FURP.ORG / PUBLIC DATA EXPLORER

THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-12
IRS object ID
201721329349306562
Schema version
2015v3.0
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)
Return2017-05-12T16:10:19-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

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 Begin2015-07-01TaxPeriodBeginDt

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)
PersonDonald GriffinPersonNm
Person TitleCFOPersonTitleTxt
Phone6035265339PhoneNum
Signature2017-05-11SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoseph R Byrne CPAPreparerPersonNm
PTINP01289281PTIN
Phone2077752387PhoneNum
Preparation2017-05-11PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

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$65,330,430GrossReceiptsAmt
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 Body18VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee693TotalEmployeeCnt
Total Volunteers124TotalVolunteersCnt
Total Gross UBI-$10,594TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$10,594NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,720,947PYContributionsGrantsAmt
CY Contributions Grants$1,201,429CYContributionsGrantsAmt
PY Program Service Revenue$59,719,738PYProgramServiceRevenueAmt
CY Program Service Revenue$63,581,249CYProgramServiceRevenueAmt
PY Investment Income$2,677,478PYInvestmentIncomeAmt
CY Investment Income$225,122CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$64,118,163PYTotalRevenueAmt
CY Total Revenue$65,007,800CYTotalRevenueAmt
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$33,325,961PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$37,127,710CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$462,746CYTotalFundraisingExpenseAmt
PY Other Expenses$26,745,874PYOtherExpensesAmt
CY Other Expenses$28,012,650CYOtherExpensesAmt
PY Total Expenses$60,071,835PYTotalExpensesAmt
CY Total Expenses$65,140,360CYTotalExpensesAmt
PY Revenues Less Expenses$4,046,328PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$132,560CYRevenuesLessExpensesAmt
Total Assets BOY$74,820,173TotalAssetsBOYAmt
Total Assets EOY$78,759,410TotalAssetsEOYAmt
Total Liabilities BOY$36,307,003TotalLiabilitiesBOYAmt
Total Liabilities EOY$41,904,873TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$38,513,170NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$36,854,537NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNew London Hospital is a 25-bed rural community Critical Access Hospital with a 58-bed long term extended care center dedicated to serving the Lake Sunapee region in central New Hampshire.New London Hospital provides safe quality care for every patient, every time in partnership with patients, families and healthcare providers.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$38,653,943ExpenseAmt
Revenue$51,113,320RevenueAmt
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 prevenention 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$11,110,330ExpenseAmt
Revenue$8,834,224RevenueAmt
DescPhysician practices: In a recent community health needs assessment access to primary care is identified as a central community health need. As a result, the Hospital is committed to providing care in central locations throughout the service area, specifically in Newport and New London. NLHA employs 53 providers, of which 20 are primary care including 4 are pediatrics and 29 are specialists covering general surgery, anesthesiology, orthopedics, cardiology, neurology, emergency medicine, hospitalists, gynecology, and rheumatology.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$3,407,864ExpenseAmt
Revenue$3,633,705RevenueAmt
DescNursing home: The Clough Center is 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 benefit 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 have immediate access to the comprehensive services of a hospital and pharmacy.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$53,172,137TotalProgramServiceExpensesAmt
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 Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document125IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee693EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
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 Members18GoverningBodyVotingMembersCnt
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)
PersonDonald GriffinPersonNm
Phone6035262911PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 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
Chair8.0040.00Yes (X)Yes (X)$0$13,910$0
David Marshall
Treasurer8.000.00Yes (X)Yes (X)$0$0$0
Stanley LCundy
Secretary8.000.00Yes (X)Yes (X)$0$0$0
Celeste C Cook
Trustee2.000.00Yes (X)$0$0$0
Douglas Lyon
Vice Chair8.000.00Yes (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 Hagar
Trustee2.000.00Yes (X)$0$0$0
Robert M Rex
Trustee2.000.00Yes (X)$0$0$0
Karen E Ebel
Trustee2.000.00Yes (X)$0$0$0
Bruce P King
President & CEO50.000.00Yes (X)Yes (X)$1,170$347,705$97,689
John Kirk MD
