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THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-13
IRS object ID
201212269349301826
Schema version
2010v3.4
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-08-13T13:44:51-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11000 Elm Street 15th FloorAddressLine1
CityManchesterCity
StateNHState
ZIP Code03101ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN020222171EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1New London Hospital Association IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNEWLNameControl
Phone6035265339Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1
CityNew LondonCity
StateNHState
ZIP Code03257ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDonald GriffinName
TitleCFOTitle
Phone6035265339Phone
Date Signed2012-08-07DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRachel Williamson CPAName
Phone6036697337Phone
Date Prepared2012-08-07DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBruce KingNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1
CityNew LondonCity
StateNHState
ZIP Code03257ZIPCode
FieldValueIRS element (for citing)
Gross Receipts63528678GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.newlondonhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1918YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionNLHA is a rural community Critical Access Hospital with an extended care center.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees694TotalNbrEmployees
Total Nbr Volunteers170TotalNbrVolunteers
Total Gross UBI120077TotalGrossUBI
Net Unrelated Business Txbl Income-27554NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year842260ContributionsGrantsPriorYear
Contributions Grants Current Year1061718ContributionsGrantsCurrentYear
Program Service Revenue Prior Year57804552ProgramServiceRevenuePriorYear
Program Service Revenue CY56580492ProgramServiceRevenueCY
Investment Income Prior Year305390InvestmentIncomePriorYear
Investment Income Current Year441947InvestmentIncomeCurrentYear
Other Revenue Prior Year1520OtherRevenuePriorYear
Other Revenue Current Year3460OtherRevenueCurrentYear
Total Revenue Prior Year58953722TotalRevenuePriorYear
Total Revenue Current Year58087617TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year34487289SalariesEtcPriorYear
Salaries Etc Current Year32317756SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year218988TotalFundrsngExpCurrentYear
Other Expense Prior Year24646763OtherExpensePriorYear
Other Expenses Current Year26029889OtherExpensesCurrentYear
Total Expenses Prior Year59134052TotalExpensesPriorYear
Total Expenses Current Year58347645TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-180330RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-260028RevenuesLessExpensesCY
Total Assets BOY58465539TotalAssetsBOY
Total Assets EOY57974951TotalAssetsEOY
Total Liabilities BOY32250877TotalLiabilitiesBOY
Total Liabilities EOY33308576TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26214662NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24666375NetAssetsOrFundBalancesEOY
Mission DescriptionNew London Hospital provides safe quality care for every patient, every time in partnership with patients, families and healthcare providers.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense34598364Expense
Revenue43420052Revenue
DescriptionHospital 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

