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
- 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 | 2019-05-16T18:13:35-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | 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) |
|---|---|---|
| In Care Of | % LISA COHEN | InCareOfNm |
| 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 CPA | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Signature | 2019-05-13 | SignatureDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 130.189.185.98 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 02156120191345000002 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-05-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D6D2E33E719154A82F90EF6A6F770779CD24C547 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 8754BDCA76DE6AB38AF93E83577F37D68CF10907 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | LISA COHEN CPA | PrincipalOfficerNm |
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 | $70,773,394 | 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 | NLHA IS A RURAL COMMUNITY CRITICAL ACCESS HOSPITAL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 669 | TotalEmployeeCnt |
| Total Volunteers | 101 | TotalVolunteersCnt |
| Total Gross UBI | -$5,612 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $21,388 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,263,621 | PYContributionsGrantsAmt |
| CY Contributions Grants | $684,540 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $61,885,703 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $58,901,744 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$791,923 | PYInvestmentIncomeAmt |
| CY Investment Income | $874,316 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$381,241 | PYOtherRevenueAmt |
| CY Other Revenue | $5,019,730 | CYOtherRevenueAmt |
| PY Total Revenue | $61,976,160 | PYTotalRevenueAmt |
| CY Total Revenue | $65,480,330 | 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 | $37,804,407 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $37,612,028 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $141,339 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $26,472,992 | PYOtherExpensesAmt |
| CY Other Expenses | $27,802,004 | CYOtherExpensesAmt |
| PY Total Expenses | $64,277,399 | PYTotalExpensesAmt |
| CY Total Expenses | $65,414,032 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,301,239 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $66,298 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $84,095,102 | TotalAssetsBOYAmt |
| Total Assets EOY | $87,292,728 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $47,094,816 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $49,755,869 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $37,000,286 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $37,536,859 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| 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 | $53,977,292 | ExpenseAmt |
| Revenue | $63,575,544 | RevenueAmt |
| Desc | NEW 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 Acty3 | ProgSrvcAccomActy3Grp | |
| Total Program Service Expenses | $53,977,292 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| 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 | false | 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 | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (true) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 121 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 669 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | Yes (true) | QuidProQuoContributionsInd |
| Quid Pro Quo Contri Discl | Yes (true) | QuidProQuoContriDisclInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (true) | 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 | false | 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 | Yes (true) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | LISA COHEN | PersonNm |
| 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 (26 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 |
|---|---|---|---|---|---|---|---|---|
| Bruce King | ||||||||
| Trustee Ex-Officio, Pres, CEO | 50.0 | 0.0 | Yes (X) | Yes (X) | $0 | $358,188 | $72,711 | |
| Carol Majewski RN | ||||||||
| Trustee | 2.0 | 50.0 | Yes (X) | $0 | $188,103 | $62,501 | ||
| Douglas Lyon | ||||||||
| Trustee/Vice Chair | 8.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| John Butterly MD | ||||||||
| Trustee part year | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Karen Ebel | ||||||||
| Trustee/Secretary | 8.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Mark Pitkin | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Patricia Steverson | ||||||||
| Trustee part year | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Robert Rex | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Stanley Cundey | ||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Stephen Kantor MD | ||||||||
| Trustee/Pres. Elect Med. staff | 50.0 | 0.0 | Yes (X) | $406,331 | $0 | $50,733 | ||
| Stephen LeBlanc | ||||||||
| Trustee | 2.0 | 60.01 | Yes (X) | $0 | $790,399 | $221,976 | ||
| Susan Reeves EdD RN | ||||||||
| Trustee/Vice Chair | 8.0 | 60.0 | Yes (X) | Yes (X) | $0 | $197,910 | $28,709 | |
| David Marshall | ||||||||
| Trustee, Treasurer | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| Peter Hager | ||||||||
| Trustee part year | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | ||
| Lawrence Schissel MD | ||||||||
| Trustee/Pres. med. staff | 50.0 | 0.0 | Yes (X) | $212,561 | $0 | $33,082 | ||
| Donald Griffin | ||||||||
| CFO part year | 50.0 | 0.0 | Yes (X) | $123,172 | $0 | $13,868 | ||
| Sally Patton | ||||||||
| Cheif Nursing Officer | 50.0 | 0.0 | Yes (X) | $114,578 | $0 | $25,987 | ||
| David Foss | ||||||||
| Chief Information Officer | 50.0 | 0.0 | Yes (X) | $121,531 | $0 | $26,062 | ||
| James Murphy MD | ||||||||
| Co-Chief medical Officer/MD | 50.0 | 0.0 | Yes (X) | $262,021 | $0 | $5,278 | ||
| Stephen Powell MD | ||||||||
| Part Year Chief Med Offcr/MD | 50.0 | 0.0 | Yes (X) | $543,593 | $0 | $47,406 | ||
| Lisa Cohen | ||||||||
| Chief Finance Offcr part year | 50.0 | 0.0 | Yes (X) | $116,818 | $0 | $17,856 | ||
| Andrew Torkelson MD | ||||||||
| Physician | 50.0 | 0.0 | $303,557 | $0 | $2,988 | Yes (X) | ||
| Timothy Gardner MD | ||||||||
| Physician | 50.0 | 0.0 | $297,860 | $0 | $2,528 | Yes (X) | ||
| Stephen Bissah MD | ||||||||
| Physician | 50.0 | 0.0 | $425,510 | $0 | $46,665 | Yes (X) | ||
| Brian Frenkiewich MD | ||||||||
| Physician | 50.0 | 0.0 | $267,836 | $0 | $29,324 | Yes (X) | ||
| David Corbin MD | ||||||||
| Physician | 50.0 | 0.0 | $402,568 | $0 | $51,047 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,597,936 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,534,600 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $738,721 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 13 | 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 |
|---|---|---|---|---|---|
| Mary Hitchcock Memorial Hospital | |||||
| One Medical Center Dr | LEBANON | NH | 03756 | Physician Staffing | $2,167,216 |
| Dartmouth Hitchcock Clinic | |||||
| One medical Center Dr | LEBANON | NH | 03756 | Physician Staffing | $928,807 |
| New England Alliance for Health | |||||
| One Medical Center Drive | LEBANON | NH | 03756 | Purchasing Services | $676,871 |
| American Healthcare Staffing Assn I | |||||
| PO Box 945 | TRAVERS CITY | MI | 49685 | Healthcare Staffing | $664,609 |
| NH Imaging Services | |||||
| One Pillsbury Street Suite 200 | CONCORD | NH | 03301 | Radiology Services | $537,069 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 40 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $105,907 | FundraisingAmt |
| Government Grants | $150,090 | GovernmentGrantsAmt |
| All Other Contributions | $428,543 | AllOtherContributionsAmt |
| Noncash Contributions | $30,008 | NoncashContributionsAmt |
| Total Contributions | $684,540 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NET PATIENT SERVICE REVENUE | Desc |
| Business | 621111 | BusinessCd |
| Total Revenue Column | $58,901,744 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $58,901,744 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $58,901,744 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $218,446 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$5,612 | UnrelatedBusinessRevenueAmt |
| Exclusion | $224,058 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,884,364 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,228,494 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $655,870 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $655,870 | TotalRevenueColumnAmt |
| Exclusion | $655,870 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $34,170 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $105,907 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $64,570 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$30,400 | TotalRevenueColumnAmt |
| Exclusion | -$30,400 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|
| CHILD CARE CENTER | 624410 | $376,330 | $376,330 | |
| OTHER REVENUE | 621111 | $4,673,800 | $4,673,800 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,050,130 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $65,480,330 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $63,575,544 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | -$5,612 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,225,858 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,359,836 | TotalAmt |
| Program Services | $27,308,840 | ProgramServicesAmt |
| Management And General | $2,944,334 | ManagementAndGeneralAmt |
| Fundraising | $106,662 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,238,073 | TotalAmt |
| Program Services | $1,519,686 | ProgramServicesAmt |
| Management And General | $3,718,387 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,014,119 | TotalAmt |
| Program Services | $1,816,796 | ProgramServicesAmt |
| Management And General | $189,182 | ManagementAndGeneralAmt |
| Fundraising | $8,141 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $241,403 | TotalAmt |
| Program Services | $241,403 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,571 | TotalAmt |
| Program Services | $84,571 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,475,303 | TotalAmt |
| Program Services | $5,382,349 | ProgramServicesAmt |
| Management And General | $1,092,954 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $141,084 | TotalAmt |
| Program Services | $141,084 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,045 | TotalAmt |
| Program Services | $29,096 | ProgramServicesAmt |
| Management And General | $83,826 | ManagementAndGeneralAmt |
| Fundraising | $19,123 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,776,946 | TotalAmt |
| Program Services | $2,508,143 | ProgramServicesAmt |
| Management And General | $265,603 | ManagementAndGeneralAmt |
| Fundraising | $3,200 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,653 | TotalAmt |
| Program Services | $20,653 | ProgramServicesAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $980,556 | TotalAmt |
| Program Services | $980,556 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,933,621 | TotalAmt |
| Program Services | $3,933,621 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $769,582 | TotalAmt |
| Program Services | $162,570 | ProgramServicesAmt |
| Management And General | $607,012 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (3 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $65,414,032 | TotalAmt |
| Program Services | $53,977,292 | ProgramServicesAmt |
| Management And General | $11,295,401 | ManagementAndGeneralAmt |
| Fundraising | $141,339 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,797,465 | BOYAmt |
| EOY | $9,418,768 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $393,879 | BOYAmt |
| EOY | $42,448 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,417 | BOYAmt |
| EOY | $4,570 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,861,432 | BOYAmt |
| EOY | $10,138,512 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $863,849 | BOYAmt |
| EOY | $868,144 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,451,804 | BOYAmt |
| EOY | $2,543,576 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $97,635,757 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $55,197,913 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,263,684 | BOYAmt |
| EOY | $42,437,844 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,222,026 | BOYAmt |
| EOY | $15,759,904 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,463,584 | BOYAmt |
| EOY | $2,372,806 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,680,962 | BOYAmt |
| EOY | $3,706,156 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,095,102 | BOYAmt |
| EOY | $87,292,728 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,663,634 | BOYAmt |
| EOY | $9,338,742 | 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 | $24,607,968 | 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 | $811,115 | BOYAmt |
| EOY | $1,016,856 | 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 | $14,012,099 | BOYAmt |
| EOY | $39,400,271 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $47,094,816 | BOYAmt |
| EOY | $49,755,869 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,503,724 | BOYAmt |
| EOY | $32,896,956 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $344,743 | BOYAmt |
| EOY | $492,586 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,151,819 | BOYAmt |
| EOY | $4,147,317 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,000,286 | BOYAmt |
| EOY | $37,536,859 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $84,095,102 | BOYAmt |
| EOY | $87,292,728 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $66,298 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $276,745 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $193,530 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| 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 | $11,147 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $11,147 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1, Lobbying Activities: | FormAndLineReferenceDesc |
| Explanation | Per 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,151,824 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $279,474 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $282,629 | OtherExpendituresAmt |
| Administrative Expenses | $1,352 | AdministrativeExpensesAmt |
| End Year Balance | $4,147,317 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,116,125 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $404,492 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $309,164 | OtherExpendituresAmt |
| Administrative Expenses | $59,629 | AdministrativeExpensesAmt |
| End Year Balance | $4,151,824 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,220,355 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$24,649 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $7,154 | OtherExpendituresAmt |
| Administrative Expenses | $72,427 | AdministrativeExpensesAmt |
| End Year Balance | $4,116,125 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,241,594 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $178,504 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $141,831 | OtherExpendituresAmt |
| Administrative Expenses | $57,912 | AdministrativeExpensesAmt |
| End Year Balance | $4,220,355 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,052,516 | BeginningYearBalanceAmt |
| Contributions | $2,117,600 | ContributionsAmt |
| Investment Earnings Or Losses | $185,482 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $89,536 | OtherExpendituresAmt |
| Administrative Expenses | $24,468 | AdministrativeExpensesAmt |
| End Year Balance | $4,241,594 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | 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 | $1,660,103 | OtherCostOrOtherBasisAmt |
| Book Value | $1,660,103 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,405,577 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,099,237 | DepreciationAmt |
| Book Value | $33,306,340 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $66,781 | OtherCostOrOtherBasisAmt |
| Depreciation | $66,781 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $42,503,609 | OtherCostOrOtherBasisAmt |
| Depreciation | $35,208,898 | DepreciationAmt |
| Book Value | $7,294,711 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,010,848 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,834,158 | DepreciationAmt |
| Book Value | $176,690 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $42,437,844 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $39,400,271 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part V, line 4: | 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 | $56,625 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $34,875 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $21,750 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $700 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $13,763 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $1,700 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $4,389 | OtherDirectExpensesEvent1Amt |
| Event2 | Golf Tournament | Event2Nm |
| Gross Receipts Event2 | $45,025 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $32,605 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $12,420 | GrossRevenueEvent2Amt |
| Non Cash Prizes Event2 | $5,104 | NonCashPrizesEvent2Amt |
| Rent Facility Costs Event2 | $13,720 | RentFacilityCostsEvent2Amt |
| Other Direct Expenses Event2 | $1,592 | OtherDirectExpensesEvent2Amt |
| Other Events Total | 2 | OtherEventsTotalCnt |
| Gross Receipts Other Events | $38,427 | GrossReceiptsOtherEventsAmt |
| Charitable Contri Other Events | $38,427 | CharitableContriOtherEventsAmt |
| Non Cash Prizes Other Events | $798 | NonCashPrizesOtherEventsAmt |
| Rent Fclty Costs Other Events | $9,672 | RentFcltyCostsOtherEventsAmt |
| Entertainment Other Events | $550 | EntertainmentOtherEventsAmt |
| Oth Direct Expnss Other Events | $12,582 | OthDirectExpnssOtherEventsAmt |
| Gross Receipts Total | $140,077 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $105,907 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $34,170 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $5,902 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $24,092 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $13,763 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $2,250 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $18,563 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $64,570 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$30,400 | 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 |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $635,675 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $635,675 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,548,946 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $332,289 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,226,057 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01870 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,184,621 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $332,289 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,861,732 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02840 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $223,878 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $223,878 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00340 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $126,673 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $126,673 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00190 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,188,417 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,188,417 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04870 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $14,963 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $14,963 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,553,931 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,553,931 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05420 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,738,552 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $332,289 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,415,663 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08260 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,064 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,064 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04000 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $57,503 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $57,503 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $506 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $506 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $91,073 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $91,073 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,553,963 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $25,351,020 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $26,973,897 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,622,877 | 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 |
| 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 Association | 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 |
| CHNA Conducted | 17 | 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 | Please see Section C, Supplemental Info | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 17 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | Please see Section C, Supplemental Info | 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. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| 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 | See Section C, Supplemental Info | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | See Section C, Supplemental Info | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | See Section C, Sppltml Info | 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 (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Input From Representatives of Community Served by Hospital Facility | Form 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 Facilities | Form 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 Indentified | Form 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 Summary | Form 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 Assistance | Form 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. |
| 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 (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 Provision | Form 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 Policy | Form 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 Assesment | Form 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 Assistance | Form 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 Information | Form 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 Report | Form 990, Schedule H, Part VI, Line 7 NLH files a Community Benefits Report with the State of New Hampshire. |
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 |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | 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 | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 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 | ||||||||||||||
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| HEALTH OR SOCIAL CLUB DUES & FEES | FORM 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 Payments | Form 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 compensation | Form 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp |
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $30,008 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Misc supplies | Desc |
| Contribution | 1 | ContributionCnt |
| Noncash Contributions Rpt F990 | $798 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | 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 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Delegation of Control | Form 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 Rights | Form 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 990 | Form 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 Policy | Form 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 Used | Form 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 Public | Form 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 Assets | Form 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/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 |
|---|---|---|---|---|---|---|---|---|---|---|
| Mary Hitchcock Memorial Hospital | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 020222140 | Hospital | NH | 501(c)(3) | Line 3 | D-HH | Yes (true) |
| Dartmouth Hitchcock Clinic | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 222519596 | Physcn Srvcs | NH | 501(c)(3) | Line 10 | D-HH | Yes (true) |
| Dartmouth Hitchcock Medical Center | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 222715483 | Supportng Org | NH | 501(c)(3) | Line 12a, I | NA | Yes (true) |
| Hamden Risk Retention Group Inc | ||||||||||
| 30 Main Street Ste 330 | Burlington | VT | 05401 | 208530788 | Self Ins | VT | 501(c)(3) | Line 12a, I | DHC | Yes (true) |
| Dartmouth Hitchcock Health | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 264812335 | Parent Org | NH | 501(c)(3) | Line 7 | NA | false |
| The Hitchcock Foundation | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 020222139 | Hlthcr Rsrch | NH | 501(c)(3) | Line 7 | DHC | Yes (true) |
| Everwell Inc | ||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 352506275 | Supprting Org | NH | 501(c)(3) | Line 12a, I | NA | Yes (true) |
| Windsor Hospital Corp | ||||||||||
| 289 County Road | Windsor | VT | 05089 | 030183721 | Hospital | NH | 501(c)(3) | Line 3 | D-HH | Yes (true) |
| Cheshire Medical Center | ||||||||||
| 580 Court Street | Keene | NH | 03431 | 020354549 | Hospital | NH | 501(c)(3) | Line 3 | D-HH | Yes (true) |
| Cheshire Health Foundation | ||||||||||
| 580 Court Street | Keene | NH | 03431 | 020202220 | Spprting Org | NH | 501(c)(3) | Line 12a, I | CMC | Yes (true) |
| Mt Ascutney Hosp Cmmty Hlth Found | ||||||||||
| 289 County Road | Windsor | VT | 05089 | 030300481 | Foundation | VT | 501(c)(3) | Line 3 | WHA | Yes (true) |
| Historic Homes of Runnemede | ||||||||||
| 289 County Road | Windsor | VT | 05089 | 237396147 | Healthcare | VT | 501(c)(3) | Line 10 | WHA | Yes (true) |
| Cheshire Health Services | ||||||||||
| 580 Court Street | Keene | NH | 03431 | 473379283 | Healthcare | NH | 501(c)(3) | Line 3 | CMC | Yes (true) |
| Alice Peck Day Memorial Hospital | ||||||||||
| 10 Alice Peck Day Drive | Lebanon | NH | 03766 | 020222791 | Hospital | NH | 501(c)(3) | Line 3 | D-HH | Yes (true) |
| Surgery Center of Greater Nashua | ||||||||||
| 10 Prospect Street Ste 101 | Nashua | NH | 03060 | 461084049 | Surgery Centr | NH | 501(c)(3) | Line 3 | NA | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | D-H Master Inv Program | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | One Medical Center Drive | AddressLine1Txt |
| City | Lebanon | CityNm |
| State Abbreviation | NH | StateAbbreviationCd |
| ZIP | 03756 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020205863 | EIN |
| Primary Activities | Pooled Invest | PrimaryActivitiesTxt |
| Legal Domicile State | NH | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHMH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | Excluded | PredominantIncomeTypeTxt |
| Share Of Total Income | $1,052,719 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $15,380,650 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| UBI Code V | -$5,612 | UBICodeVAmt |
| General Or Managing Partner | Yes (true) | GeneralOrManagingPartnerInd |
| Ownership | 0.02383 | OwnershipPct |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Pompanoosuc Investment Corp | |||||||||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 020352330 | Real Est Hldg | NH | DHC | C Corp | Yes (true) | ||||||||
| Hamden Assurance Co LTD | |||||||||||||||||
| 980121409 | Liab Ins | DHC | Foreign Corp | Yes (true) | 3 Gorham Road | Hamilton | BD | 08 | BD | ||||||||
| Hitchcock Health Connect | |||||||||||||||||
| One Medical Center Drive | Lebanon | NH | 03756 | 800908979 | Telehealth | DE | D-HH | C Corp | Yes (true) | ||||||||
| Kearsarge Community Services Inc | |||||||||||||||||
| 273 County Road | New London | NH | 03257 | 020460136 | Real Est Hldg | NH | NLHA | C Corp | Yes (true) | $77,648 | $1,078,323 | 1.00000 | |||||
| New London Medical Center East | |||||||||||||||||
| 273 County Road | New London | NH | 03257 | 020480857 | Real Estate | NH | NLHA | C Corp | Yes (true) | $11,069 | $12,669 | 1.00000 | |||||
| New London Physician Group | |||||||||||||||||
| 273 County Road | New London | NH | 03257 | 020494420 | Physician Grp | NH | NLHA | C Corp | Yes (true) | 1.00000 | |||||||
| Keene Health Services | |||||||||||||||||
| 580 Court Street | Keene | NH | 03431 | 020374997 | Real Est Hldg | NH | NLHA | C Corp | Yes (true) | ||||||||
| Keene Health Realty | |||||||||||||||||
| 580 Court Street | Keene | NH | 03431 | 020374998 | Real Est Hldg | NH | CMC | C Corp | Yes (true) | ||||||||
| Keene Health Enterprises | |||||||||||||||||
| 580 Court Street | Keene | NH | 03431 | 020374999 | Real Est Hldg | NH | CMC | C Corp | Yes (true) | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (true) | LoansOrGuaranteesFromOthOrgInd |
| 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 | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Kearsarge Community Services | ||
| a | $104,341 | FMV |
| Mary Hitchcock Memorial Hospital | ||
| p | $2,197,181 | FMV |
| Dartmouth-Hitchcock Clinic | ||
| m | $941,649 | FMV |
| Dartmouth-Hitchcock Health | ||
| r | $375,731 | FMV |
| Dartmouth-Hitchcock Health | ||
| E | $27,425,017 | FMV |
| Kearsarge Community Services | ||
| a | $54,087 | |