2018-08-01T12:52:28-05:00 2017-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2016-10-01 020223332 Huggins Hospital HUGG 6035697571 PO Box 912 Wolfeboro NH 03894 Jeremy Roberge President & CEO 6035697571 2018-07-20 1 Joseph R Byrne CPA P01289281 2077752387 2018-07-20 2016 2022-09-23 18:48:47Z Jeremy Roberge PO Box 912 Wolfeboro NH 03894 78730200 0 X www.hugginshospital.org X 1907 NH Critical Access Hospital 17 13 461 185 0 0 850288 1097884 53109529 56234844 863588 1632896 122431 118770 54945836 59084394 0 226231 0 0 33491192 36462291 0 0 197124 21329204 20769376 54820396 57457898 125440 1626496 116430471 124105846 54741446 54710986 61689025 69394860 It is the mission of Huggins Hospital to provide quality health care services and to promote well being in the communities we serve. 0 0 48306394 226231 56234844 Huggins Hospital is a non-profit Critical Access Hospital that provides medical services to the region's year-round population of 30,000 residents and approximately 120,000 seasonal residents and visitors. Our services include primary care, inpatient care, intensive care, surgery, medical imaging and diagnostics, gynecology, orthopedics, pediatrics, physical therapy, cardiology, respiratory therapy, speech therapy, nutrition services, cardiac and physical rehabilitation, social services and emergency services. 48306394 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 0 1 0 0 1 0 0 0 1 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 115 0 1 461 1 0 0 0 0 0 1 1 0 0 0 0 X 17 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Jeremy Roberge 6035697510 PO Box 912 Wolfeboro NH 03894 John J Daigneault CPA Chairman 1.00 0.00 X X 0 0 0 Leslie MacLeod Vice Chairman 1.00 0.00 X X 0 0 0 William M Marsh MD Secretary 1.00 0.00 X X 0 0 0 Howie Knight Treasurer 1.00 0.00 X X 0 0 0 James Cubeddu PA-C Assistant Treasurer 1.00 0.00 X X 107832 0 11870 Jeremy Roberge President & CEO 40.00 1.00 X X 263544 0 8595 Kathy Barnard Trustee 1.00 0.00 X 0 0 0 David Booth Trustee 1.00 0.00 X 0 0 0 Judith Cole APRN Trustee 1.00 0.00 X 0 0 0 George Costello MD Trustee 30.00 0.00 X 317657 0 32367 Eric Lewis MD Past Trustee 40.00 0.00 X 214785 0 28622 Joseph Pepe MD Trustee 1.00 0.00 X 0 0 0 Don St Germain Trustee 1.00 0.00 X 0 0 0 Corrine Smith RN Trustee 1.00 0.00 X 0 0 0 Timothy Sullivan Trustee 1.00 0.00 X 0 0 0 Stephen Wainwright Trustee 1.00 0.00 X 0 0 0 Alex Walker Esq Trustee 1.00 0.00 X 0 0 0 George Walker Esq Trustee 1.00 0.00 X 0 0 0 John S Boornazian Chief Medical Officer 40.00 0.00 X 239283 0 30579 William Barton Physician 40.00 0.00 X 346565 0 13829 Hayas Haseer Koya Hospitalist 40.00 0.00 X 204400 0 38380 Thomas Molano Physician 40.00 0.00 X 330737 0 36136 Donald Rose Physician 40.00 0.00 X 216218 0 32525 Dona Varghese Hospitalist 40.00 0.00 X 220133 0 6938 2461154 0 239841 28 0 1 0 Central NH ER Associates PA 14 Copp Road Gilmanton NH 03237 ER Physicians 1973330 Catholic Medical Center 195 McGregor Street 3rd FL Manchester NH 03102 Management Fees 327619 Barton Associates Inc PO Box 417844 Boston MA 022417844 Locums 312609 ABM Healthcare Support Services Inc PO Box 935695 Atlanta GA 311935695 Facilities Support 273267 Green Pages Tech Solutions PO Box 843435 Boston MA 022843435 IT Network Support 269284 10 75170 1022714 1097884 Patient Service Revenue 621990 104126653 104126653 Miscellaneous 621990 4297237 2160137 2137100 Provision for Bad Debts 621990 -2779844 -2779844 Contractual/Char. Adj. 621990 -49409202 -49409202 56234844 667501 667501 125724 0 125724 125724 125724 20247187 329393 19487073 124112 760114 205281 965395 965395 27667 75170 34621 -6954 -6954 59084394 54097744 0 3888766 226231 226231 1255136 982997 272139 28442636 23946712 4367080 128844 585326 493178 89440 2708 4569756 3823177 726349 20230 1609437 1350526 251902 7009 85803 72315 13488 61365 51718 9647 3254206 2716971 506773 30462 97443 82125 15318 1173919 941913 229093 2913 216575 182529 34046 2107750 1821422 286328 45716 37704 7033 979 27162 22892 4270 1269682 1070088 199594 4707325 3967333 739992 608796 513093 95703 Medical Supplies 4210567 3548666 661901 Medicaid Provider Tax 2169729 1828648 341081 Miscellaneous 733338 626156 103203 3979 57457898 48306394 8954380 197124 X 6073857 8155940 9842803 5776968 36303 36303 5374216 8063563 559345 573319 222864 203778 85657965 39837793 48956188 45820172 36944063 47045525 8420832 8430278 116430471 124105846 9602107 7830835 23116123 21153918 22023216 25726233 54741446 54710986 X 44367863 51383877 7375949 8134256 9945213 9876727 61689025 69394860 116430471 124105846 X 1626496 3322946 2756393 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 11055 11055 0 Part II-B, Line 1: Huggins Hospital is a member of the NH Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of Huggins and other organizations in furtherance of their exempt purposes. Huggins Hospital does not directly perform any lobbying activities. 