FieldValueIRS element (for citing)
Expense9853756Expense
Revenue8847082Revenue
DescriptionPhysician 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. Eighteen provide primary care including pediatrics, and twenty-three are specialists covering general surgery, anesthesiology, orthopaedics, neurology, emergency medicine, hospitalists, gynecology, rheumatology, and ear, nose and throat.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3999877Expense
Revenue4758765Revenue
DescriptionNursing 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
FieldValueIRS element (for citing)
Total Program Service Expense48451997TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions1DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109673NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees694NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDonald GriffinNamePerson
Telephone Number6035265372TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1
CityNew LondonCity
StateNHState
ZIP Code03257ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Anne B Holmes
Trustee2.00X000
Beverly S Payne
Trustee2.00X000
Bruce P King
President & CEO50.00X332030011112X
Celeste C Cook
Trustee2.00X000
David E Marshall
Treasurer8.00X000X
Eileen Kirk MD
Pres of Medical Staff40.00X233942019917
G William Helm Jr
Chair8.00X000X
Jane Rastallis
Trustee2.00X000
John C Ferries
Trustee2.00X000
John F Robb MD
Vice Chair8.00X000X
John R Butterly MD
Trustee2.00X000
Lori D Richer MD
Trustee2.00X141453025445
Patricia Tilley
Secretary8.00X000X
Peter E Hager
Trustee2.00X000
Robert M Rex
Trustee2.00X000
Sage Chase
Trustee2.00X000
Stanley I Cundey Jr
Trustee2.00X000
Stephen Jordan MD
Trustee2.00X10929004442
Susan A Reeves
Trustee2.00X000
Donald Griffin
Chief Financial Officer50.00102503014926X
Gregory Q Curtis MD
Chief Medical Officer40.00242203031579X
Patricia Sweezey
Chief Nursing Officer50.0092834018287X
Teresa LeBlanc
Chief Operating Officer50.0014313005113X
Tina Naimie
Chief Financial Officer50.0014581905106X
Adnan Khan
Hospitalist40.00293479018779X
Donald Eberly MD
General Surgeon40.00282865031073X
Kenneth Call MD
Emergency Room Physician40.0031351905322X
Sean Bears MD
General Surgeon40.00268156027856X
Thomas F Lucas MD
Anesthesiologist40.00302040030893X
James G McGuire MD
Former Officer2.0015786500X
Dudley Smith
Chair8.00000X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3161128TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation249850TotalOtherCompensation
Number Individuals GT100 K39NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources1CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
New England Alliance for Health LLC
1 Medical Center DriveLebanonNH03756Management services833670
Dartmouth Hitchcock Clinic
1 Medical Center DriveLebanonNH03756Physician Staffing & Lab Services728359
Upper Valley Neurology Neurosurgery PC
106 Hanover StLebanonNH03766Physician Services719054
American Health Centers Inc
10 Commerce Park North Unit 10BedfordNH03110Diagnostic Imaging Services440411
Mary Hitchcock Memorial Hospital
1 Medical Center DriveLebanonNH03756Management services402851
FieldValueIRS element (for citing)
Number Of Contractors GT100 K5NumberOfContractorsGT100K
Fundraising Events106193FundraisingEvents
Government Grants293250GovernmentGrants
All Other Contributions662275AllOtherContributions
Total Contributions1061718TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Revenue6214005522928755229287
Physician Services621110893350893350
Cafeteria900099316361196284120077
Child Care624410141494141494
FieldValueIRS element (for citing)
Total Program Service Revenue56580492TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column355270TotalRevenueColumn
Exclusion$355,270ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5408122Securities
Other24741Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5311861Securities
Other34325Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities96261Securities
Other-9584Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column86677TotalRevenueColumn
Exclusion$86,677ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events98335GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events106193CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses94875FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column3460TotalRevenueColumn
Exclusion$3,460ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column58087617TotalRevenueColumn
Related Or Exempt Function Income56460415RelatedOrExemptFunctionIncome
Unrelated Business Revenue120077UnrelatedBusinessRevenue
Exclusion$445,407ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1668974Total
Program Services945943ProgramServices
Management And General723031ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total25540227Total
Program Services20559883ProgramServices
Management And General4804439ManagementAndGeneral
Fundraising175905Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total35919Total
Program Services28915ProgramServices
Management And General7004ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3389434Total
Program Services2728494ProgramServices
Management And General645457ManagementAndGeneral
Fundraising15483Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1683202Total
Program Services1354978ProgramServices
Management And General314460ManagementAndGeneral
Fundraising13764Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total6300Total
Program Services5072ProgramServices
Management And General1228ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total195350Total
Program Services157257ProgramServices
Management And General38093ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total73824Total
Program Services59428ProgramServices
Management And General14396ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total48624Total
Program Services39142ProgramServices
Management And General9482ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5086270Total
Program Services4094447ProgramServices
Management And General991823ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total208850Total
Program Services168124ProgramServices
Management And General35115ManagementAndGeneral
Fundraising5611Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2162452Total
Program Services1740774ProgramServices
Management And General417753ManagementAndGeneral
Fundraising3925Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total624109Total
Program Services502408ProgramServices
Management And General121701ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1585672Total
Program Services1276466ProgramServices
Management And General308459ManagementAndGeneral
Fundraising747Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total66936Total
Program Services53883ProgramServices
Management And General10749ManagementAndGeneral
Fundraising2304Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total154928Total
Program Services124717ProgramServices
Management And General28962ManagementAndGeneral
Fundraising1249Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total881667Total
Program Services709742ProgramServices
Management And General171925ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total162499Total
Program Services130812ProgramServices
Management And General31687ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3778326Total
Program Services3041552ProgramServices
Management And General736774ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total543650Total
Program Services437638ProgramServices
Management And General106012ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense35466213546621
Medicaid Enhancement Ta24133472413347
Medical Supplies20255862025586
Drugs and Pharmaceutica16540571654057
Other810821652711158110

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total58347645Total
Program Services48451997ProgramServices
Management And General9676660ManagementAndGeneral
Fundraising218988Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY4316368BOY
EOY6198610EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY769940BOY
EOY1435340EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1058149BOY
EOY568429EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8573324BOY
EOY6947286EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY975689BOY
EOY1002338EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY542863BOY
EOY543702EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis64230178LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec33035156LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY32633093BOY
EOY31195022EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY6365015BOY
EOY6782749EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3231098BOY
EOY3301475EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY58465539BOY
EOY57974951EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8020625BOY
EOY6481106EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16750000BOY
EOY16415000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1239096BOY
EOY631306EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6241156BOY
EOY9781164EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY32250877BOY
EOY33308576EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY24065531BOY
EOY22468215EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY221095BOY
EOY307685EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1928036BOY
EOY1890475EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26214662BOY
EOY24666375EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY58465539BOY
EOY57974951EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-260028ReconcilationRevenueExpenses
Reconcilation Other Changes-1288259ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$10,927OtherActivitiesAmount
Total Lobbying Expenditures IIB10927TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationPer information provided by the NH Hospital Association (NHHA), the NHHA percentage of dues expended for lobbying purposed was 22.33%. The percentage of American Hospital Association dues expended for lobbying purposed was 24.42%.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance1928036BeginningOfYearBalance
Investment Earnings Or Losses77754InvestmentEarningsOrLosses
Other Expenditures90305OtherExpenditures
Administrative Expenses25010AdministrativeExpenses
End Of Year Balance1890475EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance1870163BeginningOfYearBalance
Investment Earnings Or Losses90988InvestmentEarningsOrLosses
Other Expenditures30386OtherExpenditures
Administrative Expenses2729AdministrativeExpenses
End Of Year Balance1928036EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance1870163BeginningOfYearBalance
Investment Earnings Or Losses2996InvestmentEarningsOrLosses
Other Expenditures132OtherExpenditures
Administrative Expenses2864AdministrativeExpenses
End Of Year Balance1870163EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs1EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs0EndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis941274OtherCostOrOtherBasis
Book Value941274BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis35387029OtherCostOrOtherBasis
Depreciation12672479Depreciation
Book Value22714550BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis405637OtherCostOrOtherBasis
Depreciation277095Depreciation
Book Value128542BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis25945908OtherCostOrOtherBasis
Depreciation19491915Depreciation
Book Value6453993BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1550330OtherCostOrOtherBasis
Depreciation593667Depreciation
Book Value956663BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings31195022TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
Estimated Third Party Settlements2377722
Due from Affiliate602608
Deferred financing costs315079
Other Assets6066
FieldValueIRS element (for citing)
Total Book Value Other Assets3301475TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Charitable Gift Annuities$32,338
Capital Lease Obligations$1,250,133
Other Liabilities$3,892,789
Interest Rate Swap$4,605,904
FieldValueIRS element (for citing)
Total Of Amounts9781164TotalOfAmounts
Total Revenue58087617TotalRevenue
Total Expenses58347645TotalExpenses
Excess Or Deficit For Year-260028ExcessOrDeficitForYear
Net Unrealized GL On Investments-161589NetUnrealizedGLOnInvestments
Prior Period Adjustments-37553PriorPeriodAdjustments
Other-$1,089,117OtherAmount
Total Adjustments-1288259TotalAdjustments
Excess Or Deficit Per FS-1548287ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt56788287TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-161589NetUnrealizedGainsInvestments
Revenue Not Rptd F990-161589RevenueNotRptdF990
Revenue Subtotal56949876RevenueSubtotal
Investment Expenses Not Included48624InvestmentExpensesNotIncluded
Other Revenues Not Included1089117OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1137741RevenueNotRptdOnFinStmt
Total Revenue Per Form99058087617TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt58299021TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal58299021ExpensesSubtotal
Investment Expenses Not Included248624InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt48624ExpensesNotRptdOnFinStmt
Total Expenses Per Form99058347645TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Description of Intended Use of Endowment Funds:Part V, Line 4:The income from the Endowment Funds is used to assist in the payment of the hospitals program-related expenses.
Part XI, Line 8 - Other Adjustments:Unrealized Loss on Interest Rate Swap -739,724. Write off of intangible assets -349,393.
Part XII, Line 4b - Other Adjustments:Unrealized Loss on Interest Rate Swap 739,724. Write off of intangible assets 349,393.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event154860GrossReceiptsEvent1
Charitable Contributions Event126604CharitableContributionsEvent1
Gross Revenue Event128256GrossRevenueEvent1
Non Cash Prizes Event11647NonCashPrizesEvent1
Rent Facility Costs Event17957RentFacilityCostsEvent1
Food And Beverage Event15882FoodAndBeverageEvent1
Other Direct Expenses Event19310OtherDirectExpensesEvent1
Name Of Event2Hospital GalaNameOfEvent2
Gross Receipts Event2103565GrossReceiptsEvent2
Charitable Contributions Event264534CharitableContributionsEvent2
Gross Revenue Event239031GrossRevenueEvent2
Rent Facility Costs Event29271RentFacilityCostsEvent2
Food And Beverage Event221571FoodAndBeverageEvent2
Entertainment Event23690EntertainmentEvent2
Other Direct Expenses Event24499OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events46103GrossReceiptsOtherEvents
Charitable Contrib Other Events15055CharitableContribOtherEvents
Gross Revenue Other Events31048GrossRevenueOtherEvents
Non Cash Prizes Other Events507NonCashPrizesOtherEvents
Rent Facility Costs Other Events7328RentFacilityCostsOtherEvents
Food And Beverage Other Events1761FoodAndBeverageOtherEvents
Entertainment Other Events1320EntertainmentOtherEvents
Other Direct Expenses Other Events20132OtherDirectExpensesOtherEvents
Gross Receipts Total204528GrossReceiptsTotal
Charitable Contributions Total106193CharitableContributionsTotal
Gross Revenue Total Events98335GrossRevenueTotalEvents
Non Cash Prizes Total Events2154NonCashPrizesTotalEvents
Rent Facility Costs Total Events24556RentFacilityCostsTotalEvents
Food And Beverage Total Events29214FoodAndBeverageTotalEvents
Entertainment Total Events5010EntertainmentTotalEvents
Other Direct Expenses Total Events33941OtherDirectExpensesTotalEvents
Direct Expense Summary Events94875DirectExpenseSummaryEvents
Net Income Summary3460NetIncomeSummary

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent200 DXPcent200D
Free Disc Care Medically Indigent0FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense1263567TotalCommunityBenefitExpense
Net Community Benefit Expense1263567NetCommunityBenefitExpense
Percent Of Total Expense0.02170PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense5943592TotalCommunityBenefitExpense
Direct Offsetting Revenue5663845DirectOffsettingRevenue
Net Community Benefit Expense279747NetCommunityBenefitExpense
Percent Of Total Expense0.00480PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7207159TotalCommunityBenefitExpense
Direct Offsetting Revenue5663845DirectOffsettingRevenue
Net Community Benefit Expense1543314NetCommunityBenefitExpense
Percent Of Total Expense0.02650PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense82697TotalCommunityBenefitExpense
Net Community Benefit Expense82697NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense16415TotalCommunityBenefitExpense
Net Community Benefit Expense16415NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2948491TotalCommunityBenefitExpense
Net Community Benefit Expense2948491NetCommunityBenefitExpense
Percent Of Total Expense0.05050PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense14820TotalCommunityBenefitExpense
Net Community Benefit Expense14820NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3062423TotalCommunityBenefitExpense
Net Community Benefit Expense3062423NetCommunityBenefitExpense
Percent Of Total Expense0.05250PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10269582TotalCommunityBenefitExpense
Direct Offsetting Revenue5663845DirectOffsettingRevenue
Net Community Benefit Expense4605737NetCommunityBenefitExpense
Percent Of Total Expense0.07900PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense72598TotalCommunityBuildingExpense
Net Community Building Expense72598NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense36385TotalCommunityBuildingExpense
Net Community Building Expense36385NetCommunityBuildingExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense7192TotalCommunityBuildingExpense
Net Community Building Expense7192NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense116175TotalCommunityBuildingExpense
Net Community Building Expense116175NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,941,066BadDebtExpenseAmount
Amount Reimbursed By Medicare15095392AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare15722754CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-627362MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1New London HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1
CityNew LondonCity
StateNHState
ZIP Code03257ZIPCode
FieldValueIRS element (for citing)
Critical Access HospitalXCriticalAccessHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Not requiredBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities1NumberOfOtherFacilities

Other Facilities OtherFacilities

Name Name

FieldValueIRS element (for citing)
Business Name Line1Newport Health CenterBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line111 John Stark HwyAddressLine1
CityNewportCity
StateNHState
ZIP Code03773ZIPCode
FieldValueIRS element (for citing)
Facility TypeClinicFacilityType

Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
Part I, Line 7g: The hospital subsidized the delivery of primary care to the community in the amount of $2,649,620 in FY 2011. In addition, the hospital provided a Medication Bridge Program at a cost of $20,676 that works with patients to ensure that prescription medication is available at an affordable cost. Due to limited access to mental health services in the service area, NLHA partnered with West Central Behavioral Health to give patients access to care at a cost of $145,849. New Hampshire does not require towns to provide ambulance service and the NLHA ambulance service covers seven towns including New London, Sunapee, Springfield, Newbury, Sutton, Wilmot and Grantham with a paramedic level ambulance. NLHA provided financial support totaling $132,346 for the ambulance service during FY 2011.
Part II: A variety of healthcare support services comprises a significant area of community benefits for NLHA. The hospital supports many local service agencies through the participation of members of its management team on committees and governing boards and by supporting the cost of operating a childcare center that is open to community members.
Part III, Line 4: The Hospital used the cost-to-charge ratio for reporting the bad debt expense at cost.
Part III, Line 9b: The Collection Coordinator is reponsible for giving Financial Assistance Program applications, reviewing returned applications, securing financial data necessary, evaluating applications and making recommendations for approval to the Director of Patient Business Services and/or the Chief Financial Officer, and notifying the patients of eligibility determinations. When patients claim they cannot pay in full or meet installment plan guidelines due to a lack of resources, the Hospital can agree to an installment plan, refer the account to collections, write off the account as a bad debt or pursue a charity care application.
Part VI, Line 2: The Affordable Care Act of 2010 requires not-for-profit hospitals to conduct a Community Health Needs Assessment (CHNA) every three years and the State of New Hampshire requires one to be completed every five years. The most recent community needs assessment was completed in May 2012 and involved New London Hospital (NLH) working with Crescendo Consulting Group (CCG) to bring together key healthcare and public service stakeholders, collect quantitative and qualitative data, and reach out to the community in order to elicit feedback directly from them and their service providers. In addition to performing quantitative analysis of existing survey data NLH and CCG conducted focus group discussions with a diverse set of community stakeholders including leadership group members, healthcare consumers and community opinion leaders.Subsequently, information gathered during the quantitative and qualitative phases of the research was used to establish an extensive list of community health needs. CCG then asked leadership group members (i.e. executives from service area organizations that have direct contact with healthcare consumers) to complete a survey to evaluate each of the community needs identified and then CCG ranked the survey scores to order the list of 30 community needs.
Part VI, Line 3: Information packets are available in the Credit and Collection Coordinator's office.
Part VI, Line 4: 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 towns in the NLHA service area (HSA) are: Andover, Bradford, Croydon, Danbury, Goshen, Grantham, Lempster, New London, Newbury, Newport, Springfield, Sunapee, Sutton, Washington and Wilmot. The HSA has a population of 32,868 persons (2010) representing approximately 2.5% of the NH State population (1,316,470). The percent of families living below the proverty line in New London Hospital's HSA was 11.8% compared to 8.6% for the State of NH. The prioritization of community needs identified in the Community Needs Assessment include the following: (1) availability of affordable healthcare, prescriptions, and related services, (2) communication between healthcare providers and other community service providers regarding the bredth of services available, (3) primary care physician availability, (4) drug and alcohol abuse early detection and treatment, (5) insurance coverage rates, (6) chronic disease screenings (hypertension, cancer, heart disease), (7) coordination of care among provider organizations, (8) dementia spectrum issues / elder care services, (9) obesity, nutrition, and exercise education and services.
NHReports Filed With StatesPart VI, Line 7

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Bruce P King
2752560475000927408935021770343142000
Eileen Kirk MD
2329410350966025000174170253859000
Lori D Richer MD
1311590100350259043380211070166898000
Gregory Q Curtis MD
241783000420069600246190273782000
Tina Naimie
145356035042803379017270150925000
Adnan Khan
2831080100350336025000162790312258000
Donald Eberly MD
28005803502772064540246190313938000
Kenneth Call MD
312518035096603029022930318841000
Sean Bears MD
2677010350420062430216130296012000
Thomas F Lucas MD
3010390350966062740246190332933000
James G McGuire MD
157865000000000157865000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental InformationIdentifier
Return ReferencePart IIIReturnReference
ExplanationBruce King, CEO is paid by the Mary Hitchcock Memorial Hospital, an unrelated organization. Mr. King's total compensation from MHMH for the 2010 calendar year was $309,020, the remainder of his compensation was paid directly by NHLA. The compensation paid by NHLA consisted of continuity of service payments paid under the terms of an executive incentive agreement and an allowance for business use of his personal automobile.Explanation

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NH Health and Education Facilities AuthorityBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN020279866IssuerEIN
CUSIP Number644614SL4CUSIPNumber
Date Issued2007-06-21DateIssued
Issue Price20000000IssuePrice
Description Of PurposeNew medical office building construction & renovation of hospital facilitiesDescriptionOfPurpose
Defeased0Defeased
On Behalf Of Issuer0OnBehalfOfIssuer
Pool Financing0PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired335000AmountRetired
Total Proceeds20000000TotalProceeds
Amount In Reserve Fund268294AmountInReserveFund
Issuance Costs From Proceeds304750IssuanceCostsFromProceeds
Working Capital Expenditures5000000WorkingCapitalExpenditures
Capital Expenditures14426956CapitalExpenditures
Year Of Subst Completion2009YearOfSubstCompletion
Current Refunding0CurrentRefunding
Advance Refunding0AdvanceRefunding
Final Allocation Made1FinalAllocationMade
Adequate Books And Recds Maintaind1AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed Property0OwningBondFinancedProperty
Any Lease Arrangements0AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty0MngmentCntrctBondFinancdPrprty
Any Research Agreements0AnyResearchAgreements
Bond Counsel Routinely Engaged1BondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance Procdrs1PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T Filed0Form8038TFiled
Variable Rate Issue1VariableRateIssue
Hedge Identified In Books And Recds1HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

FieldValueIRS element (for citing)
Business Name Line1Morgan StanleyBusinessNameLine1
FieldValueIRS element (for citing)
Term Of Hedge30.000000000000TermOfHedge
Superintegrated Hedge0SuperintegratedHedge
Hedge Terminated0HedgeTerminated
Gross Proceeds Invested In GIC1GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

FieldValueIRS element (for citing)
Business Name Line1Hypo Public FinanceBusinessNameLine1
FieldValueIRS element (for citing)
Term Of GIC1.830000000000TermOfGIC
Regulatory Safe Harbor Satisfied1RegulatorySafeHarborSatisfied
Gross Proceeds Invested0GrossProceedsInvested
Exception To Rebate1ExceptionToRebate

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions3NumberOfContributions
Noncash Contribs Rptd F99038103NoncashContribsRptdF990
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts1ReviewProcessUnusualNCGifts
Third Parties Used0ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Net AssetsPart I, Line 22In FY11, New London Hospital restated their prior year financial statements. As of October 1, 2009 permanently restricted net assets increased by $1,496,296 due to recording a beneficial interest in perpetual trust. During 2010, the market value of the perpetual trust increased by $57,873. There was also a restatement for the correction of an error relating to the calculation of estimated third-party settlements. The result was a decrease to net patient service revenue and unrestricted net assets by $870,000. The restatements changed net assets on the 2009 and 2010 in the following way: the 2009 Current Year Part I, Line 22 net assets was $25,530,501. The 2010 Prior Year Part I, Line 22 net assets is $26,214,662.
Form 990, Part VI, Section A, line 3Mr. 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 11NLHA 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. Prior to this a draft version of the Form 990 was reviewed with NLHA's Audit Committee.
Form 990, Part VI, Section B, line 12cEach 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. Additionally, trustees are asked quarterly at Board of Trustee meetings if any new situations have arisen that could result in conflicts of interest.
Form 990, Part VI, Section B, line 15The 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 19NLHA 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.
Changes in Net Assets or Fund Balances:Form 990, Part XI, line 5:Net unrealized losses on investments: -161,589. Prior period adjustments: -37,553. Unrealized Loss on Interest Rate Swap -739,724. Write off of intangible assets -349,393. Total to Form 990, Part XI, Line 5: -1,288,259.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnership
Kearsage Community Services
273 County RoadNew LondonNH03257020460136Real EstateNHNew London Hospital AssociationC1.00000
New London Medical Center East
273 County RoadNew LondonNH03257020480857Real EstateNHNew London Hospital AssociationC1.00000
New London Physician Group Inc
273 County RoadNew LondonNH03257020494420Physician PraticeNHNew London Hospital AssociationC1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg