllOtherContributionsAmt
Noncash Contributions$30,008NoncashContributionsAmt
Total Contributions$684,540TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescNET PATIENT SERVICE REVENUEDesc
Business621111BusinessCd
Total Revenue Column$58,901,744TotalRevenueColumnAmt
Related Or Exempt Func Income$58,901,744RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$58,901,744TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$218,446TotalRevenueColumnAmt
Unrelated Business Revenue-$5,612UnrelatedBusinessRevenueAmt
Exclusion$224,058ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$5,884,364SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$5,228,494SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$655,870SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$655,870TotalRevenueColumnAmt
Exclusion$655,870ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$34,170FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$105,907ContriRptFundraisingEventAmt
Fundraising Direct Expenses$64,570FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$30,400TotalRevenueColumnAmt
Exclusion-$30,400ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHILD CARE CENTER624410$376,330$376,330
OTHER REVENUE621111$4,673,800$4,673,800
FieldValueIRS element (for citing)
Other Revenue Total$5,050,130OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,480,330TotalRevenueColumnAmt
Related Or Exempt Func Income$63,575,544RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$5,612UnrelatedBusinessRevenueAmt
Exclusion$1,225,858ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$30,359,836TotalAmt
Program Services$27,308,840ProgramServicesAmt
Management And General$2,944,334ManagementAndGeneralAmt
Fundraising$106,662FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,238,073TotalAmt
Program Services$1,519,686ProgramServicesAmt
Management And General$3,718,387ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,014,119TotalAmt
Program Services$1,816,796ProgramServicesAmt
Management And General$189,182ManagementAndGeneralAmt
Fundraising$8,141FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$241,403TotalAmt
Program Services$241,403ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$84,571TotalAmt
Program Services$84,571ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,475,303TotalAmt
Program Services$5,382,349ProgramServicesAmt
Management And General$1,092,954ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$141,084TotalAmt
Program Services$141,084ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$132,045TotalAmt
Program Services$29,096ProgramServicesAmt
Management And General$83,826ManagementAndGeneralAmt
Fundraising$19,123FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,776,946TotalAmt
Program Services$2,508,143ProgramServicesAmt
Management And General$265,603ManagementAndGeneralAmt
Fundraising$3,200FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,653TotalAmt
Program Services$20,653ProgramServicesAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$980,556TotalAmt
Program Services$980,556ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,933,621TotalAmt
Program Services$3,933,621ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$769,582TotalAmt
Program Services$162,570ProgramServicesAmt
Management And General$607,012ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MET AND OTHER TAXES$2,917,038$2,917,038
MEDICAL SUPP. & PHARMACEUTICAL$6,161,250$6,161,250
OTHER$3,167,952$769,636$2,394,103$4,213

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$65,414,032TotalAmt
Program Services$53,977,292ProgramServicesAmt
Management And General$11,295,401ManagementAndGeneralAmt
Fundraising$141,339FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,797,465BOYAmt
EOY$9,418,768EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$393,879BOYAmt
EOY$42,448EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$96,417BOYAmt
EOY$4,570EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,861,432BOYAmt
EOY$10,138,512EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$863,849BOYAmt
EOY$868,144EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,451,804BOYAmt
EOY$2,543,576EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$97,635,757LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$55,197,913LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$43,263,684BOYAmt
EOY$42,437,844EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,222,026BOYAmt
EOY$15,759,904EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,463,584BOYAmt
EOY$2,372,806EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,680,962BOYAmt
EOY$3,706,156EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$84,095,102BOYAmt
EOY$87,292,728EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,663,634BOYAmt
EOY$9,338,742EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$24,607,968BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$811,115BOYAmt
EOY$1,016,856EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$14,012,099BOYAmt
EOY$39,400,271EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$47,094,816BOYAmt
EOY$49,755,869EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,503,724BOYAmt
EOY$32,896,956EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$344,743BOYAmt
EOY$492,586EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,151,819BOYAmt
EOY$4,147,317EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$37,000,286BOYAmt
EOY$37,536,859EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,095,102BOYAmt
