2019-05-16T18:13:35-05:00 2018-06-30 990 2017-07-01 020222171 New London Hospital Association Inc % LISA COHEN NEWL 6035262911 273 County Road New London NH 03257 LISA COHEN CPA CFO 2019-05-13 130.189.185.98 02156120191345000002 2019-05-14 P D6D2E33E719154A82F90EF6A6F770779CD24C547 8754BDCA76DE6AB38AF93E83577F37D68CF10907 2017 2019-02-21 02:37:17Z LISA COHEN CPA 273 County Road New London NH 03257 70773394 false X www.newlondonhospital.org X 1918 NH NLHA IS A RURAL COMMUNITY CRITICAL ACCESS HOSPITAL. 13 8 669 101 -5612 21388 1263621 684540 61885703 58901744 -791923 874316 -381241 5019730 61976160 65480330 0 0 0 0 37804407 37612028 0 0 141339 26472992 27802004 64277399 65414032 -2301239 66298 84095102 87292728 47094816 49755869 37000286 37536859 X NEW LONDON HOSPITAL IS A 25-BED RURAL COMMUNITY CRITICAL ACCESS HOSPITAL DEDICATED TO SERVING THE LAKE SUNAPEE REGION OF NEW HAMPSHIRE. false false 53977292 63575544 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. 53977292 true true false true false false false false false true true false false false true false false true false false false false false false true false true true false false true false false false false false false false false true false false false false true false true false true 121 0 true 669 true false false false false false true true false false false false X 13 8 false true false false true true true true true false false false true true true true true true true false NH X LISA COHEN 6035262911 273 COUNTY ROAD NEW LONDON NH 03257 Bruce King Trustee Ex-Officio, Pres, CEO 50.0 0.0 X X 0 358188 72711 Carol Majewski RN Trustee 2.0 50.0 X 0 188103 62501 Douglas Lyon Trustee/Vice Chair 8.0 0.0 X X 0 0 0 John Butterly MD Trustee part year 2.0 0.0 X 0 0 0 Karen Ebel Trustee/Secretary 8.0 0.0 X X 0 0 0 Mark Pitkin Trustee 2.0 0.0 X 0 0 0 Patricia Steverson Trustee part year 2.0 0.0 X 0 0 0 Robert Rex Trustee 2.0 0.0 X 0 0 0 Stanley Cundey Trustee 2.0 0.0 X 0 0 0 Stephen Kantor MD Trustee/Pres. Elect Med. staff 50.0 0.0 X 406331 0 50733 Stephen LeBlanc Trustee 2.0 60.01 X 0 790399 221976 Susan Reeves EdD RN Trustee/Vice Chair 8.0 60.0 X X 0 197910 28709 David Marshall Trustee, Treasurer 2.0 0.0 X X 0 0 0 Peter Hager Trustee part year 2.0 0.0 X 0 0 0 Lawrence Schissel MD Trustee/Pres. med. staff 50.0 0.0 X 212561 0 33082 Donald Griffin CFO part year 50.0 0.0 X 123172 0 13868 Sally Patton Cheif Nursing Officer 50.0 0.0 X 114578 0 25987 David Foss Chief Information Officer 50.0 0.0 X 121531 0 26062 James Murphy MD Co-Chief medical Officer/MD 50.0 0.0 X 262021 0 5278 Stephen Powell MD Part Year Chief Med Offcr/MD 50.0 0.0 X 543593 0 47406 Lisa Cohen Chief Finance Offcr part year 50.0 0.0 X 116818 0 17856 Andrew Torkelson MD Physician 50.0 0.0 X 303557 0 2988 Timothy Gardner MD Physician 50.0 0.0 X 297860 0 2528 Stephen Bissah MD Physician 50.0 0.0 X 425510 0 46665 Brian Frenkiewich MD Physician 50.0 0.0 X 267836 0 29324 David Corbin MD Physician 50.0 0.0 X 402568 0 51047 3597936 1534600 738721 13 false true false Mary Hitchcock Memorial Hospital One Medical Center Dr LEBANON NH 03756 Physician Staffing 2167216 Dartmouth Hitchcock Clinic One medical Center Dr LEBANON NH 03756 Physician Staffing 928807 New England Alliance for Health One Medical Center Drive LEBANON NH 03756 Purchasing Services 676871 American Healthcare Staffing Assn I PO Box 945 TRAVERS CITY MI 49685 Healthcare Staffing 664609 NH Imaging Services One Pillsbury Street Suite 200 CONCORD NH 03301 Radiology Services 537069 40 105907 150090 428543 30008 684540 NET PATIENT SERVICE REVENUE 621111 58901744 58901744 58901744 218446 -5612 224058 0 0 0 0 0 5884364 5228494 655870 655870 655870 34170 105907 64570 -30400 -30400 0 0 0 0 0 0 CHILD CARE CENTER 624410 376330 376330 OTHER REVENUE 621111 4673800 4673800 5050130 65480330 63575544 -5612 1225858 0 0 0 0 0 0 30359836 27308840 2944334 106662 0 5238073 1519686 3718387 2014119 1816796 189182 8141 0 241403 241403 84571 84571 0 0 0 6475303 5382349 1092954 141084 141084 132045 29096 83826 19123 0 0 2776946 2508143 265603 3200 20653 20653 0 0 980556 980556 0 3933621 3933621 769582 162570 607012 MET AND OTHER TAXES 2917038 2917038 MEDICAL SUPP. & PHARMACEUTICAL 6161250 6161250 OTHER 3167952 769636 2394103 4213 65414032 53977292 11295401 141339 7797465 9418768 393879 42448 96417 4570 9861432 10138512 0 0 0 0 0 0 863849 868144 1451804 2543576 97635757 55197913 43263684 42437844 14222026 15759904 0 0 0 0 2463584 2372806 3680962 3706156 84095102 87292728 7663634 9338742 0 0 0 0 24607968 0 0 0 0 0 811115 1016856 0 0 14012099 39400271 47094816 49755869 X 32503724 32896956 344743 492586 4151819 4147317 37000286 37536859 84095102 87292728 X 66298 276745 193530 X false true X true true true X false false false false false false false false true 11147 11147 false Part II-B, Line 1, Lobbying Activities: 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%. 4151824 279474 282629 1352 4147317 4116125 404492 309164 59629 4151824 4220355 -24649 7154 72427 4116125 4241594 178504 141831 57912 4220355 2052516 2117600 185482 89536 24468 4241594 0.00000 1.00000 0.00000 true false 1660103 1660103 52405577 19099237 33306340 66781 66781 0 42503609 35208898 7294711 2010848 1834158 176690 42437844 0 CAPITAL LEASE OBLIGATIONS 949244 OTHER LIABILITIES 8000 DEFERRED COMPENSATION 1404967 DUE TO D-HH 27383308 ESTIMATED THIRD-PARTY PAYOR SETTLEMENTS 9654752 39400271 Part V, line 4: The income from the Endowment Funds is used to assist in the payment of the Hospital's program-related expenses. Gala 56625 34875 21750 700 13763 1700 4389 Golf Tournament 45025 32605 12420 5104 13720 1592 2 38427 38427 798 9672 550 12582 140077 105907 34170 5902 24092 13763 2250 18563 64570 -30400 true true X true X true X true true true true true 635675 635675 0.00970 4548946 332289 1226057 0.01870 5184621 332289 1861732 0.02840 223878 223878 0.00340 126673 126673 0.00190 3188417 3188417 0.04870 14963 14963 0.00020 3553931 3553931 0.05420 8738552 332289 5415663 0.08260 33064 33064 0.04000 57503 57503 0.08000 506 506 0.01000 91073 91073 0.13000 false 1553963 25351020 26973897 -1622877 X true true 1 1 New London Hospital 273 County Road New London NH 03257 www.newlondonhospital.org X X New London Hospital Association 1 false false true X X X X X X X X 17 true true true true X Please see Section C, Supplemental Info X true 17 true Please see Section C, Supplemental Info false true X 200. 400. X X true true X X X X true X See Section C, Supplemental Info X See Section C, Supplemental Info X See Section C, Sppltml Info X X X X X X true X false X X X X X true X false false 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. 1 Newport Health Center 11 John Stark Hwy Newport NH 03773 Rural Health Clinic 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. X true true X X X X false true false false false false false true false Bruce King Trustee Ex-Officio, Pres, CEO 0 327284 0 0 0 30904 0 56104 0 16607 0 430899 0 0 Carol Majewski RN Trustee 0 186372 0 978 0 753 0 47994 0 14507 0 250604 0 0 Stephen Kantor MD Trustee/Pres. Elect Med. staff 405701 0 0 0 630 0 18000 0 32733 0 457064 0 0 0 Stephen LeBlanc Trustee 0 637177 0 0 0 153222 0 200238 0 21738 0 1012375 0 0 Susan Reeves EdD RN Trustee/Vice Chair 0 196911 0 0 0 999 0 17640 0 11069 0 226619 0 0 Lawrence Schissel MD Trustee/Pres. med. staff 209833 0 0 0 2728 0 0 0 33082 0 245643 0 0 0 James