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THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-10
IRS object ID
201102229349301540
Schema version
2009v1.7
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)
Timestamp2011-08-10T15:28:54-05:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

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 Date2009-10-01TaxPeriodBeginDate

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 Signed2011-08-09DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameRachel Williamson CPAName
Phone6036697337Phone
Date Prepared2011-07-27DatePrepared
FieldValueIRS element (for citing)
Tax Year2009TaxYear
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 Receipts62710281GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.newlondonhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1918YearFormation
State Legal DomicileNHStateLegalDomicile
Activity Or Mission DescriptionNew London Hospital is a 25-bed rural community hospital, a federally qualified Critical Access hospital, with a 58-bed long-term extended care center dedicated to serving the Lake Sunapee region in central New Hampshire. NLH offers ambulance & emergency services, rehabilitation, diagnostic imaging, laboratory, surgical services & wellness programs. See community benefits reports for more detailed information.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees694TotalNbrEmployees
Total Nbr Volunteers159TotalNbrVolunteers
Total Gross UBI106921TotalGrossUBI
Net Unrelated Business Txbl Income-39130NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year927062ContributionsGrantsPriorYear
Contributions Grants Current Year842260ContributionsGrantsCurrentYear
Program Service Revenue Prior Year54633534ProgramServiceRevenuePriorYear
Program Service Revenue CY57804552ProgramServiceRevenueCY
Investment Income Prior Year91212InvestmentIncomePriorYear
Investment Income Current Year305390InvestmentIncomeCurrentYear
Other Revenue Prior Year1605OtherRevenuePriorYear
Other Revenue Current Year1520OtherRevenueCurrentYear
Total Revenue Prior Year55653413TotalRevenuePriorYear
Total Revenue Current Year58953722TotalRevenueCurrentYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year32067500SalariesEtcPriorYear
Salaries Etc Current Year34487289SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year297752TotalFundrsngExpCurrentYear
Other Expense Prior Year22691557OtherExpensePriorYear
Other Expenses Current Year24646763OtherExpensesCurrentYear
Total Expenses Prior Year54759057TotalExpensesPriorYear
Total Expenses Current Year59134052TotalExpensesCurrentYear
Revenues Less Expenses Prior Year894356RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-180330RevenuesLessExpensesCY
Total Assets BOY56245280TotalAssetsBOY
Total Assets EOY56339585TotalAssetsEOY
Total Liabilities BOY29867906TotalLiabilitiesBOY
Total Liabilities EOY30809084TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26377374NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY25530501NetAssetsOrFundBalancesEOY
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
Expense34185346Expense
Revenue44347587Revenue
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 towns in the NLHA service area are: Andover, Bradford, Croydon, Danbury, Goshen, Grantham, Lempster, Newbury, New London, Newport, Springfield, Sunapee, Sutton, Washington, and Wilmot and are largely representative of the state's rural population. The hospital provides acute and primary health care - from emergency services to family medical practice to neurosurgical care - and essential wellness and prevention services for the 34,000 residents in the 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.New London Hospital is a Critical Access Hospital with 25 beds and an extended care facility with 58 beds. NLHA also employs 44 providers. Twenty-three provide primary care in three practices, one of which is a pediatric practice, and 21 are specialists, including anesthesiologists, neurology, emergency medicine, hospitalists, gynecology and ear, nose and throat.In addition to the access to care and programs mentioned above, NLHA provided $1,068,321 in charity care in order to care for community members.New Hampshire does not require towns to provide ambulance service and the NLHA ambulance service covers seven towns--New London, Sunapee, Springfield, Newbury, Sutton, Wilmot and Grantham providing $98,428 of support with a paramedic level ambulance. In addition, the ambulance service makes transfers, non-transport runs and Dartmouth-Hitchcock Medical Center assists. Paramedics intercept and assist area volunteer ambulance and FAST squads when needed. Emergency Medical Services education and training is provided by the hospital at a cost of $32,609. As a small community hospital, NLHA is also involved in the provision of medical education and student internships in order to encourage healthcare professionals to remain as providers in rural environment. In addition to supporting continuing medical education for its employees, NLHA also provided $146,801 of community benefits in a variety of clinical internships including nursing, radiology, laboratory and physical therapy.A variety of health care support services comprises a significant area of community benefits for NLHA. To assure that patients can continue to have access to primary care, NLHA supports an initiative to enroll eligible patients in Public Programs such as Medicaid at a cost of $41,200. The hospital also supports many local service agencies through participation on governing boards, with a value of $56,614. Cash donations to other non profits in the healthcare industry total $7,610. NLHA also provides meeting space to community non-profits at a value of $16,068.For more detailed descriptions of individual community benefit programs provided by New London Hospital Association, Inc., please go to www.newlondonhospital.org/about_us/community_benefit/Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense9872413Expense
Revenue8965617Revenue
DescriptionPhysician practices: NLHA identified access to primary care 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. The hospital subsidized the delivery of primary care to the community in the amount of $3,085,479 in FY 2010. In addition, the hospital provided a Medication Bridge Program at a cost of $20,335 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 $112,436. Other community benefit programs provided by NLHA include a Breast & Cervical Cancer Program and Mammography Fund valued at $10,311; two community health fairs valued at $11,000; Safe Sitter classes valued at $1,685.NLHA had several programs in the schools in response to past needs assessments that continue to address health concerns in our service area. The Tiger Treatment Center (TTC) provides prevention and acute care treatment, sports physicals, nutrition counseling and health education to middle and high school students in Newport. Staffing the TTC was a community benefit valued at $38,769. The Athletic Trainer program at Kearsarge Regional High School provides trained personnel for all JV and varsity practices and games to work with student athletes in injury prevention, treatment and follow-up. This provides a community benefit to area students valued at $37,980.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense3838705Expense
Revenue4798258Revenue
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 Expense47896464TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments1TermOrPermanentEndowments
Balance Sheet Amounts Reported1BalanceSheetAmountsReported
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
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
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109691NumberFormsTransmittedWith1096
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
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 Body1Form990ProvidedToGoverningBody
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

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Donald GriffinBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6035265372TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
Bruce P King
President & CEO50.00XX358332028701
James G McGuire MD
President, Medical Staff40.00XX149824048525
Eileen Kirk MD
Pres Elect, Med Staff40.00X238580034225
Dudley Smith
Chair8.00XX000
John F Robb MD
Vice Chair8.00XX000
Patricia Tilley
Secretary8.00XX000
G William Helm Jr
Assistant Treasurer8.00XX000
David E Marshall
Treasurer8.00XX000
Sage Chase
Trustee2.00X000
Celeste C Cook
Trustee2.00X000
Stanley I Cundey Jr
Trustee2.00X000
John C Ferries
Trustee2.00X000
Peter E Hager
Trustee2.00X000
Anne B Holmes
Trustee2.00X000
Stephen Jordan MD
Trustee2.00X12368908285
Beverly S Payne
Trustee2.00X000
Jane Rastallis
Trustee2.00X000
Susan A Reeves
Trustee2.00X000
Robert M Rex
Trustee2.00X000
Tina Naimie
Chief Financial Officer50.00X15775609014
Theresa LeBlanc
Chief Clinical Officer50.00X14774607815
Gregory Q Curtis MD
Chief Medical Officer40.00X254448038723
Thomas F Lucas MD
Anesthesiologist40.00322776040004X
Kenneth Call MD
Emergency Room Physician40.00317063012034X
Donald Eberly MD
General Surgeon40.00278560038267X
Steven Powell MD
Emergency Room Physician40.0027148101887X
Sean Bears MD
General Surgeon40.00266462034612X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2886717TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation302092TotalOtherCompensation
Number Individuals GT100 K42NumberIndividualsGT100K
Formers Listed0FormersListed
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
Upper Valley Neurology Neurosurgery PC
106 Hanover StLebanonNH03766Physician Services708571
New England Alliance for Health LLC
1 Medical Center DriveLebanonNH03756Management services640213
Dartmouth Hitchcock Clinic
1 Medical Center DriveLebanonNH03756Physician Staffing & Lab Services595232
Mary Hitchcock Memorial Hospital
1 Medical Center DriveLebanonNH03756Management services524399
American Health Centers Inc
10 Commerce Park North Unit 10BedfordNH03110Diagnostic Imaging Services390676
FieldValueIRS element (for citing)
Number Of Contractors GT100 K16NumberOfContractorsGT100K
Fundraising Events153672FundraisingEvents
Government Grants84460GovernmentGrants
All Other Contributions604128AllOtherContributions
Noncash Contributions63784NoncashContributions
Total Contributions842260TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Net Patient Revenue6214005642395556423955
Physician Services621110930602930602
Child Care624410294886187965106921
Cafeteria900099155109155109
FieldValueIRS element (for citing)
Total Program Service Revenue57804552TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column296497TotalRevenueColumn
Exclusion$296,497ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities3662602Securities
Other15000Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities3650478Securities
Other18231Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities12124Securities
Other-3231Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column8893TotalRevenueColumn
Exclusion$8,893ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events89370GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events153672CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses87850FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column1520TotalRevenueColumn
Exclusion$1,520ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column58953722TotalRevenueColumn
Related Or Exempt Function Income57697631RelatedOrExemptFunctionIncome
Unrelated Business Revenue106921UnrelatedBusinessRevenue
Exclusion$306,910ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1638042Total
Program Services870685ProgramServices
Management And General767357ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total25999867Total
Program Services20799893ProgramServices
Management And General4983278ManagementAndGeneral
Fundraising216696Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total481822Total
Program Services385458ProgramServices
Management And General92166ManagementAndGeneral
Fundraising4198Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4707360Total
Program Services3765888ProgramServices
Management And General925900ManagementAndGeneral
Fundraising15572Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1660198Total
Program Services1328158ProgramServices
Management And General316181ManagementAndGeneral
Fundraising15859Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total118576Total
Program Services94861ProgramServices
Management And General23715ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total161064Total
Program Services128851ProgramServices
Management And General32213ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total76250Total
Program Services61000ProgramServices
Management And General15250ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total46735Total
Program Services37388ProgramServices
Management And General9347ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5484242Total
Program Services4387394ProgramServices
Management And General1096848ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total268112Total
Program Services214490ProgramServices
Management And General29840ManagementAndGeneral
Fundraising23782Fundraising

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5748260Total
Program Services4598608ProgramServices
Management And General1142556ManagementAndGeneral
Fundraising7096Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total529343Total
Program Services423474ProgramServices
Management And General105869ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1624462Total
Program Services1299569ProgramServices
Management And General322601ManagementAndGeneral
Fundraising2292Fundraising

Travel Travel

FieldValueIRS element (for citing)
Total100635Total
Program Services80508ProgramServices
Management And General9130ManagementAndGeneral
Fundraising10997Fundraising

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total90093Total
Program Services72075ProgramServices
Management And General16758ManagementAndGeneral
Fundraising1260Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total923504Total
Program Services738803ProgramServices
Management And General184701ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total131472Total
Program Services105178ProgramServices
Management And General26294ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3628228Total
Program Services2902583ProgramServices
Management And General725645ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total553872Total
Program Services443098ProgramServices
Management And General110774ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Bad Debt Expense26170702617070
Medicaid Enhancement Ta25277742527774
Other17071136583413

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total59134052Total
Program Services47896464ProgramServices
Management And General10939836ManagementAndGeneral
Fundraising297752Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1824220BOY
EOY4316368EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2689162BOY
EOY769940EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1634883BOY
EOY1058149EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8228614BOY
EOY8573324EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY18480BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY901131BOY
EOY975689EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY448529BOY
EOY542863EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis61924468LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29291375LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33908403BOY
EOY32633093EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY4732907BOY
EOY6365015EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1858951BOY
EOY1105144EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY56245280BOY
EOY56339585EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY7672995BOY
EOY8020625EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY16750000BOY
EOY16750000EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1343055BOY
EOY1239096EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY4101856BOY
EOY4799363EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY29867906BOY
EOY30809084EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25817647BOY
EOY24935540EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY185860BOY
EOY221094EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY373867BOY
EOY373867EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26377374BOY
EOY25530501EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY56245280BOY
EOY56339585EOY
FieldValueIRS element (for citing)
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$10,348OtherActivitiesAmount
Total Lobbying Expenditures IIB10348TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPart II-B, Line 1i:Identifier
Return ReferenceExplanation of Other Lobbying Activities:ReturnReference
ExplanationPer information provided by the NH Hospital Association (NHHA), the NHHA percentage of dues expended for lobbying purposed was 22.96%. The percentage of American Hospital Association dues expended for lobbying purposed was 23.76%.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance373867BeginningOfYearBalance
Investment Earnings Or Losses33115InvestmentEarningsOrLosses
Other Expenditures30386OtherExpenditures
Administrative Expenses2729AdministrativeExpenses
End Of Year Balance373867EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance373867BeginningOfYearBalance
Investment Earnings Or Losses2996InvestmentEarningsOrLosses
Other Expenditures132OtherExpenditures
Administrative Expenses2864AdministrativeExpenses
End Of Year Balance373867EndOfYearBalance
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 Basis35612308OtherCostOrOtherBasis
Depreciation11291377Depreciation
Book Value24320931BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis396287OtherCostOrOtherBasis
Depreciation259759Depreciation
Book Value136528BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis23502278OtherCostOrOtherBasis
Depreciation17262231Depreciation
Book Value6240047BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1472321OtherCostOrOtherBasis
Depreciation478008Depreciation
Book Value994313BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings32633093TotalOfBookValueLandBuildings

Other Securities OtherSecurities (7 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
Mortgage backed securities245543F
U.S. Treasury Obligations695056F
Marketable equity securities3876425F
Corporate bonds1144440F
International bonds330397F
Equity mutual funds26725F
Fixed income mutual funds46429F
FieldValueIRS element (for citing)
Total Of Book Value Securities6365015TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Charitable Gift Annuities$40,000
Capital Lease Obligations$873,183
Other Liabilities$20,000
Interest Rate Swap$3,866,180
FieldValueIRS element (for citing)
Total Of Amounts4799363TotalOfAmounts
Total Revenue58953722TotalRevenue
Total Expenses59134052TotalExpenses
Excess Or Deficit For Year-180330ExcessOrDeficitForYear
Net Unrealized GL On Investments349201NetUnrealizedGLOnInvestments
Other-$1,015,744OtherAmount
Total Adjustments-666543TotalAdjustments
Excess Or Deficit Per FS-846873ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt58240445TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments349202NetUnrealizedGainsInvestments
Revenue Not Rptd F990349202RevenueNotRptdF990
Revenue Subtotal57891243RevenueSubtotal
Investment Expenses Not Included46735InvestmentExpensesNotIncluded
Other Revenues Not Included1015744OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1062479RevenueNotRptdOnFinStmt
Total Revenue Per Form99058953722TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt59087317TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal59087317ExpensesSubtotal
Investment Expenses Not Included246735InvestmentExpensesNotIncluded2
Expenses Not Rptd On Fin Stmt46735ExpensesNotRptdOnFinStmt
Total Expenses Per Form99059134052TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Part V, Line 4:Description of Intended Use of Endowment Funds: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: -1015744.
Part XII, Line 4b - Other Adjustments:Unrealized Loss on Interest Rate Swap: 1015744.

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Golf TournamentNameOfEvent1
Gross Receipts Event164470GrossReceiptsEvent1
Charitable Contributions Event138874CharitableContributionsEvent1
Gross Revenue Event125596GrossRevenueEvent1
Non Cash Prizes Event11300NonCashPrizesEvent1
Rent Facility Costs Event18792RentFacilityCostsEvent1
Food And Beverage Event13720FoodAndBeverageEvent1
Other Direct Expenses Event110264OtherDirectExpensesEvent1
Name Of Event2Charity AuctionNameOfEvent2
Gross Receipts Event2125625GrossReceiptsEvent2
Charitable Contributions Event284581CharitableContributionsEvent2
Gross Revenue Event241044GrossRevenueEvent2
Rent Facility Costs Event27477RentFacilityCostsEvent2
Food And Beverage Event224971FoodAndBeverageEvent2
Entertainment Event22500EntertainmentEvent2
Other Direct Expenses Event26096OtherDirectExpensesEvent2
Total Number Of Other Events1TotalNumberOfOtherEvents
Gross Receipts Other Events52947GrossReceiptsOtherEvents
Charitable Contrib Other Events30217CharitableContribOtherEvents
Gross Revenue Other Events22730GrossRevenueOtherEvents
Rent Facility Costs Other Events4964RentFacilityCostsOtherEvents
Food And Beverage Other Events3954FoodAndBeverageOtherEvents
Entertainment Other Events500EntertainmentOtherEvents
Other Direct Expenses Other Events13312OtherDirectExpensesOtherEvents
Gross Receipts Total243042GrossReceiptsTotal
Charitable Contributions Total153672CharitableContributionsTotal
Gross Revenue Total Events89370GrossRevenueTotalEvents
Non Cash Prizes Total Events1300NonCashPrizesTotalEvents
Rent Facility Costs Total Events21233RentFacilityCostsTotalEvents
Food And Beverage Total Events32645FoodAndBeverageTotalEvents
Entertainment Total Events3000EntertainmentTotalEvents
Other Direct Expenses Total Events29672OtherDirectExpensesTotalEvents
Direct Expense Summary Events87850DirectExpenseSummaryEvents
Net Income Summary1520NetIncomeSummary

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 Expense1068321TotalCommunityBenefitExpense
Net Community Benefit Expense1068321NetCommunityBenefitExpense
Percent Of Total Expense0.01890PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense6032412TotalCommunityBenefitExpense
Direct Offsetting Revenue5633127DirectOffsettingRevenue
Net Community Benefit Expense399285NetCommunityBenefitExpense
Percent Of Total Expense0.00710PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense7100733TotalCommunityBenefitExpense
Direct Offsetting Revenue5633127DirectOffsettingRevenue
Net Community Benefit Expense1467606NetCommunityBenefitExpense
Percent Of Total Expense0.02600PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense252208TotalCommunityBenefitExpense
Net Community Benefit Expense252208NetCommunityBenefitExpense
Percent Of Total Expense0.00450PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense146801TotalCommunityBenefitExpense
Net Community Benefit Expense146801NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3316678TotalCommunityBenefitExpense
Net Community Benefit Expense3316678NetCommunityBenefitExpense
Percent Of Total Expense0.05870PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense59692TotalCommunityBenefitExpense
Net Community Benefit Expense59692NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3775379TotalCommunityBenefitExpense
Net Community Benefit Expense3775379NetCommunityBenefitExpense
Percent Of Total Expense0.06690PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense10876112TotalCommunityBenefitExpense
Direct Offsetting Revenue5633127DirectOffsettingRevenue
Net Community Benefit Expense5242985NetCommunityBenefitExpense
Percent Of Total Expense0.09290PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense107741TotalCommunityBuildingExpense
Net Community Building Expense107741NetCommunityBuildingExpense
Percent Of Total Expense0.00190PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense20600TotalCommunityBuildingExpense
Net Community Building Expense20600NetCommunityBuildingExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense15450TotalCommunityBuildingExpense
Net Community Building Expense15450NetCommunityBuildingExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense6078TotalCommunityBuildingExpense
Net Community Building Expense6078NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense149869TotalCommunityBuildingExpense
Net Community Building Expense149869NetCommunityBuildingExpense
Percent Of Total Expense0.00270PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,545,642BadDebtExpenseAmount
Amount Reimbursed By Medicare13890728AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare15011647CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1120919MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Form990ScheduleHPartV (4 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeCritical Access HospitalCriticalAccessHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgical
New London Hospital
273 County RoadNew LondonNH03257X
Newport Health Center
11 John Stark HwyNewportNH03773X
New London Pediatric Care Ctr
6 Holmes LaneGeorges MillsNH03751X
New London Family Care Ctr
120 Route 10GranthamNH03753X

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Subsidized Health Services ExplnPart I, Line 7g: Subsidized health services did not include physician practices.SubsidizedHealthServicesExpln
Bad Debt FootnotePart III, Line 4: The Hospital used the cost-to-charge ratio for reporting the bad debt expense at cost.BadDebtFootnote
Debt Collection PolicyPart 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.DebtCollectionPolicy
Needs AssessmentPart VI, Line 2: The Hospital participated in the Upper Valley United Way 2008 Needs and Assets Assessment Project, which collected data for fourteen indicators in communities within our service area. In addition to data analysis, the project conducted focus groups in a variety of communities.NeedsAssessment
Patient Education AssistancePart VI, Line 3: Information packets are available in the Credit and Collection Coordinator's office.PatientEducationAssistance
Community InformationPart VI, Line 4: The Hospital has identified the following communities in its service area: Andover, Bradford, Croydon, Danbury, Goshen, Grantham, Lempster, Newbury, New London, Newport, Springfield, Sunapee, Sutton, Washington and Wilmot.CommunityInformation
Community Building ActivitiesPart VI, Line 5: The Hospital is actively engaged in working to build community collaborations through leadership and participation in such activities as the Tiger Treatment Center program at Newport Middle High School, the Newport Enrichment Team, the Sullivan County Oral Health Collaborative, senior advocacy programs and the Rock Dental school-based dental screening program. In addition, the Hospital continues its leadership role in the C5 District for Emergency Services, working with the Town of New London on mock disaster drills and participation in all activities related to emergency preparedness.CommunityBuildingActivities
Reports Filed With StatesNHReportsFiledWithStates

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
27301208532000087210199800387033000
James G McGuire MD
14982400000292790192460198349000
Eileen Kirk MD
2376140009660141270200980272805000
Tina Naimie
145653011813029007272017420166770000
Theresa LeBlanc
135858011262062604810030050155561000
Gregory Q Curtis MD
23471401936203720103860283370293171000
Thomas F Lucas MD
3218100009660116670283370362780000
Kenneth Call MD
31609700096609208028260329097000
Donald Eberly MD
27578800027720101800280870316827000
Steven Powell MD
27148100000149603910273368000
Sean Bears MD
2660420004200101620244500301074000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Line 1aSocial club dues: New London Hospital paid $910 of the Lake Sunapee Country Club membership fee for the Chief Executive Officer as part of the development effort to encourage other members to contribute to our tax-exempt organization.
Part IIISenior leadership incentive goals are predicated upon meeting specific patient satisfaction scores, along with patient safety and medical staff Q1 goals. Senior management must appropriately respond to extraordinary events while working toward achievement of the operating budget. Senior management is also responsible for achieving specific fund-raising goals and for continued progress in implementing the electronic health information system. Bruce King, CEO is paid by the Mary Hitchcock Memorial Hospital, an unrelated organization. Mr. King's total compensation from MHMH for the 2009 calendar year was $297,238, the remainder of his compensation was paid directly by NHLA. Dr. James McGuire is paid by the Dartmouth Hitchcock Clinic, an unrelated organization. Dr. McGuire's total compensation from DHC for the 2009 calendar year was $196,564, the remainder of his compensation was paid directly by NHLA.Supplemental Information

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

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Total Proceeds20000000TotalProceeds
Amount In Reserve Fund207997AmountInReserveFund
Issuance Costs From Proceeds304750IssuanceCostsFromProceeds
Working Capital Expenditures5000000WorkingCapitalExpenditures
Capital Expenditures19829500CapitalExpenditures
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
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 Contributions6NumberOfContributions
Noncash Contribs Rptd F99063784NoncashContribsRptdF990
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)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
Form 990, Part VI, Section A, line 3Mr. Bruce King, CEO, of New London Hospital (NLH) is an employee of Mary Hitchcock Memorial Hospital (MHMH). NLH purchases his services from MHMH.
Form 990, Part VI, Section B, line 11The Form 990 is presented and discussed with the Board of Trustees at one of their meetings prior to the filing of the 990.
Form 990, Part VI, Section B, line 12cEach year, as part of the preparation of the 990, a written questionnaire is sent to each Trustee inquiring about conflict-of-interest situations. Members are asked quarterly at Board of Trustee meetings if any new situations have arisen.
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 Relations and 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 19NLH makes this information available to the public upon resquest. In addition, Form 990 is filed with the State of NH and is available to the public through the State. NLH files a Community Benefit Report annually with the State of NH. NLH includes summarized financials with its annual reports to donors.
Part XI, Line 2cThe organization has not changed its oversight or selection process during the tax year.
Form 990, Part IThe prior year revenue and expense was restated to report patient revenue net of contractual allowances and to remove those contractual allowances from the program expenses.Prior year

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 EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
Kearsage Community Services
273 County RoadNew LondonNH03257020460136Real EstateNHNew London Hospital AssociationC-294867459101.00000
New London Medical Center East
273 County RoadNew LondonNH03257020480857Real EstateNHNew London Hospital AssociationC-5688286731.00000
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