EOY$87,292,728EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$66,298ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$276,745NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$193,530OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$11,147OtherActivitiesAmt
Total Lobbying Expenditures$11,147TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1, Lobbying Activities:FormAndLineReferenceDesc
ExplanationPer information provided by the NH Hospital Association (NHHA), the NHHA percentage of dues expended for lobbying purposed was 21.69%, and the percentage of dues from the American Hospital Association (AHA) was 22.98%.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,151,824BeginningYearBalanceAmt
Investment Earnings Or Losses$279,474InvestmentEarningsOrLossesAmt
Other Expenditures$282,629OtherExpendituresAmt
Administrative Expenses$1,352AdministrativeExpensesAmt
End Year Balance$4,147,317EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,116,125BeginningYearBalanceAmt
Investment Earnings Or Losses$404,492InvestmentEarningsOrLossesAmt
Other Expenditures$309,164OtherExpendituresAmt
Administrative Expenses$59,629AdministrativeExpensesAmt
End Year Balance$4,151,824EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,220,355BeginningYearBalanceAmt
Investment Earnings Or Losses-$24,649InvestmentEarningsOrLossesAmt
Other Expenditures$7,154OtherExpendituresAmt
Administrative Expenses$72,427AdministrativeExpensesAmt
End Year Balance$4,116,125EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,241,594BeginningYearBalanceAmt
Investment Earnings Or Losses$178,504InvestmentEarningsOrLossesAmt
Other Expenditures$141,831OtherExpendituresAmt
Administrative Expenses$57,912AdministrativeExpensesAmt
End Year Balance$4,220,355EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,052,516BeginningYearBalanceAmt
Contributions$2,117,600ContributionsAmt
Investment Earnings Or Losses$185,482InvestmentEarningsOrLossesAmt
Other Expenditures$89,536OtherExpendituresAmt
Administrative Expenses$24,468AdministrativeExpensesAmt
End Year Balance$4,241,594EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,660,103OtherCostOrOtherBasisAmt
Book Value$1,660,103BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,405,577OtherCostOrOtherBasisAmt
Depreciation$19,099,237DepreciationAmt
Book Value$33,306,340BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,781OtherCostOrOtherBasisAmt
Depreciation$66,781DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$42,503,609OtherCostOrOtherBasisAmt
Depreciation$35,208,898DepreciationAmt
Book Value$7,294,711BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,010,848OtherCostOrOtherBasisAmt
Depreciation$1,834,158DepreciationAmt
Book Value$176,690BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$42,437,844TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
CAPITAL LEASE OBLIGATIONS$949,244
OTHER LIABILITIES$8,000
DEFERRED COMPENSATION$1,404,967
DUE TO D-HH$27,383,308
ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS$9,654,752
FieldValueIRS element (for citing)
Total Liability$39,400,271TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, line 4:FormAndLineReferenceDesc
ExplanationThe 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

FieldValueIRS element (for citing)
Event1GalaEvent1Nm
Gross Receipts Event1$56,625GrossReceiptsEvent1Amt
Charitable Contri Event1$34,875CharitableContriEvent1Amt
Gross Revenue Event1$21,750GrossRevenueEvent1Amt
Rent Facility Costs Event1$700RentFacilityCostsEvent1Amt
Food And Beverage Event1$13,763FoodAndBeverageEvent1Amt
Entertainment Event1$1,700EntertainmentEvent1Amt
Other Direct Expenses Event1$4,389OtherDirectExpensesEvent1Amt
Event2Golf TournamentEvent2Nm
Gross Receipts Event2$45,025GrossReceiptsEvent2Amt
Charitable Contri Event2$32,605CharitableContriEvent2Amt
Gross Revenue Event2$12,420GrossRevenueEvent2Amt
Non Cash Prizes Event2$5,104NonCashPrizesEvent2Amt
Rent Facility Costs Event2$13,720RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$1,592OtherDirectExpensesEvent2Amt
Other Events Total2OtherEventsTotalCnt
Gross Receipts Other Events$38,427GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$38,427CharitableContriOtherEventsAmt
Non Cash Prizes Other Events$798NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events$9,672RentFcltyCostsOtherEventsAmt
Entertainment Other Events$550EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$12,582OthDirectExpnssOtherEventsAmt
Gross Receipts Total$140,077GrossReceiptsTotalAmt
Charitable Contributions Tot$105,907CharitableContributionsTotAmt
Gross Revenue Total Events$34,170GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$5,902NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$24,092RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$13,763FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,250EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$18,563OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$64,570DirectExpenseSummaryEventsAmt
Net Income Summary-$30,400NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$635,675TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$635,675NetCommunityBenefitExpnsAmt
Total Expense0.00970TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,548,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$332,289DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,226,057NetCommunityBenefitExpnsAmt
Total Expense0.01870TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,184,621TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$332,289DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,861,732NetCommunityBenefitExpnsAmt
