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      <Desc>The Foundation for Healthy Communities is renowned on a state and national level for its ability to engage diverse partners in new, innovative collaborations and to serve as the backbone support for a variety of initiatives that address the health and healthcare needs of our state. The organization's programs focus on quality improvement initiatives, health promotion, and access to affordable health care, as well as patient and family engagement strategies, health equity and health disparities of care, behavioral health and substance use disorders and many more. Founded in 1968 as an education and research organization for the New Hampshire Hospital Association (NHHA), the Foundation was reorganized in 1995 to meet the needs of a changing healthcare system. The Foundation for Healthy Communities is led by a board of directors with a broad range of expertise which guides its strategic and programmatic efforts. Today, the Foundation is a partnership between New Hampshire hospitals, health plans, home care agencies, community organization and other healthcare stakeholders focusing on quality of care, access to health services, and prevention as the major priorities of work, aligning with the Foundation's mission of improving total population health for all communities. In its work with partners statewide, the Foundation's key objectives are to improve total population health by promoting innovative, high value quality practices within organizations and communities; to lead change strategies that educate, create and sustain healthier communities and make the healthy choice the easy choice; and to promote access to affordable health care and resources that support the well-being of all people. One of the Foundation's strengths is to engage and lead diverse partners in new forms of collaboration, and facilitates program integration for the benefit of the communities served by housing its diverse group of programs and staff in one location, streamlining processes, and opening pathways for collaborations. To promote a healthier state, the Foundation's initiatives focus on health prevention and education, access to affordable health care as well as insurance coverage, patient safety and quality improvement initiatives, patient and family engagement strategies, health equity and health disparities of care, emergency preparedness and response, behavioral health and the opioid crisis, among many other areas of priority. Descriptions of the programs currently running under the Foundation for Healthy Communities below:Community BenefitsHospitals support their communities by delivering high quality healthcare, serving as economic engines, and providing health education, resources and programs to keep their communities healthy. To do this successfully, hospitals work collaboratively with a variety of partners to assess the health of their community, identify the most pressing health needs, and develop community benefit implementation plans to address those needs. The Foundation for Healthy Communities creates a statewide summary of the community benefit activities conducted by New Hampshire hospitals through their uncompensated care, health education and community programs and services. Granite State Health Care CoalitionThe Granite State Health Care Coalition is a network of key representatives from public and private health and safety organizations that help communities prepare, respond, and recover from catastrophic events and disasters impacting New Hampshire. The Coalition provides the opportunity for providers, healthcare and community stakeholders to plan, prepare and train for catastrophic events through collaboration essential to integrated disaster response.Healthcare Decisions CoalitionThe Healthcare Decisions Coalition is a volunteer steering committee composed of experts and stakeholders in the legal and health care sectors that aims to provide the tools available for individuals to express wishes and preferences with regard to end of life medical care, and to have those preferences honored by the health care system. NH Comprehensive Cancer CollaborationThe NH Comprehensive Cancer Collaboration is a partnership of individuals and organizations working together to eliminate cancer, the leading cause of death in the state, through the implementation of the NH Cancer Control Plan.NH Health Care Quality Assurance CommissionThe NH Health Care Quality Assurance Commission enables health care providers to share information about adverse outcomes and prevention strategies in learning environments which foster candor and self-critical analysis while maintaining the confidentiality of the information submitted to the commission, the proceedings of the commission, and the results of the commission's deliberations.NH Health &amp; Equity PartnershipNH Health &amp; Equity Partnership strives to increase the success and effectiveness of public and private initiatives that work to promote health and equity for racial, ethnic, and linguistic minorities, and address the determinants of health through the collaboration of partners, leaders, and stakeholders committed to action within New Hampshire. NH Partnership for PatientsThe NH Partnership for Patients is a national initiative under which every 26 acute care hospital in New Hampshire engages in initiatives that improve patient safety and quality of care throughout the care continuum.Patient &amp; Family EngagementThe Patient &amp; Family Engagement initiative offers tools and resources to hospitals and community organizations that help them create a culture of patient and family engagement and establish collaborative partnerships between hospital staff, patient and family advisors to enhance the delivery of patient and family-centered care throughout the continuum.Rural Health Quality Improvement Network The Rural Health Quality Improvement Network coordinates resources promoting efficiency and high value quality practices in the network of Critical Access Hospitals serving rural New Hampshire.The Opioid Use Disorder ProjectThe Opioid Use Disorder Project supports New Hampshire hospitals rising to the challenge of expanding access to treatment for people with Opioid Use Disorders (OUD) by implementing Emergency Department Bridge to Treatment programs and Medication Assisted Treatment programs in primary care practices.</Desc>
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        <PersonNm>Helen Taft</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jay Couture</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Jeanne Ryer</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>John Robb MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Keith Shute MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Keith Weston Jr MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Kris Hering</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Lauren Collins-Cline</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Maria Ryan PhD APRN</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Michelle McEwen</PersonNm>
        <TitleTxt>Past Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Paul Gardent</PersonNm>
        <TitleTxt>Past Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Peter Evers</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Richard LaFleur MD</PersonNm>
        <TitleTxt>Past Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Scott Colby</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Trinidad Tellez MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
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        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Warren West</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Will Arvelo</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>William Brewster MD</PersonNm>
        <TitleTxt>Trustee</TitleTxt>
        <AverageHoursPerWeekRt>0.50</AverageHoursPerWeekRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>Anne Diefendorf</PersonNm>
        <TitleTxt>Associate Executive Director</TitleTxt>
        <AverageHoursPerWeekRt>40.00</AverageHoursPerWeekRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>151041</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>31421</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>228859</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>354500</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>97732</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>1</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>0</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <CntrctRcvdGreaterThan100KCnt>0</CntrctRcvdGreaterThan100KCnt>
      <RelatedOrganizationsAmt>403120</RelatedOrganizationsAmt>
      <GovernmentGrantsAmt>1837932</GovernmentGrantsAmt>
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      <ProgramServiceRevenueGrp>
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        <BusinessCd>900099</BusinessCd>
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      <ProgramServiceRevenueGrp>
        <Desc>Indirect Program Income</Desc>
        <BusinessCd>900099</BusinessCd>
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        <RelatedOrExemptFuncIncomeAmt>101796</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Other Program Revenue</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>59240</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>59240</RelatedOrExemptFuncIncomeAmt>
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      <ProgramServiceRevenueGrp>
        <Desc>Project Income</Desc>
        <BusinessCd>900099</BusinessCd>
        <TotalRevenueColumnAmt>7885</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>7885</RelatedOrExemptFuncIncomeAmt>
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      <TotalProgramServiceRevenueAmt>334411</TotalProgramServiceRevenueAmt>
      <InvestmentIncomeGrp>
        <TotalRevenueColumnAmt>16292</TotalRevenueColumnAmt>
        <ExclusionAmt>16292</ExclusionAmt>
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      <GrossAmountSalesAssetsGrp>
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      <LessCostOthBasisSalesExpnssGrp>
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      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <SecuritiesAmt>1341</SecuritiesAmt>
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      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>1341</TotalRevenueColumnAmt>
        <ExclusionAmt>1341</ExclusionAmt>
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      <TotalRevenueGrp>
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        <ExclusionAmt>17633</ExclusionAmt>
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      <InfoInScheduleOPartIXInd>X</InfoInScheduleOPartIXInd>
      <GrantsToDomesticOrgsGrp>
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        <ProgramServicesAmt>10485004</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <CompCurrentOfcrDirectorsGrp>
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        <ProgramServicesAmt>98933</ProgramServicesAmt>
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      <OtherSalariesAndWagesGrp>
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        <ProgramServicesAmt>757348</ProgramServicesAmt>
        <ManagementAndGeneralAmt>144187</ManagementAndGeneralAmt>
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      <PensionPlanContributionsGrp>
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        <ProgramServicesAmt>36965</ProgramServicesAmt>
        <ManagementAndGeneralAmt>7209</ManagementAndGeneralAmt>
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      <OtherEmployeeBenefitsGrp>
        <TotalAmt>123169</TotalAmt>
        <ProgramServicesAmt>98827</ProgramServicesAmt>
        <ManagementAndGeneralAmt>24342</ManagementAndGeneralAmt>
      </OtherEmployeeBenefitsGrp>
      <PayrollTaxesGrp>
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        <ProgramServicesAmt>62789</ProgramServicesAmt>
        <ManagementAndGeneralAmt>11030</ManagementAndGeneralAmt>
      </PayrollTaxesGrp>
      <FeesForServicesAccountingGrp>
        <TotalAmt>32641</TotalAmt>
        <ProgramServicesAmt>29377</ProgramServicesAmt>
        <ManagementAndGeneralAmt>3264</ManagementAndGeneralAmt>
      </FeesForServicesAccountingGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>1742143</TotalAmt>
        <ProgramServicesAmt>1742143</ProgramServicesAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>80239</TotalAmt>
        <ProgramServicesAmt>80239</ProgramServicesAmt>
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      <OccupancyGrp>
        <TotalAmt>48100</TotalAmt>
        <ProgramServicesAmt>13708</ProgramServicesAmt>
        <ManagementAndGeneralAmt>34392</ManagementAndGeneralAmt>
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      <TravelGrp>
        <TotalAmt>34223</TotalAmt>
        <ProgramServicesAmt>34223</ProgramServicesAmt>
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      <ConferencesMeetingsGrp>
        <TotalAmt>192202</TotalAmt>
        <ProgramServicesAmt>192202</ProgramServicesAmt>
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        <ProgramServicesAmt>2462</ProgramServicesAmt>
        <ManagementAndGeneralAmt>616</ManagementAndGeneralAmt>
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      <InsuranceGrp>
        <TotalAmt>3833</TotalAmt>
        <ProgramServicesAmt>2300</ProgramServicesAmt>
        <ManagementAndGeneralAmt>1533</ManagementAndGeneralAmt>
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      <OtherExpensesGrp>
        <Desc>Advance Care Guides</Desc>
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        <ProgramServicesAmt>50671</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Communication</Desc>
        <TotalAmt>11283</TotalAmt>
        <ProgramServicesAmt>11283</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Dues &amp; Subscriptions</Desc>
        <TotalAmt>6080</TotalAmt>
        <ProgramServicesAmt>6080</ProgramServicesAmt>
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      <OtherExpensesGrp>
        <Desc>Staff Development</Desc>
        <TotalAmt>4576</TotalAmt>
        <ProgramServicesAmt>4576</ProgramServicesAmt>
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      <TotalFunctionalExpensesGrp>
        <TotalAmt>13935703</TotalAmt>
        <ProgramServicesAmt>13709130</ProgramServicesAmt>
        <ManagementAndGeneralAmt>226573</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
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      <InfoInScheduleOPartXInd>X</InfoInScheduleOPartXInd>
      <CashNonInterestBearingGrp>
        <BOYAmt>50</BOYAmt>
        <EOYAmt>50</EOYAmt>
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      <SavingsAndTempCashInvstGrp>
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        <EOYAmt>845892</EOYAmt>
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      <AccountsReceivableGrp>
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        <EOYAmt>624411</EOYAmt>
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      <PrepaidExpensesDefrdChargesGrp>
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        <EOYAmt>5991</EOYAmt>
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      <LandBldgEquipAccumDeprecAmt>139242</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12381</BOYAmt>
        <EOYAmt>9303</EOYAmt>
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      <InvestmentsPubTradedSecGrp>
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        <EOYAmt>769672</EOYAmt>
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      <OtherAssetsTotalGrp>
        <BOYAmt>90780</BOYAmt>
        <EOYAmt>105610</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>2360929</EOYAmt>
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      <AccountsPayableAccrExpnssGrp>
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        <EOYAmt>448628</EOYAmt>
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        <EOYAmt>5243</EOYAmt>
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        <BOYAmt>45600</BOYAmt>
        <EOYAmt>44660</EOYAmt>
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      <TotalLiabilitiesGrp>
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        <EOYAmt>498531</EOYAmt>
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      <UnrestrictedNetAssetsGrp>
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        <EOYAmt>1386250</EOYAmt>
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      <TemporarilyRstrNetAssetsGrp>
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        <EOYAmt>476148</EOYAmt>
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      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>1819370</BOYAmt>
        <EOYAmt>1862398</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
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        <EOYAmt>2360929</EOYAmt>
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      <ReconcilationRevenueExpnssAmt>-46808</ReconcilationRevenueExpnssAmt>
      <NetUnrlzdGainsLossesInvstAmt>89836</NetUnrlzdGainsLossesInvstAmt>
      <OtherChangesInNetAssetsAmt>0</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolAndSepBasisFinclStmtInd>X</ConsolAndSepBasisFinclStmtInd>
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      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <CurrentTaxYearMinus3YearsAmt>3145819</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3479339</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2207780</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13536851</CurrentTaxYearAmt>
        <TotalAmt>24077412</TotalAmt>
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      <TotalCalendarYear170Grp>
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        <CurrentTaxYearMinus3YearsAmt>3145819</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>3479339</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>2207780</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>13536851</CurrentTaxYearAmt>
        <TotalAmt>24077412</TotalAmt>
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      <PublicSupportTotal170Amt>21840743</PublicSupportTotal170Amt>
      <GrossInvestmentIncome170Grp>
        <CurrentTaxYearMinus4YearsAmt>10693</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>15189</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>15275</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>16437</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>16292</CurrentTaxYearAmt>
        <TotalAmt>73886</TotalAmt>
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      <TotalSupportAmt>24151298</TotalSupportAmt>
      <GrossReceiptsRltdActivitiesAmt>2251698</GrossReceiptsRltdActivitiesAmt>
      <PublicSupportCY170Pct>0.90430</PublicSupportCY170Pct>
      <PublicSupportPY170Pct>0.85640</PublicSupportPY170Pct>
      <ThirtyThrPctSuprtTestsCY170Ind>X</ThirtyThrPctSuprtTestsCY170Ind>
      <PublicSupportPY509Pct>0.99530</PublicSupportPY509Pct>
      <InvestmentIncomePYPct>0.00470</InvestmentIncomePYPct>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001" />
    <IRS990ScheduleD documentId="RetDoc1040000001">
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        <OtherCostOrOtherBasisAmt>1118</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>1118</DepreciationAmt>
        <BookValueAmt>0</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
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        <DepreciationAmt>138124</DepreciationAmt>
        <BookValueAmt>9303</BookValueAmt>
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      <TotalBookValueLandBuildingsAmt>9303</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>Due to Affiliate</Desc>
        <Amt>44660</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>44660</TotalLiabilityAmt>
      <TotalRevEtcAuditedFinclStmtAmt>3564207</TotalRevEtcAuditedFinclStmtAmt>
      <NetUnrealizedGainsInvstAmt>89836</NetUnrealizedGainsInvstAmt>
      <RevenueNotReportedAmt>89836</RevenueNotReportedAmt>
      <RevenueSubtotalAmt>3474371</RevenueSubtotalAmt>
      <OtherRevenuesNotIncludedAmt>10414524</OtherRevenuesNotIncludedAmt>
      <RevenueNotReportedFinclStmtAmt>10414524</RevenueNotReportedFinclStmtAmt>
      <TotalRevenuePerForm990Amt>13888895</TotalRevenuePerForm990Amt>
      <TotExpnsEtcAuditedFinclStmtAmt>3521179</TotExpnsEtcAuditedFinclStmtAmt>
      <ExpensesNotReportedAmt>0</ExpensesNotReportedAmt>
      <ExpensesSubtotalAmt>3521179</ExpensesSubtotalAmt>
      <OtherExpensesNotIncludedAmt>10414524</OtherExpensesNotIncludedAmt>
      <ExpensesNotRptFinclStmtAmt>10414524</ExpensesNotRptFinclStmtAmt>
      <TotalExpensesPerForm990Amt>13935703</TotalExpensesPerForm990Amt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XI, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Voluntary Contributions 10,414,524.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part XII, Line 4b - Other Adjustments:</FormAndLineReferenceDesc>
        <ExplanationTxt>Hospital Voluntary Contributions 10,414,524.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleI documentId="RetDoc1041900001">
      <GrantRecordsMaintainedInd>1</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Trustees of Dartmouth College</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>7 Lebanon Street Suite 302 No 6015</AddressLine1Txt>
          <CityNm>Hanover</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03755</ZIPCd>
        </USAddress>
        <RecipientEIN>020222111</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>6868</CashGrantAmt>
        <PurposeOfGrantTxt>The NH Comprehensive Cancer Collaboration entered into an agreement with the Trustees of Dartmouth to award $6,868 for a NH Cancer Plan implementation initiative, Reduce Barriers to HPV Vaccines in a High-Need Community . This addresses an objective in the NH Cancer Plan to increase the percentage of NH youth who complete the recommended HPV vaccination series. Overall, HPV is thought to cause about 26,800 new cancer cases in the U.S. each year; that is about 5% of total cancer cases-3% of cases in women and 2% of cases in men. Based on what is known about the barriers to improving HPV vaccine initiation and completion rates among both boys and girls, the HPV Stakeholders network will develop interventions that will address two audiences: healthcare providers and parents of adolescents. The intent is to target 2 high-need communities and conduct CDC-based CME trainings for providers with evaluations, and offer resources that will promote the vaccine series with parents of adolescents.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>State of New Hampshire</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>25 Capitol Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <CashGrantAmt>10414524</CashGrantAmt>
        <PurposeOfGrantTxt>NH Health Protection Program, otherwise known as Medicaid Expansion, made up of voluntary contributions from state hospitals and insurers to help cover the state share of funding for the program.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Wentworth-Douglass Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>789 Central Avenue</AddressLine1Txt>
          <CityNm>Dover</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03820</ZIPCd>
        </USAddress>
        <RecipientEIN>020260334</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Partnership for Patients initiative to decrease overall readmissions by filling identified gaps in patient services immediately after discharge from the Hospital.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Frisbie Memorial Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>11 Whitehall Road</AddressLine1Txt>
          <CityNm>Rochester</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03867</ZIPCd>
        </USAddress>
        <RecipientEIN>020222131</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Partnership for Patients initiative to decrease overall readmissions by filling identified gaps in patient services immediately after discharge from the Hospital.</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>Concord Hospital</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>250 Pleasant Street</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <RecipientEIN>222594672</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
        <PurposeOfGrantTxt>Partnership for Patients initiative to decrease overall readmissions by filling identified gaps in patient services immediately after discharge from the Hospital.</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>5</Total501c3OrgCnt>
      <TotalOtherOrgCnt>0</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>Organization has executed Letters of Agreement with all the grantees which lays out the purpose of the grants, scope of services, budget and use of grant funds requirements, and reporting requirements.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>0</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>0</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>0</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Stephen Ahnen</PersonNm>
        <TitleTxt>Secretary &amp; Treasurer</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>354500</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>13500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>31698</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>399698</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Anne Diefendorf</PersonNm>
        <TitleTxt>Associate Executive Director</TitleTxt>
        <BaseCompensationFilingOrgAmt>151041</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7722</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>23699</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>182462</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Form 990 and all schedules were made available to the board prior to filing the form. The Secretary/Treasurer and Executive Director reviewed the Form 990 and all schedules with accounting staff and return preparer to ensure accuracy prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Each member of the Board is required to sign a conflict of interest policy at each yearly meeting. The Board members are asked at each Board meeting if any conflicts have arisen since the prior meeting. The conflict of interest policy is reviewed by the Executive Secretary.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15a</FormAndLineReferenceDesc>
        <ExplanationTxt>The Executive Committee of the Organization contracts with a third party organization to produce a comparable state hospital association CEO compensation study, which is used for comparative purposes. The Executive Committee reviews CEO performance and approves the CEO's compensation. The Executive Committee informs the full NHHA Board of the approved compensation package for the CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, line 11g</FormAndLineReferenceDesc>
        <ExplanationTxt>Outside Services - Core: Program service expenses 2,000. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,000. Contracted Services - Projects / EP: Program service expenses 1,740,143. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,740,143.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Foundation for Healthy Communities 125 Airport Road Concord, NH 03301 EIN: 02-0275078 Foundation for Healthy Communities is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>New Hampshire Hospital Association</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>125 Airport Road</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <EIN>026012527</EIN>
        <PrimaryActivitiesTxt>Consulting and Management Services to Hospitals and Health Facilities</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(6)</ExemptCodeSectionTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Health Shared Services Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>125 Airport Road</AddressLine1Txt>
          <CityNm>Concord</CityNm>
          <StateAbbreviationCd>NH</StateAbbreviationCd>
          <ZIPCd>03301</ZIPCd>
        </USAddress>
        <EIN>020376847</EIN>
        <PrimaryActivitiesTxt>Administrative Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>NH</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>New Hampshire Hospital Association</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>0</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>0</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>0</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>0</SharingOfFacilitiesInd>
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      <ReimbursementPaidByOtherOrgInd>0</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>0</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>0</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>