2020-07-13T18:03:50-05:00 2019-06-30 350921680 CROWE LLP 175 Powder Forest Drive Simsbury CT 060897902 990 2018-07-01 020222171 New London Hospital Association Inc NEWL 6035262911 273 County Road New London NH 03257 Lisa Cohen Chief Financial Officer 2020-07-13 true Kristin Anderson P01231300 8606789200 2018 2020-09-22 18:59:49Z Martin Thomas Manion 273 County Road New London NH 03257 71741549 false X www.newlondonhospital.org X 1918 NH Providing safe quality care for every patient, every time in partnership with patients, family, and healthcare providers resulting in a healthier community. 18 9 632 103 6356 -877 684540 878017 58901744 64072097 874316 640082 5019730 546130 65480330 66136326 0 0 0 0 37612028 35982798 0 0 147617 27802004 28062535 65414032 64045333 66298 2090993 87292728 88540634 49755869 48403216 37536859 40137418 New London Hospital is a 25-bed rural community, critical access hospital dedicated to serving the Lake Sunapee region of New Hampshire. false false 56616995 64294712 NEW LONDON HOSPITAL ASSOCIATION, INC. (NLHA) IS THE PRINCIPAL PROVIDER OF PRIMARY AND SECONDARY HEALTH CARE FOR 15 TOWNS IN SULLIVAN AND MERRIMACK COUNTIES IN NEW HAMPSHIRE. THE HOSPITAL PROVIDES ACUTE AND PRIMARY HEALTH CARE - FROM EMERGENCY SERVICES TO FAMILY MEDICAL PRACTICE TO SURGICAL CARE AND ESSENTIAL WELLNESS AND PREVENTION SERVICES FOR THE 32,912 RESIDENTS IN ITS SERVICE AREA, A SIGNIFICANT PORTION OF WHOM ARE UNINSURED, UNDER-INSURED, AND/OR DEPENDENT ON MEDICAID/MEDICARE BENEFITS. THIS INCLUDES A LARGELY ELDERLY POPULATION AND A SIGNIFICANT NUMBER OF RURAL, LOW-INCOME FAMILIES. NLHA EMPLOYED 65 PROVIDERS IN 2019, OF WHICH 16 WERE PRIMARY CARE, 3 WERE PEDIATRICS, AND 46 WERE SPECIALTY PROVIDERS COVERING GENERAL SURGERY, ANESTHESIOLOGY, ORTHOPEDICS, CARDIOLOGY, NEUROLOGY, EMERGENCY MEDICINE, HOSPITALISTS, GYNECOLOGY, AND RHEUMATOLOGY. 56616995 true true false true false false false false true true true false false true false false true false false false false false false true false true true false false true false false false false false false false false true false false false false true true true false false true 124 0 true 632 true true true false false false false true true true false false false false false X 18 9 false false false false true true true true true false false true true true true true true false true false NH X Lisa Cohen 6035262911 273 county road New london NH 03257 BRUCE KING PRES/CEO/TRUSTEE EX-OFFICIO 40.0 0 X X 584 359492 55770 DOUGLAS LYON TRUSTEE/CHAIR 8.0 0 X X 0 0 0 Susan A Reeves EDDRN TRUSTEE/VICE CHAIR 8.0 46.0 X X 0 460665 56959 KAREN EBEL TRUSTEE/SECRETARY 8.0 0 X X 0 0 0 STANLEY CUNDEY Treasurer Starting 1/19 2.0 0 X X 0 0 0 ANDREW TORKELSON MD Trustee, PRES-ELECT MEDICAL STAFF 40.0 0 X X 328640 0 5268 STEPHEN KANTOR MD TRUSTEE/MEDICAL DIRECTOR 40.0 0 X 427679 0 34028 Steve Allenby Trustee 2.0 0 X 0 0 0 Craig W Beck Trustee 2.0 40.0 X 0 239906 23691 John Hollinger Trustee 2.0 0 X 0 0 0 John Kirk Trustee 2.0 0 X 46188 0 0 Stephen Leblanc TRUSTEE 2.0 46.0 X 0 678320 60874 CAROL MAJEWSKI RN TRUSTEE 2.0 40.0 X 0 193547 34369 Mary Oseid MHCDS Trustee 2.0 40.0 X 0 276886 60259 MARK PITKIN TRUSTEE 2.0 0 X 0 0 0 Jane Rastallis Trustee 2.0 0 X 0 0 0 ROBERT REX TRUSTEE 2.0 0 X 0 0 0 PATRICIA STEVENSON TRUSTEE 2.0 0 X 0 0 0 SALLY PATTON CHIEF NURSING OFFICER 40.0 0 X 120517 0 21441 DAVID FOSS CHIEF INFORMATION OFFICER 40.0 0 X 125456 0 28736 Greg Curtis Chief Medical Officer 40.0 0 X 143969 0 2896 LISA COHEN CHIEF FINANCIAL OFFICER 40.0 0 X 143114 0 20224 TIMOTHY GARDNER MD PHYSICIAN 40.0 0 X 290079 0 4215 STEPHEN BISSAH MD PHYSICIAN 40.0 0 X 346508 0 30474 DAVID CORBIN MD PHYSICIAN 40.0 0 X 447447 0 41057 CHRISTOPHER MAZUR MD Physician 40.0 0 X 274821 0 41624 MICHAEL MADAN MD Physician 40.0 0 X 266456 0 22404 JAMES MURPHY MD Fmr CO-CHIEF MEDICAL OFFICER 40.0 0 X 235256 0 335 STEPHEN POWELL MD FORMER CHIEF MEDICAL OFFICER 40.0 0 X 333000 0 29456 3529714 2208816 574080 52 false true false MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DR LEBANON NH 03756 PHYSICIAN STAFFING 2542241 AMERICAN HEALTHCARE STAFFING ASSN INC PO BOX 945 TRAVERSE CITY MI 49685 HEALTHCARE STAFFING 1177176 DARTMOUTH HITCHCOCK CLINIC ONE MEDICAL CENTER DR LEBANON NH 03756 PHYSICIAN STAFFING 1089532 ALLSCRIPTS HEALTHCARE SOLUTIONS INC 222 Merchandise Mart Plaza Suite 2024 Chicago IL 60654 Healthcare Services 616147 NEW ENGLAND ALLIANCE FOR HEALTH ONE MEDICAL CENTER DRIVE LEBANON NH 03756 