Total Expense0.02840TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$223,878TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$223,878NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$126,673TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$126,673NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,188,417TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,188,417NetCommunityBenefitExpnsAmt
Total Expense0.04870TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$14,963TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$14,963NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,553,931TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,553,931NetCommunityBenefitExpnsAmt
Total Expense0.05420TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,738,552TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$332,289DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,415,663NetCommunityBenefitExpnsAmt
Total Expense0.08260TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,064TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,064NetCommunityBenefitExpnsAmt
Total Expense0.04000TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,503TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,503NetCommunityBenefitExpnsAmt
Total Expense0.08000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$506TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$506NetCommunityBenefitExpnsAmt
Total Expense0.01000TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$91,073TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$91,073NetCommunityBenefitExpnsAmt
Total Expense0.13000TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$1,553,963BadDebtExpenseAmt
Reimbursed By Medicare$25,351,020ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$26,973,897CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,622,877MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1New London HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1Txt
CityNew LondonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.newlondonhospital.orgWebsiteAddressTxt
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1New London Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted17CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLPlease see Section C, Supplemental InfoOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt17ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLPlease see Section C, Supplemental InfoStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSee Section C, Supplemental InfoFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSee Section C, Supplemental InfoFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSee Section C, Sppltml InfoFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Input From Representatives of Community Served by Hospital FacilityForm 990, Schedule H, Part V. Section B, Line 5: The most recent Community Needs Assessment was completed in June of 2018. The New London Hospital Association, Inc. (NLH) worked with several local healthcare organizations and the Community Health Institute to bring together key healthcare and public stakeholders to solicit feedback on our local healthcare needs. Input was received from persons who represent the broad interests of the community served by the healthcare facility. This group included those with special knowledge or expertise in public health, community opinion leaders (a diverse set of service providers) and healthcare consumers.
CHNA Conducted With One Or More Hospital FacilitiesForm 990, Schedule H, Part V, Section B, Line 6a: NLH conducted their Community Health Needs Assessment in collaboration with Valley Regional Hospital, Alice Peck Day Memorial Hospital, Mt. Ascutney Hospital and Health Center and Mary Hitchcock Memorial Hospital. CHNA Conducted With One Or More Organizations Other Than Hospital Facilities Form 990, Schedule H, Part V, Section B, Line 6B During December 2017, 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. Community Health Needs Assessment Form 990, Schedule H, Part V, Section B, Line 7a The Community Health Needs Assessment can be found online at https://3t7wb628vc9u1m268t2qwac3-wpengine.netdna-ssl.com/wp-content/upload s/2019/01/FY2018-NLH-Community-Health-Needs-Assessment.pdf Community Health Needs Assessment Form 990, Schedule H, Part V, Section B, Line 7d 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. Community Health Needs Assessment and Implementation Plan & Strategy Form 990, Schedule H, Part V, Section B, 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. Community Health Needs Assessment Implementation Plan & Strategy Form 990, Schedule H, Part V, Section B, Line 10a The Community Health Needs Assessment Implementation Plan can be found online at https://www.newlondonhospital.org/wp-content/uploads/2019/01/2018-CHIP- Plan-Final1.pdf
Community Health Needs IndentifiedForm 990, Schedule H, Part V, Section B, Line 11: The Hospital continues to build upon previous efforts to implement a solid foundation for identifying and meeting the identified needs of our community within the scope of our resources. Strategic plans have been developed, implemented and reviewed to gauge success in these identified areas and allow refinement to ensure success. Services have been expanded to meet underserved areas and new services have been added to promote healthy life choices. 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. Residency Form 990, Schedule H, Part V, Section B, 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.
FAP Website, Application, Plain Language SummaryForm 990, Schedule H, Part V, Lines 16A-C: https://www.newlondonhospital.org/services/billing-charges/ Translations Form 990, Schedule H, Part V, Line 16 I The organization reviewed the service area and determined no translations were necessary for the population served.
Determining Eligibility for Patient Financial AssistanceForm 990, Schedule H, Part V, Section B, Line 20E: 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.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Newport Health CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 John Stark HwyAddressLine1Txt
CityNewportCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03773ZIPCd
FieldValueIRS element (for citing)
FacilityRural Health ClinicFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Community Building Activities:Form 990, Schedule H, Part II 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 committees and boards.
Audited Financial Stmt Disclosure for Charity Care and Bad Debt ProvisionForm 990, Schedule H, Part III, Section A, Line 4 NLH files a consolidated audited financial statement with Dartmouth-Hitchcock Clinic and other Subsidiaries. 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.
Credit and Collection PolicyForm 990, Schedule H, Part III, Line 9b: Information concerning the Organization's financials assistance policy is available from a variety of sources including our website, upon admission and throughout the billing process. The Collection Coordinator is responsible for reviewing returned financial assistance applications, assisting patients with securing information necessary to complete the applications, evaluating the applications and making recommendations to the VP of Revenue Cycle and/or the Chief Financial Officer, when applicable. The Collection Coordinator will notify patients of their eligibility and work with them to address any remaining balances. If a patient does not meet eligibility requirements for free or discounted care, the Organization will work with the patient to create an installment plan that will allow payments of patient balances over a period of time.
Needs AssesmentForm 990, Schedule H, Part VI, Line 2: The Affordable Care Act of 2010 requires not-for-profit hospitals to conduct Community Health Needs Assessments every three years. The Organization completed its most recent Community Health Needs Assessment in collaboration with Valley Regional Hospital, Alice Peck Day Memorial Hospital, Dartmouth-Hitchcock, and Mt. Ascutney Hospital and Health Center with the help of the Community Health Institute. Focus group discussions were held to elicit feedback from community members, public service officials and healthcare expert to identify community needs and prioritize the needs of our local community. The prioritization of community needs identified in the Community Needs Assessment include the following: 1. Affordable health insurance 2. Access to mental health care 3. Cost of prescription drugs 4. Prevention of substance misuse and addiction 5. Access to substance misuse treatment and recovery services 6. Availability of primary care services 7. Health care for seniors 8. Child abuse and neglect 9. Prevention and treatment of cancer 10. Domestic abuse
Patient Education of Eligibility for Financial AssistanceForm 990, Schedule H, Part VI, Line 3: 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.
Community InformationForm 990, Schedule H, Part VI, Line 4: The New London Hospital Association is the principal provider of primary and secondary healthcare for 15 towns in Sullivan and Merrimack counties of New Hampshire. The towns within our 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. Promotion of Community Health Form 990, Schedule H, Part VI, Line 5: The New London Hospital Association Inc. is dedicated to improving the health and well-being of our community and the people we serve. The Organization provides a wide array of services ranging from health education to subsidizing health services and access to care, to community building activities which improve the quality of life for all of those within our service area. 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. Many services provided by the Organization are subsidized to sustain necessary services for the community. Primary care is an area that has been identified as a community need in the most recent community benefit report. The Organization not only subsidized these services but also expanded access to care by increasing hours and locations within our community. Services include expanded hours of clinics, on site treatment at the community locations and outreach programs at Hospital sponsored events. The Hospital also participated in the medication bridge program which allows access to necessary prescriptions that would otherwise be cost prohibitive to our patients. Financial assistance and charity care programs strive to remove financial barriers to care and encourage patients to seek regular medical care and focus upon wellness. The Organization supports many local community organizations with programs outside the scope of services provided by the Hospital with both in-kind and monetary donations. Affiliated Health Care System Community Form 990, Schedule H, Part VI, Line 6 COMMUNITY BENEFITS ARE PROVIDED BY THE DARTMOUTH-HITCHCOCK HEALTH CARE SYSTEM, WHICH INCLUDES NEW LONDON HOSPITAL, MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH-HITCHCOCK CLINIC, CHESHIRE MEDICAL CENTER, ALICE PECK DAY, Mt. ASCUTNEY HOSPITAL AND HEALTH CENTER, AND OTHER RELATED ORGANIZATIONS WHOSE PRIMARY MISSION IS HEALTH CARE.
State filing of Community Benefits ReportForm 990, Schedule H, Part VI, Line 7 NLH files a Community Benefits Report with the State of New Hampshire.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Bruce King
Trustee Ex-Officio, Pres, CEO$0$327,284$0$0$0$30,904$0$56,104$0$16,607$0$430,899$0$0
Carol Majewski RN
Trustee$0$186,372$0$978$0$753$0$47,994$0$14,507$0$250,604$0$0
Stephen Kantor MD
Trustee/Pres. Elect Med. staff$405,701$0$0$0$630$0$18,000$0$32,733$0$457,064$0$0$0
Stephen LeBlanc
Trustee$0$637,177$0$0$0$153,222$0$200,238$0$21,738$0$1,012,375$0$0
Susan Reeves EdD RN
Trustee/Vice Chair$0$196,911$0$0$0$999$0$17,640$0$11,069$0$226,619$0$0
Lawrence Schissel MD
Trustee/Pres. med. staff$209,833$0$0$0$2,728$0$0$0$33,082$0$245,643$0$0$0
James Murphy MD
Co-Chief medical Officer/MD$256,687$0$0$0$5,334$0$0$0$5,278$0$267,299$0$0$0
Stephen Powell MD
Part Year Chief Med Offcr/MD$542,939$0$0$0$654$0$18,000$0$29,406$0$590,999$0$0$0
Andrew Torkelson MD
Physician$223,266$0$77,306$0$2,985$0$0$0$2,988$0$306,545$0$0$0
Timothy Gardner MD
Physician$297,520$0$0$0$340$0$0$0$2,528$0$300,388$0$0$0
Stephen Bissah MD
Physician$424,880$0$0$0$630$0$18,000$0$28,665$0$472,175$0$0$0
Brian Frenkiewich MD
Physician$225,832$0$41,572$0$432$0$0$0$29,324$0$297,160$0$0$0
David Corbin MD
Physician$401,565$0$0$0$1,003$0$18,000$0$33,047$0$453,615$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
HEALTH OR SOCIAL CLUB DUES & FEESFORM 990, SCHEDULE J, PART I, LINE 1A 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. Supplemental Nonqualified Retirement Plan Form 990, Schedule J, Part I, Line 4b: The following individuals received payments from a Supplemental Nonqualified Retirement Plan (which are reflected in Schedule J, Part II, Column B (III)): Stephen Leblanc $126,128 The annual SERP program provides eligible participants with amounts intended to replace the reduction in qualified retirement benefits due to the application of benefit limitations imposed by IRC sections 401(a) and/or 415. In addition, once eligible participants qualify for special early retirement benefits based on years of service plus age - as provided in the defined benefit plan - the value of the special early retirement benefit, determined without regard to limitations in 401(a) and 415 is included in the payment. Dartmouth-Hitchcock Supplemental Retirement Plan: Terms and Conditions: An eligible employee is a participant in the Dartmouth-Hitchcock Retirement Plan and/or any prior pension arrangements sponsored by Dartmouth-Hitchcock (including a Qualified Defined Benefit Plan) who would be entitled to additional contributions or benefit accruals under the terms of the Plans for the plan year, but are limited by IRC Section 401(a)(17) and/or 415. For eligible employees, the employer will pay the eligible employee an amount determined by the employer each year to offset the amount of the reduction in the benefit accrual or contributions as a result of the limitations imposed by IRC Sections 401(a)(17) and/or 415. MHMH sponsors a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable MHMH to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen in 1998 and therefore no further costs of the individual employee insurance premiums have been funded by the Organization. The number of participants and dollar value continues to dwindle as individuals retire/leave the Organization.
Non-fixed PaymentsForm 990, Schedule J, Part I, Line 7: During the year, certain individuals received bonus compensation based upon time with the Organization and/or payments related to relative value units (RVU's), a Medicare reimbursement formula for Physicians.
Related org compensationForm 990, Schedule J, Part II: Stephen J. Leblanc, MD; Carol Majewski, and Susan Reeves are all on the Board of Trustees for New London Hospital, but are employees of our affiliated group. Compensation listed for these individuals represents earnings from the affiliated group, not New London Hospital.

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp
Clothing And Household GoodsClothingAndHouseholdGoodsGrp
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$30,008NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp
Food InventoryFoodInventoryGrp
Drugs And Medical SuppliesDrugsAndMedicalSuppliesGrp
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMisc suppliesDesc
Contribution1ContributionCnt
Noncash Contributions Rpt F990$798NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Delegation of ControlForm 990, Part VI, Section A, Line 3: Mr. Bruce King, CEO, of New London Hospital Association (NLH) is an employee of Mary Hitchcock Memorial Hospital Association (MHMH). NLH purchases Mr. King's services from MHMH.
Description of Members, Persons, and the Nature of Their RightsForm 990, Part VI, Section A, Line 6 & 7a: The sole member of the Corporation is Dartmouth-Hitchcock Health, a New Hampshire non-profit corporation. The member of the Corporation has the power to appoint 1/3 of the NLHA Board of Trustees and must ratify the nomination of 2/3 of the members of the Board of Trustees. Governance Decisions Reserved to or Subject to Approval by Persons Other Than the Governing Body Form 990, Part VI, Section A, Line 7b: The member has certain reserved powers which require the Organization to obtain approval of the Member.
Process Used by Management and/or Governing Body to Review 990Form 990, Part VI, Section B, Line 11b: The NLH tax return is prepared by Dartmouth-Hitchcock Health system Corporate tax office and reviewed by the NLH CFO and CEO. The NLH finance committee is presented the 990 prior to sending to the board. NLH posts a copy of the Form 990 on its trustee intranet site and solicited trustee comments prior to filing the return. The Schedule B provided did not include names of donors.
Conflict of Interest PolicyForm 990, Part VI, Section B, Line 12c: Each year, as part of the preparation process for the Form 990, a written conflict of interest survey is sent to each Trustee and Officer inquiring about situations that could result in conflicts of interest. Leadership has a duty to voluntarily disclose all potential conflicts of interest on the following occasions: (1) prior to assuming their responsibilities, (2) at the time any potential conflict arises, and (3) annually through the conflict of interest survey. If a conflict of interest is identified, the organization requires the individual to remove themselves from any voting or decision making around said conflict. NLH shall disclose information regarding conflicts of interest to regulatory bodies as required by law.
Offices & Positions for Which Process was UsedForm 990, Part VI, Section B, Line 15: The CEO's compensation is determined by the New London Hospital Association (NLH) Executive Committee and Mary Hitchcock Memorial Hospital (MHMH), the CEO's employer, after considering compensation for CEOs of various sized hospitals in the region. Compensation levels for all other officers and key employees 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.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen PublicForm 990, Part VI, Section C, Line 19: NLH makes this information available to the public upon request. Additionally, Form 990 is filed with the State of New Hampshire and is available to the public through the State. NLH also maintains public inspection copies of the Form 990 that are available upon request and its Form 990 is also available through GuideStar. NLH files a Community Benefit Report annually with the State of NH. A summary of the Community Benefit Report and summary financials information is available on NLH's website and in annual reports to donors.
Changes in Net AssetsForm 990, Part XI, Line 9 Other changes in Net Assets includes: equity transfer from parent 190,000 and other misc. adjustments to equity 3,530. Total: $190,350.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Mary Hitchcock Memorial Hospital
One Medical Center DriveLebanonNH03756020222140HospitalNH501(c)(3)Line 3D-HHYes (true)
Dartmouth Hitchcock Clinic
One Medical Center DriveLebanonNH03756222519596Physcn SrvcsNH501(c)(3)Line 10D-HHYes (true)
Dartmouth Hitchcock Medical Center
One Medical Center DriveLebanonNH03756222715483Supportng OrgNH501(c)(3)Line 12a, INAYes (true)
Hamden Risk Retention Group Inc
30 Main Street Ste 330BurlingtonVT05401208530788Self InsVT501(c)(3)Line 12a, IDHCYes (true)
Dartmouth Hitchcock Health
One Medical Center DriveLebanonNH03756264812335Parent OrgNH501(c)(3)Line 7NAfalse
The Hitchcock Foundation
One Medical Center DriveLebanonNH03756020222139Hlthcr RsrchNH501(c)(3)Line 7DHCYes (true)
Everwell Inc
One Medical Center DriveLebanonNH03756352506275Supprting OrgNH501(c)(3)Line 12a, INAYes (true)
Windsor Hospital Corp
289 County RoadWindsorVT05089030183721HospitalNH501(c)(3)Line 3D-HHYes (true)
Cheshire Medical Center
580 Court StreetKeeneNH03431020354549HospitalNH501(c)(3)Line 3D-HHYes (true)
Cheshire Health Foundation
580 Court StreetKeeneNH03431020202220Spprting OrgNH501(c)(3)Line 12a, ICMCYes (true)
Mt Ascutney Hosp Cmmty Hlth Found
289 County RoadWindsorVT05089030300481FoundationVT501(c)(3)Line 3WHAYes (true)
Historic Homes of Runnemede
289 County RoadWindsorVT05089237396147HealthcareVT501(c)(3)Line 10WHAYes (true)
Cheshire Health Services
580 Court StreetKeeneNH03431473379283HealthcareNH501(c)(3)Line 3CMCYes (true)
Alice Peck Day Memorial Hospital
10 Alice Peck Day DriveLebanonNH03766020222791HospitalNH501(c)(3)Line 3D-HHYes (true)
Surgery Center of Greater Nashua
10 Prospect Street Ste 101NashuaNH03060461084049Surgery CentrNH501(c)(3)Line 3NAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1D-H Master Inv ProgramBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Medical Center DriveAddressLine1Txt
CityLebanonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03756ZIPCd
FieldValueIRS element (for citing)
EIN020205863EIN
Primary ActivitiesPooled InvestPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MHMHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeExcludedPredominantIncomeTypeTxt
Share Of Total Income$1,052,719ShareOfTotalIncomeAmt
Share Of EOY Assets$15,380,650ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
UBI Code V-$5,612UBICodeVAmt
General Or Managing PartnerYes (true)GeneralOrManagingPartnerInd
Ownership0.02383OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Pompanoosuc Investment Corp
One Medical Center DriveLebanonNH03756020352330Real Est HldgNHDHCC CorpYes (true)
Hamden Assurance Co LTD
980121409Liab InsDHCForeign CorpYes (true)3 Gorham RoadHamiltonBD08BD
Hitchcock Health Connect
One Medical Center DriveLebanonNH03756800908979TelehealthDED-HHC CorpYes (true)
Kearsarge Community Services Inc
273 County RoadNew LondonNH03257020460136Real Est HldgNHNLHAC CorpYes (true)$77,648$1,078,3231.00000
New London Medical Center East
273 County RoadNew LondonNH03257020480857Real EstateNHNLHAC CorpYes (true)$11,069$12,6691.00000
New London Physician Group
273 County RoadNew LondonNH03257020494420Physician GrpNHNLHAC CorpYes (true)1.00000
Keene Health Services
580 Court StreetKeeneNH03431020374997Real Est HldgNHNLHAC CorpYes (true)
Keene Health Realty
580 Court StreetKeeneNH03431020374998Real Est HldgNHCMCC CorpYes (true)
Keene Health Enterprises
580 Court StreetKeeneNH03431020374999Real Est HldgNHCMCC CorpYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (6 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Kearsarge Community Services
a$104,341FMV
Mary Hitchcock Memorial Hospital
p$2,197,181FMV
Dartmouth-Hitchcock Clinic
m$941,649FMV
Dartmouth-Hitchcock Health
r$375,731FMV
Dartmouth-Hitchcock Health
E$27,425,017FMV
Kearsarge Community Services
a$54,087