FURP.ORG / PUBLIC DATA EXPLORER

THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-14
IRS object ID
201831349349307503
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-05-14T14:47:04-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010523282PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP041041100ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020222171EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1New London Hospital Association IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNEWLBusinessNameControlTxt
Phone6035265339PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1Txt
CityNew LondonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLisa CohenPersonNm
Person TitleCFOPersonTitleTxt
Phone6035265339PhoneNum
Signature2018-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph R Byrne CPAPreparerPersonNm
PTINP01289281PTIN
Phone2077752387PhoneNum
Preparation2018-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBruce KingPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1Txt
CityNew LondonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$64,070,873GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.newlondonhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1918FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionNLHA is a rural community Critical Access Hospital with an extended care center.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee712TotalEmployeeCnt
Total Volunteers135TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$3,109NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,201,429PYContributionsGrantsAmt
CY Contributions Grants$1,263,621CYContributionsGrantsAmt
PY Program Service Revenue$63,581,249PYProgramServiceRevenueAmt
CY Program Service Revenue$61,885,703CYProgramServiceRevenueAmt
PY Investment Income$225,122PYInvestmentIncomeAmt
CY Investment Income-$791,923CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue-$381,241CYOtherRevenueAmt
PY Total Revenue$65,007,800PYTotalRevenueAmt
CY Total Revenue$61,976,160CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,127,710PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,804,407CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$369,044CYTotalFundraisingExpenseAmt
PY Other Expenses$28,012,650PYOtherExpensesAmt
CY Other Expenses$26,472,992CYOtherExpensesAmt
PY Total Expenses$65,140,360PYTotalExpensesAmt
CY Total Expenses$64,277,399CYTotalExpensesAmt
PY Revenues Less Expenses-$132,560PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,301,239CYRevenuesLessExpensesAmt
Total Assets BOY$78,759,410TotalAssetsBOYAmt
Total Assets EOY$84,095,102TotalAssetsEOYAmt
Total Liabilities BOY$41,904,873TotalLiabilitiesBOYAmt
Total Liabilities EOY$47,094,816TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$36,854,537NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$37,000,286NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNew London Hospital is a 25-bed rural community Critical Access Hospital dedicated to serving the Lake Sunapee region in New Hampshire.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$40,358,363ExpenseAmt
Revenue$52,496,038RevenueAmt
DescHospital services to patients: New London Hospital Association, Inc. (NLHA) is the principal provider of primary and secondary health care for 15 towns in Sullivan and Merrimack counties in New Hampshire. The Hospital provides acute and primary health care - from emergency services to family medical practice to surgical care and essential wellness and prevention services for the 32,715 residents in its service area, a significant portion of whom are uninsured, underinsured and/or dependent on Medicaid/Medicare benefits. This includes a largely elderly population and a significant number of rural, low-income families.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$11,712,739ExpenseAmt
Revenue$9,146,510RevenueAmt
DescPhysician practices: In a recent community health needs assessment access to primary care was identified as a central community health need. As a result, the Hospital is committed to providing care in central locations through-out the service area, specifically in Newport and New London. NLHA employed 56 providers in 2017, of which 19 are primary care, 3 were pediatrics and 34 were specialty providers covering general surgery, anesthesiology, orthopedics, cardiology, neurology, emergency medicine, hospitalists, gynecology, and rheumatology.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$547,158ExpenseAmt
Revenue$243,155RevenueAmt
DescNursing home: The Clough Center was closed September 30, 2017. Prior to that time, it was a 58-bed extended nursing care facility located within the New London Hospital. The Clough Center provides a warm and caring environment for its residents who benefited from health services personalized to meet their individual needs including special meals, physical, occupational and speech therapy, personalized execrcise sessions, and individual attention by highly skilled providers who had immediate access to the comprehensive services of the hospital and pharmacy.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$52,618,260TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document139IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee712EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo ContributionsYes (1)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (1)QuidProQuoContriDisclInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonLisa CohenPersonNm
Phone6035262911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1Txt
CityNew LondonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Susan Reeves EdD RN
Chair8.0040.00Yes (X)Yes (X)$0$0$0
David Marshall
Treasurer8.000.00Yes (X)Yes (X)$0$0$0
Douglas Lyon
Vice Chair8.000.00Yes (X)Yes (X)$0$0$0
Karen E Ebel
Secretary8.000.00Yes (X)Yes (X)$0$0$0
Jane Rastallis
Trustee2.000.00Yes (X)$0$0$0
John C Ferries
Trustee2.000.00Yes (X)$0$0$0
Peter E Hager
Trustee2.000.00Yes (X)$0$0$0
Robert M Rex
Trustee2.000.00Yes (X)$0$0$0
John R Butterly MD
Trustee2.0050.00Yes (X)$0$138,766$13,418
Carolyn Kerrigan MD
Trustee2.0050.00Yes (X)$0$259,744$106,411
Stephen J Leblanc
Trustee2.0050.00Yes (X)$0$671,595$128,833
Daniel Jantzen
Trustee2.0050.00Yes (X)$0$1,223,270$134,427
Bruce P King
President & CEO50.000.00Yes (X)Yes (X)$848$380,123$74,057
Carol Majewski RN
Trustee2.0050.00Yes (X)$0$187,319$59,478
Mark Pitkin
Trustee2.000.00Yes (X)$0$0$0
Stephen Kantor MD
Pres Elect Med Staff & Physician50.000.00Yes (X)$410,499$0$25,396
Lawrence Schissel MD
Pres Med Staff & Physician50.000.00Yes (X)$211,928$0$23,730
Donald Eberly MD
Past Pres Med Staff50.000.00Yes (X)$48,266$0$0
Donald J Griffin
Chief Financial Officer50.000.00Yes (X)$156,987$0$15,191
James Murphy MD
Co-Chief Medical Officer & Physician50.000.00Yes (X)$285,114$0$8,078
Steven Powell MD
Co-Chief Medical Officer & Physician50.000.00Yes (X)$541,533$0$25,396
Sally Patton
Chief Nursing Officer50.000.00Yes (X)$112,164$0$19,414
David Foss
Chief Information Officer50.000.00Yes (X)$110,704$0$19,580
Adnan Khan MD
Physician50.000.00$404,836$0$7,430Yes (X)
Stephen Bissah MD
Physician50.000.00$416,291$0$25,227Yes (X)
David A Corbin MD
Physician50.000.00$323,900$0$25,396Yes (X)
Andrew Torkelson
Physician50.000.00$313,707$0$4,494Yes (X)
Robert J Hyde MD
Physician50.000.00$391,524$0$13,946Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,728,301TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,860,817TotReportableCompRltdOrgAmt
Total Other Compensation$729,902TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K44IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Fulcrum Associates
5 Tech CircleAmherstNH03031Construction$3,900,169
Dartmouth Hitchcock Clinic
One Medical Center DrLebanonNH03756Physician Staffing and Lab Services$3,182,726
New England Alliance for Health
One Medical Center DrLebanonNH03756Management Services$575,204
New Hampshire Imaging Services Inc
One Pillsbury St Suite 200ConcordNH03301Radiological Services$531,256
Upper Valley Neurology Neurosurgery
106 Hanover StLebanonNH03766Physician Services$522,647
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Fundraising$93,292FundraisingAmt
Government Grants$128,310GovernmentGrantsAmt
All Other Contributions$1,042,019AllOtherContributionsAmt
Noncash Contributions$25,264NoncashContributionsAmt
Total Contributions$1,263,621TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Patient Revenue621400$112,535,815$112,535,815
Physician Services621110$3,450,406$3,450,406
Other Revenue900099$536,912$401,323$135,589
Provision for Bad Debts621400-$2,010,444-$2,010,444
Contractual/Char. Adj.621400-$52,626,986-$52,626,986
FieldValueIRS element (for citing)
Total Program Service Revenue$61,885,703TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$283,895TotalRevenueColumnAmt
Exclusion$283,895ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$905,622SecuritiesAmt
Other$50,300OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$439,791SecuritiesAmt
Other$1,591,949OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$465,831SecuritiesAmt
Other-$1,541,649OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,075,818TotalRevenueColumnAmt
Exclusion-$1,075,818ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$62,973FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$93,292ContriRptFundraisingEventAmt
Fundraising Direct Expenses$62,973FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescLoss on Early Extinguishment of DDesc
Business900099BusinessCd
Total Revenue Column-$381,241TotalRevenueColumnAmt
Exclusion-$381,241ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total-$381,241OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$61,976,160TotalRevenueColumnAmt
Related Or Exempt Func Income$61,750,114RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$1,037,575ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,424,139TotalAmt
Program Services$1,330,908ProgramServicesAmt
Management And General$1,093,231ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,309,738TotalAmt
Program Services$22,776,374ProgramServicesAmt
Management And General$5,289,819ManagementAndGeneralAmt
Fundraising$243,545FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,319,971TotalAmt
Program Services$4,280,140ProgramServicesAmt
Management And General$982,354ManagementAndGeneralAmt
Fundraising$57,477FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,750,559TotalAmt
Program Services$1,408,398ProgramServicesAmt
Management And General$323,629ManagementAndGeneralAmt
Fundraising$18,532FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$93,950TotalAmt
Program Services$75,586ProgramServicesAmt
Management And General$18,364ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$201,692TotalAmt
Program Services$162,270ProgramServicesAmt
Management And General$39,422ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$72,096TotalAmt
Program Services$58,004ProgramServicesAmt
Management And General$14,092ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$78,282TotalAmt
Program Services$62,981ProgramServicesAmt
Management And General$15,301ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,845,016TotalAmt
Program Services$2,288,935ProgramServicesAmt
Management And General$556,081ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$118,825TotalAmt
Program Services$95,600ProgramServicesAmt
Fundraising$23,225FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,546,555TotalAmt
Program Services$2,048,810ProgramServicesAmt
Management And General$477,896ManagementAndGeneralAmt
Fundraising$19,849FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,571,171TotalAmt
Program Services$1,264,073ProgramServicesAmt
Management And General$307,098ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,658,815TotalAmt
Program Services$1,334,587ProgramServicesAmt
Management And General$319,995ManagementAndGeneralAmt
Fundraising$4,233FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$82,236TotalAmt
Program Services$66,162ProgramServicesAmt
Management And General$14,185ManagementAndGeneralAmt
Fundraising$1,889FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$191,767TotalAmt
Program Services$154,285ProgramServicesAmt
Management And General$37,188ManagementAndGeneralAmt
Fundraising$294FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$818,772TotalAmt
Program Services$658,737ProgramServicesAmt
Management And General$160,035ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,880,789TotalAmt
Program Services$3,122,258ProgramServicesAmt
Management And General$758,531ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$715,040TotalAmt
Program Services$575,280ProgramServicesAmt
Management And General$139,760ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Other$3,801,904$3,058,790$743,114
Medicaid Enhancement Ta$2,923,040$2,923,040
Drugs and Pharmaceutica$2,518,463$2,518,463
Medical Supplies$2,354,579$2,354,579

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$64,277,399TotalAmt
Program Services$52,618,260ProgramServicesAmt
Management And General$11,290,095ManagementAndGeneralAmt
Fundraising$369,044FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,291,068BOYAmt
EOY$7,797,465EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$393,879BOYAmt
EOY$393,879EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$167,167BOYAmt
EOY$96,417EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$8,312,324BOYAmt
EOY$9,861,432EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$868,403BOYAmt
EOY$863,849EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,301,365BOYAmt
EOY$1,451,804EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$95,566,868LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$52,303,184LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$42,711,282BOYAmt
EOY$43,263,684EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,793,665BOYAmt
EOY$14,222,026EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,581,241BOYAmt
EOY$2,463,584EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,339,016BOYAmt
EOY$3,680,962EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,759,410BOYAmt
EOY$84,095,102EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$8,810,869BOYAmt
EOY$7,663,634EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$19,230,326BOYAmt
EOY$24,607,968EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$312,141BOYAmt
EOY$811,115EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,551,537BOYAmt
EOY$14,012,099EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$41,904,873BOYAmt
EOY$47,094,816EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$32,393,789BOYAmt
EOY$32,503,724EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$344,628BOYAmt
EOY$344,743EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,116,120BOYAmt
EOY$4,151,819EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$36,854,537BOYAmt
EOY$37,000,286EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,759,410BOYAmt
EOY$84,095,102EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,301,239ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$898,602NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,548,386OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$8,511OtherActivitiesAmt
Total Lobbying Expenditures$8,511TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationPer information provided by the NH Hospital Association (NHHA), the NHHA percentage of dues expended for lobbying purposed was 16.36%, and the percentage of dues from the American Hospital Association (AHA) was 21.78%.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,116,125BeginningYearBalanceAmt
Investment Earnings Or Losses$404,492InvestmentEarningsOrLossesAmt
Other Expenditures$309,164OtherExpendituresAmt
Administrative Expenses$59,629AdministrativeExpensesAmt
End Year Balance$4,151,824EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,220,355BeginningYearBalanceAmt
Investment Earnings Or Losses-$24,649InvestmentEarningsOrLossesAmt
Other Expenditures$7,154OtherExpendituresAmt
Administrative Expenses$72,427AdministrativeExpensesAmt
End Year Balance$4,116,125EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,241,594BeginningYearBalanceAmt
Investment Earnings Or Losses$178,504InvestmentEarningsOrLossesAmt
Other Expenditures$141,831OtherExpendituresAmt
Administrative Expenses$57,912AdministrativeExpensesAmt
End Year Balance$4,220,355EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,052,516BeginningYearBalanceAmt
Contributions$2,117,600ContributionsAmt
Investment Earnings Or Losses$185,482InvestmentEarningsOrLossesAmt
Other Expenditures$89,536OtherExpendituresAmt
Administrative Expenses$24,468AdministrativeExpensesAmt
End Year Balance$4,241,594EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,002,989BeginningYearBalanceAmt
Investment Earnings Or Losses$172,073InvestmentEarningsOrLossesAmt
Other Expenditures$104,101OtherExpendituresAmt
Administrative Expenses$18,445AdministrativeExpensesAmt
End Year Balance$2,052,516EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,660,103OtherCostOrOtherBasisAmt
Book Value$1,660,103BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,355,874OtherCostOrOtherBasisAmt
Depreciation$17,804,999DepreciationAmt
Book Value$32,550,875BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$66,781OtherCostOrOtherBasisAmt
Depreciation$66,781DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$40,575,787OtherCostOrOtherBasisAmt
Depreciation$33,045,612DepreciationAmt
Book Value$7,530,175BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,908,323OtherCostOrOtherBasisAmt
Depreciation$1,385,792DepreciationAmt
Book Value$1,522,531BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$43,263,684TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Capital Lease Obligations$1,983,543
Other Liabilities$28,000
Interest Rate Swap$3,309,513
Estimated Third-Party Payor Settlements$7,264,832
Deferred Compensation$1,426,211
FieldValueIRS element (for citing)
Total Liability$14,012,099TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationThe income from the Endowment Funds is used to assist in the payment of the Hospital's program-related expenses.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Golf TournamentEvent1Nm
Gross Receipts Event1$53,405GrossReceiptsEvent1Amt
Charitable Contri Event1$31,698CharitableContriEvent1Amt
Gross Revenue Event1$21,707GrossRevenueEvent1Amt
Non Cash Prizes Event1$4,928NonCashPrizesEvent1Amt
Rent Facility Costs Event1$16,120RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$659OtherDirectExpensesEvent1Amt
Event2GalaEvent2Nm
Gross Receipts Event2$66,190GrossReceiptsEvent2Amt
Charitable Contri Event2$47,247CharitableContriEvent2Amt
Gross Revenue Event2$18,943GrossRevenueEvent2Amt
Rent Facility Costs Event2$475RentFacilityCostsEvent2Amt
Entertainment Event2$1,125EntertainmentEvent2Amt
Other Direct Expenses Event2$17,343OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$36,670GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$14,347CharitableContriOtherEventsAmt
Gross Revenue Other Events$22,323GrossRevenueOtherEventsAmt
Entertainment Other Events$550EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$21,773OthDirectExpnssOtherEventsAmt
Gross Receipts Total$156,265GrossReceiptsTotalAmt
Charitable Contributions Tot$93,292CharitableContributionsTotAmt
Gross Revenue Total Events$62,973GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$4,928NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$16,595RentFcltyCostsTotalEventsAmt
Entertainment Total Events$1,675EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$39,775OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$62,973DirectExpenseSummaryEventsAmt
Net Income Summary$0NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$476,863TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$476,863NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,297,306TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,656,471DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,640,835NetCommunityBenefitExpnsAmt
Total Expense0.02550TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,774,169TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,656,471DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,117,698NetCommunityBenefitExpnsAmt
Total Expense0.03290TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$235,311TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$235,311NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$103,141TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$103,141NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,900,709TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,900,709NetCommunityBenefitExpnsAmt
Total Expense0.07620TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,196TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$11,196NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,250,357TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,250,357NetCommunityBenefitExpnsAmt
Total Expense0.08170TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,024,526TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,656,471DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,368,055NetCommunityBenefitExpnsAmt
Total Expense0.11460TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,944TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,944NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,170TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$63,170NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$72,114TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$72,114NetCommunityBenefitExpnsAmt
Total Expense0.00110TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,025,938BadDebtExpenseAmt
Bad Debt Expense Attributable$24,259BadDebtExpenseAttributableAmt
Reimbursed By Medicare$26,091,317ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$27,750,275CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,658,958MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1New London HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 County RoadAddressLine1Txt
CityNew LondonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.newlondonhospital.orgWebsiteAddressTxt
State License02407StateLicenseNum
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1New London Hospital AssociationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted14CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLwww.newlondonhospital.orgOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt14ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLwww.newlondonhospital.orgStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttp://www.newlondonhospital.org/services/patient_financial_services/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttp://www.newlondonhospital.org/services/patient_financial_services/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttp://www.newlondonhospital.org/services/patient_financial_services/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
New London Hospital AssociationPart V, Section B, Line 5: The most recent Community Needs Assessment was completed in June of 2015. The New London Hospital Association, Inc. worked with several local healthcare organizations and the Community Health Institute to bring together key healthcare and public stakeholders to elicit feedback on our local healthcare needs. Input was received from persons who represent the broad interests of the community served by the healthcare facility. This group included those with special knowledge or expertise in public health, community opinion leaders (a diverse set of service providers) and healthcare consumers.
New London Hospital AssociationPart V, Section B, Line 6a: The New London Hospital Association Inc. conducted their Community Health Needs Assessment in collaboration with Valley Regional Hospital, Alice Peck Day Memorial Hospital, Mt. Ascutney Hospital and Healthcare Center and Dartmouth- Hitchcock.
New London Hospital AssociationPart V, Section B, Line 11: The Hospital continues to build upon previous efforts to implement a solid foundation for identifying and meeting the identified needs of our community within the scope of our resources. Strategic plans have been developed, implemented and reviewed to gauge success in these identified areas and allow refinement to ensure success. Services have been expanded to meet underserved areas and new services have been added to promote healthy life choices. Collaboration with community groups has allowed services to expand into new areas and bring forth additional resources for the community to allow better healthcare choices and remove barriers to care.
New London Hospital AssociationPart V, Section B, Line 20e: Mailings and phone calls are used as additional follow up measures to ensure that patients are aware of the various types of discounts and financial assistance that the Organization offers. Assistance is offered to anyone in need to complete the necessary paperwork for financial assistance.
FieldValueIRS element (for citing)
Facility1FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line11 - Newport Health CenterBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111 John Stark HwyAddressLine1Txt
CityNewportCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03773ZIPCd
FieldValueIRS element (for citing)
FacilityRural Health ClinicFacilityTxt

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7g:The Hospital 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 2017, the Hospital subsidized health care services to the community in excess of $4.9 million. This included support for primary care services, community wellness programs and grants, mental health services, and the medication bridge program. With a focus on wellness, primary care is of the utmost importance to our patients and their families. The Organization has locations for primary care in New London and Newport NH to expand access to the communities we serve. The Organization has developed wellness programs to offer education and provide assistance to our community members in making and sustaining healthier lifestyle choices. Costs incurred for subsidizing primary care and implementing wellness initiatives in our community amounted to over $4.85 million dollars for fiscal year 2017. The cost of prescription drugs is often beyond the means of many of the residents in our community. The Hospital supports the medication bridge program, which works with uninsured and underinsured patients to assist them in accessing prescription medication. Over 120 patients received assistance under the program, at a cost of nearly $50,000.
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 committees and boards. The Hospital subsidizes the cost of operations for the ABC's Childcare Center, which provides high quality childcare at afforable prices. The childcare center is open to full and part time employees of the Organization and to the community to provide a nuturing, safe and stimulating environment for the children of our community to grow and learn.
Part III, Line 4:The Hospital 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 debts. 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.The Association's allowance for doubtful accounts for self-pay accounts receivable decreased from 64% at June 30, 2016 to 62% at June 30, 2017. In addition, the Association's self-pay accounts receivable decreased from $920,000 at June 30, 2016 to $730,000 at June 30, 2017. The Association has not changed its free care or uninsured discount policies during 2017. The Association does not maintain a material allowance for doubtful accounts receivable from third-party payors. The Association recognizes patient service revenue associated with services provided to patients who have third-party coverage on the basis of contractual rates for the services rendered. For uninsured patients that do not qualify for free care, the Association recognizes revenue on the basis of amounts generally billed (AGB), which is based upon the past years commercial insurance and Medicare payment amounts. On the basis of historical experience, a portion of the Association's uninsured patients will be unable to or unwilling to pay for the services rendered. Thus, the Association records a significant provision for bad debts related to uninsured patients in the period services are provided. The Hospital used the cost-to-charge ratio for reporting bad debt expense at cost. The estimate of bad debt attributable to charity was based upon historical experience. The Hospital provides information about financial assistance policies upon admission, prior to discharge and throughout the billing process. Although the Hospital works diligently to provide financial options to patients, a small number of patients do not provide the information necessary to complete the financial aid application. Patients who do not respond to repeated attempts for assistance may be classified as bad debt due to insufficient information on eligibility for financial assistance programs. The Hospital did not include these amounts within its community benefit reporting due to the fact that adherence with the Organization's charity care criteria could not be determined.
Part III, Line 9b:Information concerning the Organization's financial assistance policy is available from a variety of sources including our website, upon admission and throughout the billing process. The Collection Coordinator is responsible for reviewing returned financial assistance applications, assisting patients with securing information necessary to complete the applications, evaluating the applications and making recommendations to the Director of Patient Business Services and/or the Chief FinancialOfficer, when applicable. The Collection Coordinator will notify patients of their eligibility and work with them to address any remaining balances. If a patient does not meet eligibilty requirements for free or discounted care, the Organization will work with the patient to create an installment plan that will allow payments of patient balances over a period of time.
Part VI, Line 2:The Affordable Care Act of 2010 requires not-for-profit hospitals to conduct Community Health Needs Assessments every three years. The Organization completed its most recent Community Health Needs Assessment in collaboration with Valley Regional Hospital, Alice Peck Day Memorial Hospital, Dartmouth-Hitchcock, and Mt. Ascutney Hospital and Health Center with the help of the Community Health Institute. Focus group discussions were held to elicit feedback from community members, public service officials and healthcare experts to identify community needs and prioritize the needs of our local community.The prioritization of community needs identified in the Community Needs Assessment include the following:1. Cost of prescription drugs2. Access to adequate and affordable healthcare3. Access to mental health care4. Lack of physical activity5. Alcohol and drug misuse6. Poor nutrition/unhealthy food7. Access to dental health care8. Heroin and misuse of pain medications9. Access to primary health care10. Cancer11. Mental illness12. Health care for seniors
Part VI, Line 3:The Organization strives to educate patients on the availability of financial assistance in a variety of forums to widely publicize the programs and encourage 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 to inform patients of assistance that may be available to them.
Part VI, Line 4:The New London Hospital Association, Inc (NLHA) is the principal provider of primary and secondary healthcare for 15 towns in Sullivan and Merrimack counties of New Hampshire. The towns within our 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 32,715, according to the United States Census Bureau, which approximates about 2.5% of NewHampshire's population.
Part VI, Line 5:The New London Hospital Association Inc. is dedicated to improving the health and well-being of our community and the people we serve. The Organization provides a wide array of services ranging from health education to subsidizing health services and access to care, to community building activities which improve the quality of life for all of those within our service area.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.Many services provided by the Organization are subsidized to sustain necessary services for the community. Primary care is an area that has been identified as a community need in the most recent community benefit report. The Organization not only subsidized these services but also expanded access to care by increasing hours and locations within our community. Services include expanded hours of clinics, on site treatment at community locations and outreach programs at Hospital sponsored events. The Hospital also participates in the medication bridge program which allows access to necessary prescriptions that would otherwise be cost prohibitive to our patients. Financial assistance and charity care programs strive to remove financial barriers to care and encourage patients to seek regular medical care and focus upon wellness. The Organization supports many local community organizations with programs outside the scope of services provided by the Hospital with both in-kind and monetary donations. The Hospital subsidizes the ABC's childcare program to provide a safe, nurturing atmosphere where children can grow and learn and parents can feel confident that their children are well taken care of.
Part VI, Line 7, Reports Filed With StatesNH

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
John R Butterly MD
Trustee$0$82,523$0$0$0$56,243$0$13,274$0$144$0$152,184$0$0
Carolyn Kerrigan MD
Trustee$0$226,312$0$4,519$0$28,913$0$84,484$0$21,927$0$366,155$0$0
Stephen J Leblanc
Trustee$0$554,597$0$0$0$116,998$0$107,109$0$21,724$0$800,428$0$0
Daniel Jantzen
Trustee$0$570,275$0$0$0$652,995$0$117,793$0$16,634$0$1,357,697$0$0
Bruce P King
President & CEO$0$322,286$0$0$848$57,837$0$57,465$0$16,592$848$454,180$0$0
Carol Majewski RN
Trustee$0$186,566$0$0$0$753$0$45,599$0$13,879$0$246,797$0$0
Stephen Kantor MD
Pres Elect Med Staff & Physician$409,869$0$0$0$630$0$5,150$0$20,246$0$435,895$0$0$0
Lawrence Schissel MD
Pres Med Staff & Physician$154,610$0$54,871$0$2,447$0$4,072$0$19,658$0$235,658$0$0$0
Donald J Griffin
Chief Financial Officer$153,162$0$0$0$3,825$0$1,501$0$13,690$0$172,178$0$0$0
James Murphy MD
Co-Chief Medical Officer & Physician$282,342$0$0$0$2,772$0$5,150$0$2,928$0$293,192$0$0$0
Steven Powell MD
Co-Chief Medical Officer & Physician$540,903$0$0$0$630$0$5,150$0$20,246$0$566,929$0$0$0
Adnan Khan MD
Physician$404,448$0$0$0$388$0$5,150$0$2,280$0$412,266$0$0$0
Stephen Bissah MD
Physician$415,661$0$0$0$630$0$5,150$0$20,077$0$441,518$0$0$0
David A Corbin MD
Physician$322,860$0$0$0$1,040$0$5,150$0$20,246$0$349,296$0$0$0
Andrew Torkelson
Physician$223,999$0$89,078$0$630$0$2,214$0$2,280$0$318,201$0$0$0
Robert J Hyde MD
Physician$390,894$0$0$0$630$0$5,150$0$8,796$0$405,470$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4bThe following individuals received payments from a Supplemental Nonqualified Retirement Plan (which are reflected in Schedule J, Part II, Column B (III)): Bruce King, Daniel Jantzen, and Stephen Leblanc. The annual SERP program provides eligible participants with amounts intended to replace the reduction in qualified retirement benefits due to the application of benefit limitations imposed by IRC sections 401(a) and/or 415. In addition, once eligible participants qualify for special early retirment benefits based on years of service plus age - as provided in the defined benefit plan - the value of the special early retirement benefit, determined without regard to limitations in 401(a) and 415 is included in the payment. Dartmouth-Hitchcock Supplemental Retirement Plan: Terms and Conditions: An eligible employee is a participant in the Dartmouth-Hitchcock Retirement Plan and/or any prior pension arrangements sponsored by Dartmouth-Hitchcock (including a Qualified Defined Benefit Plan) who would be entitled to additional contributions or benefit accruals under the terms of the Plans for the plan year, but are limited by IRC Section 401(a)(17) and/or 415. For eligible employees, the employer will pay the eligible employee an amount determined by the employer each year to offset the amount of the reduction in the benefit accrual or contributions as a result of the limitations imposed by IRC Sections 401(a)(17) and/or 415. MHMH sponsors a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable MHMH to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen in 1998 and therefore no further costs of the individual employee insurance premiums have been funded by the Organization. The number of participants and dollar value continues to dwindle as individuals retire/leave the Organization.
Part I, Line 7During the year, certain individuals received bonus compensation based upon time with the Organization and/or payments related to relative value units (RVU's), a Medicare reimbursement formula for Physicians.
Schedule J, Part II:Bruce P. King, CEO is paid by Mary Hitchcock Memorial Hospital (MHMH), an affiliated organization. New London Hospital (NLHA) purchases Mr. King's services from MHMH. Compensation amounts disclosed on Form 990 & Schedule J for Mr. King represent earnings from MHMH and taxable fringe benefits provided to Mr. King from NLHA. Mr. King also received club dues of $712 during the year from MHMH, which was included in his compensation. John R. Butterly, MD, Stephen J. Leblanc, MD, Daniel Jantzen, Carol Majewski, and Carolyn Kerrigan are all on the Board of Trustees for New London Hospital, but are employees of our affiliated group. Compensation listed for these individuals represents earnings from the affiliated group, not New London Hospital.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1NH Health and Education Facilities AuthorityBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN020279866BondIssuerEIN
Bond Issued2016-07-01BondIssuedDt
Issue Price$24,605,000IssuePriceAmt
PurposeTo refinance 2013 BondsPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$24,605,000TotalProceedsAmt
Issuance Costs From Proceeds$272,672IssuanceCostsFromProceedsAmt
Other Spent Proceeds$19,233,319OtherSpentProceedsAmt
Unspent$5,099,009UnspentAmt
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1Morgan StanleyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge30.000000000000TermOfHedgePct
Superintegrated Hedge0SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution3ContributionCnt
Noncash Contributions Rpt F990$25,264NoncashContributionsRptF990Amt
Method Of Determining RevenuesStock Market ValueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 3The Clough Center was closed September 30, 2017. Prior to that time, it was a 58-bed extended nursing care facility located within the New London Hospital.
Form 990, Part VI, Section A, line 3Mr. Bruce King, CEO, of New London Hospital Association (NLHA) is an employee of Mary Hitchcock Memorial Hospital (MHMH). NLHA purchases Mr. King's services from MHMH.
Form 990, Part VI, Section A, line 6The sole member of the Corporation is Dartmouth-Hitchcock Health, a New Hampshire non-profit corporation.
Form 990, Part VI, Section A, line 7aThe Member of the Corporation has the power to appoint 1/3 of the NLHA Board of the Trustees and must ratify the nomination of 2/3 of the members of the Board of Trustees.
Form 990, Part VI, Section A, line 7bThe Member has certain reserved powers which require the Organization to obtain approval of the Member.
Form 990, Part VI, Section B, line 11bNLHA posted a copy of the Form 990 on its trustee intranet site and solicited trustee comments before filing the return. The Schedule B provided did not include the names of the donors.
Form 990, Part VI, Section B, line 12cEach year, as part of the preparation process for the Form 990, a written conflict of interest survey is sent to each Trustee inquiring about situations that could result in conflicts of interest.
Form 990, Part VI, Section B, line 15The CEO's compensation is determined by the New London Hospital Association (NLHA) Executive Committee and Mary Hitchcock Memorial Hospital, the CEO's employer, after considering compensation for CEOs of various sized hospitals in the region. Compensation levels for all other officers and key employees are reviewed periodically by NLHA's Senior Director of Human Resources and the CEO of NLHA. These reviews include comparisons of compensation levels to independent salary survey data for comparable positions in the region.
Form 990, Part VI, Section C, line 19NLHA makes this information available to the public upon request. Additionally, Form 990 is filed with the State of New Hampshire and is available to the public through the State. NLHA also maintians public inspection copies of the Form 990 that are available upon request and its Form 990 is also available through GuideStar. NLH files a Community Benefit Report annually with the State of NH. A summary of the Community Benefit Report and summary financial information is available on NLHA's website and in annual reports to donors.
Form 990, Part X, Line 10: Land, Buildings, and EquipmentSection 1.263(a)-3(n) Election: New London Hospital Association, Inc. 273 Country Road New London, NH 03257 EIN 02-0222171 New London Hospital Association, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).
Form 990, Part XI, line 9:Unrealized Gain on Interest Rate Swap 1,336,617. Change in Beneficial Interest in Perpetual Trust 35,699. Equity Transfer from Parent 142,500. Gift Annuity Close Out 33,570.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Mary Hitchcock Memorial Hospital
One Medical Center DriveLebanonNH03756020222140HospitalNH501(C)(3)Line 3D-HH0
Dartmouth Hitchcock Clinic
One Medical Center DriveLebanonNH03756222519596Physician ServicesNH501(C)(3)Line 10D-HH0
Dartmouth Hitchcock Medical Center
One Medical Center DriveLebanonNH03756222715483Supporting OrganizationNH501(C)(3)Line 12a, I0N/A
Dartmouth Hitchcock Health
One Medical Center DriveLebanonNH03756264812335Parent OrganizationNH501(C)(3)Line 70N/A
Hamden Risk Retention Group Inc
30 Main Street STE 330BurlingtonVT05401208530788Self InsVT501(C)(3)Line 12a, IDHC0
The Hitchcock Foundation
One Medical Center DriveLebanonNH03756020222139Healthcare ResearchNH501(C)(3)Line 7DHC0
Everwell Inc
One Medical Center DriveLebanonNH03756352506275Supporting OrganizationNH501(C)(3)Line 12a, I0N/A
Windsor Hospital Corporation
289 County RoadWindsorVT05089030183721HospitalVT501(C)(3)Line 3D-HH0
Cheshire Medical Center
580 Court StreetKeeneNH03431020354549HospitalNH501(C)(3)Line 3D-HH0
Cheshire Health Foundation
580 Court StreetKeeneNH03431020202220Supporting OrganizationNH501(C)(3)Line 12a, ICMC0
Mt Ascutney Hosp Cmmty Hlth Found
289 County RoadWindsorVT05089030300481FoundationVT501(C)(3)Line 3WHA0
Historic Homes of Runnemede
289 County RoadWindsorVT05089237396147HealthcareVT501(C)(3)Line 10WHA0
Cheshire Health Services
580 Court StreetKeeneNH03431473379283HealthcareNH501(C)(3)Line 3CMC0
Alice Peck Day Memorial Hospital
10 Alice Peck Day DriveLebanonNH03766020222791HospitalNH501(C)(3)Line 3D-HH0
Surgery Center of Greater Nashua
10 Prospect Street STE 101NashuaNH03060461084049Surgery CenterNH501(C)(3)Line 30N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1D-H Master Inv ProgramBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1One Medical Center DriveAddressLine1Txt
CityLebanonCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03756ZIPCd
FieldValueIRS element (for citing)
EIN020205863EIN
Primary ActivitiesPooled InvestPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MHMHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeExcludedPredominantIncomeTypeTxt
Share Of Total Income$517,793ShareOfTotalIncomeAmt
Share Of EOY Assets$14,327,931ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
UBI Code V-$2,938UBICodeVAmt
General Or Managing PartnerYes (1)GeneralOrManagingPartnerInd
Ownership0.02330OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Pompanoosuc Investment Corp
One Medical Center DriveLebanonNH03756020352330Real Estate HoldingNHDHCC0
Hamden Assurance Co LTD
980121409Liability InsuranceDHCC044 Church StHamiltonBDHMHM
Hitchcock Health Connect
One Medical Center DriveLebanonNH03756800908979TeleHealthDED-HHC0
Kearsarge Community Services Inc
273 County RoadNew LondonNH03257020460136Real Estate HoldingNHNew London Hospital AssociationC0$76,224$978,1111.00000
New London Medical Center East
273 County RoadNew LondonNH03257020480857Real EstateNHNew London Hospital AssociationC0$5,056$12,4441.00000
New London Physician Group Inc
273 County RoadNew LondonNH03257020494420Physician GroupNHNew London Hospital AssociationC01.00000
Keene Health Services
580 Court StreetKeeneNH03431020374997Real Estate HoldingNHCMCC0
Keene Health Realty
580 Court StreetKeeneNH03431020374998Real Estate HoldingNHCMCC0
Keene Health Enterprises
580 Court StreetKeeneNH03431020374999Real Estate HoldingNHCMCC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Kearsarge Community ServicesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeKTransactionTypeTxt
Involved$193,562InvolvedAmt
Method Of Amount DeterminationCostMethodOfAmountDeterminationTxt