2025-08-06T10:08:21-05:00 2024-09-30 010523282 Berry Dunn McNeil & Parker LLC 2211 Congress St Portland ME 04102 990 2023-10-01 020223321 Cottage Hospital COTT 6037479000 90 Swiftwater Road Woodsville NH 03785 Ann Duffy CFO 6037479000 2025-08-04 1 1 Joseph R Byrne P01289281 2077752387 2025-08-04 2023 2025-03-06 01:10:19Z Holly McCormack 90 Swiftwater Road Woodsville NH 03785 44194208 0 X www.cottagehospital.org X 1903 NH Medical care and related services 13 10 364 14 0 0 319158 232700 40509265 41822710 617099 572315 33087 45346 41478609 42673071 2000 1000 0 0 23485598 23298103 0 0 0 18684335 20518165 42171933 43817268 -693324 -1144197 37311075 37828101 19483868 19839103 17827207 17988998 X To strengthen the health of our community by providing accessible, quality care. 1 0 29579218 1000 37073527 Cottage Hospital provided health care to approximately 599 inpatients and 38,883 outpatients during the fiscal year. 2597321 2856828 The Ray of Hope Geriatric Behavioral Health unit provides quality care for those struggling with a behavioral health issue. This inpatient program is for geriatric patients 65 years and older with persistent or late onset behavioral health illnesses or concerns. Specialized care focuses on assessment, treatment, rehabilitation, prevention, family/community support and education surrounding behavioral health. 2699369 1892355 The Rowe Health Center provides internal medicine, behavioral health, general surgery, podiatry, gastroenterology and endocrinology services. We are proud to offer a team-based approach to provide all of our patients with accessible, convenient, high quality care. With same day acute appointments available, meeting the needs of our patients is our priority. 34875908 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 1 0 0 0 0 0 0 0 1 1 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 49 0 1 364 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Ann Duffy 6037479000 90 Swiftwater Road Woodsville NH 03785 Clare Vallee Chairperson 1.00 X X 0 0 0 Andrew Barter Vice Chair 1.00 X X 0 0 0 William Taxter Secretary 1.00 X X 0 0 0 Maryanne Aldrich Trustee 1.00 X 0 0 0 Derek Curtis Trustee 1.00 X 0 0 0 Jesse Dimick Trustee 1.00 X 0 0 0 Randy Foster Trustee 1.00 X 0 0 0 Mark Harris Trustee 1.00 X 0 0 0 Ian Kirit Trustee 1.00 X 0 0 0 Rebecca Zampieri Trustee 1.00 X 0 0 0 E Colin McDougal Med Staff President 40.00 X 239146 0 9421 James Wilton Med Staff Secretary 40.00 X 213767 0 36116 Holly McCormack CEO 40.00 X X 228957 0 50180 Lili Cargill Past Medical Staff President 40.00 X 166506 0 0 Kevin Lawrence Past Chairperson 1.00 X X 0 0 0 William Darcy Past Vice Chair 1.00 X X 0 0 0 Prentis Pratt Past Secretary 1.00 X X 0 0 0 Natalie Kennett CNO 40.00 X 130331 0 5929 Ann Duffy CFO 40.00 X 185191 0 35459 Delphine Sullivan CMO 40.00 X 278566 0 6715 Christopher Findley Chief of ED 40.00 X 509920 0 49483 Peter B Schroer Physician RHC 40.00 X 361509 0 33837 Christopher Danielson Physician RHC 40.00 X 335334 0 43761 Suneer Chander ED Physician 40.00 X 281828 0 41941 Christopher Scianna Past ED Physician 40.00 X 282715 0 0 3213770 0 312842 40 0 1 0 Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03766 Contracted Providers 1058789 Athena Health Inc 311 Arsenal Street Watertown MA 02472 EMR Services 508053 EM Staff 36 Coventry Rd Concord NH 03301 Contracted Staff 443106 StaffDocs 7776 S Pointe Pkwy W Suite 270 Phoenix AZ 85044 Contracted Staff 389521 Alliance Healthcase Services Inc PO Box 19532 Irvine CA 92623 Contracted Staff 385540 24 1325 117091 114284 232700 Patient Service Revenue 622110 77685867 77685867 DSH Payments 622110 4445669 4445669 Other Operating Revenue 622110 297463 115441 182022 Contractual/Charity Care Adj. 622110 -40606289 -40606289 41822710 286392 286392 1002 0 1002 1002 1002 1785497 1492177 7397 293320 -7397 285923 285923 47588 1325 20938 26650 26650 18319 625 17694 17694 42673071 41640688 0 799683 X 1000 1000 1586284 950237 636047 18068199 14617648 3450551 280262 244919 35343 2032899 1402660 630239 1330459 918017 412442 41904 41904 109759 941 108818 6918 6918 9978341 7670770 2307571 123818 48575 75243 853850 755149 98701 1145763 996078 149685 55728 22657 33071 226006 210915 15091 1870071 1460795 409276 497951 296935 201016 Supplies 3688286 3570122 118164 Medicaid Enhancement Ta 1358341 1358341 Education and Recruitme 311316 275725 35591 Miscellaneous Expenses 250113 74424 175689 43817268 34875908 8941360 0 X 300 300 6486310 2886565 4646817 7273963 618659 727023 237795 420055 34396885 23125711 12051832 11271174 12086398 13279808 205547 243593 606622 1226867 370795 498753 37311075 37828101 3385977 4905096 2710 2710 4616519 4416101 2347739 2239805 9130923 8275391 19483868 19839103 X 16334999 16283220 1492208 1705778 17827207 17988998 37311075 37828101 X -1144197 1267942 38046 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9359 9359 0 Part II-B, Line 1: Cottage Hospital is a member of the New Hampshire Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of Cottage Hospital and other member organizations in furtherance of their exempt purposes. Cottage Hospital does not directly perform any lobbying activities. 1074320 172258 31484 1215094 1023418 77628 26726 1074320 1140349 -92523 24408 1023418 1108109 62995 30755 1140349 1219178 -71520 39549 1108109 0.00000 0.97653 0.02347 1 0 531787 531787 18686859 11862162 6824697 13161626 10485481 2676145 2016613 778068 1238545 11271174 Deferred Compensation 484153 Due to Third-Party Payors 6570270 Lease Liabilities 1220968 8275391 43993704 1267942 59609 1327551 42666153 6918 6918 42673071 43831913 21563 21563 43810350 6918 6918 43817268 Part V, Line 4: The intended use of the Hospital's endowment fund is to support the hospital in its efforts to provide quality healthcare to residents of the communities it serves and others who may use the hospital. Part XI, Line 2d - Other Adjustments: Change in Funds Held in Trust by Others 38,046. Gaming Expenses 625. Fundraising Expenses 20,938. Part XII, Line 2d - Other Adjustments: Gaming Expenses 625. Fundraising Expenses 20,938. Gala 36360 1325 35035 11337 3171 2834 5k 12553 12553 3596 48913 1325 47588 11337 3171 6430 20938 26650 18319 625 0 18319 625 625 17694 NH 1 0 1 0 0.00000 1.00000 Ann Duffy CFO 90 Swiftwater Road Woodsville NH 03785 1 18319 625 Lebanon Poker Room and Casino LLC 45 Hanover St Lebanon NH 03766 0 Schedule G, Part III, Line 15a: The Organization had an agreement whereby the Revo Casino and Social House in Lebanon, NH would provide Cottage Hospital a percentage of revenues from Revo Casino and Social House games of chance proceeds. Cottage Hospital never paid Revo Casino and Social House directly and was not directly involved in administrating any of the games of chance. Cottage Hospital was charged $625 in rent for the fourteen (14) day event which was taken directly out of the proceeds earned by Revo Casino and Social House which then donated the remaining $17,694 of proceeds to Cottage Hospital. 1 1 1 X 1 X 1 1 1 0 1 1 398818 299907 98911 0.00230 398818 299907 98911 0.00230 905239 905239 0.02070 483850 483850 0.01100 1000 1000 0.00000 1390089 1390089 0.03170 1788907 299907 1489000 0.03400 26148 26148 0.00060 213298 213298 0.00490 1000 1000 0.00000 90253 90253 0.00210 330699 330699 0.00760 0 14079751 14467057 -387306 X 1 1 1 1 Cottage Hospital 90 Swiftwater Road Woodsville NH 03785 www.cottagehospital.org 01770 X X X X Cottage Hospital 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X cottagehospital.org/community-benefits X 1 22 1 cottagehospital.org/community-benefits 0 1 X 200.000000000000 300.000000000000 X X X X X X 1 1 X X X X 1 X www.cottagehospital.org/financial-assistance X www.cottagehospital.org/financial-assistance X www.cottagehospital.org/financial-assistance X X X X X 1 X 0 X X X X 1 X 0 0 Cottage Hospital Part V, Section B, Line 5: Key leaders and focus groups within the community. For example, politicians, business health partners, staff and administration. Cottage Hospital Part V, Section B, Line 6a: The Northern New Hampshire Region Facilities ("NNHR or the "Facilities") performed a Community Health Needs Assessment (CHNA) in partnership with QHR Health ("QHR") to determine the health needs of the local community and developed an accompanying implementation plan to address the identified health needs of the community.The Northern New Hampshire Region Facilities include:- Littleton Regional Healthcare, Littleton, NH ("LRH")- Cottage Hospital, Haverhill, NH ("CH")- Mid State Health Center ("MSHC")- Ammonoosuc Community Health Services, Littleton, NH ("ACHS") Cottage Hospital Part V, Section B, Line 6b: Please see narrative response to line 6a above. Cottage Hospital Part V, Section B, Line 11: The Hospital's most recent CHNA showed the following areas as the greatest need, a description of what we have done to address the need is included:1) Increasing access to transportation to medical appointments and other health services - Cottage has some influence with three transportation services being available in the Area, Stagecoach, HMSC Bus, and RCT (VT).2) Increasing awareness around Hospital services and programs - Cottage utilizes social media, newspaper advertising and community outreach initiatives to communicate the services that Cottage offers to the community.3) Increasing access to drug and other substance abuse treatment services Cottage providers identify patients with substance abuse issues and refer a facility with appropriate resources.4) Increasing access to counseling services for mental health for children5) Increasing awareness of emergency care and trauma services - Cottage utilizes social media and community outreach initiatives to communicate the emergency and trauma care services provided.6) Increasing access to dentistry services7) Increasing access to counseling services for mental health for adults.8) Cottage offers outpatient treatment as well as short-term inpatient services for older adults struggling with behavioral issues via an IP geriatric psych unit.9) Enhancing drug and other substance abuse education and prevention10) Cottage works with a local substance misuse prevention program referring patients as appropriate.11) Improving access to financial assistance for healthcare services and prescription drugs - Cottage provides a financial counselor and patient care counselor to assist patients with understanding financial options available to them.12) Increasing access to specialty care for chronic conditions like diabetes and heart disease - Cottage provides services via a diabetic counselor, endocrinologist and offers a diabetic prevention program.13) Increasing access to primary care services - Cottage offers primary care services, and will utilize community outreach efforts to assist patients in a continuum of care.14) Increasing access to long-term care or dementia care for seniors - Cottage offers a short stay geriatric psych unit for patients that need short-term assistance. Those that require long-term care will be referred to an external long-term care facility.15) Increasing access to care coordination or support services to help people better manage their own health via patient outreach initiatives. Cottage Hospital Part V, Section B, Line 13b: Catastrophic relief guidelines: The Hospital recognizes that on occasion a patient may experience a serious illness or injury. A catastrophic relief program is available to patients that may need substantial financial assistance for an extended episode of care. The policy provides relief to uninsured (or grossly uninsured) individuals whose financial responsibility to the Hospital exceeds $30,000 for any single episode of care. Patients whose family income exceeds 300% of the FPL and whose financial responsibility to the hospital exceeds $30,000 for any single episode of care may be eligible for this program on a case-by-case basis. 1 1 - Rowe Health Center 103 Swiftwater Road Woodsville NH 03785 Rural Health Clinic Part I, Line 7: Part 1, Lines 7a-c: The Hospital uses a cost-to-charge ratio. The cost-to-charge ratio was derived from the Form 990, Schedule H, Worksheet 2, ratio of patient care cost-to-charges.Part 1, Lines 7e & f: The Hospital's costs are determined based on an evaluation of a labor plus estimated overhead absorption rate applied on an hourly basis.Part 1, Lines 7g & 7i: Represent actual costs derived from the Hospital's accounting system. Part II, Community Building Activities: Our community building activities are determined and aligned through our Community Health Needs Assessment. This assessment is evaluated every three years. Key leaders of the community, as well as peers within different demographic segments, are interviewed by a third party. Programs typically target preventative care, areas of health not being met within our community, and education in specialty medicine available within our service market. We strategically collaborate with other organizations to build a stronger message. Part III, Line 2: Part III, line 2-3: The Hospital uses a cost-to-charge ratio. The cost-to-charge ratio was derived from the Form 990 Schedule H worksheet 2, ratio of patient care cost-to-charges. The CCR was then applied to bad debt expense at charge value in order to arrive at the estimated expense reported. Part III, Line 4: Please refer to pages 8-12 and pages 15-16 of the attached audited financial statements. Part III, Line 8: As Cottage Hospital operates at a loss from Medicare, the shortfall could be treated as community benefit as there are no other funds available to subsidize the loss. Medicare allowable costs have been determined using a cost-to-charge ratio determined in accordance with worksheet 2, ratio of patient care cost-to-charges, of the Form 990 Schedule H instructions. Part III, Line 9b: If the patient has been on charity care in the past but it has now expired, the patient would have to re-apply. Part VI, Line 2: The Affordable Care Act of 2010 requires not-for-profit hospital to conduct a CHNA every three years. In addition, the state of New Hampshire requires one to be done every five years. Key healthcare and public service stakeholders representing a breadth of community perspectives participated in the research as key leaders and sources of information. The stakeholder research was supplemented by an in-depth review of demographic and epidemiological data in order to identify underlying health trends in the service area. The assessment included listing the prioritized community needs, the definition of the community served, a description of the methodology to identify needs in the community, a description of the approach used to prioritize community needs and a list of healthcare resources. The information gathered was then used as part of the Hospital's strategic planning process. The CHNA is available on the Hospital's website. Part VI, Line 3: If at the time of registration or admission, a patient indicates that he or she has no other medical payer available, i.e., no insurance, Medicaid, or Medicare, the Hospital asks if the patient would like an application for Medicaid and/or for the Hospital's charity care program. The Hospital then documents on the patient's account whether or not the patient took either of the applications, or if the applications were turned down. If the patient is admitted and unable to respond to the question of payers available at the time of admission, case management notifies the patient financial counselor. After checking with nursing to see if the patient is alert and able to discuss the payer issue, the patient financial counselor will visit the patient's bedside. Part VI, Line 4: The Hospital's geographic area includes its primary market: New Hampshire - Bath, Benton, Haverhill, Woodsville, Lisbon, Monroe, Piermont, and in Vermont - Barnet, Bradford, Corinth, Groton, Newbury, Ryegate and Wells River. The secondary market includes, but is not limited to: in New Hampshire - Landaff, Littleton, Orford, Rumney, Warren and Wentworth and in Vermont - Fairlee, Groton, McIndoe Falls, Peacham, Thetford, and Topsham. Demographically, the hospital services the general population. Part VI, Line 7, Reports Filed With States NH X X X X X 0 0 0 0 0 0 0 1 0 Christopher Findley Chief of ED 501310 0 8610 0 0 0 9900 0 39583 0 559403 0 0 0 Peter B Schroer Physician RHC 331609 0 0 0 29900 0 0 0 33837 0 395346 0 0 0 Christopher Danielson Physician RHC 335334 0 0 0 0 0 9924 0 33837 0 379095 0 0 0 Suneer Chander ED Physician 276970 0 4858 0 0 0 8654 0 33287 0 323769 0 0 0 Delphine Sullivan CMO 278566 0 0 0 0 0 6026 0 689 0 285281 0 0 0 Christopher Scianna Past ED Physician 282520 0 195 0 0 0 0 0 0 0 282715 0 0 0 Holly McCormack CEO 228957 0 0 0 0 0 9043 0 41137 0 279137 0 0 0 James Wilton Med Staff Secretary 213767 0 0 0 0 0 6116 0 30000 0 249883 0 0 0 E Colin McDougal Med Staff President 239146 0 0 0 0 0 7185 0 2236 0 248567 0 0 0 Ann Duffy CFO 185191 0 0 0 0 0 9043 0 26416 0 220650 0 0 0 Lili Cargill Past Medical Staff President 166506 0 0 0 0 0 0 0 0 0 166506 0 0 0 Part I, Line 7 Certain employees receive bonuses based on performance, productivity and merit. A Business Finance Authority of the State of NH NoneAvail 2011-05-31 7745000 Refinance Mortgage and Terminate Hedge 0 0 0 A 3328899 7745000 156490 7588510 2011 0 0 1 1 A 0 0 0 0 0 0 0 A 0 0 1 0 1 0 0 0 0 A 0 Form 990, Part III, line 2 A Urology service line was added in April 2024. Form 990, Part VI, Section B, line 11b Cottage Hospital gathers the information, and our CPA firm completes the Form 990. The Form 990 is then reviewed by the CFO and Controller, before it is sent to the Board of Directors for their review. Once all of this has been completed, the CFO signs the Form 990, and it is sent to the IRS. Form 990, Part VI, Section B, line 12c The members of the Board of Trustees are required to file an annual Conflict of Interest Statement. Form 990, Part VI, Section B, line 15 The following were used to determine compensation of the CEO: comparison data and a compensation survey. The CEO's compensation is approved by the Executive Committee and the Board of Trustees. The compensation of officers and key employees, other than the CEO, is set by management using available industry data and benchmarks. Compensation of these employees is indirectly approved when the Board approves the annual operating budget. Form 990, Part VI, Section C, line 18 The Organization makes its Form 1023 and Form 990 available upon request and through a third party website. Form 990, Part VI, Section C, line 19 By using the Annual Report and website. Form 990, Part IX, line 11g Consulting Fees: Program service expenses 13,525. Management and general expenses 200,918. Fundraising expenses 0. Total expenses 214,443. Collection Fees: Program service expenses 0. Management and general expenses 83,779. Fundraising expenses 0. Total expenses 83,779. Contract Labor: Program service expenses 4,553,937. Management and general expenses 222,900. Fundraising expenses 0. Total expenses 4,776,837. Service Contracts: Program service expenses 0. Management and general expenses 987,671. Fundraising expenses 0. Total expenses 987,671. Professional Fees: Program service expenses 1,917,067. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,917,067. Purchased Services: Program service expenses 1,186,241. Management and general expenses 812,303. Fundraising expenses 0. Total expenses 1,998,544. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Cottage Hospital 90 Swiftwater Road Woodsville, NH 03785 EIN: 02-0223321 Cottage Hospital is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XI, line 9: Change in Funds Held in Trust by Others 38,046.