PURCHASING SERVICES 613682 59 0 0 88676 0 8648 780693 31320 878017 Net patient service revenue 621111 62544549 62544549 Ambulance services 621910 444806 444806 Other program service revenue 621111 1082742 1082742 0 0 0 0 64072097 247383 6356 241027 0 0 5926447 5533748 392699 0 392699 392699 44520 88676 71475 -26955 -26955 Child Care Center 624410 350470 350470 Other Revenue 621111 222615 222615 0 0 0 0 573085 66136326 64294712 6356 957241 X 1215179 90145 1125034 0 29624952 29495869 0 129083 3114474 1337788 1776686 2028193 1813170 206603 8420 228176 228176 130081 130081 6986981 5781120 1205861 0 117876 117876 125429 94023 24501 6905 2922482 2669008 250551 2923 26054 26054 1109102 1109102 3925497 3925497 852531 151997 700534 MEDICAID ENHANCEMENT & OTHER TAXES 2539324 2539324 Medical Supplies & Pharmaceutical 6298099 6298099 Dues & Licenses 1990951 0 1990951 809952 809666 0 286 64045333 56616995 7280721 147617 9418768 10758886 42448 46568 4570 24404 10138512 12165243 0 0 0 0 868144 916252 2543576 1420990 86544161 44597768 42437844 41946393 15759904 0 15056917 0 2372806 2363751 3706156 3841230 87292728 88540634 9338742 6603583 0 0 0 0 0 0 0 0 0 0 1016856 1530667 0 0 39400271 40268966 49755869 48403216 X 32896956 35518230 492586 484032 4147317 4135156 37536859 40137418 87292728 88540634 X 2090993 194368 0 0 0 315198 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 10792 10792 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE PERCENTAGE OF NEW HAMPSHIRE HOSPITAL ASSOCIATION DUES EXPENDED FOR LOBBYING PURPOSES WAS 18.7%, AND THE PERCENTAGE OF AMERICAN HOSPITAL ASSOCIATION DUES WAS 22.73%. 2809705 2809705 2809705 2809705 2809705 2809705 2809705 2809705 2809705 2809705 0.0 1.0 0.0 true false 1300521 1300521 52525337 20249095 32276242 30282906 22733959 7548947 2435397 1614714 820683 41946393 INVESTMENT IN MIP 15056917 F 15056917 Capital Lease Obligations 591313 Other Liabilities 0 Deferred Compensation 1585381 Due to D-HH 27240931 Estimated Third-Party Payor Settlement 10851341 40268966 Schedule D, Part V, Line 4 Intended uses of endowment funds The income from the endowment funds is used to assist in the payment of the hospital's program-related expenses. Gala 49565 26765 22800 0 0 7715 16154 1000 4631 Golf Tournament 47720 26000 21720 0 1400 17343 2096 0 1202 1 35911 35911 0 0 0 5232 0 150 14552 133196 88676 44520 0 1400 30290 18250 1150 20385 71475 -26955 true true X true X true X true true true false true true 0 0 850606 0 850606 0.0133 0 0 6232927 5277634 955293 0.0149 0 0 0 0 0 0.0 0 0 7083533 5277634 1805899 0.0282 0 0 226857 0 226857 0.0035 0 0 155953 0 155953 0.0024 0 0 3006743 0 3006743 0.0469 0 0 0 0 0 0.0 0 0 30380 0 30380 0.0005 0 0 3419933 0 3419933 0.0534 0 0 10503466 5277634 5225832 0.0816 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 57153 0 57153 0.0009 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 0 0 0 0.0 0 0 21323 0 21323 0.0003 0 0 517 0 517 0.0000 0 0 0 0 0 0.0 0 0 78993 0 78993 0.0012 false 1502318 25320434 26897911 -1577477 X true true 1 1 New London Hospital 273 County Road New London NH 03257 www.newlondonhospital.org 02407 X X New London Hospital 1 false false true X X X X X X X X X 18 true true true true X https://www.newlondonhospital.org/about/annual-community-reports/ X X true 19 true https://www.newlondonhospital.org/ false true X 200.0 400.0 X X X X X true true X X X X true X https://www.newlondonhospital.org/services/billing-charges/ X https://www.newlondonhospital.org/services/billing-charges/ X https://www.newlondonhospital.org/services/billing-charges/ X X X X X X true X false X X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. During the period January through June 2018, a Community Health Needs Assessment of the New London Hospital service area was completed by New London Hospital in partnership with Dartmouth-Hitchcock, Alice Peck Day Memorial Hospital, Valley Regional Healthcare, Mt. Ascutney Hospital and Health Center, Visiting Nurse and Hospice for VT and NH, and the New Hampshire Community Health Institute. The purpose of the assessment was to identify community health concerns, priorities and opportunities for community health and health care delivery systems improvement. For the purpose of the assessment, the geographic area of interest was 15 municipalities comprising the New London Hospital service area with a total resident population of 32,912 people. Methods employed in the assessment included surveys of community