CHESHIRE MEDICAL CENTER: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: CHESHIRE MEDICAL CENTER (EIN 02-0354549)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201741359349309749
Schema version: 2015v3.0
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T15:03:44-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER NEWMAN & NOYES LLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	650 ELM STREET SUITE 302	AddressLine1Txt
City	MANCHESTER	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03101	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020354549	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	The Cheshire Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% KATHRYN FRAZIER	InCareOfNm
Business Name Control	CHES	BusinessNameControlTxt
Phone	6033545400	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580-590 Court Street	AddressLine1Txt
City	Keene	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	034315400	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	CHRISTINE SCHON	PersonNm
Person Title	COO	PersonTitleTxt
Phone	6036291120	PhoneNum
Signature	2017-05-15	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Timothy R Hepburn	PreparerPersonNm
PTIN	P00182393	PTIN
Phone	8002447444	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Don Caruso	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580-590 Court Street	AddressLine1Txt
City	Keene	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	034315400	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$165,760,360	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.cheshire-med.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1980	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	To lead Keene, NH to become the nation's healthiest community through clinical and service excellence, collaborations, and compassion for every patient, every time	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	1207	TotalEmployeeCnt
Total Volunteers	143	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,208,416	PYContributionsGrantsAmt
CY Contributions Grants	$971,455	CYContributionsGrantsAmt
PY Program Service Revenue	$159,316,387	PYProgramServiceRevenueAmt
CY Program Service Revenue	$162,842,712	CYProgramServiceRevenueAmt
PY Investment Income	$955,785	PYInvestmentIncomeAmt
CY Investment Income	$115,332	CYInvestmentIncomeAmt
PY Other Revenue	$2,358,902	PYOtherRevenueAmt
CY Other Revenue	$1,696,200	CYOtherRevenueAmt
PY Total Revenue	$163,839,490	PYTotalRevenueAmt
CY Total Revenue	$165,625,699	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$219,946	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$61,032,813	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$75,660,041	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$103,365,620	PYOtherExpensesAmt
CY Other Expenses	$94,760,044	CYOtherExpensesAmt
PY Total Expenses	$164,398,433	PYTotalExpensesAmt
CY Total Expenses	$170,640,031	CYTotalExpensesAmt
PY Revenues Less Expenses	-$558,943	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$5,014,332	CYRevenuesLessExpensesAmt
Total Assets BOY	$144,627,429	TotalAssetsBOYAmt
Total Assets EOY	$134,879,963	TotalAssetsEOYAmt
Total Liabilities BOY	$66,131,206	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$74,712,747	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$78,496,223	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$60,167,216	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The Cheshire Medical Center is a community hospital located in Keene, New Hampshire with a mission to lead our community to become the nations healthiest through our clinical and service excellence, collaboration, and compassion for every patient, every time.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$141,696,988	ExpenseAmt
Grant	$219,946	GrantAmt
Revenue	$164,538,339	RevenueAmt
Desc	The Cheshire Medical Center (CMC), is a community hospital located in Keene, New Hampshire. CMC is a not-for-profit organization, as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. On March 2, 2014, CMC affiliated with Dartmouth-Hitchcock Health ("D-HH") a non-profit tax-exempt corporation with a principal place of business at One Medical Center Drive, Lebanon, New Hampshire. Consistent with the D-HH vision and strategy to create a sustainable health system, CMC and D-HH share a common commitment to improving population health, value-based care, and creating new payment models for the benefit of the citizens of New Hampshire and Vermont. CMC provides a broad range of patient services and health related community services, consistent with its role as a community hospital. These include a full range of services in both acute and critical medicine, surgery, and rehabilitation. During FY16 CMC provided 20,183 days of inpatient care and had 3,919 hospital discharges, while the emergency department was open to the public 24 hours per day, 7 days per week and had 22,834 patient visits. Each year Cheshire Medical Center files an annual Community Benefit Report with the State of New Hampshire which outlines the community and charitable benefits they provide. The most recent Community Benefit Reports are available upon request or can be found on Cheshires website (www.cheshire-med.com). The Community health activities include the cost or value of several different types of programs including the cost of community based education programs, involving a variety of chronic disease and wellness topics such as: stress management and resiliency, nutrition, physical education and exercise, high blood pressure prevention and monitoring, diabetes prevention and monitoring, advanced directive planning, and others. In total, CMC provided over $7.62 million in Community Benefits including unreimbursed charity care, health services, health profession education, subsidized health services, and community-building activities. These contributions are in addition to the over $28 million dollars in unreimbursed Medicaid and Medicare costs absorbed by CMC.	Desc
Total Program Service Expenses	$141,696,988	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	168	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1207	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	false	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KATHRYN FRAZIER	PersonNm
Phone	6033545454	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580-590 COURT STREET	AddressLine1Txt
City	Keene	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	034315400	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Ed Bergeron Jr
Trustee	1.0	1.5	Yes (X)	$0	$0	$0
John Birkmeyer MD
Trustee	1.0	61.5	Yes (X)	$0	$791,471	$59,542
Judith Boule MD
Trustee	1.0	41.5	Yes (X)	$0	$310,254	$245,532
Wendy Fielding
Trustee	1.0	41.5	Yes (X)	$0	$234,382	$56,833
Timothy Fisher MD
Trustee	1.0	41.5	Yes (X)	$0	$302,483	$57,364
H Roger Hansen
Trustee/Vice Chr eff 11/5/15	1.0	2.0	Yes (X)	$0	$0	$0	Yes (X)
Steve Horton
Trustee end 12/31/15	1.0	1.5	Yes (X)	$0	$0	$0
Nathalie Houder
Trustee/Treasurer eff 11/5/15	1.0	1.5	Yes (X)	$0	$0	$0	Yes (X)
Lawrence Jaeger MD
Trustee end 12/31/15	1.0	41.5	Yes (X)	$0	$347,966	$204,594
Judy Kalich
Trustee end 12/31/15	1.0	1.5	Yes (X)	$0	$0	$0
Michael Kapiloff
Trustee	1.0	1.5	Yes (X)	$0	$0	$0
Mary Ann Kristiansen
Trustee end 12/31/15	1.0	1.5	Yes (X)	$0	$0	$0
Geof Molina
Trustee	1.0	1.5	Yes (X)	$0	$0	$0
Steven Paris MD
Trustee	1.0	41.5	Yes (X)	$0	$375,697	$53,636
Leslie Pitts MD
Trustee	1.0	41.5	Yes (X)	$0	$283,321	$133,901
Kary Shumway
Trustee	1.0	1.5	Yes (X)	$0	$0	$0
Katherine Snow
Trustee	1.0	1.5	Yes (X)	$0	$0	$0
Sylvia McBeth
Trustee/Brd Chair end 11/4/15	2.0	1.5	Yes (X)	$0	$0	$0	Yes (X)
Gregg Tewksbury CPA
Trste/VC end 11/4, Bd Chr 11/5	1.0	1.5	Yes (X)	$0	$0	$0	Yes (X)
Robert Mucha
Trustee/Treasurer end 11/4/15	1.0	1.5	Yes (X)	$0	$0	$0	Yes (X)
Mary Louise Caffrey
Trustee/Board Secretary	1.0	1.5	Yes (X)	$0	$0	$0	Yes (X)
Arthur W Nichols
Trustee/President end 10/31/15	50.0	3.0	Yes (X)	$708,346	$0	$165,196	Yes (X)
Don Caruso MD
Trustee/CEO eff 11/1/15	11.5	41.5	Yes (X)	$0	$402,708	$203,199	Yes (X)
Cherie Holmes MD
Trustee/Ex-Officio eff. 1/1/16	1.0	40.0	Yes (X)	$0	$404,878	$126,450
Robert Cochrane
CFO	51.0	2.0		$259,752	$0	$44,272	Yes (X)
Cindi Coughlin
CNO	52.0	0.0		$212,128	$0	$156,867		Yes (X)
Paul Pezone
VP Facilities & Support Srvcs	52.0	0.0		$199,291	$0	$43,212		Yes (X)
Julie Green
VP Human Resources	50.0	0.0		$195,739	$0	$43,229		Yes (X)
Erli Chen
Physicist	50.0	0.0		$237,752	$0	$49,565			Yes (X)
Larry Miller
Chief CRNA	50.0	0.0		$175,841	$0	$56,731			Yes (X)
Jose Montero
VP Pop Hlth & Hlth Sys Intgrtn	50.0	0.0		$156,140	$0	$14,180			Yes (X)
Denis Fortier
Director of Pharmacy	50.0	0.0		$154,208	$0	$46,294			Yes (X)
Peter Malloy
CIO	50.0	0.0		$152,143	$0	$29,969			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,451,340	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$3,453,160	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,790,566	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	52	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
Quest Diagnotics
415 Massachusetts Avenue	CAMBRIDGE	MA	021394198	Lab Services	$1,255,049
The MacMillin Company LLC
17 Elm Street	KEENE	NH	03431	Construction	$1,240,232
Trustees of Dartmouth College
37 Dewey Field	HANOVER	NH	03755	Psychiatric Svcs	$744,476
Allscripts LLC
1 Burlington Woods 3rd Floor	BURLINGTON	MA	01803	Electronic Hlth Tech	$502,298
New England Medical Transcription I
RR1	WOOLWICH	ME	04579	Mdcl Trnscptn Svcs	$483,118

