WINDSOR HOSPITAL CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: WINDSOR HOSPITAL CORPORATION (EIN 03-0183721)
Tax period: 2017-10-01 to 2018-09-30
Filed: 2019-08-14
IRS object ID: 201912269349301541
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-08-14T13:50:28-05:00	ReturnTs
Tax Period End	2018-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	030183721	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID SANVILLE	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	8026746711	PhoneNum
Signature	2019-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	W JAY SIMMS	PreparerPersonNm
PTIN	P00435321	PTIN
Phone	6036530044	PhoneNum
Preparation	2019-08-13	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

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

Field	Value	IRS element (for citing)
IP	2019-08-13	IPDt
IP Tm	13:19:21	IPTm
IP Timezone	ED	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	E125F4664CA59E986E126FDFBB4724C3AED932BF	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

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

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$55,684,344	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	MTASCUTNEYHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1933	FormationYr
Legal Domicile State	VT	LegalDomicileStateCd
Activity Or Mission	TO IMPROVE THE LIVES OF THOSE WE SERVE. OUR ACTIVITIES INCLUDE PROVIDING HEALTHCARE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	540	TotalEmployeeCnt
Total Volunteers	185	TotalVolunteersCnt
Total Gross UBI	-$6,151	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$6,151	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$906,396	PYContributionsGrantsAmt
CY Contributions Grants	$1,057,821	CYContributionsGrantsAmt
PY Program Service Revenue	$51,135,484	PYProgramServiceRevenueAmt
CY Program Service Revenue	$53,629,858	CYProgramServiceRevenueAmt
PY Investment Income	$624,393	PYInvestmentIncomeAmt
CY Investment Income	$883,372	CYInvestmentIncomeAmt
PY Other Revenue	$159,577	PYOtherRevenueAmt
CY Other Revenue	$77,823	CYOtherRevenueAmt
PY Total Revenue	$52,825,850	PYTotalRevenueAmt
CY Total Revenue	$55,648,874	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	$30,149,034	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$32,199,150	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$288,074	CYTotalFundraisingExpenseAmt
PY Other Expenses	$20,347,045	PYOtherExpensesAmt
CY Other Expenses	$21,315,219	CYOtherExpensesAmt
PY Total Expenses	$50,496,079	PYTotalExpensesAmt
CY Total Expenses	$53,514,369	CYTotalExpensesAmt
PY Revenues Less Expenses	$2,329,771	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,134,505	CYRevenuesLessExpensesAmt
Total Assets BOY	$50,695,886	TotalAssetsBOYAmt
Total Assets EOY	$54,844,981	TotalAssetsEOYAmt
Total Liabilities BOY	$25,152,463	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$26,292,087	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$25,543,423	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$28,552,894	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MT. ASCUTNEY HOSPITAL AND HEALTH CENTER'S MISSION IS TO IMPROVE THE LIVES OF THOSE WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$43,130,184	ExpenseAmt
Revenue	$53,661,706	RevenueAmt
Desc	MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (MAHHC) OPERATES A NOT-FOR-PROFIT CRITICAL ACCESS HOSPITAL WHICH PROVIDES PRIMARY AND SECONDARY HEALTH CARE. MAHHC'S PRIMARY SERVICE AREA INCLUDES WINDSOR, CLAREMONT, WOODSTOCK, HARTLAND, SPRINGFIELD, AND BROWNSVILLE. THE HOSPITAL PROVIDES ESSENTIAL HEALTHCARE SERVICES INCLUDING EMERGENCY DEPARTMENT, MED/SURG INPATIENT, AND ANCILLARY DIAGNOSTIC TESTS, IMAGING/RADIOLOGY PROCEDURES, AND WELLNESS/PREVENTION SERVICES. MAHHC STAFFS A TOTAL OF 25 ACUTE MED/SURG BEDS AND 10 ACUTE REHABILITATION BEDS. DURING THE YEAR, THERE WERE 1,075 DISCHARGES, 1,597 SURGERIES, 60,786 LAB TESTS, AND 11,746 IMAGING PROCEDURES. MAHHC IDENTIFIED ACCESS TO PRIMARY CARE AS A CENTRAL COMMUNITY NEED AND IS COMMITTED TO PROVIDING THE PHYSICIAN SERVICES OF FAMILY PRACTICE, INTERNAL MEDICINE AND PEDIATRICS IN WINDSOR AND WOODSTOCK. MAHHC PROVIDES FREE CARE TO PATIENTS WHO MEET CERTAIN CRITERIA. FOREGONE CHARGES FURNISHED UNDER MAHHC'S FREE CARE POLICY AMOUNTED TO $949,742 IN FY18.	Desc
Total Program Service Expenses	$43,130,184	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	61	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	540	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

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

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN GILMAN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
MICHAEL NEWBOLD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
LYNN PETERSON MD
TRUSTEE	1.00	Yes (X)	$0	$0	$0
HON DONNA SWEANEY
VICE-CHAIR	1.00	Yes (X)	$0	$0	$0	Yes (X)
STEVEN SMITH MD
TRUSTEE	1.00	Yes (X)	$0	$183,126	$114,455		40.00
ALAN KEILLER
CHAIR (FROM 12/2017)	1.00	Yes (X)	$0	$0	$0	Yes (X)
MARIA PADIN MD
DH REPRESENTATIVE	1.00	Yes (X)	$0	$399,509	$275,686		40.00
VINCENT FUSCA III
TREASURER	1.00	Yes (X)	$0	$0	$0	Yes (X)
DEANNA S HOWARD
DH REPRESENTATIVE	1.00	Yes (X)	$0	$0	$0
MATTHEW S HOUDE
DH REPRESENTATIVE	1.00	Yes (X)	$0	$194,397	$34,795		40.00
STEPHEN D SURGENOR MD
DH REPRESENTATIVE	1.00	Yes (X)	$0	$490,966	$69,725		40.00
JOHN TANSEY
SECRETARY	1.00	Yes (X)	$0	$0	$0	Yes (X)
GAY LANDSTROM
INTERIM CEO (THRU 1/2017)	40.00	Yes (X)	$0	$65,456	$4,008	Yes (X)	1.00
JOSEPH PERRAS
PRESIDENT & CEO (FROM 1/17	40.00	Yes (X)	$346,184	$0	$0	Yes (X)	1.00
PAMELA BROWN
TRUSTEE	1.00	Yes (X)	$0	$0	$0
PATRICK JORDAN
DH REPRESENTATIVE	1.00	Yes (X)	$0	$46,154	$2,396		40.00
WILLIAM PALMER MD
TRUSTEE	1.00	Yes (X)	$0	$203,701	$209,145		40.00
DONNA VANFLEET
CHAIR (EFFECTIVE THRU 12/2017)	1.00	Yes (X)	$0	$0	$0	Yes (X)
DAVID SANVILLE
CFO	32.00		$181,809	$0	$20,699	Yes (X)
MARY JOYCE
PHYSICIAN	40.00		$249,664	$0	$20,699			Yes (X)
CHRISTOPHER CONNOR
PHYSICIAN	40.00		$315,647	$0	$10,000			Yes (X)
HEIDI CRUZ
PHYSICIAN	40.00		$238,721	$0	$20,689			Yes (X)
DENNIS HEIBEIN
PHYSICIAN	40.00		$244,242	$0	$10,000			Yes (X)
PETER RAUERT
PHYSICIAN	40.00		$407,201	$0	$18,140			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,983,468	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,583,309	TotReportableCompRltdOrgAmt
Total Other Compensation	$810,437	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	38	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL DRIVE	LEBANON	NH	03756	LEADERSHIP, PHYSICIANS AND MEDICAL SERVI	$3,733,587
EMERGENCY SERVICES OF NEW ENGLAND
PO BOX 12	CHESTER	VT	05143	MEDICAL STAFF PROVIDERS FOR EMERGENCY RO	$1,490,109
AHSA STAFFING
PO BOX 945	TRAVERSE CITY	MI	49685	TEMPORARY NURSING/CLINICAL STAFFING	$1,038,954
SODEXO INC & AFFILIATES
PO BOX 360170	PITTSBURGH	PA	15251	MNGMT & SUPPORT STAFF - ENVMMNTL SRVS	$739,934
CERNER
PO BOX 959156	ST LOUIS	MO	63195	SUPPORT FOR EMR	$678,169

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	32	CntrctRcvdGreaterThan100KCnt
Government Grants	$740,954	GovernmentGrantsAmt
All Other Contributions	$316,867	AllOtherContributionsAmt
Total Contributions	$1,057,821	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SERVICES	621110	$97,368,607	$97,368,607
PROGRAM & MISC OTHER	621110	$2,821,217	$2,821,217
ONE CARE VERMONT	621110	$732,703	$732,703
DSH/VAHHS REVENUE	621110	$683,877	$683,877
PROVISION FOR DOUBTFUL ACCOUNTS	621110	-$1,541,879	-$1,541,879