residents made available on-line and paper surveys placed in numerous locations throughout the region; a direct email survey of key stakeholders and community leaders representing multiple community sectors; a set of community discussion groups; compilation of results from assessment activities focused specifically on behavioral health needs and gaps; and a review of available population demographics and health status indicators. All information collection activities and analyses sought to focus assessment activities on vulnerable and disproportionately served populations in the region including populations that could experience limited access to health-related services or resources due to income, age, disability, and social or physical isolation. The 2018 Community Health Needs Assessment Survey conducted by New London Hospital yielded 717 individual responses of which 80% were residents of towns within the primary service area or approximately 2% of the total adult population. In addition to the survey of community residents, the 2018 Community Health Needs Assessment included a similar survey sent by direct email to key stakeholders and community leaders from around the region. This activity occurred in conjunction with all the Community Health Needs Assessment partners with the survey going to 265 individuals across the greater Upper Valley region of NH and VT including the New London region. A total of 153 completed responses were received (58%), of which 35 respondents indicated serving or being most familiar with the New London region. A set of four discussion groups were convened in the spring of 2018 as part of the effort by New London Hospital to understand the health-related needs of the community and to plan programs and services that address those needs. These discussion groups reached out to organizations serving populations affected by poverty, lack of insurance, homelessness, and behavioral health issues. The purpose of the discussion groups was to get input on health issues that matter to the community and thoughts and perceptions about the health of the community. These discussion groups which were convened representing a variety of important community sectors and perspectives included New London Hospital Volunteers, Kearsarge Interfaith Leadership Council, Newport Food Pantry, and Newport parents and school personnel. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. NEW LONDON HOSPITAL ASSOCIATION CONDUCTED THEIR COMMUNITY HEALTH NEEDS ASSESSMENT IN COLLABORATION WITH DARTMOUTH-HITCHCOCK, VALLEY REGIONAL HEALTH CARE, ALICE PECK DAY MEMORIAL HOSPITAL, MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, VISITING NURSE AND HOSPICE FOR VT AND NH, AND THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. DURING DECEMBER 2018, IN ADDITION TO WORKING WITH THE ENTITIES LISTED ON LINE 6A, NLH WORKED CLOSELY WITH THE MEMBER ORGANIZATIONS OF THE GREATER SULLIVAN COUNTY PUBLIC HEALTH COUNCIL FOR THE LAKE SUNAPEE REGION TO DISSEMINATE SURVEYS, SERVE AS KEY INFORMANTS, AND TO PROVIDE OVERALL REVIEW AND FEEDBACK RE: FINDINGS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT. Schedule H, Part V, Section B, Line 7 Facility , 1 Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. THE NEEDS ASSESSMENT WAS DISTRIBUTED TO NON-PROFIT ORGANIZATIONS THROUGHOUT THE REGION INCLUDING THE GREATER SULLIVAN COUNTY PUBLIC HEALTH COUNCIL. IT IS ALSO AVAILABLE FROM THE ORGANIZATION UPON REQUEST. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. THE NEW LONDON HOSPITAL ASSOCIATION IS INCREASING BOTH COMMUNITY BENEFITS SPENDING AND PARTNERSHIPS TO ADDRESS IDENTIFIED COMMUNITY NEEDS BASED ON THE MOST RECENT CHNA. THESE ARE IN THE AREAS OF ACCESS TO AFFORDABLE HEALTH INSURANCE, HEALTH CARE SERVICES, PRESCRIPTION DRUGS, AND MENTAL HEALTH SERVICES, AVAILABILITY OF PRIMARY CARE SERVICES, INVESTMENTS IN BEHAVIORAL HEALTH AND SUBSTANCE USE NEEDS, STRENGTHENING FAMILIES AND CHILDREN, CANCER CARE AND TREATMENT, AVAILABILITY OF PRIMARY CARE AND SENIOR CITIZEN SERVICES, AND COMMUNITY PARTNER COLLABORATIONS. IN FY 2019, THE HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT STRATEGIES WERE CONSISTENT WITH THE INTENTIONS IDENTIFIED IN THE FY2018 COMMUNITY HEALTH IMPROVEMENT PLANS. AREAS WERE ANALYZED AND THE HOSPITAL RESPONDED BY INCREASING INVESTMENTS, MAINTAINING SIMILAR LEVELS OF INVESTMENTS FOR SERVICES AND INITIATIVES, OR LIMITING INVESTMENT IN AREAS WHERE OTHER COMMUNITY ORGANIZATIONS ALREADY PROVIDE LEADERSHIP AND SERVICES TO ADDRESS THE NEED, AND/OR WHERE THE IDENTIFIED NEED IS SIGNIFICANTLY OUTSIDE THE MISSION/SERVICES/SCOPE. COLLABORATION WITH COMMUNITY GROUPS HAS ALLOWED SERVICES TO EXPAND INTO NEW AREAS AND BRING FORTH ADDITIONAL RESOURCES TO THE COMMUNITY AND REMOVE BARRIERS TO HEALTHCARE. IN ADDITION, THE ASSOCIATION'S AFFILIATION WITH DARTHMOUTH-HITHCOCK HAS ALSO PROVIDED SUPPORT FOR THE IDENTIFIED COMMUNITY BASED NEEDS. THE NEW LONDON HOSPITAL ASSOCIATION'S COMMUNITY HEALTH IMPROVEMENT PLAN IS A 3-YEAR DOCUMENT IDENTIFYING ANTICIPATED INVESTMENTS AND ACTIVITIES THAT IT WILL TAKE TO ADDRESS NEEDS IDENTIFIED IN THE MOST RECENT CENTRAL NEW HAMPSHIRE'S COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). Schedule H, Part V, Section B, Line 20 Facility , 1 Facility , 1 - NEW LONDON HOSPITAL ASSOCIATION. MAILINGS AND PHONE CALLS ARE USED AS ADDITIONAL FOLLOW UP MEASURES TO ENSURE THAT PATIENTS ARE AWARE OF THE VARIOUS TYPES OFF DISCOUNTS AND FINANCIAL ASSISTANCE THAT THE ORGANIZATION OFFERS. ASSISTANCE IS OFFERED TO ANYONE IN NEED TO COMPLETE THE NECESSARY PAPERWORK FOR FINANCIAL ASSISTANCE. 1 Newport Health Center 11 John Stark Hwy Newport NH 03773 Rural health clinic Schedule H, Part V, Section B, Line 9 PART V, LINE 9 NEW LONDON HOSPITAL CONDUCTED A NEW CHNA WHICH WAS COMPLETED IN FY18 AND APPROVED BY THE BOARD IN JUNE OF 2018. THE COMMUNITY HEALTH IMPLEMENTATION PLAN/STRATEGY ("CHIP") WAS APPROVED BY THE BOARD ON OCTOBER 25, 2018. Schedule H, Part V, Section B, Line 13 PART V, Line 13G IN ORDER TO RECEIVE FINANCIAL ASSISTANCE, AN INDIVIDUAL MUST BE A RESIDENT IN ONE OF 15 COMMUNITIES IN NH OR THEIR PRIMARY CARE PHYSICIAN MUST BE ON-STAFF AT NEW LONDON HOSPITAL Schedule H, Part V, Section B, Line 16 PART V, Line 16 I THE ORGANIZATION REVIEWED THE SERVICE AREA AND DETERMINED NO TRANSLATIONS WERE NECESSARY FOR THE POPULATION SERVED. Schedule H, Part I, Line 7g Subsidized Health Services THE NEW LONDON HOSPITAL ASSOCIATION IS DEDICATED TO SERVING AND SUPPORTING THE COMMUNITY IT SERVES BY ENSURING ACCESS TO PROGRAMS THAT COULD NOT BE PROVIDED WITHOUT THE ORGANIZATION SUBSIDIZING THEIR SERVICES. IN FY 2019, THE HOSPITAL SUBSIDIZED HEALTH CARE SERVICES TO THE COMMUNITY IN EXCESS OF $3 MILLION. THIS INCLUDED SUPPORT FOR PRIMARY CARE SERVICES, AMBULANCE, MOBILE INTEGRATED HEALTH, COMMUNITY WELLNESS PROGRAMS AND GRANTS, MENTAL HEALTH SERVICES, AND THE MEDICATION BRIDGE PROGRAM. WITH A FOCUS ON WELLNESS, PRIMARY CARE IS THE UTMOST IMPORTANCE TO OUR PATIENTS AND THEIR FAMILIES. THE HOSPITAL HAS LOCATIONS FOR PRIMARY CARE IN NEW LONDON AND NEWPORT, NEW HAMPSHIRE, TO EXPAND ACCESS TO THE COMMUNITIES WE SERVE. NEW LONDON HOSPITAL HAS AN AMBULANCE SERVICE THAT SERVED 7 OF OUR LOCAL COMMUNITIES IN FY 2019. ADVANCED LIFE SUPPORT IS PROVIDED BY PARAMEDICS IN CONJUNCTION WITH EMERGENCY SERVICES TO PROVIDE CRITICAL CARE TO THE RESIDENTS OF OUR COMMUNITIES. A MOBILE INTEGRATED HEALTH UNIT HAS BEEN INTRODUCED TO OUR COMMUNITIES TO PROVIDE CARE TO OUR PATIENTS UPON LEAVING THE HOSPITAL TO ENSURE THAT THEY CAN UNDERSTAND THE ASPECTS OF THEIR CARE PLAN AND HAVE ACCESS TO THE NECESSARY RESOURCES FOR RECOVERY. NEW LONDON HOSPITAL HAS DEVELOPED WELLNESS PROGRAMS TO OFFER EDUCATION AND PROVIDE ASSISTANCE TO OUR COMMUNITY MEMBERS IN MAKING AND SUSTAINING HEALTHIER LIFESTYLE CHOICES. THE COST OF PRESCRIPTION DRUGS IS OFTEN BEYOND THE MEANS OF MANY OF THE RESIDENTS IN OUR COMMUNITIES. THE HOSPITAL SUPPORTS THE MEDICATION BRIDGE PROGRAM, WHICH WORKS WITH UNINSURED AND UNDERINSURED PATIENTS TO ASSIST THEM IN ACCESSING PRESCRIPTION MEDICATIONS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance The amounts were derived from the organization's cost accounting systems. Schedule H, Part II Community Building Activities THE HOSPITAL PARTICIPATES IN A WIDE VARIETY OF COMMUNITY BUILDING ACTIVITIES INCLUDING COMMUNITY SUPPORT AND COMMUNITY HEALTH IMPROVEMENT ADVOCACY. THE HOSPITAL SUPPORTS MANY LOCAL SERVICE AGENCIES THROUGH THE PARTICIPATION OF MEMBERS OF ITS MANAGEMENT TEAM ON LOCAL COMMITTEES AND BOARDS. THE HOSPITAL SUBSIDIZES THE COST OF OPERATIONS FOR THE ABC'S CHILDCARE CENTER, WHICH PROVIDES HIGH QUALITY CHILDCARE AT AFFORDABLE PRICES. THE CHILDCARE CENTER IS OPEN TO FULL AND PART-TIME EMPLOYEES OF THE ORGANIZATION AND TO THE COMMUNITY TO PROVIDE A NURTURING, SAFE AND STIMULATING ENVIRONMENT FOR THE CHILDREN OF THE COMMUNITY TO GROW AND LEARN. Schedule H, Part III, Line 3 Bad Debt Expense Methodology The hospital is unable to estimate accurately the amount of bad debt expense attributable to patients eligible for financial assistance. Although a portion of bad debt expense may be related to patients who would qualify for charity care, a reportable figure cannot be reasonably estimated. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote NLH IS INCLUDED IN THE DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. THE AMOUNT REPORTED ON SCHEDULE H REPRESENTS NLH'S PORTION ONLY. NLH PROVIDES CARE TO PATIENTS WHO MEET CERTAIN CRITERIA UNDER THEIR FINANCIAL ASSISTANCE POLICIES WITHOUT CHARGE OR AT AMOUNTS LESS THAN THEIR ESTABLISHED RATES. BECAUSE NLH DOES NOT ANTICIPATE COLLECTION OF AMOUNTS DETERMINED TO QUALIFY AS CHARITY CARE, THEY ARE NOT REPORTED AS REVENUE. NLH GRANTS CREDIT WITHOUT COLLATERAL TO PATIENTS. MOST ARE LOCAL RESIDENTS AND ARE INSURED UNDER THIRD-PARTY ARRANGEMENTS. ADDITIONS TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS ARE MADE BY MEANS OF THE PROVISION FOR BAD DEBT. ACCOUNTS WRITTEN OFF AS UNCOLLECTIBLE ARE DEDUCTED FROM THE ALLOWANCE AND SUBSEQUENT RECOVERIES ARE ADDED. THE AMOUNT OF THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN FEDERAL AND STATE GOVERNMENTAL HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The costing methodology was according to the Internal Revenue Service guidance. Shortfalls in Medicare were anticipated because of the organization's central role of serving the needs of the community. This shortfall is considered a community benefit expenditure. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance NEW LONDON HOSPITAL ASSOCIATION HAS A CREDIT AND COLLECTION POLICY THAT ADDRESSES THE PROCEDURES FOR PATIENTS WHO QUALIFY FOR REDUCED-COST CARE. THE POLICY PROHIBITS USING EXTRAORDINARY COLLECTION PRACTICES OR PLACING AMOUNTS WITH COLLECTION AGENCIES. IF A FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENT HAS A BALANCE FOR WHICH THEY ARE RESPONSIBLE, AFTER A FINANCIAL ASSISTANCE DISCOUNT IS APPLIED, THE STANDARD PRACTICES ARE FOLLOWED AS OUTLINED IN THE CREDIT AND COLLECTIONS POLICY. Schedule H, Part V, Section B, Line 16a FAP website - New London Hospital: Line 16a URL: https://www.newlondonhospital.org/services/billing-charges/; Schedule H, Part V, Section B, Line 16b FAP Application website - New London Hospital: Line 16b URL: https://www.newlondonhospital.org/services/billing-charges/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - New London Hospital: Line 16c URL: https://www.newlondonhospital.org/services/billing-charges/; Schedule H, Part VI, Line 2 Needs assessment IN ADDITION TO THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL USES REGULAR FEEDBACK FROM THE COMMUNITY, PROVIDED THROUGHOUT THE YEAR, TO ASSESS ITS HEALTH NEEDS. THE HEALTH STAFF PARTICIPATES IN OR LEADS MULTIPLE COMMUNITY COALITIONS AND PROJECTS COLLABORATING AND CONNECTING WITH A WIDE ARRAY OF COMMUNITY-BASED HEALTH, MUNICIPAL, SCHOOL, SERVICE ORGANIZATION, REGIONAL PLANNING AND STATE PUBLIC HEALTH STAKEHOLDERS. WE REGULARLY REVIEW EMERGING NH STATE HEALTH DATA; QUANTITATIVE AND QUALITATIVE DATA FROM LOCAL SOURCES (NEWSPAPERS, REGIONAL PLANNING OFFICES, COMMUNITY FORUMS), AND CONVERSATIONS WITH COMMUNITY PARTNERS TO IDENTIFY CONCERNS THAT ARE EMERGING, INTENSIFYING, OR ARE THE SOURCE OF LOCAL ATTENTION SINCE THE LAST CHNA WAS CONDUCTED. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance THE ORGANIZATION STRIVES TO EDUCATE PATIENTS ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IN A VARIETY OF FORUMS, AND ENCOURAGES PATIENTS TO APPLY FOR ASSISTANCE THEY MAY BE ELIGIBLE FOR. THE ORGANIZATION POSTS INFORMATION IN REGARDS TO FINANCIAL ASSISTANCE ON THE HOSPITAL'S WEBSITE, UPON ADMISSION, UPON REQUEST AND THROUGHOUT THE BILLING PROCESS. Schedule H, Part VI, Line 4 Community information THE NEW LONDON HOSPITAL ASSOCIATION IS THE PRINCIPAL PROVIDER OF PRIMARY AND SECONDARY HEALTHCARE FOR 15 TOWNS IN SULLIVAN AND MERRIMACK COUNTIES OF CENTRAL NEW HAMPSHIRE. THE TOWNS WITHIN THE SERVICE AREA INCLUDE: ANDOVER, BRADFORD, CROYDON, DANBURY, GOSHEN, GRANTHAM, LEMPSTER, NEW LONDON, NEWBURY, NEWPORT, SPRINGFIELD, SUNAPEE, SUTTON, WASHINGTON, AND WILMOT. THE SERVICE AREA HAS A POPULATION OF 32,912, ACCORDING TO THE UNITED STATES CENSUS BUREAU, WHICH APPROXIMATES ABOUT 2 5% OF NEW HAMPSHIRE'S POPULATION. MEDIAN HOUSEHOLD INCOME VARIES WIDELY, FROM $51K-$95K ANNUALLY; 22.9% OF THE POPULATION IS OVER THE AGE OF 65; 