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Related Organizations	$380,028	RelatedOrganizationsAmt
Government Grants	$364,270	GovernmentGrantsAmt
All Other Contributions	$227,157	AllOtherContributionsAmt
Total Contributions	$971,455	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$160,558,149	$160,558,149
PHARMACY AND DRUGS	446110	$949,211	$949,211
FOOD SERVICES	722210	$1,039,091	$1,039,091
MISCELLANEOUS HEALTH SERVICES	621300	$102,816	$102,816
GIFT SHOP INCOME	453220	$111,933	$111,933

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$81,512	TotalRevenueColumnAmt
Related Or Exempt Func Income	$81,512	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$162,842,712	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$248,659	TotalRevenueColumnAmt
Exclusion	$248,659	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,907	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,334	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$573	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$573	TotalRevenueColumnAmt
Exclusion	$573	ExclusionAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,113	SecuritiesAmt
Other	$126,214	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$7,113	SecuritiesAmt
Other	-$126,214	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$133,327	TotalRevenueColumnAmt
Exclusion	-$133,327	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEANINGFUL USE	621300	$412,500	$412,500
CHILDCARE INCOME	624410	$706,148	$706,148
REBATES AND DISCOUNTS	621300	$576,979	$576,979

Field	Value	IRS element (for citing)
Other Revenue Total	$1,695,627	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$165,625,699	TotalRevenueColumnAmt
Related Or Exempt Func Income	$164,538,339	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$115,905	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$219,946	TotalAmt
Program Services	$219,946	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,269,057	TotalAmt
Program Services	$1,856,089	ProgramServicesAmt
Management And General	$412,968	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$54,156,537	TotalAmt
Program Services	$44,300,047	ProgramServicesAmt
Management And General	$9,856,490	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,078,730	TotalAmt
Program Services	$1,700,401	ProgramServicesAmt
Management And General	$378,329	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,663,522	TotalAmt
Program Services	$11,176,761	ProgramServicesAmt
Management And General	$2,486,761	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$3,492,195	TotalAmt
Program Services	$2,856,616	ProgramServicesAmt
Management And General	$635,579	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$569,539	TotalAmt
Program Services	$465,883	ProgramServicesAmt
Management And General	$103,656	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$102,447	TotalAmt
Program Services	$83,802	ProgramServicesAmt
Management And General	$18,645	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$104,730	TotalAmt
Program Services	$85,669	ProgramServicesAmt
Management And General	$19,061	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,261,801	TotalAmt
Program Services	$12,484,153	ProgramServicesAmt
Management And General	$2,777,648	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$15,690	TotalAmt
Program Services	$12,834	ProgramServicesAmt
Management And General	$2,856	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,633,734	TotalAmt
Program Services	$1,336,394	ProgramServicesAmt
Management And General	$297,340	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$8,800,251	TotalAmt
Program Services	$7,198,605	ProgramServicesAmt
Management And General	$1,601,646	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,572,990	TotalAmt
Program Services	$1,286,706	ProgramServicesAmt
Management And General	$286,284	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$101,186	TotalAmt
Program Services	$82,770	ProgramServicesAmt
Management And General	$18,416	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,055,644	TotalAmt
Program Services	$863,517	ProgramServicesAmt
Management And General	$192,127	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,903,318	TotalAmt
Program Services	$8,918,914	ProgramServicesAmt
Management And General	$1,984,404	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$238,302	TotalAmt
Program Services	$194,931	ProgramServicesAmt
Management And General	$43,371	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$30,498,240	$24,947,553	$5,550,687
JOA	$8,298,000	$6,787,764	$1,510,236
MET AND PILOT TAXES	$9,179,391	$9,179,391
OTHER	$4,225,815	$3,459,276	$766,539

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,198,966	TotalAmt
Program Services	$2,198,966	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$170,640,031	TotalAmt
Program Services	$141,696,988	ProgramServicesAmt
Management And General	$28,943,043	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$16,131,280	BOYAmt
EOY	$15,651,110	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$16,470,755	BOYAmt
EOY	$17,351,293	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,859,734	BOYAmt
EOY	$2,895,599	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,240,328	BOYAmt
EOY	$2,111,297	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$207,646,543	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$136,200,610	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$78,480,670	BOYAmt
EOY	$71,445,933	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$20,406,022	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$21,598,882	BOYAmt
EOY	$944,847	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$2,067,141	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$394,167	BOYAmt
EOY	$286,667	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$5,451,613	BOYAmt
EOY	$1,720,054	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$144,627,429	BOYAmt
EOY	$134,879,963	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,668,106	BOYAmt
EOY	$8,296,967	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$10,471	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$29,350,588	BOYAmt
EOY	$28,037,718	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$217,360	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$21,884,681	BOYAmt
EOY	$38,378,062	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$66,131,206	BOYAmt
EOY	$74,712,747	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$73,914,740	BOYAmt
EOY	$55,694,213	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,581,483	BOYAmt
EOY	$4,473,003	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$78,496,223	BOYAmt
EOY	$60,167,216	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$144,627,429	BOYAmt
EOY	$134,879,963	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$5,014,332	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$739,726	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$12,574,949	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$20,896	OtherActivitiesAmt
Total Lobbying Expenditures	$20,896	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990 Schedule C, Part II B, Line 1I	FormAndLineReferenceDesc
Explanation	Cheshire Medical Center pays dues to various organizations related to its exempt mission. The amount reported under other activities on line 1I refers to the amount of lobbying activities identified in dues payments to outside organizations.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,646,853	BeginningYearBalanceAmt
Contributions	$264,489	ContributionsAmt
Investment Earnings Or Losses	$60,023	InvestmentEarningsOrLossesAmt
Other Expenditures	$428,745	OtherExpendituresAmt
End Year Balance	$4,542,620	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$4,487,520	BeginningYearBalanceAmt
Contributions	$968,233	ContributionsAmt
Investment Earnings Or Losses	$414,873	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,223,773	OtherExpendituresAmt
End Year Balance	$4,646,853	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,602,059	BeginningYearBalanceAmt
Contributions	$272,723	ContributionsAmt
Investment Earnings Or Losses	$929,038	InvestmentEarningsOrLossesAmt
Other Expenditures	$316,300	OtherExpendituresAmt
End Year Balance	$4,487,520	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$3,055,274	BeginningYearBalanceAmt
Contributions	$234,785	ContributionsAmt
Investment Earnings Or Losses	$688,499	InvestmentEarningsOrLossesAmt
Other Expenditures	$376,499	OtherExpendituresAmt
End Year Balance	$3,602,059	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$2,634,569	BeginningYearBalanceAmt
Contributions	$154,965	ContributionsAmt
Investment Earnings Or Losses	$484,487	InvestmentEarningsOrLossesAmt
Other Expenditures	$218,747	OtherExpendituresAmt
End Year Balance	$3,055,274	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.00000	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	1.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$231,151	OtherCostOrOtherBasisAmt
Book Value	$231,151	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$92,407,318	OtherCostOrOtherBasisAmt
Depreciation	$50,831,730	DepreciationAmt
Book Value	$41,575,588	BookValueAmt

Field	Value	IRS element (for citing)
Leasehold Improvements		LeaseholdImprovementsGrp

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$114,051,507	OtherCostOrOtherBasisAmt
Depreciation	$85,368,880	DepreciationAmt
Book Value	$28,682,627	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$956,567	OtherCostOrOtherBasisAmt
Book Value	$956,567	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$71,445,933	TotalBookValueLandBuildingsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
PENSION LIABILITY	$19,833,417
DUE TO RELATED PARTY	$11,129,710
RESERVES FOR INSURANCE RELATED LOSSES	$2,339,929
ESTIMATED THIRD PARTY SETTLEMENTS	$1,569,406
ACCRUED EARNED TIME	$3,505,600

Field	Value	IRS element (for citing)
Total Liability	$38,378,062	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Intended uses of Endowment Funds	FormAndLineReferenceDesc
Explanation	Form 990, Schedule D, Part V, Line 4 Income from the endowments is used to support the organization's programs. ASC 740 (Fin 48) Footnote Form 990, Schedule D, Part X, Line 2 The Medical Center and its controlled affiliates are not-for-profit corporations as described in Section 501(c)(3) of the Code, and are exempt from federal income taxes on related income pursuant to SEction 501(a) of the Code. Management evaluated its tax positions and concluded that the Medical Center and its controlled affiliates have maintained tax-exempt status, do not have any significant unrelated business income, and have no uncertain tax positions that require adjustment to or disclosure in the accompanying financial statements. Keene Health Services is a for-profit organization and, in accordance with federal and state laws, files a return separate from that of the Foundation. KHS files a consolidated federal income tax return and a state income tax return in New Hampshire. In 2016 and 2015, no federal income taxes were charged to operations due to KHS incurring an operating loss on a consolidated basis. See AFS Note 18.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt
Central America and the Caribbean	0	0	Investments	$2,572,697
North America	0	0	Investments	$1,686,238

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$4,258,935	SubtotalSpentAmt
Total Spent	$4,258,935	TotalSpentAmt
Transfer To Foreign Corp	false	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Activities per region	FormAndLineReferenceDesc
Explanation	Form 990, Schedule F, Part I, Line 3 The legal owner of The Cheshire Medical Center's foreign investments is a related organization, The Cheshire Health Foundation. Since a portion of the total foreign investments are allocated to the Medical Center's assets on the financial statements, those allocated investments have been disclosed on Schedule F, Part I, line 3 of The Cheshire Medical Center's Form 990. However, any required IRS Forms 926 and other foreign tax reporting obligations are filed by the legal owner, The Cheshire Health Foundation. Ownership interest in a foreign corporation Form 990, Schedule F, Part IV, Line 3 The Cheshire Medical Center did not have an ownership interest in any foreign corporation that is greater than the 10% filing threshold. Accordingly, IRS Form(s) 5471 are not required to be filed. Direct or Indirect shareholder of a PFIC or QEF during the tax year Form 990, Schedule F, Part IV, Line 4 The Cheshire Medical Center meets the exception for tax-exempt organizations with respect to filing Form 8621. Accordingly, Form 8621 is not required to be filed for the Medical Center.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225.	FreeCareOtherPct

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,160,336	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$114,000	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,046,336	NetCommunityBenefitExpnsAmt
Total Expense	0.00610	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,157,821	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,448,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,708,924	NetCommunityBenefitExpnsAmt
Total Expense	0.03930	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,318,157	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,562,897	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,755,260	NetCommunityBenefitExpnsAmt
Total Expense	0.04540	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	33	ActivitiesOrProgramsCnt
Persons Served	108725	PersonsServedCnt
Total Community Benefit Expns	$3,173,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$528,775	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,644,435	NetCommunityBenefitExpnsAmt
Total Expense	0.01550	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	869	PersonsServedCnt
Total Community Benefit Expns	$644,481	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$644,481	NetCommunityBenefitExpnsAmt
Total Expense	0.00380	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	2	PersonsServedCnt
Total Community Benefit Expns	$1,678,720	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,678,720	NetCommunityBenefitExpnsAmt
Total Expense	0.00980	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$300,413	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,609	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$280,804	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	6	ActivitiesOrProgramsCnt
Persons Served	327	PersonsServedCnt
Total Community Benefit Expns	$407,970	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$407,970	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	109923	PersonsServedCnt
Total Community Benefit Expns	$6,204,794	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$548,384	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,656,410	NetCommunityBenefitExpnsAmt
Total Expense	0.03310	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	48	ActivitiesOrProgramsCnt
Persons Served	109923	PersonsServedCnt
Total Community Benefit Expns	$31,522,951	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$18,111,281	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$13,411,670	NetCommunityBenefitExpnsAmt
Total Expense	0.07850	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	21938	PersonsServedCnt
Total Community Benefit Expns	$117,048	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$73,701	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,347	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	5203	PersonsServedCnt
Total Community Benefit Expns	$81,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$48,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,516	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$144,181	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$144,181	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	27141	PersonsServedCnt
Total Community Benefit Expns	$342,245	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$122,201	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$220,044	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$3,780,720	BadDebtExpenseAmt
Bad Debt Expense Attributable	$945,180	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$62,204,920	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$83,598,464	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$21,393,544	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Cheshire Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	580 Court Street	AddressLine1Txt
City	Keene	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03431	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.cheshire-med.com	WebsiteAddressTxt
State License	00014	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Cheshire Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	See Part V, Section C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	See Part V, Section C	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
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
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Other Method	Yes (X)	OtherMethodInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Part V, Section C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Part V, Section C	FAPAppAvailableOnWebsiteURLTxt
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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Input from persons representing broad community interests	Form 990, Schedule H, Part V, Section B, Line 5 Needs were prioritized based on data collected from several current assessment processes. Prioritization was completed by CHNA Leadership team. Several hundred people participated in forums and surveys to identify needs.
CHNA conducted with one or more organizations	Form 990, Schedule H, Part V, Section B, Line 6B The Cheshire Medical Center collaborated with Dartmouth-Hitchcock Keene; New Hampshire Department of Health and Human Servces; Greater Monadnock Public Health Network; The New Hampshire Hospital Association; Foundation for Healthy Communities; Antioch University New England; Monadnock United Way; New Hampshire Center for Public Policy Studies; Southwestern Regional Planning Commission; and Home Healthcare, Hospice, and Community Services.
Community health needs assessment public availability	FORM 990, SCHEDULE H, PART V, SECTION B, LINE 7a The Cheshire Medical Center's 2013 CHNA is available on the Medical Center's website at: http://www.cheshire-med.com/about_us/communityben_report.html
Community health needs implementation strategy	FORM 990, SCHEDULE H, PART V, SECTION B, LINE 10a The Cheshire Medical Center's 2013 CHNA Implementation Strategy is available on the Medical Center's website at: http://www.cheshire-med.com/about_us/communityben_report.html
Community health needs identified	FORM 990, SCHEDULE H, PART V, SECTION B, LINE 11 The Cheshire Medical Center has implemented strategies to address all but two of the needs identified in its most recent CHNA. Access to behavioral health outpatient services is addressed by Community Partners Monadnock Family Services, Phoenix House, and MAPS Counseling Services. Expansion of personal and public transportation options is addressed by Community Partners Monadnock Regional Transportation Management Association, Home Healthcare Hospice and Community Services, and Southwest Regional Planning Commission.
Method for applying for financial assistance	Form 990, Schedule H, Part V, Section B, Line 15e The contact information for hospital facility staff available on the website (www.cheshire-med.com/patients_visitors/financial_assistance.html), in the supplemental FAP Brochure, and at all registration stations within the Medical Center.
Measures to publicize the Financial Assistance Policy	Form 990, Schedule H, Part V, Lines 16a-b, i The Cheshire Medical Center's Financial Assistance Policy is available on the Medical Center's website at: http://www.cheshire-med.com/patients_visitors/financial_assistance.html The Cheshire Medical Center's FAP application is available on the Medical Center's website at: http://www.cheshire-med.com/patients_visitors/financial_assistance.html The Cheshire Medical Center's Plain Language Summary was available at all registration desks and by request. It was available on the website for the last half of FY16 at: http://www.cheshire-med.com/patients_visitors/financial_assistance.html
Maximum charges to financial assistance policy eligible individuals	Form 990, Schedule H, Part V, Section B, Line 22d The state of New Hampshire mandates a discount for all uninsured patients. This discount is equal to the average discount negotiated by the largest (by dollar) three commercial insurers. The Cheshire Medical Center has always been in full compliance with the laws of the state New Hampshire, and a committee is in place to ensure the hospital is in full compliance with final 501(r) regulations in areas where federal regulations differ from or are more stringent than those issued by the state. For fiscal year 2016, the uninsured discount rate was 45%.

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
Cheshire Med Center Collecting Station
580-590 Court Street	Keene	NH	03431	Collecting Station
Cheshire Health Services Inc
580-590 Court Street	Keene	NH	03431	Non-Emergency Walk In Clinic

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Community Building Activities	Form 990, Schedule H, Part II The Medical Center has been actively engaged since the spring of 2006 in Healthy Monadnock (HM) 2020: to make Keene and the surrounding region the healthiest in the nation by the year 2020. HM2020 promotes broad-based community health messaging and other environmental strategies for prevention and wellness. The "champions program" engages individuals and organizations to take steps to improve health at a personal and institutional level. The Medical Center provides staffing, office space, and overall leadership for this initiative. As of June 30, 2016 there were 3,294 individual champions, 150 organizational champions, and 22 school champions. The organization is a founding member of the Healthy Community Council, which has been in existence for over 16 years and has developed a variety of prevention, transporation, referral, and health promotion programs and now serves as the public health advisory council for the Monadnock region.
Bad Debt expense	Form 990, Schedule H, Part III, Section A, Line 2 At cost bad debt expense of $3,780,720 is 37.9% of the bad debt reported on The Cheshire Medical Center's Audited Financial Statements, which totals $9,975,515.
Estimated bad debt expense attributable to FAP eligible patients	Form 990, Schedule H, Part III, Section A, Line 3 Cheshire Medical Center Management estimates that approximately 25% of bad debt expense (approximately 5 times the region's poverty rate) is an appropriate estimation of patients who would have been eligible for the organization's financial assistance program but did not apply. This estimation is based on the recognition that the financial assistance program is available to residents with incomes of up to three times the federally defined poverty income levels and the assumption that patients who choose not to pay their bills are more likely to fall within the lower income levels. For 2016, the estimated amount of bad debt expense (at cost) attributable to patients who would have been eligible for financial assistance is $945,180.
Financial statement footnote describing bad debt expense	Form 990, Schedule H, Part III, Section A, Line 4 Accounts receivable are reduced by an allowance for doubtful accounts. In evaluating the collectability of accounts receivable, the Medical Center analyzes its past history and identifies trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for doubtful accounts. Management regularly reviews data about these major payor sources of revenue in evaluating the sufficiency of allowance for doubtful accounts. For receivables associated with services provided to patients who have third-party coverage, the Medical Center analyzes the contractually due amounts and provides an allowance for doubtful accounts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that makes the realization of amounts due unlikely). For receivables associated with self-pay patients (which included both patients without insurance and patients with deductible and co-payment balances due for which third-party coverage exists for part of the bill), the Medical Center records a provision for doubtful accounts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay their portion of their bill for which they are financially responsible. The difference between the standard rates (or the discounted rates if negotiated)and the amounts actually collected after all reasonable collection efforts have been exhausted is charged off against allowance for doubtful accounts. The total provision for the allowance for doubtful accounts was $9,975,515, $1,753,292, and $6,575,028 for the 2016 successor period, 2015 predecessor period, and fiscal 2015 fiscal predecessor period, respectively. The Medical Center's bad debt write-offs decreased from $7,225,028 during the 2015 predecessor period to $2,003,292 during the 2015 successor period and increased to $8,393,515 during fiscal 2016. The change in the year-end allowance and bad debt write-offs was a result of collection trends, payor mix and the overall balance in self-pay accounts receivable.
Medicare shortfalls	Form 990, Schedule H, Part III, Section B, Line 8 The shortfall should be considered community benefit because The Cheshire Medical Center is the only hospital/medical center in Cheshire County, New Hampshire and is designated by CMS as a Medicare Dependent Hospital (MDH) due to greater than 60% of our average daily census being comprised of Medicare Patients. Our presence in the community allows the residents of Cheshire County, especially the elderly population, to receive comprehensive hospital and medical services close to home.
Credit and Collection Policy	Form 990, Schedule H, Part III, Section C, Line 9b Systems are in place to capture financial assistance accounts prior to a bill going to the patient. FAP eligible patients are not charged more than the amount generally billed.
Needs Assessment	Form 990, Schedule H, Part VI, Line 2 In 2013, a Community Health Needs Assessment (CHNA) was completed with an implementation strategy identified for community benefit activities for the next three years. The 2013 CHNA report summarizes the work of the CHNA Leadership Team and the efforts of other local collaborative groups to assess the needs of our region. Several community partners recently completed community needs assessments, including Healthy Monadnock 2020. The results were used to strengthen and support the needs assessment process. Four community needs were prioritized above the other identified needs: -Behavioral health services; increasing the effectiveness of local services -Urgent care; timely and economical access to services instead of emergency room care -Transportation; increase access to public/private transportation, particularly in rural towns -Improved coordination and communication between services; improving linkages between clinical services, faith-based organizations, and informal support network. In addition to these priorities, the implementation strategy also provides an overview of other CMC/DHK community benefit activities that are aligned with our mission or considered necessary to support ongoing efforts from previously identified community needs. The community health needs identified in the 2013 CHNA provide the basis for the development of the Implementation Strategy. Cheshire Medical Center provides staff for the Healthy Monadnock (HM) 2020 initiative and funds the community assessment process through an evaluation partnership contract with Antioch New England University. On November 10, 2011 community members attended Summit II and reviewed 31 core implementation strategies. The (HM 2020) Healthiest community Advisory Board, comprised of 30 community representatives, provides ongoing oversight of the implementation strategies and community planning process. The Cheshire Medical Center/Dartmouth-Hithcock Keene Community Advisory Committee reviewed and commented on the community benefit report. The 2013 CHNA, Implementation Strategy, and Community Benefit reports for 2009-2015 are available to the public on the Cheshire Medical Center website: www.cheshire-med.com.
Patient education of eligibility for assistance	Form 990, Schedule H, Part VI, Line 3 The Cheshire Medical Center is committed to providing medically necessary care to patients regardless of their ability to pay for services. Non-emergent patients sign a financial responsibility statement upon admission to certify recognition of their responsibility for payment of their bills. However, there will be instances where the patient, due to lack of funds or third party coverage, will not be able to meet this obligation. The Cheshire Medical Center notifies patients of their potential to obtain assistance through the registration and billing processes. Upon registration, patients without insurance are offered the opportunity to apply for financial assistance. In addition, receptionists and clinicians in all areas are educated to refer patients to the financial assistance process in the event patients express concerns with their ability to pay for services. The application information is posted on the intranet and brochures describing the program are readily available to patients. There are signs posted in Registration and throughout the facility informing patients about financial assistance. Patients are informed of the program availability on any invoices they receive and individuals who attempt to collect patient balances are also trained to refer patients to the financial assistance process. The financial assistance application process is comprehensive and evaluates a patient's eligibility for a variety of federal, state, and local government programs in addition to The Cheshire Medical Center's internally funded financial assistance program.
Community information	Form 990, Schedule H, Part VI, Line 4 The Medical Center is the only hospital in its primary service area ("PSA"). Management defines its PSA as the City of Keene and 19 geographically proximate communities. Towns and cities included in the PSA include Alstead, Chesterfield, Fitzwilliam, Gilsum, Harrisville/Chesham, Keene, Marlborough, Marlow, Nelson/Munsonville, Richmond, Roxbury, Stoddard, Sullivan, Surry, Swanzey, Troy, Walpole, Westmoreland and Winchester, all located in Cheshire County. Based on US Census Bureau population estimates in July 2015: Medical Centers PSA represented approximately 4.52% of New Hampshires population. The PSAs total population is 60,190 with 23,265 residing in Keene, the largest community in the service area. The median age of residents in Cheshire County is 41.7 with: -13,967 or 18.4% less than 18 years of age -49,175 or 63.7% between the ages of 18-64 -13,767 or 17.9% over the age of 641 In 2014, the poverty rate for Cheshire County was 11.7% as compared to 8.9% for the State of New Hampshire. The median household income is $56,139 compared to the state average of $65,986. According to the 2016 New Hampshire Local Area Unemployment Statistics, in October 2016, the State had a seasonally-adjusted unemployment rate of 2.8% compared to Cheshire Countys rate of 2.3%. 2.8% compared to Cheshire Countys rate of 2.3%.
Promotion of community health	Form 990, Schedule H, Part VI, Line 5 The Medical Center plays an active role in promoting community health and offers educational programs including classes and workshops. Our clinical staff works closely with our community health staff to develop programs that cover emerging health concerns and are delivered at the right literacy level for our community. The programs offered a variety of chronic disease and wellness topics such as: stress management and resiliency, nutrition, physical education and exercise, high blood pressure prevention and monitoring, diabetes prevention and monitoring, advanced directive planning, and writing as tool to manage stress. A total of 395 community members participated in the 33 educational programs offered. All programs are offered free of charge. In addition, the Medical Center offers several community programs including: Cheshire Smiles, a school-based dental health program for children in grades K-3, provides screening, prevention and restorative dental care for children in Cheshire County schools. Cheshire Medical Center /Dartmouth-Hitchcock Keene also works in partnership with other community health and human service organizations to meet the dental health needs of underserved populations such as the chronically mentally ill, pregnant women who cannot afford dental care, children identified through the school based Cheshire Smiles Program, and others. The Medical Center sponsors patient visits at Dental Health Works, a public/private program serving underserved residents of Cheshire County. The Medical Center also provides leadership and support to the Dental Public Health Task Force, a coalition of dental staff, hospital staff and concerned citizen addressing the oral health needs of adults. CMC/DHK is committed to helping people take a greater responsibility for their health. In addition to health information from our medical and nursing staff, our website links to reliable and up-to-date sources of health information. We use our website to share the community benefits report and service quality information with the public. The website incorporates "Healthwise", a searchable health information database. During Fiscal Year 2016 the website had a total of 330,084 visits and 915,372 page views for an average of 27,507 visits and 76,281 page views per month. Health Monthly, an electronic newsletter, offering timely medical news, useful health tips and wellness information is delivered to an average of 1,600 patients and community members on a monthly basis. In addition to the website, the Facebook page serves as a tool to provide health and wellness information. As of June 30, 2016, the Facebook page has 1,729 "likes" with an average weekly reach of 12,437. CMC/DHK has 598 followers on Twitter as of June 30, 2016. The CMC/DHK YouTube channel has 72 videos and an estimated 6,500 minutes watched during the 2016 fiscal year. The Cheshire Coalition for Tobacco Free Communities addresses the use of tobacco products by people who live and work in the communities served by CMC/DHK. The Coalition is comprised of hospital staff, healthcare providers, community members and representatives of schools and colleges, law enforcement, clergy and the general public. The group meets monthly working to engage schools and the greater community with tobacco prevention initiatives which include retailer education and enforcement of tobacco laws. The Program Manager, a CMC/DHK employee, actively engages in tobacco-free activities in our local community and coordinates with state agencies and organizations. The Medication Assistance Program provides assistance to patients needing help to secure medications because they lack insurance coverage or financial resources to pay for their medications, which now includes elderly residents with Medicare who experience a gap in their Medicare D coverage. In FY 2016 the program supplied 455 prescriptions to 112 individuals valued at $170,786. This is a significant decrease from FY2015 (1,073 prescriptions to 252 individuals) in part due to Medicaid Expansion and the Health Insurance options as a result of the Affordable Care Act. Advocates for Healthy Youth is a community coalition focused on childhood obesity. Through AFHY, CMC/DHK works closely with community health providers, Keene State College, Antioch University New England, Keene Family YMCA, Keene Parks and Recreation Center, UNH Cooperative Extension, Keene Housing, the Childrens Museum, and area schools to address the epidemic of childhood obesity. In FY 2016 AFHY supported efforts in several schools, after school programs, and non-profit organizations to implement the 5-2-1-0 message via policy change and educational activities. CMC/DHK is a site for the New Hampshire HEAL Initiative. Through our local program, we hope that all residents can live, learn, work, play, and heal in a community where physical activity, healthy eating, and healthy living are the norm. HEAL is focused on addressing overweight and obesity, physical inactivity, and eating choices in the Greater Monadnock Public Health Region through programs, policies, systems, and environmental changes in worksites. Our worksite wellness initiative is committed to helping local worksites in their efforts to provide a healthy workplace environment. We have worked with over 70 organizations to date to create a culture of health in the workplace by helping employers adopt and promote evidence-based worksite wellness interventions. Senior Passport is a program for area residents aged 60 years and above. It encompasses low cost complete evening and weekend meals; free health education programs oriented to seniors; exercise programs; and the Cheshire Walkers Program, a walking group that takes organized nature and historic walks. Seven to ten walks are offered each spring and fall. Walks are typically led by a community member with occasional participation by CMC/DHK staff and occur at a variety of locations throughout the region. During FY2016 4,638 meals were provided to program members and a total of 235 seniors attended the walking program. This represents about a 4% increase in the number of meals and 35% increase in the number of participants in Cheshire Walkers from last year. Greater Monadnock Public Health Network (GMPHN) GMPHN is a community health and safety collaborative which works to enhance and improve public health-related services. The GMPHN is one of 13 public health networks in the state of New Hampshire. The GMPHN is housed by CMC/DHK and, in collaboration with Cheshire County, is financed with funds provided by the Centers for Disease Control and Prevention, under an agreement with the State of New Hampshire, Department of Health and Human Services, and Division of Public Health Services and a mix of state funding via the general funds. The GMPHN serves all of Cheshire County and the 10 western-most towns in Hillsborough County. The GMPHN strives to increase collaboration and planning across municipal boundaries and the health and safety sectors. Two major focuses of the work are the development of a governance structure for the public health advisory board and the on-going effort for public health emergency preparedness with all region partners including municipalities, long-term care and assisted living facilities, schools, and businesses. GMPHN is made up of members of each of the coalition communities as well as representatives of regional organizations involved in providing for the publics health and safety. As of June 30, 2016 there are 42 individuals and/or organizations addressing development of the public health advisory council and 109 member individuals/organizations addressing emergency preparedness which is a 34 member increase from just a year ago. Included within the GMPHN is the Greater Monadnock Medical Reserve Corps. Developed initially to build local capacity to address public health emergency response needs, the GMMRC also supports local initiatives to address pressing public health activities. Membership included doctors, nurses, EMT/paramedics, pharmacists, veterinarians, other public health professionals, and non-medical/public health members. As of June 30, 2016 the GMMRC has a membership of over 126 individuals.
Affiliated health care system	Form 990, Schedule H, Part VI, Line 6 In 2014, the Board of the Medical Center, accompanied by the Board of Dartmouth-Hitchcock Health, approved an affiliation agreement between the Medical Centers. This agreement improves, integrates, and streamlines patient care between the two healthcare systems. The affiliation, which became effective on March 2, 2015, strengthens The Cheshire Medical Center as a regional resource for southwestern New Hampshire and southeastern Vermont. The affiliation will allow more patients to receive care closer to home, will free up bed capacity for tertiary care patients at Dartmouth-Hitchcock Medical Center in Lebanon, and will allow the Cheshire Medical Center to continue its leadership role in population health and the Healthy Monadnock 2020 initiative. Cheshire Medical Center and Dartmouth-Hithcock have worked together since 1998, by means of a Joint Operating Agreement involving Dartmouth-Hitchcock Keene, a multi-specialty group practice that comprises the majority of Cheshire Medical Center's medical staff. This affiliation agreement was seen as a natural step that will enable both organizations to more effectively pursue a common vision of the future of health care that is based on creating a sustainable health system, focusing on population health, delivering value-based care, and embracing the opportunities provided by new payment models. In addition to The Cheshire Medical Center and the Dartmouth-Hitchcock Health, the affiliated health care system includes Mary Hitchcock Memorial Hospital, Dartmouth-Hitchcock Clinic, The New London Hospital Associaton, Windsor Hospital Corporation, Alice Peck Day Memorial Hospital, and a number of other related organizations whose primary mission is health care in the region. The Cheshire Medical Center and other members of the affiliated health care system operate jointly through interlocking directorates, strategic planning, management, and share indentical missions.
State filing of community benefit report	Form 990, Schedule H, Part VI, Line 7 The Cheshire Medical Center files its Community Benefit Report with the State of New Hampshire.

Schedule I IRS990ScheduleI

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
CMC Tuition Reimbursement Program	65	$178,642	FMV
Employee Awards and Educational Assistance	16	$41,304	FMV

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 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
John Birkmeyer MD
Trustee	$0	$790,937	$0	$0	$0	$534	$0	$39,415	$0	$20,127	$0	$851,013	$0	$0
Judith Boule MD
Trustee	$0	$270,576	$0	$0	$0	$39,678	$0	$227,927	$0	$17,605	$0	$555,786		$0
Wendy Fielding
Trustee	$0	$234,112	$0	$0	$0	$270	$0	$36,901	$0	$19,932	$0	$291,215	$0	$0
Timothy Fisher MD
Trustee	$0	$298,878	$0	$0	$0	$3,605	$0	$39,589	$0	$17,775	$0	$359,847	$0	$0
Lawrence Jaeger MD
Trustee end 12/31/15	$0	$338,250	$0	$250	$0	$9,466	$0	$190,906	$0	$13,688	$0	$552,560	$0	$0
Steven Paris MD
Trustee	$0	$349,732	$0	$0	$0	$25,965	$0	$39,937	$0	$13,699	$0	$429,333	$0	$0
Leslie Pitts MD
Trustee	$0	$274,821	$0	$0	$0	$8,500	$0	$116,165	$0	$17,736	$0	$417,222	$0	$0
Arthur W Nichols
Trustee/President end 10/31/15	$546,415	$0	$37,947	$0	$123,984	$0	$103,571	$0	$61,625	$0	$873,542	$0	$0	$0
Don Caruso MD
Trustee/CEO eff 11/1/15	$0	$370,232	$0	$5,536	$0	$26,940	$0	$185,365	$0	$17,834	$0	$605,907	$0	$0
Robert Cochrane
CFO	$259,752	$0	$0	$0	$0	$0	$20,575	$0	$23,697	$0	$304,024	$0	$0	$0
Cindi Coughlin
CNO	$212,128	$0	$0	$0	$0	$0	$137,320	$0	$19,547	$0	$368,995	$0	$0	$0
Paul Pezone
VP Facilities & Support Srvcs	$187,440	$0	$0	$0	$11,851	$0	$23,793	$0	$19,419	$0	$242,503	$0	$0	$0
Erli Chen
Physicist	$215,248	$0	$0	$0	$22,504	$0	$34,051	$0	$15,514	$0	$287,317	$0	$0	$0
Larry Miller
Chief CRNA	$175,841	$0	$0	$0	$0	$0	$56,332	$0	$399	$0	$232,572	$0	$0	$0
Julie Green
VP Human Resources	$187,339	$0	$0	$0	$8,400	$0	$23,790	$0	$19,439	$0	$238,968	$0	$0	$0
Jose Montero
VP Pop Hlth & Hlth Sys Intgrtn	$146,140	$0	$10,000	$0	$0	$0	$0	$0	$14,180	$0	$170,320	$0	$0	$0
Denis Fortier
Director of Pharmacy	$142,694	$0	$0	$0	$11,514	$0	$27,019	$0	$19,275	$0	$200,502	$0	$0	$0
Peter Malloy
CIO	$152,143	$0	$0	$0	$0	$0	$11,612	$0	$18,357	$0	$182,112	$0	$0	$0
Cherie Holmes MD
Trustee/Ex-Officio eff. 1/1/16	$0	$389,003	$0	$0	$0	$15,875	$0	$118,528	$0	$7,922	$0	$531,328	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Travel for companions	Form 990, Schedule J, Part I, Line 1a The Cheshire Medical Center does not reimburse expenses for first class travel, housing allowance, health or social club dues, personal services, business use of personal residence, discretionary spending accounts, or provide tax indemnification or gross up payments. The Medical Center does reimburse Board members for companion travel to business related meetings under specific circumstances. All reimbursements are reported on a Form 1099 issued to the Board member. During calendar year 2015, which is the basis for Form 990, Part VII and Schedule J reporting for the fiscal year ending June 30, 2016, no Board members were reimbursed under this arrangement. Note regarding compensation amounts Schedule J, part II Column B, parts I, II, and III represent actual amounts paid to employees. These amounts are reported to employees on their annual W-2 forms as compensation. Columns C and D represent items earned, however, not paid directly to the employee as cash payments during the calendar year. Column C includes retirement benefits as well as any changes in pension actuarial value (if applicable) in a calendar year. Column D represents nontaxable benefits such as the cost of healthcare coverage provided by the organization on behalf of its employees.
Compensation of top employees	Form 990, Schedule J, Part I, Line 3 The former President of The Cheshire Medical Center was paid by the filing organization and methods used to determine compensation are as noted on Schedule J, Part I, Line 3. The new CEO is paid by Dartmouth-Hitchcock Clinic, a related organization, which uses a compensation committee, an independent consultant, Form 990 of other organizations, a compensation survey or study, and approval by the Board or compensation committee to establish the CEO's compensation. Severance Payments Form 990, Schedule J, Part I line 4a DURING CALENDAR YEAR 2015, FORMER PRESIDENT ARTHUR NICHOLS RECEIVED A MULTI-YEAR SEVERANCE PACKAGE. CALENDAR YEAR 2015 INCLUDED PAYMENTS TOTALING $116,638 FROM CHESHIRE MEDICAL CENTER. THE PAYMENT REPRESENTS BASE PAY, BENEFITS, AS WELL AS A CASH PAYMENT GROSS UP FOR HEALTH, DENTAL, AND 457B CONTRIBUTIONS. THE PAYMENT IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III.
Supplemental Nonqualified Retirement Plan	Form 990, Schedule J, Part I, Line 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (WHICH ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B (III)): Don Caruso $24,846 Leslie Pitts $8,230 Steven Paris $17,319 Lawrence Jaeger $8,692 Timothy Fisher $3,605 Judith Boule $37,849 Cherie Holmes $15,101 Claire Fabian $8,308 Dartmouth-Hitchcock Supplemental Retirement Plan Terms and Conditions: An eligible employee is a participant in the Dartmouth-Hitchcock Retirement Plan and/or any prior pension arrangements sponsored by Dartmouth-Hitchcock (including a qualified defined benefit plan) who would be entitled to additional contributions or benefit accruals under the terms of the Plans for the plan year, but are limited by IRC Section 401(a)(17) and/or 415. For eligible employees, the Employer will pay the eligible employee an amount determined by the employer each year to offset the amount of the reduction in the benefit accrual or contributions as a result of limitations imposed by IRC Sections 401(a)(17) and/or 415. D-H sponsors a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable D-H to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen in 1998 and therefore no further costs of the individual employee insurance premiums have been funded by the organization. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization.
Non-Fixed Payments	Form 990, Schedule J, Part I, Line 7 Senior Management is eligible for incentive compensation at the discretion of the Board based on, but not directly related to, overall organizational financial performance and discretionary measures.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NH HEALTH AND ED FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	020279866	BondIssuerEIN
CUSIP	644614V48	CUSIPNum
Bond Issued	2012-11-15	BondIssuedDt
Issue Price	$29,650,000	IssuePriceAmt
Purpose	REFUND EXISTING DEBT; ACQUISITION	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$2,160,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$30,360,529	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$379,754	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$554,125	WorkingCapitalExpendituresAmt
Capital Expenditures	$4,777,102	CapitalExpendituresAmt
Other Spent Proceeds	$24,649,548	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Substantial Completion	2013	SubstantialCompletionYr
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	false	MgmtContractBondFincdPropInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct
Bond Iss Meet Prvt Sec Pymt Test	false	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Remedial Action Taken	false	RemedialActionTakenInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	false	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	false	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Jessica Horton
Child of Trustee	$77,768	Trustee Family Member Employed	false
Robert Therrien
Business Owner & Trustee	$262,266	Services provided by owned co	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Business Relationships	Form 990, Part VI, Section A, Line 2 Cheshire Medical Center is part of the Dartmouth-Hitchcock Health System, which owns for-profit subsidiaries that provide services and support the mission of the organizations. As a result, some officers of the Foundation may also be officers of related for-profits entities. Classes of members and the nature of their rights Form 990, Part VI, Section A, Line 6 & 7a Dartmouth-Hitchcock Health, a New Hampshire voluntary corporation, is the sole corporate member of The Cheshire Medical Center. D-HH has the power to appoint 1/3 of the members of The Cheshire Medical Center's Board of Trustees. Governance decisions reserved to or subject to approval by persons other than the governing body Form 990, Part VI, Section A, Line 7B The sole member has the right to ratify The Cheshire Medical 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 The Cheshire Medical Center; appoint, evaluate, terminate, and approve the compensation of the President and CEO; and other governance decisions.
Process used by management and/or Governing Body to Review 990	Form 990, Part VI, Section B, Line 11b The Form 990 is reviewed by an independent accounting firm and CMC's Board of Trustees. A copy of the return is uploaded to the Board portal in advance of filing.
Conflict of Interest Policy	Form 990, Part VI, Section B, Line 12C Cheshire Medical Center's Board of Trustees approved a policy concerning a voluntary self-disclosure of any potential conflict of interest. The Dartmouth-Hitchcock Compliance and Audit Services conducts an annual survey of all officers and trustees and performs other procedures as considered necessary to report on compliance with the conflict of interest policy. The Compliance and Audit Services Department then reports to each board any potential conflicts for their review. Per the policy, any conflicts or otherwise perceived conflicts are required to be addressed by the Board of Trusteees on an ongoing basis. In the event a conflict arises, the individual may be removed from participating in any decision making regarding the identified conflict and/or its corresponding transactions. If the board or committee has reasonable cause to believe that an interested person has failed to disclose actual or possible conflicts of interest, it shall inform such person on the basis for such belief and afford him/her an opportunity to explain the alleged failure to disclose. If, after hearing the response of the interested person and making such further investigation as may be warranted in the curcumstances, the board or committee determines that such person has in fact failed to disclose an actual or possible conflict of interest, it shall take appropriate disciplinary and corrective action.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR UNDERTAKEN	Form 990, Part VI, Section B, Line 15a The Cheshire Medical Center/Dartmouth-Hitchcock Keene has retained Yaffe & Company, Inc. to provide consultation to the Executive Committee of the Board of Trustees regarding executive compensation, benefits, and prerequisites. Yaffe & Company, Inc. is an independent consulting firm with 35 years of service and provides services to not-for-profit hospitals and health systems. Further, Yaffe & Company, Inc. has been engaged directly by the Board of Trustees of The Cheshire Medical Center through its Executive Committee to only provide services to the Board. An Executive Committee d/b/a Compensation Committee Charter and Compensation Philosophy (approved by the Board) documents the compensation review process and guidelines so as to provide an orderly structure for executive total compensation decisions. Annually, a multi-tiered approach using independent comparability data is utilized to gauge appropriate comparative market levels of compensation and benefits. An annual performance evaluation is based on subjective and objective criteria which flows from the strategic plan. By way of questionnaire Board members participate in the performance review process and a summary report is shared with the CEO. Variable pay is awarded based on achievement of specific qualititative and quantitative goals. In conjunction with the Executive Committee, challenging and measurable goals are established for the Office of the President, which provide alignment between executive compensation and achievement of the hospital's strategic goals.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Section C, Line 19 The Cheshire Medical Center makes governing documents, conflict of interest policy, and financial statements available to members of the public upon request, through its annual report, and through state and federal filings.
Fundraising Expenses	Form 990, Part IX, Column D The Cheshire Health Foundation, a related organization, performs all fundraising activities on behalf of Cheshire Medical Center. All fundraising expenses are reported on the Foundation's Form 990. Reconciliation of Net Assets Form 990, Part XI, Line 9 Other changes in net assets include: Pension Liability Adjustment: ($12,981,750) Net Assets released for capital purchases, net asset transfers, and other ($406,801) Total: ($12,574,949)
Audit Committee and Financial Statement Oversight	Form 990, Part XII, Question 2c Cheshire Medical Center delegates oversight of the audit to the Finance & Audit subcommittee. The full Board reviews and approves the Audited Financial Statements. The organization is also included in the audit and consolidated financial statements of its parent organization, Dartmouth-Hitchcock Health. Financial Statements and Reporting Form 990, Part XII, Question 3a The Medical Center was included in the consolidated audited financial statements of the Dartmouth-Hitchcock Health System. During Fiscal Year 2016, Mary Hitchcock Memorial Hospital expended federal funding which met the minimum threshold set forth in the Single Audit Act and OMB Circular A-133. Due to the nature of the consolidated financial statements, the audit was performed on the financial information of all organizations, including Cheshire Medical Center.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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
Cheshire Health Foundation
580 Court Street	Keene	NH	03431	020202220	Supportng Org	NH	501(c)(3)	11 TYPE I	CMC	Yes (true)
Cheshire Health Services
580-590 Court Street	Keene	NH	03431	473379283	HEALTHCARE	NH	501(C)(3)	3	CMC	Yes (true)
Dartmouth-Hitchcock Clinic
One Medical Center Drive	Lebanon	NH	03756	222519596	Phys Svcs	NH	501(c)(3)	9	D-HH	Yes (true)
Dartmouth-Hitchcock Health
One Medical Center Drive	Lebanon	NH	03756	264812335	Parent Org	NH	501(c)(3)	7	NA	false
Mary Hitchcock Memorial Hospital
One Medical Center Drive	Lebanon	NH	03756	020222140	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
The New London Hospital Association Inc
273 County Road	New London	NH	03257	020222171	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
Windsor Hospital Corporation
289 County Road	Windsor	VT	05089	030183721	Hospital	VT	501(c)(3)	3	D-HH	Yes (true)
Alice Peck Day Memorial Hospital
10 Alice Peck Day Drive	Lebanon	NH	03766	020222791	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)

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
Keene Health Alliance
580 Court Street	Keene	NH	03431	300179297	Healthcare	NH	NA	Related	-$4,936,000	$0	false	$0	Yes (true)	0.50000
One Care VT ACO LLC
111 Colchester Avenue	Burlington	VT	05401	455399218	Shared Saving	VT	NA	N/A	$0	$0	false	$0	false	0.00000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
Hitchcock Health Connect
One Medical Center Drive	Lebanon	NH	03756	800908979	Telehealth	NH	D-HH	C Corp	Yes (true)
Keene Health Enterprises
580 Court Street	Keene	NH	03431	020374999	Real Est Hldg	NH	KHS	C Corp	Yes (true)	1.00000
Keene Health Realty
580 Court Street	Keene	NH	03431	020374998	Real Est Hldg	NH	KHS	C Corp	Yes (true)	1.00000	-$52,648	$675,539
Keene Health Services
580 Court Street	Keene	NH	03431	020374997	Real Est Hldg	NH	CHF	C Corp	Yes (true)	1.00000	-$15,399	$192,434
ImagineCare Inc
1 Medical Ctr Dr	Lebanon	NH	03756	813105071	Software Tech	NH	D-HH	C Corp	Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Mary Hitchcock Memorial Hospital
P	$6,472,034	FMV
Dartmouth-Hitchcock Clinic
P	$2,773,729	FMV
The Cheshire Health Foundation
C	$380,028	FMV
Cheshire Health Services
Q	$1,469,927	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Related Party Controlling Entity Disclosure	FormAndLineReferenceDesc
Explanation	Form 990, Schedule R, Part II, Line G, and Part IV, column I The Organization has checked "yes" as a section 512(b) controlled entity. Although the filing organization does not directly control each of the organizations listed, as part of its affiliation with Dartmouth-Hitchcock Health (parent organization), all organizations related under D-HH are defined as a controlled entity within the meaning of IRC 512(b)(13).	ExplanationTxt