10812980 1301031 564000 11550011 10583678 793302 564000 10812980 11267269 -131591 552000 10583678 10839793 12040 766867 351431 11267269 10445409 6065 702496 314177 10839793 0.00000 0.30390 0.69610 0 0 1638476 1638476 54139920 22279795 31860125 22725348 14545399 8179949 7154221 3012599 4141622 45820172 Due from Subsidiary 815297 Cash Surrender Value Life Insurance 1248266 Beneficial Interest in Perpetual Trust 6366715 8430278 Interest Rate Swap 2619524 Estimated Third-Party Payor Settlements 23106709 25726233 Part V, Line 4: The intended use of the endowment fund is to support health care services including indigent care, health education, adult daycare as well as capital improvements and acquisitions. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 0 Investments 1010941 0 0 0 0 0 0 1010941 0 1010941 0 0 0 0 0 0 Golf Tournament 41877 25300 16577 1620 8628 5599 Gala 60960 49870 11090 9460 3920 5394 102837 75170 27667 1620 18088 3920 10993 34621 -6954 1 1 1 X 125.000000000000 1 X 1 1 0 1 1 933150 286290 646860 0.01130 5253300 4042494 1210806 0.02110 6186450 4328784 1857666 0.03240 366206 366206 0.00640 297281 297281 0.00520 10440574 7116062 3324512 0.05790 307888 307888 0.00540 11411949 7116062 4295887 0.07490 17598399 11444846 6153553 0.10730 4665 4665 0.00010 70989 70989 0.00120 44531 44531 0.00080 120185 120185 0.00210 1 1349425 22644371 23190712 -546341 X 1 1 1 1 Huggins Hospital PO Box 912 Wolfeboro NH 03894 www.hugginshospital.org 01990 X X X X Huggins Hospital 1 0 0 1 X X X X X X X X X 15 1 0 0 1 X www.hugginshospital.org/about/community-health-needs-assessment X 1 15 1 www.hugginshospital.org/about/community-health-needs-assessment 0 1 X 125.000000000000 200.000000000000 X 1 1 X X X X 1 X www.hugginshospital.org/resources/financial-assistance-and-billing X www.hugginshospital.org/resources/financial-assistance-and-billing X www.hugginshospital.org/resources/financial-assistance-and-billing/ X X X X X X 1 X 0 X X X X 1 X 0 0 Huggins Hospital Part V, Section B, Line 5: In 2016, over sixty individuals from over forty community and health care organizations collaborated to conduct a comprehensive CHNA process focused on identifying and defining significant health needs, issues, and concerns of Carroll County. The process centered on gathering and analyzing data as well as receiving input from persons who represented the broad interests of the community and who had special knowledge and expertise in public health. The participants helped provide direction for the Hospital to create a plan to improve the health of the community. Information gathering, using secondary public health sources, occurred in April and May of 2016. Over 300 community surveys were conducted from April 27 through May 13, 2016. A Community Health Summit was held on May 26, 2016 with 45 community stakeholders attending. The audience consisted of healthcare providers, the Carroll County Coalition for Public Health, businesses, law enforcement, EMS, government representatives, human services, not-for-profit organizations (hospitals, home health, mental health, substance abuse, elderly services) and other community members. During Huggins Hospital's Community Health Summit, attendees identified and prioritized the most significant health needs in the community to be addressed in the next three-year period. The group used specific criteria to prioritize the health needs. The groups brainstormed goals and actions to form the foundation of Carroll County's health initiatives. Using a nominal group technique, each attendee posted their ideas of the top three health needs at the front of the room. The group, as a whole, then voted to establish priority. From these priorities, the groups strategized to develop focus areas. From these strategies and focus areas, Huggins Hospital developed the Community Health Needs Assessment's Implementation Plan. Huggins Hospital Part V, Section B, Line 11: Huggins Hospital's Community Health Needs Assessment and Implementation plan was completed in 2016. The Implementation Plan included strategies to address Chronic Disease, Healthy Aging as well as Mental and Behavioral Health. Since 2016, the organization has increased specialty and primary care access to help provide more preventative and ongoing care for community members with chronic disease. Along with growth in primary and specialty services, the organization's rehabilitation team grew to provide more services for chronic care treatment and prevention. The organization has also developed a Care Coordination program to help close any gaps in care for those with complicated co-morbidities. The organization increased community education through coalitions and community events and supported healthy activities within the community. For Healthy Aging, the organization provided education to seniors about how to age at home safely. Before the next Community Health Needs Assessment that needs to be finalized in 2019, the organization plans to develop a Senior Wellness Group, identify seniors in need of extra resources and continue education about aging, falls and Advance Care Planning. For Mental and Behavioral Health, the organization has addressed all items in the 2016 Implementation plan including participation in the Medicaid 1115 Waiver to transform the NH behavioral health delivery system, advocating for patients during community forums, developing a process for a continuum of care within primary care offices and supporting other organizations with a focus in substance use, mental health and behavioral health. Huggins Hospital Part V, Section B, Line 16j: In Fiscal Year 2016, Huggins Hospital improved the organization's Financial Assistance policy information postings. The information was already available in all waiting areas, public areas and physician offices of Huggins Hospital. The information has been redesigned to be easier to read and has been posted in more public sites including the local Welfare offices and Food Pantry locations. Part I, Line 7: The amounts reported on Lines 7a & 7b were computed using a cost-to-charge ratio. Part II, Community Building Activities: Community-building activities include cash, in-kind donations, and budgeted expenditures by the Trust for the development of programs and partnerships intended to address social and economic determinants of health. Huggins Hospital supports the community through numerous programs and resources as well as involvement and direct donations.Line II, Economic Development: Huggins Hospital is one of the New Hampshire Eastern Lakes Region's primary economic drivers as a large regional employer. The hospital provides assurance to year-round and seasonal residents and visitors that 24/7 access to health care is available every day of the year. The economic health and quality of life hinges on the financial strength and the ability of the hospital to provide healthcare in the region. Multiple Leadership Team members sit on local boards and assist with economic development initiatives with groups such as the Wolfeboro Chamber, the Wolfeboro Economic Development Corporation and the Eastern Lakes Region Housing Coalition. The hospital also supports these agencies with cash and in-kind donations listed in the Community Building Activities section of the hospital's Community Benefits Report. Line III, Community Support: Huggins Hospital works collaboratively with the community to offer high quality, cost-effective care. The hospital maintains relationships with many organizations to promote and create better community health including GraniteOne Health (affiliation of Huggins Hospital, Catholic Medical Center and Monadnock Community Hospital), Governor Wentworth Regional School District, Starting Point, Carroll County Coalition for Public Health, Central NH VNA & Hospice, Northern Human Services, local summer camps and many more. Huggins Hospital provides direct in-kind and cash donations to organizations who also strive to support a healthy community that you can find listed in the Financial Contributions section of the Community Benefits Report. The hospital also works together with local emergency preparedness groups to train and drill in order to be ready for any situation that may arise in our community. As part of our community support, Huggins Hospital also provides paramedic-level services out in the community through the Paramedic Intercept Program. This program allows for a faster connection to a higher level of care that many rural areas do not have available. These quick connections to this high-level emergency care helps save lives and get people the care they need sooner. This program is counted on the Community Benefits Report under Community-Based Clinical Services.Line VI, Coalition Building: Huggins Hospital staff members sit on multiple public health and regional health network groups to address healthcare concerns in multiple areas including chronic disease, substance misuse, mental health, behavioral health, elderly health, healthy childhood development and more. Together with other hospitals and health care organizations, these groups develop priorities and initiatives to affect actual change in our community that has made Carroll County one of the top counties in New Hampshire in statewide health rankings. Huggins Hospital hired a Community Health Officer to build an even more comprehensive coalition of health providers and support services in our community.Line VII, Community Health Improvement Advocacy: Huggins Hospital develops its Community Health Needs Assessment through aggressive community outreach and involvement that creates a natural path to health improvement advocacy in our community. This outreach contribution is referenced in the Community Benefits Report in the Community Benefits Operations section. This process includes a Community Health Summit which involved almost 50 people including residents, government officials, healthcare organizations and local residents. Through this process, we developed an Implementation Plan to continue to advocate for and improve the health of our community.As mentioned before, employees at Huggins Hospital involved in many community groups dedicated to the health of our community. Our employees are professionals in health care and are passionate about what they do. Not only do the employees sit on numerous health advocacy committees and boards, they also volunteer at other local healthcare organizations and support community healthcare initiatives. The Huggins volunteer coordinator assists in overseeing the regional Medical Reserve Corps (MRC), which is affiliated with the federal government's Division of Civilian Volunteer Medical Reserve Corps, and is open to both medical and non-medical volunteers. Huggins Hospital offers free health education to the community in the form of physician and professional lectures, news stories and public service announcements. Emergency medical professionals at Huggins Hospital train local EMS for emergency preparedness and strive to improve the quality of emergency care. Huggins Hospital supports other local non-profits that provide needed support outside the hospital's scope-of-care including mental health agencies and agencies for domestic violence support. This support includes allowing local support groups and a domestic violence prevention agency to use Huggins Hospital space to conduct support groups and other services. These groups include Meals on Wheels, End 68 Hours of Hunger, Starting Point, and more. The support for these initiatives is represented in multiple categories of the Community Benefits Report. Line VIII, Workforce development: As a rural hospital with rural primary care locations, Huggins Hospital needs extra support in finding healthcare providers in the current physician shortage situation happening nationwide. Huggins Hospital uses a support system to help recruit qualified providers to the Eastern Lakes Region community in order to provide the healthcare services the community needs. 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 that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient 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 purpose of estimating the appropriate amounts for the allowance for doubtful accounts and the provision for bad debts. 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 bad debts 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 and corresponding allowance 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 allowance for doubtful accounts. The Hospital used a cost-to-charge ratio as its costing methodology for amounts reported in Part III, Section A. Part III, Line 8: The Organization used a cost-to-charge ratio as its costing methodology to determine the amount of Medicare allowable costs. Part III, Line 9b: As a not-for-profit, tax-exempt, and charitable organization, Huggins Hospital serves all in medical need regardless of ability to pay. The Organization is governed by a volunteer Board of Trustees committed to balancing community needs with our available resources to meet those needs. As a hospital-employed medical staff, all twelve physician practices accept patients regardless of ability to pay. Part VI, Line 2: Please see Part V, Section B as well as the attached Community Health Needs Assessment and Implementation Plan. The Huggins Hospital Community Health Needs Assessment and Implementation Plan can also be found online at: www.hugginshospital.org/about/community-health-needs-assessment. Part VI, Line 3: Huggins Hospital provides a notice to all patients both in the hospital and its physician practices of the financial assistance programs available to them. There is a staff of financial counselors who work with the uninsured and underinsured to assist in qualifying for Charity Care or a sliding fee schedule depending on the family income. Financial councilors also assist those uninsured in applying for and receiving assistance through the Medicaid program. Information about our financial assistance programs can be found on our website and in print or in person at all of our locations. Part VI, Line 4: Huggins Hospital is a non-profit, rural, Critical Access Hospital. Our community's year-round population is approximately 33,000 citizens which expands in the tourist season to about 120,000 residents. Huggins Hospital is the second largest employer in Wolfeboro. The primary service area for Huggins Hospital includes: Alton, Brookfield, Effingham, Freedom, Ossipee, Tamworth, Tuftonboro, Wakefield and Wolfeboro. Secondary service areas include parts of Barnstead, Gilford, Moultonborough and New Durham. These towns are located in Carroll, Belknap and Strafford Counties. Part VI, Line 5: Huggins Hospital has played an important role in the Eastern Lakes Region of New Hampshire for more than 100 years, enabling unwavering support to patients and their families, community members and employees. Gifts made to the hospital's annual giving program and special initiatives support programs that are important to the region like the Adult Day Program, Diabetes Prevention and Paramedic Program. The Hospital's professional medical staff has a reputation for excellence in primary care, inpatient and outpatient surgery, medical imaging and diagnostics, gynecology, orthopedics, pediatrics, physical therapy, cardiac and occupational rehabilitation, and emergency services. Other offerings include urology, cardiology, audiology, gastroenterology services and ear, nose & throat. Huggins Hospital provides emergency care to anyone and everyone in the community, or visiting the community, regardless of their ability to pay. Part VI, Line 6: Huggins Hospital is part of GraniteOne Health, an affiliation with Catholic Medical Center and Monadnock Community Hospital. All three organizations are non-profit, charitable organizations focused on improving the health of their respective communities as well as all the communities served by all of GraniteOne Health organizations. The affiliation is collaborative, allowing the three organizations to maintain their own identities and strategies while offering support to one another to improve on community health initiatives already in place. The affiliation will help each organization remain strong and will help bring more local resources to the communities. Part VI, Line 7, Reports Filed With States NH 1 Foundation for Healthy Communities 125 Airport Road Concord NH 03301 020275078 501(c)(3) 116830 FMV Support Medicaid Expansion New Hampshire Hospital Association 125 Airport Road Concord NH 03301 026012527 501(c)(6) 109401 FMV Support Medicaid Expansion 1 1 Part I, Line 2: Amounmts paid to Organizations were required by the State of NH in order to support Medicaid expansion. Therefore, additional monitoring of funds was not deemed to be necessary. X X X 0 0 0 0 0 0 0 1 0 Jeremy Roberge President & CEO 229615 0 33750 0 179 0 7901 0 694 0 272139 0 0 0 George Costello MD Trustee 314803 0 1666 0 1188 0 9695 0 22672 0 350024 0 0 0 Eric Lewis MD Past Trustee 179306 0 34818 0 661 0 6659 0 21963 0 243407 0 0 0 John S Boornazian Chief Medical Officer 223345 0 14750 0 1188 0 9790 0 20789 0 269862 0 0 0 William Barton Physician 298077 0 47300 0 1188 0 11891 0 1938 0 360394 0 0 0 Hayas Haseer Koya Hospitalist 184267 0 20000 0 133 0 6600 0 31780 0 242780 0 0 0 Thomas Molano Physician 315509 0 14131 0 1097 0 10242 0 25894 0 366873 0 0 0 Donald Rose Physician 180578 0 35474 0 166 0 8911 0 23614 0 248743 0 0 0 Dona Varghese Hospitalist 200000 0 20000 0 133 0 6600 0 338 0 227071 0 0 0 Part I, Line 7 Bonuses paid to Eric Lewis, George Costello, William Barton, Thomas Molano, Donald Rose and Hayas Haseer Koya are based on relative value units (RVU's). The bonus payment to Dona Varghese is part of the committment bonus payable over a 2 year period per her signed employment contract. The incentive payment was paid to Dr. John Boornazian as Medical Director for his oversight of Cardiopulmonary. The bonus paid to Jeremy Roberge was objectively measured and data driven, and was based 50% on group goals and 50% on individual goals. A New Hampshire Health & Education Facilities Authority Series 2017A 020279866 2017-06-30 14380488 Refinance of Series 2009 State of New Hampshire Bond 0 0 0 B New Hampshire Health & Education Facilities Authority Series 2017B 020279866 2017-06-30 9160667 Refinance of Series 2007 State of New Hampshire Bond 0 0 0 A 14380488 184943 14195545 2017 0 1 1 1 B 9160667 117813 9042854 2017 1 0 1 1 A 0 0 0 0 0 0 1 B 0 0 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 0 B 0 Form 990, Part VI, Section B, line 11b A designated officer or management official meets with the preparer to discuss a draft of the Form 990 in detail. Once any necessary revisions are made, this draft is then submitted to the Finance & Budget Committee for further review. Afterwards, a copy of the public inspection copy of Form 990 is made available to the full board for their general review and comment prior to filing the return. A designated officer then signs the return after considering board comments. Form 990, Part VI, Section B, line 12c A copy of the conflict of interest policy is given to every officer, board member, and key employee on an annual basis, along with an annual disclosure statement. Each person is asked to complete, date and sign the disclosure statement, listing any known financial interest that the individual, or a member of the individual's family, has in any business entity that transacts business with the Organization. The Chairman of the board then reviews and maintains the disclosure statements for future reference. If a conflict arises, the board member will recuse themselves from participation in the deliberations and decisions relating to that conflict. Form 990, Part VI, Section B, line 15 The Hospital relies on externally available market data to determine the appropriate salary and any incentive compensation for the President as well as other officers and key employees of the organization. Each year, the President provides the Board with a listing of the five highest paid senior staff. Base salary and incentive compensation provided to the President is determined by three members of the Executive Committee of the Board as part of an annual performance review and their recommendation is shared with the full Board for final approval. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, and financial statements are made available to the public upon request for inspection in the President's office. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Huggins Hospital PO Box 912 Wolfeboro, NH 03894 EIN 02-0223332 Section 1.263(a)-3(n) Election: Huggins Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Pension Liability Adjustment 1,687,820. Change in Value of Interest Rate Swap 1,137,059. Change in Beneficial interest in Perpetual Trust -68,486. Hospital and Community Aid Association Inc PO Box 1377 Wolfeboro NH 03894 026008048 Purchases equipment for the benefit of Huggins Hospital and its' patients. NH 501(c)(3) Line 12b, II 0 Huggins Senior Housing PO Box 912 Wolfeboro NH 03894 020490445 Elderly Housing NH N/A C 731115 443998 1.00000 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Huggins Senior Housing D 815297 Fair Market Value