President of Med Staff40.000.00Yes (X)$173,891$0$8,372
John R Butterly MD
Trustee2.0040.00Yes (X)$0$482,349$63,446
Carolyn Kerrigan MD
Trustee2.0040.00Yes (X)$0$345,702$132,628
Stephen J Leblanc
Trustee2.0040.00Yes (X)$0$616,651$179,154
Danel Jantzen
Trustee2.0050.00Yes (X)$0$676,831$151,921
Carolyn Majewski RN
Trustee2.0040.00Yes (X)$0$188,372$55,077
Donald Eberly MD
Past Pres Elect Med Staff50.000.00Yes (X)$218,657$0$2,697
Lawrence Schissel MD
Pres Elect Med Staff50.000.00Yes (X)$201,843$0$19,585
Donald J Griffin
Chief Financial Officer50.000.00Yes (X)$155,695$0$13,430
James Murphy MD
Co-Chief Medical Officer50.000.00Yes (X)$259,849$0$3,048
Steven Powell MD
Co-Chief Medical Officer & Physician50.000.00Yes (X)$492,279$0$20,194
Sally Patton
Chief Nursing Officer50.000.00Yes (X)$112,787$0$18,008
David Foss
Chief Information Officer50.000.00Yes (X)$120,569$0$18,175
Adnan Khan MD
Physician50.000.00$474,179$0$2,400Yes (X)
Stephen Bissah MD
Physician50.000.00$388,171$0$20,026Yes (X)
David A Corbin MD
Physician50.000.00$267,647$0$20,194Yes (X)
Andrew Torkelson MD
Physician25.000.00$338,374$0$2,400Yes (X)
Kenneth Call MD
Physician50.000.00$343,012$0$4,180Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,548,123TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,671,520TotReportableCompRltdOrgAmt
Total Other Compensation$832,624TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K42IndivRcvdGreaterThan100KCnt
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
Dartmouth Hitchcock Clinic
One Medical Center DrLebanonNH03756Physician Staffing and Lab Services$2,903,797
AHSA LLC
PO Box 945Transverse CityMI49685Staffing$1,147,289
New England Alliance for Health
One Medical Center DrLebanonNH03756Management Services$807,767
Upper Valley Neurology Neurosurgery
106 Hanover StLebanonNH03766Physician Services$678,388
Fulcrum Associates
5 Tech CircleAmherstNH03031Construction$568,345
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Fundraising$93,939FundraisingAmt
Government Grants$218,426GovernmentGrantsAmt
All Other Contributions$889,064AllOtherContributionsAmt
Noncash Contributions$78,325NoncashContributionsAmt
Total Contributions$1,201,429TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtExclusionExclusionAmt
Patient Revenue621400$113,934,682$113,934,682
Physician Services621110$3,111,329$3,111,329
Other Revenue900099$495,721$358,973$136,748
Provision for Bad Debts621400-$1,950,907-$1,950,907
Contractual/Char. Adj.621400-$52,009,576-$52,009,576
FieldValueIRS element (for citing)
Total Program Service Revenue$63,581,249TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$280,856TotalRevenueColumnAmt
Unrelated Business Revenue-$10,594UnrelatedBusinessRevenueAmt
Exclusion$291,450ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$54,861SecuritiesAmt
Other$146,466OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$82,741SecuritiesAmt
Other$174,320OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$27,880SecuritiesAmt
Other-$27,854OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$55,734TotalRevenueColumnAmt
Exclusion-$55,734ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$65,569FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$93,939ContriRptFundraisingEventAmt
Fundraising Direct Expenses$65,569FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$65,007,800TotalRevenueColumnAmt
Related Or Exempt Func Income$63,444,501RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue-$10,594UnrelatedBusinessRevenueAmt
Exclusion$372,464ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,223,208TotalAmt
Program Services$1,158,724ProgramServicesAmt
Management And General$1,064,484ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$28,080,264TotalAmt
Program Services$22,508,836ProgramServicesAmt
Management And General$5,259,481ManagementAndGeneralAmt
Fundraising$311,947FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,075,172TotalAmt
Program Services$4,068,203ProgramServicesAmt
Management And General$933,350ManagementAndGeneralAmt
Fundraising$73,619FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,749,066TotalAmt
Program Services$1,402,032ProgramServicesAmt
Management And General$324,437ManagementAndGeneralAmt
Fundraising$22,597FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$160,824TotalAmt
Program Services$128,915ProgramServicesAmt
Management And General$31,909ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$168,774TotalAmt
Program Services$135,287ProgramServicesAmt
Management And General$33,487ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$139,291TotalAmt
Program Services$111,654ProgramServicesAmt
Management And General$27,637ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$53,909TotalAmt
Program Services$43,213ProgramServicesAmt
Management And General$10,696ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$3,295,127TotalAmt
Program Services$2,641,338ProgramServicesAmt
Management And General$653,789ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$125,631TotalAmt
Program Services$100,704ProgramServicesAmt
Fundraising$24,927FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,458,144TotalAmt
Program Services$1,970,421ProgramServicesAmt
Management And General$468,506ManagementAndGeneralAmt
Fundraising$19,217FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,424,781TotalAmt
Program Services$1,142,089ProgramServicesAmt
Management And General$282,692ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,712,909TotalAmt
Program Services$1,373,049ProgramServicesAmt
Management And General$335,585ManagementAndGeneralAmt
Fundraising$4,275FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$85,598TotalAmt
Program Services$68,614ProgramServicesAmt
Management And General$11,226ManagementAndGeneralAmt
Fundraising$5,758FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$180,119TotalAmt
Program Services$144,382ProgramServicesAmt
Management And General$35,331ManagementAndGeneralAmt
Fundraising$406FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$823,213TotalAmt
Program Services$659,879ProgramServicesAmt
Management And General$163,334ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,668,117TotalAmt
Program Services$3,741,912ProgramServicesAmt
Management And General$926,205ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$748,984TotalAmt
Program Services$600,377ProgramServicesAmt
Management And General$148,607ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Other$4,005,431$3,210,710$794,721
Medicaid Enhancement Ta$2,808,488$2,808,488
Medical Supplies$2,731,864$2,731,864
Drugs and Pharmaceutica$2,421,446$2,421,446

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$65,140,360TotalAmt
Program Services$53,172,137ProgramServicesAmt
Management And General$11,505,477ManagementAndGeneralAmt
Fundraising$462,746FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$7,224,757BOYAmt
EOY$6,291,068EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$364,147BOYAmt
EOY$393,879EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$37,086BOYAmt
EOY$167,167EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,387,946BOYAmt
EOY$8,312,324EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,055,863BOYAmt
EOY$868,403EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,531,747BOYAmt
EOY$1,301,365EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$93,399,554LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$50,688,272LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$37,098,056BOYAmt
EOY$42,711,282EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,047,506BOYAmt
EOY$12,793,665EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,595,189BOYAmt
EOY$2,581,241EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$4,477,876BOYAmt
EOY$3,339,016EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$74,820,173BOYAmt
EOY$78,759,410EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$6,185,630BOYAmt
EOY$8,810,869EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,668,091BOYAmt
EOY$19,230,326EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$4,307BOYAmt
EOY$312,141EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,448,975BOYAmt
EOY$13,551,537EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$36,307,003BOYAmt
EOY$41,904,873EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,967,261BOYAmt
EOY$32,393,789EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$325,554BOYAmt
EOY$344,628EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,220,355BOYAmt
EOY$4,116,120EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$38,513,170BOYAmt
EOY$36,854,537EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,820,173BOYAmt
EOY$78,759,410EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$132,560ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$306,497NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$1,219,576OtherChangesInNetAssetsAmt
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$10,078OtherActivitiesAmt
Total Lobbying Expenditures$10,078TotalLobbyingExpendituresAmt
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 21.94%, and the percentage of udes from the American Hospital Association (AHA) ws 21.12%.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$1,890,475BeginningYearBalanceAmt
Investment Earnings Or Losses$227,326InvestmentEarningsOrLossesAmt
Other Expenditures$96,967OtherExpendituresAmt
Administrative Expenses$17,845AdministrativeExpensesAmt
End Year Balance$2,002,989EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
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$44,289,606OtherCostOrOtherBasisAmt
Depreciation$17,121,434DepreciationAmt
Book Value$27,168,172BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$441,889OtherCostOrOtherBasisAmt
Depreciation$432,601DepreciationAmt
Book Value$9,288BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$38,989,491OtherCostOrOtherBasisAmt
Depreciation$32,241,760DepreciationAmt
Book Value$6,747,731BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,018,465OtherCostOrOtherBasisAmt
Depreciation$892,477DepreciationAmt
Book Value$7,125,988BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$42,711,282TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
Charitable Gift Annuities$13,800
Capital Lease Obligations$2,546,201
Other Liabilities$28,000
Interest Rate Swap$4,646,130
Estimated Third-Party Payor Settlements$5,205,711
Deferred Compensation$1,111,695
FieldValueIRS element (for citing)
Total Liability$13,551,537TotalLiabilityAmt

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$44,200GrossReceiptsEvent1Amt
Charitable Contri Event1$28,547CharitableContriEvent1Amt
Gross Revenue Event1$15,653GrossRevenueEvent1Amt
Non Cash Prizes Event1$2,200NonCashPrizesEvent1Amt
Rent Facility Costs Event1$12,790RentFacilityCostsEvent1Amt
Other Direct Expenses Event1$663OtherDirectExpensesEvent1Amt
Event2GalaEvent2Nm
Gross Receipts Event2$74,418GrossReceiptsEvent2Amt
Charitable Contri Event2$49,903CharitableContriEvent2Amt
Gross Revenue Event2$24,515GrossRevenueEvent2Amt
Rent Facility Costs Event2$1,000RentFacilityCostsEvent2Amt
Food And Beverage Event2$16,032FoodAndBeverageEvent2Amt
Entertainment Event2$585EntertainmentEvent2Amt
Other Direct Expenses Event2$6,898OtherDirectExpensesEvent2Amt
Other Events Total1OtherEventsTotalCnt
Gross Receipts Other Events$40,890GrossReceiptsOtherEventsAmt
Charitable Contri Other Events$15,489CharitableContriOtherEventsAmt
Gross Revenue Other Events$25,401GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events$1,110NonCashPrizesOtherEventsAmt
Entertainment Other Events$400EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events$23,891OthDirectExpnssOtherEventsAmt
Gross Receipts Total$159,508GrossReceiptsTotalAmt
Charitable Contributions Tot$93,939CharitableContributionsTotAmt
Gross Revenue Total Events$65,569GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$3,310NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$13,790RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$16,032FoodAndBeverageTotalEventsAmt
Entertainment Total Events$985EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$31,452OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$65,569DirectExpenseSummaryEventsAmt
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$619,824TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$619,824NetCommunityBenefitExpnsAmt
Total Expense0.00950TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,898,419TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,899,549DirectOffsettingRevenueAmt
Net Community Benefit Expns$998,870NetCommunityBenefitExpnsAmt
Total Expense0.01530TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,518,243TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,899,549DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,618,694NetCommunityBenefitExpnsAmt
Total Expense0.02480TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$168,142TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$168,142NetCommunityBenefitExpnsAmt
Total Expense0.00260TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$59,412TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$59,412NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,154,641TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,154,641NetCommunityBenefitExpnsAmt
Total Expense0.06380TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,478TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,478NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,394,673TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,394,673NetCommunityBenefitExpnsAmt
Total Expense0.06750TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$11,912,916TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,899,549DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,013,367NetCommunityBenefitExpnsAmt
Total Expense0.09230TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,475TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$28,475NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,626TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$57,626NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,101TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$86,101NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$1,004,927BadDebtExpenseAmt
Bad Debt Expense Attributable$23,762BadDebtExpenseAttributableAmt
Reimbursed By Medicare$23,873,870ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$25,346,214CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,472,344MedicareSurplusOrShortfallAmt

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

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
Information GapsYes (X)InformationGapsInd
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
Strategy Attached0StrategyAttachedInd
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
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 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
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Average Negotiated RatesYes (X)AverageNegotiatedRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 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.