5.4% OF CHILDREN LIVE IN HOUSEHOLDS WHOSE MEDIAN HOUSEHOLD INCOME IS LESS THAN 100% OF FEDERAL POVERTY LEVEL, 22.1% OF CHILDREN LIVE IN HOUSEHOLDS WITH INCOME LESS THAN 200% OF FEDERAL POVERTY LEVEL; 0.4% OF THE REGION'S RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY; AND 8.1% LACKED HEALTH INSURANCE. THE REGION IS SERVED BY NEW LONDON HOSPITAL ASSOCIATION, GREATER SULLIVAN COUNTY PUBLIC HEALTH NETWORK AND VALLEY REGIONAL HOSPITAL. THERE PRESENTLY ARE NO MEDICALLY UNDERSERVED AREAS IN THE REGION. Schedule H, Part VI, Line 5 Promotion of community health THE NEW LONDON HOSPITAL ASSOCIATION PLAYS AN ACTIVE ROLE IN PROMOTING COMMUNITY HEALTH AND OFFERS EDUCATIONAL PROGRAMS INCLUDING CLASSES AND WORKSHOPS. NLH OFFERS A VARIETY OF HEALTH PROMOTION, EDUCATION PROGRAMS, AND DIRECT SERVICES FOR THE COMMUNITY SPANNING A BROAD SPECTRUM OF HEALTH AND WELLNESS TOPICS. THE ORGANIZATION PROVIDES HEALTH EDUCATION CLASSES INCLUDING SAFE SITTER, SMOKING CESSATION, HEALTHY LIFESTYLE, AND PROGRAMS TO SUPPORT NEW PARENTS. ADDITIONAL CLASSES INCLUDE CPR, EMS, AND HEALTH CARE PROVIDER EDUCATION TO ALLOW EMERGENCY MEDICAL TRAINING TO RESIDENTS OF OUR COMMUNITY. OTHER INITIATIVES INCLUDE HOSTING OR LEADING COMMUNITY PARTNERSHIPS TO ADDRESS SUBSTANCE MISUSE AND TREATMENT AND TO IMPROVE PUBLIC HEALTH. CASH CONTRIBUTIONS, CONTRACTED SERVICES, AND IN-KIND CONTRIBUTIONS OF STAFF TIME AND EXPERTISE ARE USED TO SUPPORT THESE STRATEGIES WHICH IMPROVE THE HEALTH OF THE COMMUNITY. THE FRIENDS OF NEW LONDON HOSPITAL ART COMMITTEE, CONSISTING OF A VOLUNTEER GROUP OF LOCAL ARTISTS AND COMMUNITY MEMBERS, EXHIBITS ART WITHIN THE HOSPITAL. THIS COMMUNITY PROGRAM DRAWS FROM THE EXTENSIVE ART COMMUNITY IN THE AREA, INVITING ARTISTS TO EXHIBIT AND SELL THEIR WORK OR SUBMIT THEIR WORKS FOR PERMANENT DISPLAY. ART CAN PLAY A POWERFUL ROLE IN BRINGING COMFORT AND RELIEF TO THOSE RECEIVING TREATMENT OR CARE IN A HOSPITAL SETTING. THIS COLLABORATION ENHANCES THE ENVIRONMENT FOR THE HOSPITAL, PATIENTS, FAMILIES, GUESTS AND STAFF AND HAS PROVEN TO BE A SUCCESSFUL PARTNERSHIP. The New London Hospital Association, Inc. extends professional staff privileges to qualified physicians, advanced practice registered nurses, and physician assistants. The New London Hospital Medical Staff is an open medical staff. OF THE 18 VOTING MEMBERS OF THE NEW LONDON HOSPITAL ASSOCIATION BOARD OF TRUSTEES AT FY19 END, 9 ARE NEITHER CONTRACTORS NOR EMPLOYEES OF THE HOSPITAL OR ITS AFFILIATES. The majority of New London Hospital Association's volunteer Board of Trustees, the governing body of the organization, represent a broad range of interests which exist in the communities it serves. In particular the trustees of the New London Hospital Association are representative of the consumer interests of the various neighborhoods and localities which are serviced by the hospital. Schedule H, Part VI, Line 6 Affiliated health care system NEW LONDON HOSPITAL ASSOCIATION IS AN AFFILIATE OF DARTMOUTH-HITCHCOCK HEALTH. THIS RELATIONSHIP ALLOWS THE STREAMLINING OF PATIENT CARE BETWEEN MEMBERS OF THE TWO HEALTHCARE SYSTEM AND STRENGTHENS THE CENTER AS A REGIONAL RESOURCE FOR THE KEARSARGE/LAKE SUNAPEE REGION IN CENTRAL NEW HAMPSHIRE. THE AFFILIATION ALLOWS MORE PATIENTS TO RECEIVE CARE CLOSER TO HOME, FREES UP BED CAPACITY FOR TERTIARY CARE PATIENTS AT DARTMOUTH-HITCHCOCK MEDICAL CENTER IN LEBANON, AND ALLOWS THE NEW LONDON HOSPITAL ASSOCIATION TO CONTINUE ITS ROLE IN PROVIDING PRIMARY CARE AND SPECIALIZED CLINICAL SERVICES IN A PATIENT AND FAMILY-FRIENDLY ENVIRONMENT. IT ENABLES NLH TO MORE EFFECTIVELY PURSUE A COMMON VISION WITH OTHER D-HH ENTITIES OF THE FUTURE OF HEALTH CARE THAT IS BASED ON CREATING A SUSTAINABLE HEALTH SYSTEM, FOCUSING ON POPULATION HEALTH, DELIVERING VALUE-BASED CARE, AND EMBRACING THE OPPORTUNITIES PROVIDED BY NEW PAYMENT MODELS. IN ADDITION TO THE NEW LONDON HOSPITAL ASSOCIATION AND DARTMOUTH-HITCHCOCK HEALTH, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH-HITCHCOCK CLINIC, CHESHIRE MEDICAL CENTER, WINDSOR HOSPITAL CORPORATION, ALICE PECK DAY MEMORIAL HOSPITAL, VISITING NURSE ASSOCIATION AND HOSPICE OF NEW HAMPSHIRE AND VERMONT, AND A NUMBER OF OTHER RELATED ORGANIZATIONS WHOSE PRIMARY MISSION IS HEALTH CARE IN THE REGION. THE NEW LONDON HOSPITAL ASSOCIATION AND OTHER MEMBERS OF THE AFFILIATED HEALTH CARE SYSTEM OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING, MANAGEMENT, AND THEY SHARE IDENTICAL MISSIONS. Schedule H, Part VI, Line 7 State filing of community benefit report NH X true true false false false false false false false false false BRUCE KING PRES/CEO/TRUSTEE EX-OFFICIO 584 309810 0 250 0 49432 0 26580 0 29190 584 415262 0 0 Susan A Reeves EDDRN TRUSTEE/VICE CHAIR 0 457787 0 250 0 2628 0 26580 0 30379 0 517624 0 0 ANDREW TORKELSON MD Trustee, PRES-ELECT MEDICAL STAFF 224041 0 91961 0 12638 0 0 0 5268 0 333908 0 0 0 STEPHEN KANTOR MD TRUSTEE/MEDICAL DIRECTOR 423587 0 3438 0 654 0 0 0 34028 0 461707 0 0 0 Craig W Beck Trustee 0 239656 0 250 0 0 0 17846 0 5845 0 263597 0 0 Stephen Leblanc TRUSTEE 0 640573 0 10250 0 27497 0 26580 0 34294 0 739194 0 0 CAROL MAJEWSKI RN TRUSTEE 0 192535 0 250 0 762 0 19422 0 14947 0 227916 0 0 Mary Oseid MHCDS Trustee 0 257606 0 250 0 19030 0 37819 0 22440 0 337145 0 0 JAMES MURPHY MD Fmr CO-CHIEF MEDICAL OFFICER 229672 0 250 0 5334 0 0 0 335 0 235591 0 0 0 STEPHEN POWELL MD FORMER CHIEF MEDICAL OFFICER 332387 0 250 0 363 0 0 0 29456 0 362456 0 0 0 DAVID FOSS CHIEF INFORMATION OFFICER 114722 0 250 0 10484 0 0 0 28736 0 154192 0 0 0 LISA COHEN CHIEF FINANCIAL OFFICER 134371 0 250 0 8493 0 0 0 20224 0 163338 0 0 0 TIMOTHY GARDNER MD PHYSICIAN 289320 0 250 0 509 0 0 0 4215 0 294294 0 0 0 STEPHEN BISSAH MD PHYSICIAN 345604 0 250 0 654 0 0 0 30474 0 376982 0 0 0 DAVID CORBIN MD PHYSICIAN 446194 0 250 0 1003 0 0 0 41057 0 488504 0 0 0 CHRISTOPHER MAZUR MD Physician 271799 0 250 0 2772 0 0 0 41624 0 316445 0 0 0 MICHAEL MADAN MD Physician 265240 0 250 0 966 0 0 0 22404 0 288860 0 0 0 Schedule J, Part I, Line 1a Health or social club dues or initiation fees MHMH HAS IN PLACE A MANAGEMENT SELF DEVELOPMENT PLAN (MSDP) DESIGNED TO PROMOTE PROFESSIONAL AND PERSONAL DEVELOPMENT. THE MSDP IS CAPPED AT 2% OF GROSS PAY AND MAY BE UTILIZED FOR EXPENSES SUCH AS PROFESSIONAL DUES, MEETINGS AND SEMINARS, TUITION REIMBURSEMENT, AND OTHER MISCELLANEOUS ITEMS THAT PROMOTE PROFESSIONAL KNOWLEDGE. THE MONIES MAY ALSO BE USED FOR UP TO A 50% REIMBURSEMENT OF THE COST OF A FITNESS/WELLNESS PROGRAM DESIGNED TO MAINTAIN THE HEALTH OF MANAGEMENT PERSONNEL. ALL EXPENSES ARE SUBMITTED FOR APPROVAL BEFORE REIMBURSEMENT. X 1 31320 Market value false true false Schedule M, Part I Explanations of reporting method for number of contributions Securities - Publicly traded - Number of Items Form 990, Part VI, Line 15a Process to establish compensation of top management official The President/CEO is paid by a related organization, therefore line 15a is marked No in accordance with instructions. HOWEVER, THE PRESIDENT'S/CEO'S COMPENSATION IS DETERMINED BY THE NEW LONDON HOSPITAL ASSOCIATION'S EXECUTIVE COMMITTEE AND MARY HITCHCOCK MEMORIAL HOSPITAL'S EXECUTIVE BOARD, THE EMPLOYER, AFTER CONSIDERING COMPENSATION FOR PRESIDENTS AND CEOS OF VARIOUS SIZED HOSPITALS IN THE REGION. COMPENSATION IS REVIEWED AND DOCUMENTED ANNUALLY WITH THE LAST REVIEW COMPLETED IN FY 2019. Form 990, Part VI, Line 1a Delegate broad authority to a committee The Executive Committee is composed of the Chairman, Chairman-elect, the President, the Vice-Chairman, the Secretary, the Treasurer, and the President of the Medical Staff. The Executive Committee has all powers and authority of the Board of Trustees between meetings of the Board of Trustees when time and circumstance require those powers to be exercised. Form 990, Part VI, Line 6 Classes of members or stockholders The organization's sole member IS DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE NON-PROFIT CORPORATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The sole member, DARTMOUTH-HITCHCOCK HEALTH, HAS THE POWER TO APPOINT 1/3 OF THE MEMBERS , and ratify the nomination of 2/3 of the members, of the organization's Board of Trustees. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following actions of the Corporation require the approval of the Member: (i) material governance, programmatic and financial decisions, including the elimination or addition of major health care services or programs and the purchase or sale of real property; (ii) to appoint one-third of the members of the NLHA Board of Trustees as set forth in Section 3(a)(i) of Article III hereof; (iii) to ratify the nomination of two-thirds of the members of the Board of Trustees as set forth in Section 3(a)(ii) of Artice III hereof; (iv) to remove any NLHA trustee not acting in the best interests of the D-H System as set forth in Section 6 of Article III hereof; (v) borrowings and dispositions of the Corporation's assets; (vi) establishment of key strategic relationships, including acquiring ownership or contractual participation in a network, system, affiliation, joint venture, alliance or similar arrangement with an organization that is not part of the D-H System or which in not addressed in an NLHA strategic plan that has been approved by the Member; (vii) adoption of operating and capital budgets and strategic plans; (viii) adoption of policies relating to academic and research programs and affiliations; (ix) to reallocate the assets and resources of NLHA and the Member, as appropriate, to serve the overall best interests of the D-H System as set forth in Article II hereof; (x) to appoint, evaluate, compensate and terminate the NLHA CEO as set forth in Section 4 of Article VI hereof (xi) amendments to the Corporation's Articles of Agreement or By-Laws if such amendment would have the effect of impacting the Member's reserved powers or may reasonably be expected to have a material strategic, competitive or financial impact on the D-H System as set forth in Article XII hereof; and (xii) dissolution or liquidation of the Corporation. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS REVIEWED BY EXTERNAL TAX ADVISORS, THE DIRECTOR OF CORPORATE FINANCE, AND THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL 990 IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO THE OFFICIAL FILING OF OF THE FORMS. Form 990, Part VI, Line 12c Conflict of interest policy EACH YEAR, A WRITTEN CONFLICT OF INTEREST SURVEY IS SENT TO EACH TRUSTEE AND OFFICER INQUIRING ABOUT SITUATIONS THAT COULD RESULT IN CONFLICTS OF INTEREST. THESE INDIVIDUALS ALSO HAVE A DUTY TO VOLUNTARILY DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO ASSUMING THEIR RESPONSIBILITIES OR AT THE TIME ANY POTENTIAL CONFLICT ARISES. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE ORGANIZATION REQUIRES THE INDIVIDUAL TO REMOVE THEMSELVES FROM ANY VOTING OR DECISION MAKING WITH RESPECT TO THE CONFLICT. OVERSIGHT OF THE POLICY IS THE RESPONSIBILITY OF THE AUDIT COMMITTEE. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE PRESIDENT OF THE MEDICAL STAFF'S AND ANY OTHER PAID OFFICERS' COMPENSATION IS DETERMINED BY THE NEW LONDON HOSPITAL ASSOCIATION'S (NLH) EXECUTIVE COMMITTEE. COMPENSATION LEVELS ARE REVIEWED PERIODICALLY BY NLH'S SENIOR DIRECTOR OF HUMAN RESOURCES AND THE CEO OF NLH. THESE REVIEWS INCLUDE COMPARISONS OF COMPENSATION LEVELS TO INDEPENDENT SALARY SURVEY DATA FOR COMPARABLE POSITIONS IN THE REGION, WITH THE LAST REVIEW CONDUCTED AND DOCUMENTED IN FY 2019. Form 990, Part VI, Line 19 Required documents available to the public THE NEW LONDON HOSPITAL MAKES GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST. Form 990, Part IX, Line 11g Other Fees Laboratory and Medical Services - Total Expense: 5781120, Program Service Expense: 5781120, Management and General Expenses: , Fundraising Expenses: ; Administrative & Information Services - Total Expense: 1205861, Program Service Expense: , Management and General Expenses: 1205861, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Asset Transfers - 315198; Dartmouth Hitchcock Health one medical center drive lebanon NH 03756 264812335 parent org NH 501(c)(3) 7 Na false VNA & HOSPICE OF NH AND VT 205 BILLINGS FARM ROAD 5 WILDER VT 05088 036006494 HOSPICE VT 501(c)(3) 10 D-HH false CHESHIRE MEDICAL CENTER 580 COURT STREET KEENE NH 03431 020354549 HOSPITAL NH 501(c)(3) 3 D-HH false WINDSOR HOSPITAL CORPORATION 289 COUNTY ROAD WINDSOR VT 05089 030183721 HOSPITAL VT 501(c)(3) 3 D-HH false MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 HOSPITAL NH 501(c)(3) 3 D-HH false DARTMOUTH HITCHCOCK CLINIC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222519596 PHYSICIAN SERVICES NH 501(c)(3) 10 D-HH false ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03766 020222791 HOSPITAL NH 501(c)(3) 3 D-HH false Kearsarge Community Services Inc 273 county road new london NH 03257 020460136 real estate holding NH NLHA C Corporation 71169 1116926 1 true New London Medical Center East 273 county road new london NH 03257 020480857 real estate NH NLHA C Corporation 11329 17274 1 true New London Physician Group Inc 273 county road new london NH 03257 020494420 physician group NH NLHA C Corporation 0 0 1 true false false true false true false false false false false true false true true true true false false false Kearsarge Community Services Inc P 205350 FMV