THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-15
- IRS object ID
- 201422279349303162
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-15T12:14:41-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010523282 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222171 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New London Hospital Association Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NEWL | NameControl |
| Phone | 6035265339 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1 |
| City | New London | City |
| State | NH | State |
| ZIP Code | 03257 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Donald Griffin | Name |
| Title | CFO | Title |
| Phone | 6035265339 | Phone |
| Date Signed | 2014-08-14 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | Phone |
| Date Prepared | 2014-08-14 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Bruce King | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1 |
| City | New London | City |
| State | NH | State |
| ZIP Code | 03257 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 62739233 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.newlondonhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1918 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | NLHA is a rural community Critical Access Hospital with an extended care center. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 677 | TotalNbrEmployees |
| Total Nbr Volunteers | 188 | TotalNbrVolunteers |
| Total Gross UBI | 131098 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -31537 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1496917 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 919293 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 55920753 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 53564090 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 570976 | InvestmentIncomePriorYear |
| Investment Income Current Year | 976640 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1515 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1994 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 57990161 | TotalRevenuePriorYear |
| Total Revenue Current Year | 55462017 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 22865 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32624497 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 33261010 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 347883 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22199230 | OtherExpensePriorYear |
| Other Expenses Current Year | 23666236 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 54823727 | TotalExpensesPriorYear |
| Total Expenses Current Year | 56950111 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 3166434 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1488094 | RevenuesLessExpensesCY |
| Total Assets BOY | 62092733 | TotalAssetsBOY |
| Total Assets EOY | 61121031 | TotalAssetsEOY |
| Total Liabilities BOY | 33399049 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 31839700 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 28693684 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 29281331 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | New London Hospital is a 25-bed rural community Critical Access Hospital with a 58-bed long term extended care center dedicated to serving the Lake Sunapee region in central New Hampshire.New London Hospital provides safe quality care for every patient, every time in partnership with patients, families and healthcare providers. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 31906366 | Expense |
| Grants | 22865 | Grants |
| Revenue | 41902335 | Revenue |
| Description | Hospital services to patients: New London Hospital Association, Inc. (NLHA) is the principal provider of primary and secondary health care for 15 towns in Sullivan and Merrimack counties in New Hampshire. The hospital provides acute and primary health care - from emergency services to family medical practice to surgical care - and essential wellness and prevention services for the 34,000 residents in its service area, a significant proportion of whom are uninsured, underinsured and/or dependent on Medicaid/Medicare benefits. This includes a large elderly population and a significant number of rural, low-income families. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10198688 | Expense |
| Revenue | 7513246 | Revenue |
| Description | Physician practices: In a recent community health needs assessment access to primary care is identified as a central community need. As a result, the hospital is committed to providing care in central locations throughout the service area, specifically Newport and New London. NLHA employs forty-one providers. Twenty-three provide primary care including pediatrics, and eighteen are specialists covering general surgery, anesthesiology, orthopaedics, neurology, emergency medicine, hospitalists, gynecology, rheumatology, and ear, nose and throat. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3761291 | Expense |
| Revenue | 4017411 | Revenue |