Murphy MD Co-Chief medical Officer/MD 256687 0 0 0 5334 0 0 0 5278 0 267299 0 0 0 Stephen Powell MD Part Year Chief Med Offcr/MD 542939 0 0 0 654 0 18000 0 29406 0 590999 0 0 0 Andrew Torkelson MD Physician 223266 0 77306 0 2985 0 0 0 2988 0 306545 0 0 0 Timothy Gardner MD Physician 297520 0 0 0 340 0 0 0 2528 0 300388 0 0 0 Stephen Bissah MD Physician 424880 0 0 0 630 0 18000 0 28665 0 472175 0 0 0 Brian Frenkiewich MD Physician 225832 0 41572 0 432 0 0 0 29324 0 297160 0 0 0 David Corbin MD Physician 401565 0 0 0 1003 0 18000 0 33047 0 453615 0 0 0 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. X 3 30008 FMV X Misc supplies 1 798 FMV false true false 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. Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 03756 020222140 Hospital NH 501(c)(3) Line 3 D-HH true Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 222519596 Physcn Srvcs NH 501(c)(3) Line 10 D-HH true Dartmouth Hitchcock Medical Center One Medical Center Drive Lebanon NH 03756 222715483 Supportng Org NH 501(c)(3) Line 12a, I NA 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 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 true Everwell Inc One Medical Center Drive Lebanon NH 03756 352506275 Supprting Org NH 501(c)(3) Line 12a, I NA true Windsor Hospital Corp 289 County Road Windsor VT 05089 030183721 Hospital NH 501(c)(3) Line 3 D-HH true Cheshire Medical Center 580 Court Street Keene NH 03431 020354549 Hospital NH 501(c)(3) Line 3 D-HH true Cheshire Health Foundation 580 Court Street Keene NH 03431 020202220 Spprting Org NH 501(c)(3) Line 12a, I CMC true Mt Ascutney Hosp Cmmty Hlth Found 289 County Road Windsor VT 05089 030300481 Foundation VT 501(c)(3) Line 3 WHA true Historic Homes of Runnemede 289 County Road Windsor VT 05089 237396147 Healthcare VT 501(c)(3) Line 10 WHA true Cheshire Health Services 580 Court Street Keene NH 03431 473379283 Healthcare NH 501(c)(3) Line 3 CMC true Alice Peck Day Memorial Hospital 10 Alice Peck Day Drive Lebanon NH 03766 020222791 Hospital NH 501(c)(3) Line 3 D-HH true Surgery Center of Greater Nashua 10 Prospect Street Ste 101 Nashua NH 03060 461084049 Surgery Centr NH 501(c)(3) Line 3 NA true D-H Master Inv Program One Medical Center Drive Lebanon NH 03756 020205863 Pooled Invest NH MHMH Excluded 1052719 15380650 false -5612 true 0.02383 Pompanoosuc Investment Corp One Medical Center Drive Lebanon NH 03756 020352330 Real Est Hldg NH DHC C Corp true Hamden Assurance Co LTD 3 Gorham Road Hamilton BD 08 980121409 Liab Ins BD DHC Foreign Corp true Hitchcock Health Connect One Medical Center Drive Lebanon NH 03756 800908979 Telehealth DE D-HH C Corp true Kearsarge Community Services Inc 273 County Road New London NH 03257 020460136 Real Est Hldg NH NLHA C Corp 77648 1078323 1.00000 true New London Medical Center East 273 County Road New London NH 03257 020480857 Real Estate NH NLHA C Corp 11069 12669 1.00000 true New London Physician Group 273 County Road New London NH 03257 020494420 Physician Grp NH NLHA C Corp 1.00000 true Keene Health Services 580 Court Street Keene NH 03431 020374997 Real Est Hldg NH NLHA C Corp true Keene Health Realty 580 Court Street Keene NH 03431 020374998 Real Est Hldg NH CMC C Corp true Keene Health Enterprises 580 Court Street Keene NH 03431 020374999 Real Est Hldg NH CMC C Corp true true false false false true false false false false true false true false false true false true false Kearsarge Community Services a 104341 FMV Mary Hitchcock Memorial Hospital p 2197181 FMV Dartmouth-Hitchcock Clinic m 941649 FMV Dartmouth-Hitchcock Health r 375731 FMV Dartmouth-Hitchcock Health E 27425017 FMV Kearsarge Community Services a 54087