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$46,434,667	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$46,434,667	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$53,629,858	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$252,096	TotalRevenueColumnAmt
Unrelated Business Revenue	-$6,151	UnrelatedBusinessRevenueAmt
Exclusion	$258,247	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$26,322	RealAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$26,322	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$26,322	TotalRevenueColumnAmt
Exclusion	$26,322	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$623,898	SecuritiesAmt
Other	$21,700	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$14,322	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$623,898	SecuritiesAmt
Other	$7,378	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$631,276	TotalRevenueColumnAmt
Exclusion	$631,276	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$40,801	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$21,148	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$19,653	TotalRevenueColumnAmt
Exclusion	$19,653	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	EQUITY IN INCOME OF SUBSIDIARIES	Desc
Business	621110	BusinessCd
Total Revenue Column	$31,848	TotalRevenueColumnAmt
Related Or Exempt Func Income	$31,848	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$31,848	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$55,648,874	TotalRevenueColumnAmt
Related Or Exempt Func Income	$53,661,706	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$6,151	UnrelatedBusinessRevenueAmt
Exclusion	$935,498	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$542,826	TotalAmt
Program Services	$35,172	ProgramServicesAmt
Management And General	$507,654	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$24,579,332	TotalAmt
Program Services	$20,861,262	ProgramServicesAmt
Management And General	$3,570,842	ManagementAndGeneralAmt
Fundraising	$147,228	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$909,748	TotalAmt
Program Services	$771,488	ProgramServicesAmt
Management And General	$132,877	ManagementAndGeneralAmt
Fundraising	$5,383	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,453,548	TotalAmt
Program Services	$3,739,282	ProgramServicesAmt
Management And General	$689,930	ManagementAndGeneralAmt
Fundraising	$24,336	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,713,696	TotalAmt
Program Services	$1,426,481	ProgramServicesAmt
Management And General	$277,276	ManagementAndGeneralAmt
Fundraising	$9,939	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$23,641	TotalAmt
Management And General	$23,641	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$86,288	TotalAmt
Management And General	$86,288	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,183,293	TotalAmt
Program Services	$2,235,830	ProgramServicesAmt
Management And General	$1,915,209	ManagementAndGeneralAmt
Fundraising	$32,254	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$123,053	TotalAmt
Program Services	$11,811	ProgramServicesAmt
Management And General	$82,064	ManagementAndGeneralAmt
Fundraising	$29,178	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$63,724	TotalAmt
Program Services	$51,450	ProgramServicesAmt
Management And General	$11,478	ManagementAndGeneralAmt
Fundraising	$796	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$441,317	TotalAmt
Program Services	$139,412	ProgramServicesAmt
Management And General	$293,093	ManagementAndGeneralAmt
Fundraising	$8,812	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$679,706	TotalAmt
Program Services	$656,571	ProgramServicesAmt
Management And General	$23,103	ManagementAndGeneralAmt
Fundraising	$32	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$67,161	TotalAmt
Program Services	$43,119	ProgramServicesAmt
Management And General	$23,244	ManagementAndGeneralAmt
Fundraising	$798	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$226,535	TotalAmt
Management And General	$226,535	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,076,659	TotalAmt
Program Services	$2,076,659	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$600,378	TotalAmt
Program Services	$408,795	ProgramServicesAmt
Management And General	$189,909	ManagementAndGeneralAmt
Fundraising	$1,674	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PURCHASED SERVICES	$5,505,993	$5,166,528	$339,465
SUPPLIES	$3,446,707	$3,220,412	$205,865	$20,430
DUES/FEES/TAXES	$2,263,091	$1,875,622	$385,024	$2,445
UTILITIES	$671,316	$33,495	$637,821

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$856,357	TotalAmt
Program Services	$376,795	ProgramServicesAmt
Management And General	$474,793	ManagementAndGeneralAmt
Fundraising	$4,769	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$53,514,369	TotalAmt
Program Services	$43,130,184	ProgramServicesAmt
Management And General	$10,096,111	ManagementAndGeneralAmt
Fundraising	$288,074	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,094,896	BOYAmt
EOY	$7,170,204	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$172,467	BOYAmt
EOY	$174,261	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$603,278	BOYAmt
EOY	$692,307	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,888,667	BOYAmt
EOY	$6,004,348	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$478,194	BOYAmt
EOY	$459,566	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$581,355	BOYAmt
EOY	$472,047	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$44,631,560	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$26,546,318	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$17,135,210	BOYAmt
EOY	$18,085,242	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$15,281,709	BOYAmt
EOY	$17,206,629	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$1,856,051	BOYAmt
EOY	$1,888,026	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,604,059	BOYAmt
EOY	$2,692,351	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,695,886	BOYAmt
EOY	$54,844,981	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,820,536	BOYAmt
EOY	$6,599,443	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$953,292	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$753,948	BOYAmt
EOY	$567,610	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,577,979	BOYAmt
EOY	$18,171,742	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,152,463	BOYAmt
EOY	$26,292,087	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$18,320,180	BOYAmt
EOY	$21,306,927	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,345,233	BOYAmt
EOY	$1,354,615	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$5,878,010	BOYAmt
EOY	$5,891,352	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$25,543,423	BOYAmt
EOY	$28,552,894	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$50,695,886	BOYAmt
EOY	$54,844,981	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,134,505	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$192,916	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$682,050	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	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)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$12,969	OtherActivitiesAmt
Total Lobbying Expenditures	$12,969	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	THE HOSPITAL PAID $10,620 IN THE FORM OF DUES TO THE VERMONT ASSOCIATION OF HOSPITALS AND HEALTH SYSTEMS (VAHHS). VAHHS IS A MEMBER-OWNED ORGANIZATION DEVOTED TO IMPROVING THE HEALTH STATUS OF COMMUNITIES THROUGHOUT VERMONT THROUGH ACTIVITIES WHICH INCLUDE ADVOCACY, POLICY DEVELOPMENT, EDUCATION AND RESEARCH. THE HOSPITAL ALSO PAID $2,349 IN THE FORM OF DUES TO THE AMERICAN HOSPITAL ASSOCIATION (AHA).	ExplanationTxt

Schedule D IRS990ScheduleD

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

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,645,093	BeginningYearBalanceAmt
Investment Earnings Or Losses	$312,380	InvestmentEarningsOrLossesAmt
Other Expenditures	$198,143	OtherExpendituresAmt
End Year Balance	$4,759,330	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Prmnnt Endowment Balance EOY	0.83360	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.16640	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$17,111,835	OtherCostOrOtherBasisAmt
Depreciation	$9,015,222	DepreciationAmt
Book Value	$8,096,613	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,949,902	OtherCostOrOtherBasisAmt
Depreciation	$10,245,489	DepreciationAmt
Book Value	$3,704,413	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,159,823	OtherCostOrOtherBasisAmt
Depreciation	$7,285,607	DepreciationAmt
Book Value	$5,874,216	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$18,085,242	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
DARTMOUTH-HITCHCOCK CLINIC (RELATED) ACCOUNTS PAYABLE	$566,875
EST. SETTLEMENTS W/ 3RD PARTY PAYORS	$1,396,395
MARY HITCHCOCK MEMORIAL HOSPITAL & NEAH (RELATED) ACCOUNTS PAYABLE	$71,618
MARY HITCHCOCK MEMORIAL HOSPITAL (RELATED) NOTE PAYABLE	$10,842,747
OTHER LIABILITIES	$720,823
POST RETIREMENT BENEFIT OBLIGATION	$4,573,284

Field	Value	IRS element (for citing)
Total Liability	$18,171,742	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$56,458,700	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$192,916	NetUnrealizedGainsInvstAmt
Other Revenue	$682,050	OtherRevenueAmt
Revenue Not Reported	$874,966	RevenueNotReportedAmt
Revenue Subtotal	$55,583,734	RevenueSubtotalAmt
Investment Expenses Not Incld	$86,288	InvestmentExpensesNotIncldAmt
Other Revenues Not Included	-$21,148	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$65,140	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$55,648,874	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$53,449,229	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$21,148	OtherExpensesIncludedAmt
Expenses Not Reported	$21,148	ExpensesNotReportedAmt
Expenses Subtotal	$53,428,081	ExpensesSubtotalAmt
Investment Expenses Not Incld2	$86,288	InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt	$86,288	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$53,514,369	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4:	IN GENERAL, THE AMOUNT OF THE ORIGINAL GIFT AND ANY REQUIRED ACCUMULATIONS BY THE DONOR ARE NOT EXPENDABLE. HOWEVER, THE MARKET VALUE OF THE FUND MAY FALL BELOW THAT AMOUNT DEPENDING ON CURRENT FINANCIAL CONDITIONS IN THE UNDERLYING INVESTMENTS. UNDER THE POLICY OF THE HOSPITAL, THE ENDOWMENT ASSETS ARE INVESTED MODERATELY WITH THE INTENT OF PROVIDING A PREDICTABLE STREAM OF FUNDING TO THE HOSPITAL. THE HOSPITAL INVESTS IN EQUITY FUNDS, BOND FUNDS AND MONEY MARKET INVESTMENTS TO ACHIEVE ITS LONG-TERM RETURN OBJECTIVES WITHIN LIMITED RISK CONSTRAINTS. ACTUAL RETURNS IN ANY YEAR MAY VARY FROM BUDGETED AMOUNTS DUE TO MARKET FLUCTUATIONS.
PART X, LINE 2:	ASC SUBTOPIC 740-10, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES, ADDRESSES THE ACCOUNTING UNCERTAINTY OF INCOME TAXES RECOGNIZED IN AN ENTERPRISE'S FINANCIAL STATEMENTS AND PRESCRIBES A THRESHOLD OF "MORE-LIKELY-THAN-NOT" FOR RECOGNITION AND DERECOGNITION OF TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON MEASUREMENT CLASSIFICATION, INTEREST AND PENALTIES AND DISCLOSURE. THE ORGANIZATION HAS DETERMINED THAT THE PROVISIONS OF SUBTOPIC 740-10 DO NOT HAVE A MATERIAL EFFECT ON THE ORGANIZATION'S FINANCIAL STATEMENTS. THE ORGANIZATION BELIEVES IT IS NO LONGER SUBJECT TO EXAMINATIONS FOR FISCAL YEARS PRIOR TO 2015.
PART XI, LINE 2D - OTHER ADJUSTMENTS:	OTHER COMPONENTS OF NET PERIODIC BENEFIT COST 185,694. CHANGE IN NET ASSETS TO RECOGNIZE FUNDED STATUS OF POST-RETIREMENT PLANS 496,356.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES -21,148.
PART XII, LINE 2D - OTHER ADJUSTMENTS:	FUNDRAISING EXPENSES 21,148.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Event1	GOLF TOURNAMENT	Event1Nm
Gross Receipts Event1	$40,801	GrossReceiptsEvent1Amt
Gross Revenue Event1	$40,801	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$5,118	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$2,448	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$7,363	FoodAndBeverageEvent1Amt
Entertainment Event1	$1,209	EntertainmentEvent1Amt
Other Direct Expenses Event1	$5,010	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$40,801	GrossReceiptsTotalAmt
Gross Revenue Total Events	$40,801	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$5,118	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$2,448	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$7,363	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$1,209	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$5,010	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$21,148	DirectExpenseSummaryEventsAmt
Net Income Summary	$19,653	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$400,697	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$400,697	NetCommunityBenefitExpnsAmt
Total Expense	0.00750	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,587,826	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,573,564	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,014,262	NetCommunityBenefitExpnsAmt
Total Expense	0.07500	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,988,523	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,573,564	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,414,959	NetCommunityBenefitExpnsAmt
Total Expense	0.08250	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,583,963	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$910,713	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$673,250	NetCommunityBenefitExpnsAmt
Total Expense	0.01260	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$93,359	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$93,359	NetCommunityBenefitExpnsAmt
Total Expense	0.00170	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,386,065	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,444,743	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$941,322	NetCommunityBenefitExpnsAmt
Total Expense	0.01760	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,069	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,069	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,065,456	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,355,456	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,710,000	NetCommunityBenefitExpnsAmt
Total Expense	0.03190	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,053,979	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,929,020	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,124,959	NetCommunityBenefitExpnsAmt
Total Expense	0.11440	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$949,742	BadDebtExpenseAmt
Reimbursed By Medicare	$23,692,477	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$17,044,147	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$6,648,330	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE O	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	SEE SCHEDULE O	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE SCHEDULE O	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE SCHEDULE O	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE SCHEDULE O	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
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
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare	Yes (X)	LookBackMedicareInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 5: METHODS EMPLOYED IN THE ASSESSMENT INCLUDED A SURVEY OF AREA RESIDENTS MADE AVAILABLE THROUGH ELECTRONIC MAIL, PHYSICAL PRINTED SURVEYS DISTRIBUTED THROUGH THE COMMUNITIES AT APPROXIMATELY 72 SITES AND WEBSITE LINKS, A SURVEY OF KEY COMMUNITY STAKEHOLDERS WHO ARE AGENCY, MUNICIPAL OR COMMUNITY LEADERS, A SERIES OF COMMUNITY DISCUSSION GROUPS CONVENED IN THE MT. ASCUTNEY HOSPITAL SERVICE AREA, AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS. AT THE BEGINNING OF THE SURVEY, RESPONDENTS WERE ASKED TO INDICATE THE REGION THEY PRIMARILY SERVE OR ARE MOST FAMILIAR WITH. A TOTAL OF 137 KEY STAKEHOLDER RESPONDENTS INDICATED THAT THEIR RESPONSES WERE REFLECTIVE OF THE GREATER WINDSOR SERVICE AREA. RESPONDENTS REPRESENTED THE FOLLOWING SECTORS:HUMAN SERVICE/SOCIAL SERVICE MENTAL /BEHAVIORAL HEALTH HOME HEALTH CARE PRIMARY HEALTH CAREMEDICAL SUBSPECIALTYPUBLIC SAFETY/FIRE EMERGENCY MEDICAL SERVICES EDUCATION/YOUTH SERVICES MUNICIPAL/COUNTY GOVERNMENT COMMUNITY MEMBER/VOLUNTEER
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 6A: OTHER FACILITIES WERE MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH), ALICE PECK DAY MEMORIAL HOSPITAL, NEW LONDON HOSPITAL AND VALLEY REGIONAL HOSPITAL. DURING JANUARY THROUGH JULY 2018, MAHHC COMPLETED OUR COMMUNITY NEEDS ASSESSMENT IN PARTNERSHIP WITH AFOREMENTIONED NEIGHBORING HOSPITALS INCLUDING THE VISITING NURSES AND HOSPICE OF VT AND NH, AS WELL AS MHMH, USING SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENT TOOLS AND APPROACHES, ALLOWING US TO COMPARE COMMUNITY HEALTH NEEDS ACROSS A BROAD GEOGRAPHIC, MULTI-HOSPITAL REGION.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 6B: THROUGH JANUARY JULY 2018, MAHHC WORKED WITH MARY HITCHCOCK MEMORIAL HOSPITAL AND COMMUNITY PARTNERS (72 ORGANIZATIONS) TO DISSEMINATE SURVEYS, SERVE AT KEY INFORMANTS (137) AND TO PROVIDE OVERALL REVIEW AND FEEDBACK RE: FINDINGS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 7D: A BENEFIT REORT WAS PREPARED AND MADE AVAILABLE AND DISTRIBUTED THROUGH 5 COMMUNITY PRESENTATIONS, (INCLUDING 2 REGIONAL SUMMITS WITH OVER 100 PARTICIPANTS) CONDUCTED BY THE COMMUNITY BENEFIT STAFF, AS WELL AS A THOROUGH PRESENTATION MADE TO HOSPITAL'S BOARD OF TRUSTEES. THE MT. ASCUTNEY COMMUNITY HEALTH COMMITTEE, AS WELL AS THE WINDSOR AREA COMMUNITY PARTNERSHIP, AND WOODSTOCK HEALTH AND WELLNESS NETWORK, PARTICIPATED IN THE DISTRIBUTION OF THE REPORT. THE CHNA AND ALL INFORMATION IN THE NEEDS ASSESSMENT IS AVAILABLE FOR STAKEHOLDERS. THE CHNA IS ALSO AVAILABLE VIA PAPER COPY FOR PUBLIC INSPECTION UPON REQUEST, AT THE HOSPITAL'S MAIN INFORMATION DESK. IT IS ALSO AVAILABLE PROMINENTLY ON THE FOLLOWING WEBSITE, HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/CONTENT/DOCUMENTS/FY2018%20MTA%20COMMUNITY%20HEALTH%20NEEDS%20ASSESSMENT%2010.3.18.PDF
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 11: THE MISSION OF MT. ASCUTNEY HOSPITAL AND HEALTH CENTER (MAHHC) IS TO IMPROVE THE LIVES OF THOSE WE SERVE. TO ACCOMPLISH THIS, WE AND OUR COMMUNITY PARTNERS REGULARLY REACH OUT TO ENGAGE IN DIALOGUE WITH PEOPLE ACROSS OUR AREA ABOUT PRESSING HEALTH NEEDS. THE RESULT OF THIS WORK IS A COMPREHENSIVE LOCAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).*THIS ASSESSMENT IS DESIGNED TO IDENTIFY COMMUNITY HEALTH CONCERNS, PRIORITIES AND OPPORTUNITIES TO IMPROVE COMMUNITY HEALTH AND HEALTH CARE DELIVERY SYSTEMS.THE GEOGRAPHIC AREA COVERED BY THE ASSESSMENT IS 13 MUNICIPALITIES IN VERMONT AND NEW HAMPSHIRE THAT COMPRISE THE MT. ASCUTNEY HOSPITAL AND HEALTH CENTER SERVICE AREA.THE CHNA LEADS TO A LOCAL COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WITH STRATEGIES AND METRICS TO IMPROVE HEALTH AND REDUCE RISKS LEADING TO CHRONIC DISEASENOT ONLY FOR INDIVIDUALS, BUT FOR THE ENTIRE COMMUNITY.THIS CHNA-CHIP PROCESS, WHICH INCORPORATES INPUT FROM PEOPLE WHO REPRESENT THE COMMUNITY'S BROAD INTERESTS, IS AN ESSENTIAL PART OF CREATING AN ACCOUNTABLE COMMUNITY FOR HEALTH. IT'S THE LAW FOR TAX-EXEMPT HOSPITALS, AS PART OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT. BUT IT'S ALSO SOUND MEDICINE. THE ASSESSMENT PROCESS FOSTERS ENGAGEMENT, AND THE RESULTS HELP US UNDERSTAND THE SPECIFIC ISSUES FACING OUR COMMUNITIES SO THAT WE CAN DEVELOP EFFECTIVE, COLLECTIVE SOLUTIONS.1. AL ALCOHOL AND DRUG MISUSE, INCLUDING HEROIN & PAIN MEDICATIONS THE INTERDISCIPLINARY CHRONIC PAIN CONSULT TEAM MET ON A MONTHLY BASIS TO PROVIDE SUPPORT FOR MANAGING CHALLENGING CHRONIC PAIN PATIENTS THE BLUEPRINT SELF MANAGEMENT PROGRAM ALSO CONVENED TWO CHRONIC PAIN SELF MANAGEMENT CLASSES THIS REPORTING PERIOD. MAHHC IMPLEMENTED MEDICATION ASSISTED THERAPY "SPOKE" PROGRAMS IN 4 SITES, MAHHC, OTTAUQUECHEE HEALTH CENTER, CONNECTICUT VALLEY RECOVERY SERVICES AND BRADFORD PSYCHIATRIC ASSOCIATION SERVING OVER 200 PATIENTS EACH QUARTER PURCHASED MICHIGAN MODEL (SUBSTANCE MISUSE PREVENTION CURRICULA) FOR WINDSOR, HARTLAND, AND WEATHERSFIELD SCHOOLS FOR 2018/2019 SCHOOL YEAR IMPLEMENTATION MAHHC AND THE WINDSOR AREA DRUG TASK FORCE CONVENED "BEYOND NALOXONE: PREVENTION OF OPIATE DEATHS SUMMIT". THE FIRST WAS HELD IN JUNE AND THE SECOND IN SEPTEMBER 2018 MAHHC AND THE WINDSOR AREA DRUG TASK FORCE CONVENED A SUMMIT TO REVIEW DATA, SHARE CONCERNS, AND CREATE SOLUTIONS FOR YOUTH SUBSTANCE MISUSE AND CREATED 2 RESOURCE GUIDES RELATING TO YOUTH PREVENTION INTERVENTION AND TREATMENT SERVICES. EXPANDED REGIONAL APPROACH BY CONTRACTING WITH GIFFORD HEALTH CARE AND LITTLE RIVERS HEALTHCARE TO PARTICIPATE IN PREVENTION EFFORTS. DESIGNED AND IMPLEMENTED MARIJUANA LAW COMMUNITY SURVEY TO GAUGE UNDERSTANDING AND IDENTIFY MARIJUANA EDUCATION NEEDS. 602 RESPONSES COLLECTED ACROSS WINDSOR COUNTY. WORKGROUP CONVENED TO CREATE TWO RESOURCE GUIDES: PREVENTION ACTIVITIES & YOUTH SUBSTANCE MISUSE TREATMENT PROGRAMS2. ACCESS TO MENTAL HEALTH SERVICES WELLNESS RECOVERY ACTION PLAN (WRAP) WORKSHOPS DELIVERED FOR SKILL BUILDING AND SELF-MANAGEMENT SUPPORT FOR ANXIETY, DEPRESSION AND GENERAL MENTAL HEALTH EXPANSION OF AN HCRS EMBEDDED LADC TO 4 DAYS A WEEK IN PATIENT-CENTERED MEDICAL HOME (PCMH), SUPPORTED BY SCREENING, BRIEF INTERVENTION, AND REFERRAL TO TREATMENT (SBIRT) GRANT PSYCHIATRIST EMBEDDED IN PATIENT CENTERED MEDICAL HOME MENTAL HEALTH COUNSELING SESSIONS AT WINDSOR CONNECTION RESOURCE CENTER INCREASED FROM 336 IN 2017 TO 776 IN 20183. ACCESS TO DENTAL CARE WORKING WITH NORTHEAST DELTA DENTAL AND ALICE PECK DAY COMMUNITY HEALTH, MAHHC ORGANIZED A DENTAL CLINIC IN THE WINDSOR ELEMENTARY SCHOOL CALLED WINDSOR SMILES PROGRAM IN 2018, THE WINDSOR COMMUNITY HEALTH CLINIC SUPPLIED 12 DENTAL VOUCHERS WHICH TOTALED $6,701.25 WORTH OF SERVICES4. ACCESS TO AFFORDABLE HEALTH INSURANCE AND PRESCRIPTION MEDICATION M THE WINDSOR COMMUNITY HEALTH CLINIC ASSISTS CLIENTS WITH VT HEALTH CONNECT, MEDICARE, AND MEDICAID APPLICATIONS.ALSO HELPS PATIENTS COMPLETE APPLICATIONS FOR REDUCED PRICE MEDICATIONS FROM PHARMACEUTICAL COMPANIES. IN 2018, 5 MEDICAL DOCTORS, 5 REGISTERED NURSES, 2 MENTAL HEALTH PROFESSIONALS, 8 MID-LEVEL NURSING PROVIDERS, AND 1 LICENSED CLINICAL SOCIAL WORKER DONATED THEIR TIME TO SUPPORT THE CLINIC. A TOTAL OF $852,318 OF IN-KIND SUPPORT WAS OFFERED, WITH PAID PROGRAM EXPENSES BEING $78,464. A TOTAL OF $8,396 WAS SPENT ON MEDICATION VOUCHERS IN 2018E5. HEALTH CARE FOR SENIORS ESTABLISHED A REGIONAL, COMMUNITY-BASED FALLS PREVENTION BEST PRACTICE PROGRAM INVOLVING EMS IN WOODSTOCK AND WINDSOR, HISTORIC HOMES OF RUNNEMEDE, OLD WINDSOR VILLAGE, RETIRED SENIORS VOLUNTEER PROGRAM (RSVP), PATIENT- CENTERED MEDICAL HOME, MAHHC PHYSICAL THERAPY; ADOPTION OF FALLS FREE STATEWIDE PROGRAM (STEDI SYSTEM); DEVELOPED EMS PROTOCOL; PROVIDED TRAINING; PROMOTED REFERRALS TO PT AND COMMUNITY-BASED SKILLS TRAINING; AND PROVIDED BALANCE AND STRENGTH TRAINING FOR SENIORS. INTERAGENCY CARE MANAGEMENT AND CARE COORDINATION THROUGH THE COMMUNITY HEALTH TEAM FOR HIGH-RISK CHRONIC CARE ELDERS. LEADERSHIP AND BOARD PARTICIPATION FOR THE CREATION OF SCOTLAND HOUSE ADULT DAY HEALTH AND WELLNESS PROGRAM. SUPPORT AND SERVICES AT HOME (SASH) WELLNESS NURSE SERVED OVER 100 PATIENTS WITH ASSESSMENTS, EDUCATION, MONITORING AND CARE COORDINATION. INVOLVED IN 2 QUALITY INITIATIVES WITH MAHHC PATIENT-CENTERED MEDICAL HOME INCLUDING HYPERTENSION AND DIABETES QUALITY INITIATIVES. HOUSING AND SUPPORTIVE SERVICES (HASS) COORDINATOR WORKED TO DECREASE SOCIAL ISOLATION BY PROVIDING ONE- ON-ONE VISITING FOR 31 RESIDENTS, WITH CLASSES AND EVENTS INCLUDING GARDENING, BOOK CLUBS, CRAFTS, ART AND MUSIC. LEADERSHIP AND BOARD PARTICIPATION FOR THE CREATION OF SCOTLAND HOUSE ADULT DAY HEALTH AND WELLNESS PROGRAM. SUPPORT AND SERVICES AT HOME (SASH) WELLNESS NURSE SERVED OVER 100 PATIENTS WITH ASSESSMENTS, EDUCATION, MONITORING AND CARE COORDINATION. INVOLVED IN 2 QUALITY INITIATIVES WITH MAHHC PATIENT-CENTERED MEDICAL HOME INCLUDING HYPERTENSION AND DIABETES QUALITY INITIATIVES. HOUSING AND SUPPORTIVE SERVICES (HASS) COORDINATOR WORKED TO DECREASE SOCIAL ISOLATION BY PROVIDING ONE- ON-ONE VISITING FOR 31 RESIDENTS, WITH CLASSES AND EVENTS INCLUDING GARDENING, BOOK CLUBS, CRAFTS, ART AND MUSIC.6. NUTRITION / ACCESS TO AFFORDABLE, HEALTHY FOOD HOSTED VT FOOD BANK'S "VEGGIEVANGO" EVERY MONTH (DELIVERY OF FREE VEGETABLES TO THE COMMUNITY). SERVES 90 TO 215 FAMILIES EACH MONTH. MAHHC MEDICAL PROVIDERS GIVE "PRESCRIPTIONS" FOR VEGETABLES AND "VEGGIEVANGO PREVENT TYPE 2 DIABETES SUPPORT GROUP WORKSHOPS WERE HELD ON A MONTHLY BASIS FROM JANUARY THROUGH SEPTEMBER. NEW TOPICS WERE REVIEWED UNDER THE GUIDANCE OF EXPERTS IN DIABETES AND RELATED FIELDS ORGANIZED SUMMER PICNIC SERIES. SERVED DAILY, FREE LUNCH TO CHILDREN ACROSS THE SCHOOL DISTRICT. THREE LOCATIONS SERVED OVER AN 8-WEEK PERIOD TO ABOUT 70 CHILDREN PER DAY, FOR A TOTAL OF ABOUT 2,800 LUNCHES SERVED. PEDIATRIC CLINIC SCREENED FOR FOOD INSUFFICIENCY AND PROVIDED REFERALS TO THE COMMUNITY HEALTH TEAM FOR THOSE AT RISK. MAHHC REGISTERED DIETICIAN AND CERTIFIED DIABETES EDUCATOR PROVIDED NUTRITIONAL COUNSELING ON AN ONGOING BASIS ORGANIZED A LEARNING KITCHEN CLASS FOR RESIDENTS LIVING IN LOCAL SUBSIDIZED HOUSING UNITS.7. PHYSICAL ACTIVITY AND OBESITY IN JULY 2018, MAHHC JOINED THE FIRST COHORT OF 6 HOSPITALS EXPANDING THE RISEVT PROGRAM STATEWIDE. THE PROGRAM INCREASES OUR CAPACITY FOR MORE OPPORTUNITIES RELATED TO PHYSICAL ACTIVITY AND ADDRESSES FOOD INSECURITY/NUTRITION IN WSESU TOWNS. ORGANIZED A 20-MEMBER, CROSS-SECTOR STEERING COMMITTEE TO HELP SHAPE PLAN FOR 2019 MT. ASCUTNEY PREVENTION PARTNERSHIP (MAPP) CONDUCTED READINESS ASSESSMENTS FOR TOWN HEALTH & WELLNESS COMMITTEES IN WINDSOR, WOODSTOCK, AND WEATHERSFIELD. COMMUNITY OUTREACH RELATED TO INCREASING PHYSICAL ACTIVITY THROUGH THE VERMONT 3-4-50 CAMPAIGN RESULTED IN OVER 2,000 CONTACTS. MAHHC IS AT THE 3-4-50 WORKSITE WELLNESS "GOLD" LEVEL FOR HOSTING A MYRIAD OF WELLNESS INCENTIVES AND EXERCISE OFFERINGS.8. INCOME POVERTY AND FAMILY STRESS FAMILY WELLNESS PROGRAM IS EMBEDDED IN THE PEDIATRIC CLINIC AND EMPLOYS THE VERMONT FAMILY-BASED APPROACH METHODOLOGY. PARENT TRAINING IN COLLABORATIVE PROBLEM-SOLVING (CPS). WINDSOR BECAME A PROMISE COMMUNITY TO PROMOTE KINDERGARTEN READINESS AND EMOTIONAL-SOCIAL COMPETENCE OF CHILDREN AND FAMILIES. MAHHC PROVIDED BACKBONE SUPPORT TO A CROSS-SECTOR STEERING COMMITTEE. PROJECT ACTIVITIES INCLUDED TRAINING FOR EARLY CHILDHOOD EDUCATORS, ESTABLISHING FREE TAKE-A-BOOK BOXES IN 4 TOWNS, AND CREATING A FAMILY-FRIENDLY ACTIVITY SPACE AT THE WINDSOR CONNECTION RESOURCE CENTER. PATCH SERVICES AT THE WINDSOR CONNECTION RESOURCE CENTER INCLUDE ECONOMIC SERVICES, MENTAL HEALTH COUNSELING AND VISITS FOR EMPLOYMENT COUNSELING.(SEE CONTINUED EXPLANATION ON SCHEDULE O)
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 13B: PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF FPL MAY BE ELIGIBLE TO RECEIVE A DISCOUNT BASED ON THE SELF-PAY BALANCE. DISCOUNTS WILL BE GRANTED SUCH THAT THE TOTAL SELF-PAY BILL DOES NOT EXCEED 10% OF 2 YEARS GROSS INCOME, PLUS 10% OF ASSETS IN EXCESS OF THE SHELTERED ASSET CALCULATION DESCRIBED EARLIER IN THE POLICY. ANY DISCOUNTS OTHER THAN THOSE DESCRIBED ABOVE MUST BE APPROVED BY THE FINANCIAL ASSISTANCE APPEALS COMMITTEE BASED ON A WRITTEN APPEAL FROM THE PATIENT OR RESPONSIBLE PARTY.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 13H: MAHHC APPLIES A DISCOUNT TO THE FAP ELIGIBLE PATIENT'S GROSS CHARGES TO ALL BALANCES WHERE THERE IS NO INSURANCE, OR TO MEDICALLY NECESSARY SERVICES PROCESSED BY INSURANCE CARRIERS RESULTING IN A BALANCE, WHICH THE PATIENT IS EXPECTED TO PAY. THE DISCOUNT IS CALCULATED ANNUALLY. THIS ASSURES A PATIENT IS NOT BILLED AT AN AMOUNT GREATER THAN GENERALLY BILLED TO PATIENTS WITH INSURANCE.
WINDSOR HOSPITAL CORPORATION	PART V, SECTION B, LINE 16J: THE MAHHC FINANCIAL ASSISTANCE POLICY IS POSTED ON MAHHC WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY VERSION. MAHHC PROVIDES THE PATIENT FRIENDLY BROCHURE VERSION OF THE POLICY TO ALL UNINSURED PATIENTS. MAHHC ALSO NOTIFIES PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABILITY. ADDITIONALLY, MAHHC POSTS INFORMATION ABOUT THE POLICY IN PUBLIC AREAS THROUGHOUT THE FACILITY INCLUDING ADMISSION OFFICES. MAHHC SCREENS UNINSURED PATIENTS AND A REPRESENTATIVE FROM THE WINDSOR COMMUNITY HEALTH DEPARTMENT (1 FULLTIME EMPLOYEE) CONNECTS WITH THE PATIENT TO ASSIST IN GETTING THEM SIGNED UP ON HEALTH PLANS OR APPLY FOR FINANCIAL ASSISTANCE.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	A COST ACCOUNTING SYSTEM WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE. A COST ACCOUNTING SYSTEM ADDRESSES ALL PATIENTS SEGMENTS. A COST-TO-CHARGE RATIO WAS USED.
PART I, LINE 7G:	PHYSICIAN CLINIC COSTS INCLUDED WITHIN SUBSIDIZED HEALTH SERVICES ARE $6,245,064 OF THE TOTAL COMMUNITY BENEFIT EXPENSES AND $9,844,453 OF THE DIRECT OFFSETTING REVENUE.
PART III, LINE 2:	BAD DEBT EXPENSE IS DERIVED FROM THE WRITE OFF OF PATIENT ACCOUNTS AFTER THEY HAVE BEEN SENT 4 STATEMENTS OVER A COURSE OF 120 DAYS. ALSO, BAD DEBT EXPENSE CONTAINS ESTIMATES FOR FUTURE WRITE-OFFS BASED ON MANAGEMENT'S JUDGEMENTS AND FINANCIAL MODELS.
PART III, LINE 4:	PATIENT ACCOUNTS RECEIVABLE ARE STATED AT THE AMOUNT MANAGEMENT EXPECTS TO COLLECT FROM OUTSTANDING BALANCES. MANAGEMENT PROVIDES FOR PROBABLE UNCOLLECTIBLE AMOUNTS THROUGH A CHARGE TO OPERATIONS AND A CREDIT TO A VALUATION ALLOWANCE BASED ON ITS ASSESSMENT OF INDIVIDUAL ACCOUNTS AND HISTORICAL ADJUSTMENTS. BALANCES STILL OUTSTANDING AFTER MANAGEMENT HAS USED REASONABLE COLLECTION EFFORTS ARE WRITTEN OFF THROUGH A CHARGE TO THE PROVISION FOR DOUBTFUL ACCOUNTS AND A CREDIT TO ACCOUNTS RECEIVABLE.IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL ANALYZES PAST RESULTS AND IDENTIFIES TRENDS FOR EACH MAJOR PAYOR SOURCE OF REVENUE FOR THE PURPOSES OF ESTIMATING THE APPROPRIATE AMOUNTS OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND THE PROVISION FOR DOUBTFUL ACCOUNTS. DATA IN EACH MAJOR PAYOR SOURCE ARE REGULARLY REVIEWED TO EVALUATE THE ADEQUACY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. SPECIFICALLY, FOR RECEIVABLES RELATING TO SERVICES PROVIDED TO PATIENTS HAVING THIRD-PARTY COVERAGE, AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A CORRESPONDING PROVISION FOR DOUBTFUL ACCOUNTS ARE ESTABLISHED AT VARYING LEVELS BASED ON THE AGE OF THE RECEIVABLES AND PAYOR SOURCE. FOR RECEIVABLES RELATING TO SELF-PAY PATIENTS, A PROVISION FOR DOUBTFUL ACCOUNTS IS MADE IN THE PERIOD SERVICES ARE RENDERED BASED ON EXPERIENCE INDICATING THE INABILITY OR UNWILLINGNESS OF PATIENTS TO PAY AMOUNTS FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. ACTUAL WRITE-OFFS ARE CHARGED AGAINST THE PROVISION FOR DOUBTFUL ACCOUNTS.
PART III, LINE 8:	THE SHORTFALL REPRESENTS THE PPS REIMBURSEMENT DIFFERENCE ON THE REHAB UNITS. SINCE THE REIMBURSEMENT DOES NOT COVER THE COSTS OF THESE UNITS, A SUBSIDY IS CREATED. BECAUSE THE HOSPITAL DETERMINED THAT THESE SERVICES ARE IMPORTANT TO OUR SERVICE AREA, THE HOSPITAL COVERS THE SUBSIDY. THE COSTING METHODOLOGY USED ABOVE WAS THE COST TO CHARGE RATIO.
PART III, LINE 9B:	MAHHC'S COLLECTION POLICY AND CHARITABLE CARE POLICIES ARE CONSISTENTLY APPLIED TO ALL PATIENTS. OUR COLLECTION POLICY APPLIES TO ANY BALANCE OWED BY THE PATIENT WHETHER IT IS A BALANCE AFTER INSURANCE, A BALANCE WITH NO INSURANCE, OR A BALANCE AFTER AN ADJUSTMENT FOR PARTIAL CHARITABLE CARE. STATEMENTS, AND WRITE-OFF CRITERIA ARE THE SAME FOR ALL LIKE BALANCES, REGARDLESS OF THE REASON FOR THE BALANCE AND REGARDLESS OF WHETHER IT IS A BALANCE AFTER CHARITABLE CARE OR NOT. PATIENTS WHO QUALIFY FOR FINANCIAL ASSISTANCE RECEIVE THE APPROPRIATE ADJUSTMENT ON THEIR BILL. IF A BALANCE REMAINS AFTER THAT ADJUSTMENT, THEY ARE BILLED ACCORDING TO THE COLLECTION POLICY, FOR THE REMAINDER.
PART VI, LINE 2:	IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT, THE NEEDS OF THE COMMUNITY ARE ASSESSED THROUGH ONGOING REVIEW OF HEALTH INDICATORS SUCH AS THE YOUTH RISK BEHAVIOR SURVEY, BRFSS, QUALITY INDICATORS FROM BOTH THE HOSPITAL AND EXTERNAL EVALUATIONS SUCH AS ONE CARE VERMONT AND THE THAT PRACTICE PROFILES. COMMUNITY HEALTH NEEDS ARE ALSO ASSESSED THROUGH PATIENT SATISFACTION SURVEYS AND THE PATIENT COMPLAINT PROCESS. THE HOSPITAL ALSO HAS A COMMUNITY HEALTH TEAM EMBEDDED IN OUR PATIENT CENTERED MEDICAL HOME WHO RESPOND TO THE NEEDS OF PATIENTS WITH COMPLEX CHRONIC CARE NEEDS.
PART VI, LINE 3:	WINDSOR COMMUNITY HEALTH CLINIC (A DEPARTMENT WITHIN THE HOSPITAL) PROVIDES INFORMATION AND ONE-ON-ONE ASSISTANCE WITH ANY INDIVIDUAL THAT IS IDENTIFIED WITHOUT INSURANCE. THIS BEGINS AT THE TIME THAT A PATIENT PRESENTS FOR THEIR HEALTH CARE APPOINTMENT; THE REGISTRATION STAFF MAKE THE INTRODUCTION AND PROVIDE INFORMATION TO THE PATIENT ON THE SERVICES. ALSO, A REFERRAL FROM THE PHYSICIAN/PROVIDER MAY DIRECT A PATIENT TO THIS DEPARTMENT. THE STAFF OF THIS DEPARTMENT ASSIST PATIENTS IN APPLYING FOR HEALTH INSURANCE, WHETHER ON THE COMMERCIAL "EXCHANGE", OR IN GOVERNMENTAL INSURERS. THEY ALSO PROVIDE INFORMATION ON AND THE APPLICATION FOR FINANCIAL ASSISTANCE; OFTEN TIME, ASSISTING PATIENTS WITH COMPLETING THE APPLICATION. THIS IS A DEDICATED STAFF THAT IS ON SITE DURING THE NORMAL BUSINESS HOURS WHEN THE MAJORITY OF PATIENTS WOULD BE SEEKING CARE.
PART VI, LINE 4:	MAHHC'S PRIMARY SERVICE AREA INCLUDES WINDSOR, HARTLAND, WOODSTOCK, SPRINGFIELD, WEATHERSFIELD, BROWNSVILLE, VT AND CORNISH, AND CLAREMONT, NH. MAHHC IS THE LARGEST EMPLOYER IN THE TOWN OF WINDSOR, WITH MANY OF ITS RESIDENTS HAVING LOWER THAN AVERAGE PAYING JOBS AND STRUGGLE WITH FINANCIAL STABILITY; INCLUDING TRANSPORTATION DIFFICULTIES.
PART VI, LINE 5:	THE HOSPITAL HAS ESTABLISHED A DIRECTOR OF COMMUNITY HEALTH, A PREVENTION EDUCATION AND HEALTH PROMOTION DEPARTMENT AND A COMMUNITY HEALTH COMMITTEE WHICH IS A SUBCOMMITTEE OF THE BOARD OF TRUSTEES. OUR STAFF ORGANIZE, LEAD AND IMPLEMENT HEALTH PROMOTION AND PREVENTION PROGRAMS FOR HIGH RISK BEHAVIORS SUCH AS ALCOHOL, TOBACCO AND DRUG MISUSE. WE PROMOTE EXERCISE AND NUTRITION PROGRAMS IN A WELL-ESTABLISHED CAMPAIGN WORKING WITH THE VERMONT DEPARTMENT OF HEALTH IN THE 3-4-50 CAMPAIGN. THIS CAMPAIGN INVOLVES OUTREACH AND ENGAGEMENT TO AND WITH THE COMMUNITY TO DECREASE THE THREE BEHAVIORS OF TOBACCO USE, LACK OF EXERCISE AND POOR NUTRITION THAT ARE RELATED TO THE FOUR CONDITIONS OF HEART DISEASE AND STROKE, DIABETES, CANCER AND RESPIRATORY DISEASES THAT ACCOUNT FOR OVER 50% OF THE DEATHS IN VERMONT. THIS YEAR OUR OUTREACH IMPACTED OVER 1000 PEOPLE. WE SERVE AS AN INTEGRATOR AND LEADER OF COMMUNITY HEALTH BY CHAIRING AND LEADING THE FOLLOWING COMMUNITY PARTNERSHIPS; WINDSOR AREA COMMUNITY PARTNERSHIP, WINDSOR PA TCH TEAM, BLUEPRINT FOR HEALTH EXTENDED TEAM, WINDSOR HSA COMMUNITY COLLABORATIVE AND WINDSOR DRUG TASK FORCE. MISSION STATEMENTS AND MINUTES ARE AVAILABLE PER REQUEST.
PART VI, LINE 6:	THE HOSPITAL COMMUNITY BENEFIT STAFF IS AN ACTIVE PARTICIPANT IN REGIONAL COMMUNITY HEALTH COMMITTEE, WHICH IS LEAD AND ORGANIZED BY DARTMOUTH-HITCHCOCK. THE HOSPITAL IS AFFILIATED, FORMALLY, WITH DARTMOUTH-HITCHCOCK. AS ARE OTHER LOCAL HOSPITALS, ALICE PECK DAY MEMORIAL HOSPITAL AND NEW LONDON HOSPITAL. VALLEY REGIONAL HOSPITAL IS ALSO PART OF THE REGIONAL COMMUNITY HEALTH COMMITTEE. THE PARTICIPANTS COLLABORATE, COMPARE SOLUTIONS AND OFFER SUPPORT TO EACH OTHER AS ALL ARE SERVING OVERLAPPING SERVICE AREAS.
PART VI, LINE 2	DURING THE PERIOD JANUARY THROUGH JULY 2018, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS COMPLETED BY MT. ASCUTNEY HOSPITAL AND HEALTH CENTER IN PARTNERSHIP WITH DARTMOUTH-HITCHCOCK, ALICE PECK DAY MEMORIAL HOSPITAL, VALLEY REGIONAL HEALTHCARE, NEW LONDON HOSPITAL AND VISITING NURSE AND HOSPICE FOR VT AND NH, AND THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE. THE PURPOSE OF THE ASSESSMENT WAS TO IDENTIFY COMMUNITY HEALTH CONCERNS, PRIORITIES AND OPPORTUNITIES FOR COMMUNITY HEALTH AND HEALTH CARE DELIVERY SYSTEMS IMPROVEMENT. FOR THE PURPOSE OF THE ASSESSMENT, THE GEOGRAPHIC AREA OF INTEREST WAS 13 MUNICIPALITIES IN VERMONT AND NEW HAMPSHIRE COMPRISING THE MT. ASCUTNEY HOSPITAL AND HEALTH CENTER SERVICE AREA WITH A TOTAL RESIDENT POPULATION OF 44,035 PEOPLE. METHODS EMPLOYED IN THE ASSESSMENT INCLUDED SURVEYS OF COMMUNITY RESIDENTS MADE AVAILABLE ON-LINE AND PAPER SURVEYS PLACED IN NUMEROUS LOCATIONS THROUGHOUT THE REGION; A DIRECT EMAIL SURVEY OF KEY STAKEHOLDERS AND COMMUNITY LEADERS REPRESENTING MULTIPLE COMMUNITY SECTORS; A SET OF COMMUNITY DISCUSSION GROUPS; COMPILATION OF RESULTS FROM ASSESSMENT ACTIVITIES FOCUSED SPECIFICALLY ON BEHAVIORAL HEALTH NEEDS AND GAPS; AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS. ALL INFORMATION COLLECTION ACTIVITIES AND ANALYSES SOUGHT TO FOCUS ASSESSMENT ACTIVITIES ON VULNERABLE AND DISPROPORTIONATELY SERVED POPULATIONS IN THE REGION INCLUDING POPULATIONS THAT COULD EXPERIENCE LIMITED ACCESS TO HEALTH-RELATED SERVICES OR RESOURCES DUE TOINCOME, AGE, DISABILITY, AND SOCIAL OR PHYSICAL ISOLATION. HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/COMMUNITY-SERVICES/COMMUNITY-RESOURCES/COMMUNITY-HEALTH-NEEDS
PART VI, LINE 3	UNINSURED PATIENTS, ARE PRO-ACTIVELY SCREENED TO IDENTIFY FOR POTENTIAL QUALIFICATION FOR OTHER FEDERAL, STATE OR OTHER LOCAL PROGRAMS. A FULL-TIME EMPLOYEE, WHO IS DEDICATED TO SERVING THIS POPULATION GETS IN CONTACT WITH THE PATIENT TO HELP THEM COMPLETE THE APPLICATIONS, INCLUDING MAHHC FINANCIAL ASSISTANCE PROGRAM. THIS WORK IS THE SINGLE FOCUS OF HER JOB, AND SHE MAKES HERSELF AVAILABLE TO THE PATIENT IN PERSON, BY PHONE OR EMAIL.

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Survey	Yes (X)	CompensationSurveyInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN SMITH MD
TRUSTEE	$0	$182,352	$0	$0	$0	$774	$0	$95,090	$0	$19,365	$0	$297,581	$0	$0
MARIA PADIN MD
DH REPRESENTATIVE	$0	$386,729	$0	$0	$0	$12,780	$0	$253,282	$0	$22,404	$0	$675,195	$0	$0
MATTHEW S HOUDE
DH REPRESENTATIVE	$0	$194,397	$0	$0	$0	$0	$0	$13,795	$0	$21,000	$0	$229,192	$0	$0
STEPHEN D SURGENOR MD
DH REPRESENTATIVE	$0	$450,673	$0	$0	$0	$40,293	$0	$49,762	$0	$19,963	$0	$560,691	$0	$0
JOSEPH PERRAS
PRESIDENT & CEO (FROM 1/17	$346,184	$0	$0	$0	$0	$0	$0	$0	$0	$0	$346,184	$0	$0	$0
WILLIAM PALMER MD
TRUSTEE	$0	$202,513	$0	$0	$0	$1,188	$0	$196,234	$0	$12,911	$0	$412,846	$0	$0
DAVID SANVILLE
CFO	$181,809	$0	$0	$0	$0	$0	$0	$0	$20,699	$0	$202,508	$0	$0	$0
MARY JOYCE
PHYSICIAN	$249,664	$0	$0	$0	$0	$0	$0	$0	$20,699	$0	$270,363	$0	$0	$0
CHRISTOPHER CONNOR
PHYSICIAN	$315,647	$0	$0	$0	$0	$0	$0	$0	$10,000	$0	$325,647	$0	$0	$0
HEIDI CRUZ
PHYSICIAN	$238,721	$0	$0	$0	$0	$0	$0	$0	$20,689	$0	$259,410	$0	$0	$0
DENNIS HEIBEIN
PHYSICIAN	$244,242	$0	$0	$0	$0	$0	$0	$0	$10,000	$0	$254,242	$0	$0	$0
PETER RAUERT
PHYSICIAN	$407,201	$0	$0	$0	$0	$0	$0	$0	$18,140	$0	$425,341	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3	THE INTERIM CEO WAS PAID BY MARY HITCHCOCK MEMORIAL HOSPITAL, A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION.
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)): DARTMOUTH-HITCHCOCK CLINIC, A RELATED ORGANIZATION, PAID MARIA PADIN $10,686 AND STEPHEN D SURGENOR $37,218. MARY HITCHCOCK MEMORIAL HOSPITAL, A RELATED ORGANIZATION PAID GAY LANDSTROM $29,011.
PART I, LINE 7	CONNOR RECEIVED A BONUS. THE BONUS WAS AWARDED EITHER DUE TO MEETING RVU GOALS OR BASED ON QUALITY AND CITIZENSHIP.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2	MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER IS A PART OF THE DARTMOUTH-HITCHCOCK HEALTH SYSTEM, WHICH OWNS FOR-PROFIT SUBSIDIARIES THAT PROVIDE SERVICES AND SUPPORT THE MISSION OF THE ORGANIZATION. AS A RESULT, SOME OFFICERS OF THE MAHHC ALSO MAY BE OFFICERS OF FOR-PROFIT ENTITIES WITHIN THE HEALTHCARE SYSTEM.
FORM 990, PART VI, SECTION A, LINE 6	DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE VOLUNTARY CORPORATION, IS THE SOLE CORPORATE MEMBER OF MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER.
FORM 990, PART VI, SECTION A, LINE 7A	DARTMOUTH-HITCHCOCK HEALTH HAS THE POWER TO APPOINT 1/3 OF THE MEMBERS OF MAHHC'S BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	THE SOLE MEMBER HAS THE RIGHT TO RATIFY MOUNT ASCUTNEY HOSPITAL & HEALTH CENTER'S NOMINATION OF 2/3 OF THE MEMBERS OF THE BOARD OF TRUSTEES; REMOVE TRUSTEES AFTER CONSULTATION WITH THE CHAIRPERSON OF THE BOARD; APPROVE THE DISSOLUTION OR LIQUIDATION OF MAHHC; APPOINT, EVALUATE, TERMINATE, AND APPROVE THE COMPENSATION OF THE PRESIDENT AND CEO; AND OTHER GOVERNANCE DECISIONS.
FORM 990, PART VI, SECTION B, LINE 11B	BOARD OF TRUSTEES REVIEWED PRIOR TO FILING, PROVIDED MULTIPLE DAYS TO PROVIDE FEEDBACK AND/OR QUESTIONS AND HOSPITAL THEN FILED AFTER THERE WAS SATISFACTION.
FORM 990, PART VI, SECTION B, LINE 12C	THE FINANCE AND AUDIT COMMITTEE MONITOR AND REPORT TO THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION B, LINE 15	THE EXECUTIVE COMMITTEE OF THE BOARD MEETS ANNUALLY TO REVIEW COMPENSATION FOR THE CEO, USING INDEPENDENT SURVEYS OF AREA COMPENSATION FOR EXECUTIVES OF VARIOUS SIZED HOSPITALS. OTHER OFFICERS AND KEY EMPLOYEES SALARIES ARE DETERMINED, BY THE HR DEPARTMENT USING COMPARABLE MARKET DATA.
FORM 990, PART VI, SECTION C, LINE 19	ALL INTERNAL POLICIES, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST
FORM 990, PART XI, LINE 9:	CHANGE IN NET ASSETS TO RECOGNIZE FUNDED STATUS OF POST RETIREMENT PLANS 496,356. OTHER COMPONENTS OF NET PERIODIC BENEFIT COST 185,694.
FORM 990, PART XII, LINE 3B:	THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES INCLUDING MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER.
SCHEDULE H, PART V, LINE 4:	THE HOSPITAL CONDUCTED A CHNA SUBSEQUENT TO THE CURRENT TAX YEAR BEING REPORTED, IN TAX YEAR 2018.
SCHEDULE H, PART V, LINE 7A:	HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/CONTENT/DOCUMENTS/ COMMUNITYHEALTHANNUALREPORT_2018.PDF
SCHEDULE H, PART V, LINE 9:	THE HOSPITAL ADOPTED AN IMPLEMENTATION STRATEGY SUBSEQUENT TO THE CURRENT TAX YEAR BEING REPORTED, IN TAX YEAR 2018.
SCHEDULE H, PART V, LINE 10A:	HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/CONTENT/ DOCUMENTS/CHNA%20IMPLEMENTATION%20PLAN%202015-2.PDF
SCHEDULE H, PART V, LINE 11 CONTINUED:	8. INCOME POVERTY AND FAMILY STRESS THE RESOURCE CENTER'S ECONOMIC SERVICES SERVED 202 PEOPLE, AN INCREASE FROM 188 IN 2017; MENTAL HEALTH COUNSELING INCREASED FROM 336 TO 776; EMPLOYMENT COUNSELING INCREASED FROM ZERO TO 6. 9. ACCESS TO TRANSPORTATION IMPLEMENTED RIDES TO WELLNESS PILOT PROGRAM WITH VERMONT PUBLIC TRANSPORTATION ASSOCIATION. VOLUNTEERS PROVIDED MEDICAL TRANSPORTATION WHEN NEEDED. VOUCHERS AND GAS CARDS WERE PROVIDED THROUGH OUR FREE CLINIC. PUBLISHED AN ARTICLE WITH NATIONAL EXPOSURE THROUGH THE AMERICAN HOSPITAL ASSOCIATION, ENTITLED, "HUDDLE FOR CARE" ABOUT REDUCING BARRIERS TO TRANSPORTATION IN A RURAL ENVIRONMENT. APRIL 2018, WHICH HIGHLIGHTED OUR TRANSPORTATION ALGORITHMS AND EFFORTS PRESENTED A NATIONAL WEBEX THROUGH THE FEDERAL OFFICE OF RURAL HEALTH ENTITLED "TRANSPORTATION - A SOCIAL DETERMINANT OF HEALTH PROMOTING SOLUTIONS SINCE APRIL, THE RIDES TO WELLNESS PROGRAM HAS ASSISTED 30 PATIENTS AND HAS GIVEN A TOTAL OF 78 RIDES THROUGH VOLUNTEERS IN ACTION, PREPAID GAS CARDS AND TAXI VOUCHERS 10. ACCESS TO PRIMARY HEALTH CARE ACHIEVEMENT OF NCQA REDESIGNATION AS LEVEL III PATIENT- CENTERED MEDICAL HOME. RECRUITMENT OF PRIMARY CARE PROVIDERS. COMMUNITY HEALTH TEAM WORKING WITH COMMUNITY PARTNERS TO DECREASE COSTS AND INCREASE QUALITY FOR HIGH RISK AND VERY HIGH RISK, COMPLEX, CHRONIC CARE PATIENTS. CARE COORDINATION OUTREACH WITH SASH, SENIOR SOLUTIONS, VNH, BAYADA, AND HCRS. PROVIDED LEADERSHIP FOR REGIONAL IMPLEMENTATION OF ONECARE VERMONT AND BLUEPRINT FOR HEALTH PROGRAMS AND INITIATIVES 11. SMOKING/TOBACCO USE/VAPING TOWN PRESENTATIONS TO SELECTBOARDS ON POLICIES/ORDINANCES RELATED TO "ADULT-ONLY" PRODUCTS INCLUDING TOBACCO, FLAVORED TOBACCO PRODUCTS, CANNABIS PRODUCTS, AND ALCOHOL. MET WITH AREA TOWN SELECT BOARD MEMBERS TO DISCUSS "ADULT ONLY" RETAIL ESTABLISHMENT AND HOW RETAIL OUTLET DENSITY, LOCATION, AND PRODUCT ADVERTISING CAN IMPACT TOWN CULTURE. HOSTED "WORLD NO TOBACCO DAY" AT MT. ASCUTNEY HOSPITAL DISSEMINATED INFORMATION ON FLAVORED TOBACCO PRODUCTS, CESSATION OPPORTUNITIES, AND SECONDHAND SMOKE. SPONSORED A PSA CONTEST FOR AREA SCHOOL YOUTH TO CREATE PREVENTION MESSAGING AROUND TOBACCO, VAPING, AND ALCOHOL USE. CONTINUED WORK WITH WINDSOR'S AUTUMN MOON FESTIVAL PLANNING COMMITTEE ON MAKING THE FESTIVAL A SMOKE-FREE EVENT. WORKED TO CREATED FESTIVAL MARKETING MATERIALS ADVERTISING THIS STATUS.
SCHEDULE H, PART V, LINE 16A:	HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/CONTENT/DOCUMENTS/ MAH%20FINANCIAL%20ASSISTANCE%20POLICY_0.PDF
SCHEDULE H, PART V, LINE 16B:	HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/FINANCIAL%20ASSIST ANCE.PDF
SCHEDULE H, PART V, LINE 16C:	HTTP://WWW.MTASCUTNEYHOSPITAL.ORG/SITES/DEFAULT/FILES/CONTENT/DOCUMENTS/ MAH17_FINANCIALASSISTANCEPOLICYBROCHURE_WEB.PDF

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
HISTORIC HOMES OF RUNNEMEDE
289 COUNTY ROAD	WINDSOR	VT	05089	237396147	PROVIDING SVCS FOR THE AGING	VT	501(C)(3)	LINE 11	WINDSOR HOSPITAL CORPORATION	Yes (1)
MOUNT ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION INC
289 COUNTY ROAD	WINDSOR	VT	05089	030300481	HEALTH EDUCATION & PROMOTION	VT	501(C)(3)	LINE 3	WINDSOR HOSPITAL CORPORATION	Yes (1)
DARTMOUTH-HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222715483	SUPPORTING ORG	NH	501(C)(3)	LINE 12B, II		0	N/A
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222140	HOSPITAL	NH	501(C)(3)	LINE 3	DARTMOUTH-HITCHCOCK HEALTH	0
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYS SVCS	NH	501(C)(3)	LINE 11	DARTMOUTH-HITCHCOCK HEALTH	0
HITCHCOCK FOUNDATION
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020222139	HLTHCRE RSRCH	NH	501(C)(3)	LINE 7	DARTMOUTH-HITCHCOCK CLINIC	0
HAMDEN RISK RETENTION GROUP INC
30 MAIN STREET SUITE 330	BURLINGTON	VT	05401	208530788	SELF INS	VT	501(C)(3)	LINE 12B, II	DARTMOUTH-HITCHCOCK CLINIC	0
THE NEW LONDON HOSPITAL ASSOC INC
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	HOSPITAL	NH	501(C)(3)	LINE 3	DARTMOUTH-HITCHCOCK HEALTH	0
VISITING NURSE ASSOCIATION AND HOSPICE OF VT AND NH INC
205 BILLINGS FARM RD NO 5	WILDER	VT	05088	036006494	HOSPICE	VT	501(C)(3)	LINE 11	DARTMOUTH-HITCHCOCK HEALTH	0
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	HOSPITAL	NH	501(C)(3)	LINE 3	DARTMOUTH-HITCHCOCK HEALTH	0
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DR	LEBANON	NH	03766	020222791	HOSPITAL	NH	501(C)(3)	LINE 3	DARTMOUTH-HITCHCOCK HEALTH	0
SURGERY CENTER OF GREATER NASHUA
10 PROSPECT ST NO 101	NASHUA	NH	03060	461084049	SURGERY CENTER	NH	501(C)(3)	LINE 3		0	N/A
CHESHIRE HEALTH FOUNDATION
580 COURT STREET	KEENE	NH	03431	020202220	SUPPORTING ORG	NH	501(C)(3)	LINE 12B, II	CHESHIRE MEDICAL CENTER	0
CHESIRE HEALTH SERVICES
580 COURT STREET	KEENE	NH	03431	473379283	HEALTHCARE	NH	501(C)(3)	LINE 3	CHESHIRE MEDICAL CENTER	0
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264812335	PARENT ORG	NH	501(C)(3)	LINE 7		0	N/A
ALICE PECK DAY LIFECARE CENTER
30 ALICE PECK DAY DRIVE	LEBANON	NH	03766	020479094	SENIOR LIVING	NH	501(C)(3)	LINE 10	ALICE PECK DAY MEMORIAL HOSPITAL	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
DH MASTER INVESTMENT PARTNERSHIP
ONE MED CTR DR	LEBANON	NH	03756	020505863	POOLED INVESTMENT	NH	MARY HITCHCOCK MEMORIAL HOSPITAL	EXCLUDED	$1,085,918	$16,858,213	0	-$6,151	0	0.02460
NEW ENGLAND PHARMACY COLLAB
ONE MED CTR DR	LEBANON	NH	03756	263819035	GROUP PURCHASING	NH			-$71		0		0	0.04740	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
IMAGINECARE INC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	813105071	SOFTWARE TECHNOLOGY	DE	N/A	C	0
HITCHCOCK HEALTH CONNECT INC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	800908979	TELEHEALTH	DE	N/A	C	0
POMPANOOSUC INVESTMENT CORPORATION
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	020352330	REAL ESTATE HLDG	NH	N/A	C	0
HAMDEN ASSURANCE COMPANY LIMITED
				980121409	LIABILITY INSURANCE		N/A	C	0	44 CHURCH ST	HAMILTON	BD	HM 12	BD
KEARSARGE COMMUNITY SERVICES INC
273 COUNTY RD	NEW LONDON	NH	03257	020460136	REAL ESTATE HLDG	NH	N/A	C	0
NEW LONDON PHYSICIAN GROUP INC
273 COUNTY RD	NEW LONDON	NH	03257	020494420	PHYSICIAN GROUP	NH	N/A	C	0
NEW LONDON MEDICAL CENTER EAST INC
273 COUNTY RD	NEW LONDON	NH	03257	020480857	REAL ESTATE HLDG	NH	N/A	C	0
KEENE HEALTH SERVICES
580 COURT STREET	KEENE	NH	03431	020374997	REAL ESTATE HLDG	NH	N/A	C	0
KEENE HEALTH REALTY
580 COURT STREET	KEENE	NH	03431	020374998	REAL ESTATE HLDG	NH	N/A	C	0
KEENE HEALTH ENTERPRISES
580 COURT STREET	KEENE	NH	03431	020374999	REAL ESTATE HLDG	NH	N/A	C	0
88 PROSPECT ST CONDO OWNERS ASSOC
88 PROSPECT STREET	WHITE RIVER JUNCTION	VT	06002	020480857	REAL ESTATE HLDG	VT	N/A	C	0
CHARITABLE REMAINDER UNITRUSTS (10)
289 COUNTY RD	WINDSOR	VT	05089		CHARITABLE TRUST	VT	N/A	T	0

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
MARY HITCHCOCK MEMORIAL HOSPITALDARTMOUTH-HITCHCOCK HEALTH
E	$11,002,812	ACTUAL
HISTORIC HOMES OF RUNNEMEDE
Q	$186,822	ACTUAL
NEW ENGLAND ALLIANCE FOR HEALTH LLC (MHMH)
P	$438,826	ACTUAL
DARTMOUTH-HITCHCOCK CLINIC
E	$566,875	ACTUAL
DARTMOUTH-HITCHCOCK CLINIC
O	$3,164,525	ACTUAL
MARY HITCHCOCK MEMORIAL HOSPITAL
P	$348,101	ACTUAL
MARY HITCHCOCK MEMORIAL HOSPITALDARTMOUTH-HITCHCOCK HEALTH
R	$197,978	ACTUAL
MARY HITCHCOCK MEMORIAL HOSPITAL
E	$47,110	ACTUAL