| Description | Nursing Home: The Clough Center is a 58-bed extended nursing care facility located within New London Hospital. The Clough Center provides a warm and caring environment for its residents who benefit from health services personalized to meet their individual needs, including special meals, physical, occupational and speech therapy, personalized exercise sessions, and individual attention by highly skilled providers who have immediate access to the comprehensive services of a hospital and pharmacy. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 45866345 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 141 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 677 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Donald Griffin | NamePerson |
| Telephone Number | 6035265372 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1 |
| City | New London | City |
| State | NH | State |
| ZIP Code | 03257 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Anne Holmes | |||||||
| Chair | 8.00 | X | X | 0 | 0 | 0 | |
| Bruce P King | |||||||
| President & CEO | 50.00 | X | X | 481580 | 0 | 59042 | |
| Celeste C Cook | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| David Marshall | |||||||
| Treasurer | 8.00 | X | X | 0 | 0 | 0 | |
| Douglas W Lyon | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Eileen Kirk MD | |||||||
| Past Trustee | 50.00 | X | 233858 | 0 | 15584 | ||
| Jane Rastallis | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| John C Ferries | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| John Kirk MD | |||||||
| President Elect of Med. Staff | 2.00 | X | 166369 | 0 | 7283 | ||
| John R Butterly MD | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Kris Eschbach DO | |||||||
| Past Medical Staff President | 40.00 | X | 0 | 0 | 0 | ||
| Peter E Hager | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Robert M Rex | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Sage Chase | |||||||
| Past Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Stanley I Cundey Jr | |||||||
| Secretary | 8.00 | X | X | 0 | 0 | 0 | |
| Stephen Jordan MD | |||||||
| Trustee | 50.00 | X | 107742 | 0 | 2475 | ||
| Susan Reeves | |||||||
| Vice Chair | 8.00 | X | X | 0 | 0 | 0 | |
| Donald J Griffin | |||||||
| Chief Financial Officer | 50.00 | X | 142650 | 0 | 12152 | ||
| James Murphy MD | |||||||
| Co-Chief Medical Officer | 50.00 | X | 251993 | 0 | 3097 | ||
| Margie Limmorison | |||||||
| Co-Chief Nursing Officer | 50.00 | X | 46510 | 0 | 5637 | ||
| Patricia Sweezey | |||||||
| Chief Nursing Officer | 50.00 | X | 121278 | 0 | 12609 | ||
| Sally Patton | |||||||
| Co-Chief Nursing Officer | 50.00 | X | 20642 | 0 | 0 | ||
| Steven Powell MD MPH | |||||||
| Co-Chief Medical Officer | 50.00 | X | 451897 | 0 | 9121 | ||
| Teresa LeBlanc | |||||||
| Chief Operating Officer | 50.00 | X | 145978 | 0 | 2264 | ||
| Adnan Khan MD | |||||||
| Hospitalist | 50.00 | 380168 | 0 | 1460 | X | ||
| Donald A Eberly MD | |||||||
| General Surgeon | 50.00 | 284235 | 0 | 13137 | X | ||
| Michael Madan MD | |||||||
| Hospitalist | 50.00 | 283749 | 0 | 7551 | X | ||
| Stephen Bissah MD | |||||||
| Hospitalist | 50.00 | 278224 | 0 | 18101 | X | ||
| Thomas F Lucas MD | |||||||
| Anesthesiologist | 50.00 | 280886 | 0 | 7654 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3677759 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 177167 | TotalOtherCompensation |
| Number Individuals GT100 K | 44 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Dartmouth Hitchcock Clinic | |||||
| 1 Medical Center Drive | Lebanon | NH | 03756 | Physician Staffing & Lab Services | 1165362 |
| Upper Valley Neurology Neurosurgery PC | |||||
| 106 Hanover St | Lebanon | NH | 03766 | Physician Services | 870544 |
| New England Alliance for Health LLC | |||||
| 1 Medical Center Drive | Lebanon | NH | 03756 | Management Services | 743448 |
| Quest Diagnostics | |||||
| PO Box 51048 | Los Angeles | CA | 90074 | Lab Services | 278558 |
| New Hampshire Imaging Services | |||||
| 1 Pillsbury St | Concord | NH | 03301 | Diagnostic Imaging Services | 278080 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Fundraising Events | 56269 | FundraisingEvents |
| Government Grants | 128452 | GovernmentGrants |
| All Other Contributions | 734572 | AllOtherContributions |
| Noncash Contributions | 18372 | NoncashContributions |
| Total Contributions | 919293 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Revenue | 621400 | 97314506 | 97314506 | |
| Physician Services | 621110 | 2632577 | 2632577 | |
| Other Revenue | 900099 | 444102 | 313004 | 131098 |
| Provision for Bad Debts | 621400 | -2458172 | -2458172 | |
| Contractual/Char. Adj. | 621400 | -44368923 | -44368923 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 53564090 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 418711 | TotalRevenueColumn |
| Exclusion | $418,711 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7743770 | Securities |
| Other | 7250 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 7193091 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 550679 | Securities |
| Other | 7250 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 557929 | TotalRevenueColumn |
| Exclusion | $557,929 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 86119 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 56269 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 84125 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1994 | TotalRevenueColumn |
| Exclusion | $1,994 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 55462017 | TotalRevenueColumn |
| Related Or Exempt Function Income | 53432992 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 131098 | UnrelatedBusinessRevenue |
| Exclusion | $978,634 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 22865 | Total |
| Program Services | 22865 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2073279 | Total |
| Program Services | 889272 | ProgramServices |
| Management And General | 1184007 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26078120 | Total |
| Program Services | 20888574 | ProgramServices |
| Management And General | 4945548 | ManagementAndGeneral |
| Fundraising | 243998 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6657 | Total |
| Program Services | 5332 | ProgramServices |
| Management And General | 1325 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3453610 | Total |
| Program Services | 2766342 | ProgramServices |
| Management And General | 653555 | ManagementAndGeneral |
| Fundraising | 33713 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1649344 | Total |
| Program Services | 1321125 | ProgramServices |
| Management And General | 310509 | ManagementAndGeneral |
| Fundraising | 17710 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 417296 | Total |
| Program Services | 334254 | ProgramServices |
| Management And General | 83042 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85514 | Total |
| Program Services | 68497 | ProgramServices |
| Management And General | 17017 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61562 | Total |
| Program Services | 49311 | ProgramServices |
| Management And General | 12251 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5557492 | Total |
| Program Services | 4451551 | ProgramServices |
| Management And General | 1105941 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196422 | Total |
| Program Services | 157334 | ProgramServices |
| Management And General | 14620 | ManagementAndGeneral |
| Fundraising | 24468 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2748721 | Total |
| Program Services | 2201726 | ProgramServices |
| Management And General | 529680 | ManagementAndGeneral |
| Fundraising | 17315 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 742316 | Total |
| Program Services | 594595 | ProgramServices |
| Management And General | 147721 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1368719 | Total |
| Program Services | 1096344 | ProgramServices |
| Management And General | 268171 | ManagementAndGeneral |
| Fundraising | 4204 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 102312 | Total |
| Program Services | 81952 | ProgramServices |
| Management And General | 15325 | ManagementAndGeneral |
| Fundraising | 5035 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173359 | Total |
| Program Services | 138861 | ProgramServices |
| Management And General | 33058 | ManagementAndGeneral |
| Fundraising | 1440 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 764216 | Total |
| Program Services | 612137 | ProgramServices |
| Management And General | 152079 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 172396 | Total |
| Program Services | 138089 | ProgramServices |
| Management And General | 34307 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3370943 | Total |
| Program Services | 2700125 | ProgramServices |
| Management And General | 670818 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 664363 | Total |
| Program Services | 532155 | ProgramServices |
| Management And General | 132208 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Medicaid Enhancement Ta | 2197391 | 2197391 | |
| Drugs and Pharmaceutica | 1907209 | 1907209 | |
| Medical Supplies | 1877131 | 1877131 | |
| Other | 1258874 | 834173 | 424701 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56950111 | Total |
| Program Services | 45866345 | ProgramServices |
| Management And General | 10735883 | ManagementAndGeneral |
| Fundraising | 347883 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7832625 | BOY |
| EOY | 3167830 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2107677 | BOY |
| EOY | 2037303 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 221530 | BOY |
| EOY | 85719 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7034343 | BOY |
| EOY | 6722367 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 988908 | BOY |
| EOY | 1022833 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 462985 | BOY |
| EOY | 815350 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 71546675 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 39764489 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 30021283 | BOY |
| EOY | 31782186 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9705309 | BOY |
| EOY | 11444575 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 303792 | BOY |
| EOY | 292506 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3414281 | BOY |
| EOY | 3750362 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62092733 | BOY |
| EOY | 61121031 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5292720 | BOY |
| EOY | 6387588 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16175000 | BOY |
| EOY | 15855000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151601 | BOY |
| EOY | 94738 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11779728 | BOY |
| EOY | 9502374 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33399049 | BOY |
| EOY | 31839700 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26286652 | BOY |
| EOY | 26843022 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 404043 | BOY |
| EOY | 385793 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2002989 | BOY |
| EOY | 2052516 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28693684 | BOY |
| EOY | 29281331 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 62092733 | BOY |
| EOY | 61121031 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1488094 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 348285 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 1727456 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $11,231 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11231 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Per information provided by the NH Hospital Association (NHHA), the NHHA percentage of dues expended for lobbying purposed was 23.45%. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2002989 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 172073 | InvestmentEarningsOrLosses |
| Other Expenditures | 104101 | OtherExpenditures |
| Administrative Expenses | 18445 | AdministrativeExpenses |
| End Of Year Balance | 2052516 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1890475 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 227326 | InvestmentEarningsOrLosses |
| Other Expenditures | 96967 | OtherExpenditures |
| Administrative Expenses | 17845 | AdministrativeExpenses |
| End Of Year Balance | 2002989 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1928036 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 77754 | InvestmentEarningsOrLosses |
| Other Expenditures | 90305 | OtherExpenditures |
| Administrative Expenses | 25010 | AdministrativeExpenses |
| End Of Year Balance | 1890475 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1870163 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 90988 | InvestmentEarningsOrLosses |
| Other Expenditures | 30386 | OtherExpenditures |
| Administrative Expenses | 2729 | AdministrativeExpenses |
| End Of Year Balance | 1928036 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1870163 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2996 | InvestmentEarningsOrLosses |
| Other Expenditures | 132 | OtherExpenditures |
| Administrative Expenses | 2864 | AdministrativeExpenses |
| End Of Year Balance | 1870163 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.00000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1660103 | OtherCostOrOtherBasis |
| Book Value | 1660103 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 38265190 | OtherCostOrOtherBasis |
| Depreciation | 15478501 | Depreciation |
| Book Value | 22786689 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 383787 | OtherCostOrOtherBasis |
| Depreciation | 312652 | Depreciation |
| Book Value | 71135 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 29597454 | OtherCostOrOtherBasis |
| Depreciation | 23254439 | Depreciation |
| Book Value | 6343015 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1640141 | OtherCostOrOtherBasis |
| Depreciation | 718897 | Depreciation |
| Book Value | 921244 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 31782186 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliate | 589772 |
| Other Assets | 6066 |
| Deferred Compensation Plan Assets | 1475875 |
| Beneficial Interest in Perpetual Trust | 1678649 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3750362 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Charitable Gift Annuities | $22,033 |
| Capital Lease Obligations | $1,416,756 |
| Other Liabilities | $20,000 |
| Interest Rate Swap | $3,095,722 |
| Estimated Third-Party Payor Settlements | $3,471,988 |
| Deferred Compensation | $1,475,875 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 9502374 | TotalOfAmounts |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | The income from the Endowment Funds is used to assist in the payment of the hospitals program-related expenses. | Explanation |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 53844 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 27057 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 26787 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 6615 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 9137 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 5922 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 3119 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Hospital Gala | NameOfEvent2 |
| Gross Receipts Event2 | 54910 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 21550 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 33360 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 3108 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 16729 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 8220 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 5303 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 33634 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 7662 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 25972 | GrossRevenueOtherEvents |
| Rent Facility Costs Other Events | 6932 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 1936 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 750 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 16354 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 142388 | GrossReceiptsTotal |
| Charitable Contributions Total | 56269 | CharitableContributionsTotal |
| Gross Revenue Total Events | 86119 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 6615 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 19177 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 24587 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 8970 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 24776 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 84125 | DirectExpenseSummaryEvents |
| Net Income Summary | 1994 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 979160 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 979160 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01720 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5774105 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4669677 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1104428 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01940 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6753265 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4669677 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2083588 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03660 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 92988 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 92988 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26181 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 26181 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5273650 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5273650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09260 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 22865 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 22865 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5415684 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 5415684 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09510 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12168949 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4669677 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 7499272 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.13170 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 72002 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 72002 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 53632 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 53632 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 125634 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 125634 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,296,121 | BadDebtExpenseAmount |
| Amount Attributable To | 25922 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 15571995 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 16602340 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1030345 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New London Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1 |
| City | New London | City |
| State | NH | State |
| ZIP Code | 03257 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Critical Access Hospital | X | CriticalAccessHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New London Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Newport Health Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 John Stark Hwy | AddressLine1 |
| City | Newport | City |
| State | NH | State |
| ZIP Code | 03773 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | Clinic | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7g: The Hospital is dedicated to serving and supporting the community it serves by ensuring access to programs that could not be provided without the organization subsidizing their services. In FY 2013, the Hospital subsidized health care to the community in the amount of $5,273,650. This included support for primary care services, the medication bridge program, ambulance services and mental health services.With a focus on wellness, primary care is of the utmost importance to our patients and their families. The Organization has locations for primary care in New London and Newport, NH to expand access within the communities we serve. Costs incurred for subsidizing primary care by the Hospital, were over $4.9 million dollars for fiscal year 2013.Due to limited access to mental health services within our service area, the Hospital partnered with West Central Behavioral Health to expand service availability to patients in need. These services were provided at a cost of $200,000 for fiscal year 2013.The ambulance service provides advanced life support services seven days a week, 24 hours a day to towns within our service area that would not otherwise have access to emergency medical transport. The ambulance responded to over 1,000 emergency calls in fiscal year 2013 at a cost of over $57,000 to the Hospital.The cost of prescription drugs is often beyond the means of many of residents in our community. The Hospital supports the medication bridge program which works with uninsured and underinsured patients to assist them in accessing prescription medication. Over 100 patients received assistance under this program, at a cost of $24,000 to the Hospital. | ||
| Part II: The Hospital participates in a wide variety of community building activities including community support and community health improvement advocacy. The Hospital supports many local service agencies through the participation of members of its management team on committees and boards. The Hospital subsidizes the cost of operations for the ABC'S Childcare Center, which provides high quality childcare at affordable prices. The childcare center is open to full and part time employees of the Organization and to the community to provide a nurturing, safe and stimulating environment for the children of our community to grow and learn. | ||
| Part III, Line 4: Patient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historical adjustments. Balances that are still outstanding after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to patient accounts receivable.The Association's allowance for doubtful accounts for self-pay patients increased from 82% of self-pay accounts receivable at September 30, 2012, to 85% of self-pay accounts receivable at September 30, 2013. In addition, the Association's self-pay accounts receivable increased from approximately $949,000 at September 30, 2012 to $1,670,000 at September 30, 2013. The Association has not changed its free care or uninsured discount policies during 2013. The Association does not maintain a material allowance for doubtful accounts from third-party payors, nor did it have significant write-offs from third-party payors. The Association recognizes patient service revenue associated with services provided to patients who have third-party payor coverage on the basis of contractual rates for the service rendered. For uninsured patients that do not qualify for free care, the Association recognizes revenue on the basis of its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). On the basis of historical experience, a portion of the Association's uninsured patients will be unable to or unwilling to pay for the services provided. Thus, the Association records a significant provision for bad debts related to uninsured patients in the period the services are provided.The Hospital used the cost-to-charge ratio for reporting the bad debt expense at cost.The estimate of bad debt attributable to charity care was based upon an internal review of records and specific information available for individual patients. The Hospital provides information about financial assistance policies upon admission, prior to discharge and throughout the billing process. Although the Hospital works diligently to provide financial options to patients, a small number of patients do not provide the information necessary to complete the financial aid application. Patients who do not respond to repeated attempts for assistance may be classified as bad debt due to insufficient information on eligibility for financial assistance programs. The Hospital did not include these amounts within its community benefit reporting due to the fact that adherence with the organizations charity care criteria could not be determined. | ||
| Part III, Line 9b: Information concerning the Organization's financial assistance policy is available from a variety of sources from the website, upon admission and throughout the billing process. The Collection Coordinator is responsible for reviewing returned financial assistance applications, assisting patients with securing information necessary to complete the applications, evaluating the applications and making recommendations to the Director of Patient Business Services and/or the Chief Financial Officer, when applicable. The Collection Coordinator will notify patients of their eligibility and work with them to address any remaining balances. If a patient does not meet eligibility requirements for free or discounted care, the organization will work with the patient to create an installment plan that will allow payment over time of patient balances. | ||
| Part V, Section B, Line 3: The most recent Community Needs Assessment was completed in May 2012. The New London Hospital Association Inc. worked with the Crescendo Consulting Group to bring together key healthcare and public stakeholders to elicit feedback on our local community needs. Input was received from persons who represent the broad interests of the community served by the hospital facility. This group included those with special knowledge of or expertise in public health, community opinion leaders (a diverse set of service providers) and healthcare consumers. | New London Hospital Association | |
| Part V, Section B, Line 4: The New London Hospital Association Inc. conducted their community health needs assessment in collaboration with Valley Regional Hospital. | New London Hospital Association | |
| Part V, Section B, Line 6i: During 2013, the Hospital commenced the development of a framework and strategic plan to guide the design, development and implementation of New London Hospital's Population Health Improvement Initiative. The initiative seeks to roll out health promoting activities and will leverage on the good work of community organizations that currently exist, build new capacity to address gaps relative to health priorities and issues, and formalize a process for addressing future population health improvement initiatives. | New London Hospital Association | |
| Part V, Section B, Line 20d: The New London Hospital Association Inc. extends a 25% discount from gross charges to uninsured patients, which approximates the average of its three lowest negotiated commercial insurance rates. | New London Hospital Association | |
| Part VI, Line 2: The Affordable Care Act of 2010 requires not-for-profit hospitals to conduct Community Health Needs Assessments every three years. The Organization completed its most recent Community Health Needs Assessment in May of 2012 in collaboration with Valley Regional Hospital with the help of Crescendo Consulting Group. Focus group discussions were held to elicit feedback from community members, public service officials and healthcare experts to identify community needs and prioritize the needs for our local community.The prioritization of community needs identified in the Community Needs Assessment include the following:1. availability of affordable healthcare, prescriptions and related services2. communication between healthcare providers and other community service provides regarding the breadth of services available3. primary care physician availability4. drug and alcohol detection and treatment5. insurance coverage rates6. chronic disease screenings7.coordination of care amongst provider organizations8.dementia spectrum issues/elder care services9. obesity, nutrition, exercise education and services. | ||
| Part VI, Line 3: The Organization strives to educate patients on the availability of financial assistance in a variety of forums to widely publicize the programs and encourage patients to apply for assistance they may be eligible for. The Organization posts information in regards to financial assistance on the Hospital's website, upon admission, upon request and throughout the billing process to inform patients of assistance that may be available to them. | ||
| Part VI, Line 4: The New London Hospital Association Inc. (NLHA) is the principal provider of primary and secondary healthcare for 15 towns in Sullivan and Merrimack counties in New Hampshire. The towns within our service area include: Andover, Bradford, Croydon, Danbury, Goshen, Grantham, Lempster, New London, Newbury, Newport, Springfield, Sunapee, Sutton, Washington and Wilmot. The services area has a population of 32,868 (per 2010 census) which approximates about 2.5% of New Hampshire's population. The percent of families living below the poverty level in New London's service area was approximately 11.8% compared to an 8.6% for the State of New Hampshire. | ||
| Part VI, Line 5: The New London Hospital Association Inc. is dedicated to improving the health and well-being of our community and the people we serve. The Organization provides a wide array of services ranging from health education to subsidizing health services and access to care, to community building activities which improve the quality of life for all of those within our service area.The Organization provides health education classes including safe sitter, smoking cessation, healthy lifestyle, and programs to support new parents. Additional classes include CPR, EMS and health care provider education to allow emergency medical training to residents of our community.Many services provided by the Organization are subsidized to sustain necessary services for the community. Primary care is an area that has been identified as a community need in the most recent community benefit report. The Organization not only subsidized these services but also expanded access to care by increasing hours and locations within our community. Services include expanded hours of clinics, on site treatment at community locations and outreach programs at Hospital sponsored events. The Hospital also participates in the medication bridge program which allows access to necessary prescriptions that would otherwise be cost prohibitive to our patients. Financial assistance and charity care programs strive to remove financial barriers to care and encourage patients to seek regular medical care and focus upon wellness. The Organization supports many local community organizations with programs outside the scope of services provided by the Hospital with both in-kind and monetary donations. The Hospital subsidizes the ABC's childcare program to provide a safe, nurturing atmosphere where children can grow and learn and parents can feel confident that their children are well taken care of.During 2013 the Organization partnered with Dartmouth-Hitchcock to create a new Accountable Care Organization (ACO) with a focus on improving the experience of care, improving quality and reducing cost. The Organization received clearance from the Attorney General and the Charitable Trusts Unit to proceed with affiliation with Dartmouth-Hitchcock during FY 2013. The affiliation will enhance and expand services available to the community while providing the highest quality personalized care. | ||
| NH | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bruce P King | ||||||||||||||
| President & CEO | 309772 | 0 | 0 | 0 | 171808 | 0 | 39000 | 0 | 20042 | 0 | 540622 | 0 | 0 | 0 |
| Eileen Kirk MD | ||||||||||||||
| Past Trustee | 232892 | 0 | 0 | 0 | 966 | 0 | 0 | 0 | 15584 | 0 | 249442 | 0 | 0 | 0 |
| John Kirk MD | ||||||||||||||
| President Elect of Med. Staff | 161184 | 0 | 500 | 0 | 4685 | 0 | 0 | 0 | 7283 | 0 | 173652 | 0 | 0 | 0 |
| Donald J Griffin | ||||||||||||||
| Chief Financial Officer | 140431 | 0 | 500 | 0 | 1719 | 0 | 0 | 0 | 12152 | 0 | 154802 | 0 | 0 | 0 |
| James Murphy MD | ||||||||||||||
| Co-Chief Medical Officer | 248971 | 0 | 250 | 0 | 2772 | 0 | 0 | 0 | 3097 | 0 | 255090 | 0 | 0 | 0 |
| Steven Powell MD MPH | ||||||||||||||
| Co-Chief Medical Officer | 448477 | 0 | 3000 | 0 | 420 | 0 | 0 | 0 | 9121 | 0 | 461018 | 0 | 0 | 0 |
| Adnan Khan MD | ||||||||||||||
| Hospitalist | 376790 | 0 | 3000 | 0 | 378 | 0 | 0 | 0 | 1460 | 0 | 381628 | 0 | 0 | 0 |
| Donald A Eberly MD | ||||||||||||||
| General Surgeon | 283735 | 0 | 500 | 0 | 0 | 0 | 0 | 0 | 13137 | 0 | 297372 | 0 | 0 | 0 |
| Michael Madan MD | ||||||||||||||
| Hospitalist | 280269 | 0 | 2850 | 0 | 630 | 0 | 0 | 0 | 7551 | 0 | 291300 | 0 | 0 | 0 |
| Stephen Bissah MD | ||||||||||||||
| Hospitalist | 272304 | 0 | 5500 | 0 | 420 | 0 | 0 | 0 | 18101 | 0 | 296325 | 0 | 0 | 0 |
| Thomas F Lucas MD | ||||||||||||||
| Anesthesiologist | 278926 | 0 | 250 | 0 | 1710 | 0 | 0 | 0 | 7654 | 0 | 288540 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | Mr. Bruce King, CEO of New London Hospital is paid by the Mary Hitchcock Memorial Hospital, an unrelated organization. New London Hospital purchases Mr. King's services from MHMH. Compensation amounts disclosed on Form 990 & Schedule J for Mr. King represent earnings from MHMH and taxable fringe benefits directly provided to Mr. King by NLHA. The amount disclosed as other reportable compensation for Mr. King (Schedule J, Part II) include benefits that were partially funded by MHMH for Mr. King's many years of service as a Vice President of MHMH. Mr. King also received club dues of $612 during the year from Mary Hitchcock Memorial Hospital, an unrelated organization, which was included in his compensation. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| 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 Education Facilities Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 020279866 | IssuerEIN |
| CUSIP Number | 644614SL4 | CUSIPNumber |
| Date Issued | 2007-06-21 | DateIssued |
| Issue Price | 20000000 | IssuePrice |
| Description Of Purpose | New medical office building construction & renovation of hospital facilities | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 4145000 | AmountRetired |
| Total Proceeds | 20000000 | TotalProceeds |
| Amount In Reserve Fund | 363051 | AmountInReserveFund |
| Issuance Costs From Proceeds | 304750 | IssuanceCostsFromProceeds |
| Credit Enhancement | 75035 | CreditEnhancement |
| Working Capital Expenditures | 19250184 | WorkingCapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Bond Iss Meet Prvt Security Pay Test | 0 | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedProp |
| Non Qualified Bond Remed Procdrs | 0 | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiled |
| Rebate Not Due Yet | 0 | RebateNotDueYet |
| Exception To Rebate | 1 | ExceptionToRebate |
| No Rebate Due | 0 | NoRebateDue |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morgan Stanley | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 30.000000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 1 | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hypo Public Finance | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 1.830000000000 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | 1 | RegulatorySafeHarborSatisfied |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | 0 | ProcToUndertkCorrectiveAction |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part I, Lines 8-18: | Prior years numbers have been restated to present revenue net of bad debt expense. | |
| Form 990, Part VI, Section A, line 3 | Mr. Bruce King, CEO, of New London Hospital Association (NLHA) is an employee of Mary Hitchcock Memorial Hospital (MHMH). NLHA purchases Mr. King's services from MHMH. | |
| Form 990, Part VI, Section B, line 11 | NLHA posted a copy of the Form 990 on its trustee intranet site and solicited trustee comments before filing the return. The Schedule B provided did not include the names of the donors. | |
| Form 990, Part VI, Section B, line 12c | Each year, as part of the preparation process for the Form 990, a written conflict of interest survey is sent to each Trustee inquiring about situations that could result in conflicts of interest. | |
| Form 990, Part VI, Section B, line 15 | The CEO's compensation is determined by the New London Hospital Association (NLHA) Executive Committee and Mary Hitchcock Memorial Hospital, the CEO's employer, after considering compensation for CEOs of various sized hospitals in the region. Compensation levels for all other officers and key employees are reviewed periodically by NLHA's Senior Director of Human Resources and the CEO of NLHA. These reviews include comparisons of compensation levels to independent salary survey data for comparable positions in the region. | |
| Form 990, Part VI, Section C, line 19 | NLHA makes this information available to the public upon request. Additionally, Form 990 is filed with the State of New Hampshire and is available to the public through the State. NLHA also maintians public inspection copies of the Form 990 that are available upon request and its Form 990 is also available through GuideStar. NLH files a Community Benefit Report annually with the State of NH. A summary of the Community Benefit Report and summary financial information is available on NLHA's website and in annual reports to donors. | |
| Form 990, Part XI, line 9: | Unrealized Gain on Interest Rate Swap 1,677,929. Change in Beneficial Interest in Perpetual Trust 49,527. | Changes in Net Assets or Fund Balances: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Kearsarge Services Inc | ||||||||||||
| 273 County Road | New London | NH | 03257 | 020460136 | Real Estate | NH | New London Hospital Association | C | 179619 | 732852 | 1.00000 | 0 |
| New London Medical Center East | ||||||||||||
| 273 County Road | New London | NH | 03257 | 020480857 | Real Estate | NH | New London Hospital Association | C | 49337 | 34264 | 1.00000 | 0 |
| New London Physician Group Inc | ||||||||||||
| 273 County Road | New London | NH | 03257 | 020494420 | Physician Pratice | NH | New London Hospital Association | C | 1.00000 | 0 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |