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      <Desc>Founded in 1968 as an education and research organization for the New Hampshire Hospital Association (NHHA), the Foundation was reorganized in 1995 to meet the needs of a changing health care system. The Foundation for Healthy Communities is led by a board of directors with a broad range of expertise that guides its strategic and programmatic efforts. Today, the Foundation is a partnership between New Hampshire hospitals, community organizations and other health care stakeholders that focuses on quality of care and access to health services as the major priorities of work, in alignment with the Foundation's mission of improving total population health for all communities.The Foundation for Healthy Communities is renowned on a state and national level for its ability to engage diverse partners in new, innovative collaborations and to serve as the backbone support for a variety of initiatives that address the health and health care needs of our state. The organization's programs focus on quality improvement initiatives, health promotion and access, as well as health equity and health disparities of care, behavioral health, substance use disorders and many more.In its work with partners statewide, the Foundation's key objectives are to improve total population health by promoting innovative, high value quality practices within organizations and communities; to lead change strategies that educate, create and sustain healthier communities and make the healthy choice the easy choice; and to promote access to affordable health care and resources that support the well-being of all people. One of the Foundation's strengths is to engage and lead diverse partners in new forms of collaboration and facilitates program integration for the benefit of the communities served by housing its diverse group of programs and staff in one location, streamlining processes, and opening pathways for collaborations.To promote a healthier state, the Foundation's initiatives focus on health prevention and education, access to affordable health care as well as insurance coverage, patient safety and quality improvement initiatives, patient and family engagement strategies, health equity and health disparities of care, emergency preparedness and response, behavioral health and the opioid crisis, among many other areas of priority. Descriptions of the programs currently running under the Foundation for Healthy Communities are below:Behavioral Health Clinical Learning CollaborativeThe Behavioral Health Clinical Learning Collaborative is designed to address the management and treatment of patients experiencing mental health crises in the emergency department (ED) setting. TheCollaborative brings together frontline ED and Community Mental Health Center professionals alongside other interested stakeholders to work in partnership on clinical improvement initiatives for these patients. The Foundation for Healthy Communities 02-0275078 goal of the program is to develop a well-integrated service system that provides the most suitable care for patients experiencing a psychiatric emergency and presenting at the ED.COVID-19 Vaccination ProjectThe COVID-19 Vaccination Project aims to increase vaccination status among New Hampshire residents 65+ in age by supporting hospitals, their primary care practices and pharmacies in promoting evidence and science-backed data relative to the safety and efficacy of COVID-19 vaccines, as well as the importance of adhering to state and federal guidance to ensure individual health and well-being.Community BenefitsHospitals support their communities by delivering high quality healthcare, serving as economic engines, and providing health education, resources and programs to keep their communities healthy. To do this successfully, hospitals work collaboratively with a variety of partners to assess the health of their community, identify the most pressing health needs, and develop community benefit implementation plans to address those needs. The Foundation for Healthy Communities creates a statewide summary of the community benefit activities conducted by New Hampshire hospitals through their uncompensated care, health education and community programs and services.Granite State Health Care CoalitionThe Granite State Health Care Coalition is a network of key representatives from public and private health and safety organizations that help communities prepare, respond, and recover from catastrophic events and disasters impacting New Hampshire. The Coalition provides the opportunity for providers, healthcare and community stakeholders to plan, prepare and train for catastrophic events through collaboration essential to integrated disaster response.Health Care Decisions CoalitionThe Healthcare Decisions Coalition is a volunteer steering committee composed of experts and stakeholders in the legal and health care sectors that aims to provide the tools available for individuals to express wishes and preferences with regard to end of life medical care, and to have those preferences honored by the health care system.HealthForce NHHealthForce NH takes a broad, systemic approach to helping NH grow, retain, and sustain a skilled health care workforce, leveraging their cross-sector position and offering leadership to the field while convening partners to cultivate resources, amplify existing efforts, and monitor the health care landscape. HealthForce does this work with a shared goal of creating an environment where current and future members of the health care workforce can flourish.Hospital Capacity ProjectThe Hospital Capacity Project was designed to address barriers to hospitals discharging patients to the appropriate disposition of care. The FHC facilitated the project to insert long-term care and skilled nursing facility strike teams to create capacity for hospital discharges. Additionally, FHC supported hospitals with increased recourses to transport patients who were ready for discharge.Mosaic ProjectThe Mosaic Project is designed to increase hospitals' capacity to address substance use disorder (SUD) through participation in the Mosaic Group's Reverse the Cycle (RTC) Program. The program involves integrating Universal Screening and Peer Intervention, community-based peer coaching for high-risk/high utilization patients and access to Medications for Opioid Use.NH Health Care Quality &amp; Safety CommissionThe NH Health Care Quality &amp; Safety Commission enables health care providers to share information about adverse outcomes and prevention strategies in learning environments which foster candor and self-critical analysis while maintaining the confidentiality of the information submitted to the commission, the proceedings of the commission, and the results of the commission's deliberations.Health Insurance NavigationThe Health Insurance Navigation project provides free health insurance education and navigation services to New Hampshire residents who need to apply for and enroll, or redetermine eligibility, in health insurance through Medicaid, the Children's Health Insurance Program (CHIP) or the Health Insurance Marketplace.Eastern US Quality Improvement CollaborativeThe Eastern US Quality Improvement Collaborative (EQIC) is a regional initiative under which acute care hospitals in New Hampshire engage in initiatives that improve patient safety and quality of care throughout the care continuum. EQIC is an initiative of the Healthcare Association of New York State in partnership with the Connecticut Hospital Association, Foundation for Healthy Communities/New Hampshire Hospital Association, North Carolina Healthcare Foundation, Vermont Association of Hospitals and Health Systems, Vermont Program for Quality in Health Care, Inc. and West Virginia Hospital Association.Patient &amp; Family EngagementThe Patient &amp; Family Engagement initiative offers tools and resources to hospitals and community organizations that help them create a culture of patient and family engagement and establish collaborative partnerships between hospital staff, patient and family advisors to enhance the delivery of patient and family-centered care throughout the continuum.Population Health and Health EquityThe Total Population Health Initiative aims to improve the health and well-being of NH residents by fostering connections between healthcare, public health, and the social determinants of health while advancing health equity. Population Health is both a goal and a strategy to foster healthy, equitable populations through linking clinical and community-based approaches supported by delivery system innovations and investments. The initiative aims to provide Rural Health Quality Improvement NetworkThe Rural Health Quality Improvement Network coordinates resources promoting efficiency and high value quality practices in the network of Critical Access Hospitals serving rural New Hampshire.</Desc>
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        <PersonNm>Sally Kraft MD</PersonNm>
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        <PersonNm>Eileen Groll Liponis</PersonNm>
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        <PersonNm>Lisa Madden</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Tom Manion</PersonNm>
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        <PersonNm>Holly McCormack DNP</PersonNm>
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        <PersonNm>Colin McHugh</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jeremy Roberge CPA</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>John Skevington</PersonNm>
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        <PersonNm>Susan Walsh</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Andrew Watt MD</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Annette Escalante MSW MLADC</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Steve Saltzman</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kristine A Hering</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Jon Scott Nichols</PersonNm>
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        <PersonNm>Luellyn J Valtin</PersonNm>
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        <ContractorAddress>
          <USAddress>
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          <BusinessName>
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      <ContractorCompensationGrp>
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          <BusinessName>
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      <ContractorCompensationGrp>
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          <BusinessName>
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          <USAddress>
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          <BusinessName>
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          <USAddress>
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        <CurrentTaxYearMinus2YearsAmt>16943</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>19612</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>34870</CurrentTaxYearAmt>
        <TotalAmt>112996</TotalAmt>
      </GrossInvestmentIncome170Grp>
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      <PublicSupportPY170Pct>0.98580</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <DepreciationAmt>1118</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
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      </EquipmentGrp>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliate</Desc>
        <Amt>106658</Amt>
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      <TotalLiabilityAmt>106658</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>8923574</TotalRevEtcAuditedFinclStmtAmt>
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      <RevenueNotReportedAmt>116965</RevenueNotReportedAmt>
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      <RevenueNotReportedFinclStmtAmt>10000000</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>18806609</TotalRevenuePerForm990Amt>
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      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>7601276</ExpensesSubtotalAmt>
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      <ExpensesNotRptFinclStmtAmt>10000000</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>17601276</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Voluntary Contributions 10,000,000.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Voluntary Contributions 10,000,000.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Alice Peck Day Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>10 Alice Peck Day Drive</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03766</ZIPCd>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Androscoggin Valley Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>59 Page Hill Road</AddressLine1Txt>
          <CityNm>Berlin</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03570</ZIPCd>
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        <RecipientEIN>020280367</RecipientEIN>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Catholic Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>100 McGregor Street</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03102</ZIPCd>
        </USAddress>
        <RecipientEIN>020315693</RecipientEIN>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cheshire Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>580 Court St</AddressLine1Txt>
          <CityNm>Keene</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03431</ZIPCd>
        </USAddress>
        <RecipientEIN>020354549</RecipientEIN>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>Concord Hospital</BusinessNameLine1Txt>
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          <AddressLine1Txt>250 Pleasant Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Core Physicians LLC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5 Alumni Drive</AddressLine1Txt>
          <CityNm>Exeter</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03833</ZIPCd>
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        <RecipientEIN>870807914</RecipientEIN>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Cottage Hospital</BusinessNameLine1Txt>
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          <CityNm>Woodsville</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03785</ZIPCd>
        </USAddress>
        <RecipientEIN>020223321</RecipientEIN>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Dartmouth Hitchcock Medical Center</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>One Medical Center Drive</AddressLine1Txt>
          <CityNm>Lebanon</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03756</ZIPCd>
        </USAddress>
        <RecipientEIN>222715483</RecipientEIN>
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        <CashGrantAmt>331057</CashGrantAmt>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Elliot Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1 Elliott Way</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03103</ZIPCd>
        </USAddress>
        <RecipientEIN>020232673</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>26428</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Exeter Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>5 Alumni Drive</AddressLine1Txt>
          <CityNm>Exeter</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03833</ZIPCd>
        </USAddress>
        <RecipientEIN>222674014</RecipientEIN>
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        <CashGrantAmt>44718</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Huggins Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>240 South Main Street</AddressLine1Txt>
          <CityNm>Wolfeboro</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>038940912</ZIPCd>
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        <RecipientEIN>020223332</RecipientEIN>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Littleton Regional Healthcare</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>600 St Johnsbury Road</AddressLine1Txt>
          <CityNm>Littleton</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03561</ZIPCd>
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        <RecipientEIN>020222152</RecipientEIN>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3073 White Mountain Highway</AddressLine1Txt>
          <CityNm>North Conway</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03860</ZIPCd>
        </USAddress>
        <RecipientEIN>344430849</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>58372</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Monadnock Community Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>452 Old Street Road</AddressLine1Txt>
          <CityNm>Peterborough</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03458</ZIPCd>
        </USAddress>
        <RecipientEIN>020222157</RecipientEIN>
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        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>New London Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>278 Country Road</AddressLine1Txt>
          <CityNm>New London</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03257</ZIPCd>
        </USAddress>
        <RecipientEIN>020222171</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5406</CashGrantAmt>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Speare Memorial Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>16 Hospital Road</AddressLine1Txt>
          <CityNm>Plymouth</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03264</ZIPCd>
        </USAddress>
        <RecipientEIN>020226774</RecipientEIN>
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        <CashGrantAmt>30474</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>St Joseph Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>172 Kinsley Street PO Box 2013</AddressLine1Txt>
          <CityNm>Nashua</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03060</ZIPCd>
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        <RecipientEIN>020222215</RecipientEIN>
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        <CashGrantAmt>49261</CashGrantAmt>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Upper Connecticut Valley Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>181 Corliss Lane</AddressLine1Txt>
          <CityNm>Colebrook</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03576</ZIPCd>
        </USAddress>
        <RecipientEIN>020276210</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>121470</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Valley Regional Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>243 Elm Street</AddressLine1Txt>
          <CityNm>Claremont</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03743</ZIPCd>
        </USAddress>
        <RecipientEIN>020222118</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>333846</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Weeks Medical Center</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>173 Middle Street</AddressLine1Txt>
          <CityNm>Lancaster</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03584</ZIPCd>
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        <RecipientEIN>020222242</RecipientEIN>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <StateAbbreviationCd>NH</StateAbbreviationCd>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>Keene</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Doorway At Concord-Riverbend</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>40 Pleasant Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
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        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>23780</CashGrantAmt>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Doorway of Greater Manchester</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>60 Rogers Street Suite 210</AddressLine1Txt>
          <CityNm>Manchester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03103</ZIPCd>
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        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>34606</CashGrantAmt>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>The Doorway of Greater Nashua</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>268 Maine Street</AddressLine1Txt>
          <CityNm>Nashua</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03064</ZIPCd>
        </USAddress>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>15985</CashGrantAmt>
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        <PurposeOfGrantTxt>Support for general Operations.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>State of New Hampshire</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>25 Capitol Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <IRCSectionDesc>GOV</IRCSectionDesc>
        <CashGrantAmt>10000000</CashGrantAmt>
        <NonCashAssistanceAmt>0</NonCashAssistanceAmt>
        <PurposeOfGrantTxt>Voluntary contributions to support Governor's Commission on Alcohol and Other Drugs.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>27</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization has executed Letters of Agreement with all the grantees which lays out the purpose of the grants, scope of services, budget and use of grant funds requirements, and reporting requirements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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        <PersonNm>Stephen Ahnen</PersonNm>
        <TitleTxt>Secretary / Treasurer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Peter Ames</PersonNm>
        <TitleTxt>Executive Director</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Kristine A Hering</PersonNm>
        <TitleTxt>VP Quality Improvement</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>Stephen Ahnen, Secretary/Treasurer of the filing organization, is the President/CEO of (and compensated by) New Hampshire Hospital Association, a related organization. Mr. Ahnen participates in a Section 457(f) plan as part of his compensation package with New Hampshire Hospital Association. During calendar year 2023, Mr. Ahnen was paid $119,372 from the Plan and this amount was included as part of Mr. Ahnen's taxable compensation reported on Schedule J, Part II, column (B)(iii) and is also disclosed in column (F) as an amount previously reported as deferred compensation on prior Form 990s. In addition, $38,500 was contributed to Mr. Ahnen's 457(f) plan during 2023. This amount is being reported as part of the amount shown on Schedule J, Part II, column (C).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, line 2</FormAndLineReferenceDesc>
        <ExplanationTxt>HealthForce NH HealthForce NH takes a broad, systemic approach to helping NH grow, retain, and sustain a skilled health care workforce, leveraging their cross-sector position and offering leadership to the field while convening partners to cultivate resources, amplify existing efforts, and monitor the health care landscape. HealthForce does this work with a shared goal of creating an environment where current and future members of the health care workforce can flourish. Mosaic Project The Mosaic Project is designed to increase hospitals' capacity to address substance use disorder (SUD) through participation in the Mosaic Group's Reverse the Cycle (RTC) Program. The program involves integrating Universal Screening and Peer Intervention, community-based peer coaching for high-risk/high utilization patients and access to Medications for Opioid Use. Hospital Capacity Project The Hospital Capacity Project was designed to address barriers to hospitals discharging patients to the appropriate disposition of care. The FHC facilitated the project to insert long-term care and skilled nursing facility strike teams to create capacity for hospital discharges. Additionally, FHC supported hospitals with increased recourses to transport patients who were ready for discharge.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a</FormAndLineReferenceDesc>
        <ExplanationTxt>Substance Use Disorder Treatment Project The Substance Use Disorder Treatment Project supports New Hampshire hospitals in improving access to addiction treatment for people with Substance Use Disorders (SUD). The project focuses on reducing stigma, advancing best practices for treatment, and improving access to medications for substance use disorders. Additionally, we engage people living with, or who are in recovery from, a substance use disorder in identifying and testing solution and engagement strategies. Furthermore, FHC works with providers statewide on raising awareness around unhealthy alcohol use and the health conditions it can create for patients. We support the distribution of funds to care access points known as Doorways around the state.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 and all schedules were made available to the board prior to filing the form. The Secretary/Treasurer and Executive Director reviewed the Form 990 and all schedules with accounting staff and return preparer to ensure accuracy prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each member of the Board is required to sign a conflict of interest policy at each yearly meeting. The Board members are asked at each Board meeting if any conflicts have arisen since the prior meeting. The conflict of interest policy is reviewed by the Executive Secretary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee of the Organization contracts with a third party organization to produce a comparable state hospital association CEO compensation study, which is used for comparative purposes. The Executive Committee reviews CEO performance and approves the CEO's compensation. The Executive Committee informs the full NHHA Board of the approved compensation package for the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Contracted Services - Projects / EP: Program service expenses 2,111,111. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,111,111. Other Services: Program service expenses 2,653. Management and general expenses 5,002. Fundraising expenses 0. Total expenses 7,655.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Foundation for Healthy Communities 125 Airport Road Concord, NH 03301 EIN: 02-0275078 Foundation for Healthy Communities is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>New Hampshire Hospital Association</BusinessNameLine1Txt>
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          <AddressLine1Txt>125 Airport Road</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
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        <EIN>026012527</EIN>
        <PrimaryActivitiesTxt>Consulting and Management Services to Hospitals and Health Facilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6)</ExemptCodeSectionTxt>
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          <BusinessNameLine1Txt>Health Shared Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>125 Airport Road</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
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        <EIN>020376847</EIN>
        <PrimaryActivitiesTxt>Administrative Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
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