New London Hospital AssociationPart V, Section B, Line 22d: The New London Hospital Association Inc. extends a 35% discount from gross charges to uninsured patients, which approximates the average of its three lowest negotiated commercial insurance rates.
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 with the Organization subsidizing their services. In FY 2016, the Hospital subsidized health care services to the community in the amount of $4,154,641. 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 $4.1 million dollars for fiscal year 2016. 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 $27,000.
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 Health System 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 managements 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 74% at June 30, 2015 to 64% at June 30, 2016. In addition, the Association's self-pay accounts receivable decreased from approximately $1,015,000 at June 30, 2015 to $920,000 at June 30, 2016. The Association has not changed its free care or uninsured discount policies during 2016. 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 its standard rates for services provided (or on the basis of discounted rates, if negotiated or provided by policy). 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 June of 2015 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 (17 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
Bruce P King
President & CEO$0$323,841$0$0$1,170$23,864$0$77,609$0$20,080$1,170$445,394$0$0
John Kirk MD
President of Med Staff$163,541$0$3,330$0$7,020$0$0$0$8,372$0$182,263$0$0$0
John R Butterly MD
Trustee$0$433,100$0$0$0$49,249$0$62,386$0$1,060$0$545,795$0$0
Carolyn Kerrigan MD
Trustee$0$244,369$0$70,808$0$30,525$0$131,256$0$1,372$0$478,330$0$0
Stephen J Leblanc
Trustee$0$480,623$0$0$0$136,028$0$159,027$0$20,127$0$795,805$0$0
Danel Jantzen
Trustee$0$514,015$0$0$0$162,816$0$136,497$0$15,424$0$828,752$0$0
Carolyn Majewski RN
Trustee$0$187,974$0$0$0$398$0$41,666$0$13,411$0$243,449$0$0
Donald Eberly MD
Past Pres Elect Med Staff$211,685$0$4,200$0$2,772$0$0$0$2,697$0$221,354$0$0$0
Lawrence Schissel MD
Pres Elect Med Staff$155,678$0$43,971$0$2,194$0$0$0$19,585$0$221,428$0$0$0
Donald J Griffin
Chief Financial Officer$149,093$0$2,914$0$3,688$0$0$0$13,430$0$169,125$0$0$0
James Murphy MD
Co-Chief Medical Officer$254,275$0$2,802$0$2,772$0$0$0$3,048$0$262,897$0$0$0
Steven Powell MD
Co-Chief Medical Officer & Physician$486,116$0$5,533$0$630$0$0$0$20,194$0$512,473$0$0$0
Adnan Khan MD
Physician$468,934$0$4,867$0$378$0$0$0$2,400$0$476,579$0$0$0
Stephen Bissah MD
Physician$381,511$0$6,240$0$420$0$0$0$20,026$0$408,197$0$0$0
David A Corbin MD
Physician$261,609$0$5,408$0$630$0$0$0$20,194$0$287,841$0$0$0
Andrew Torkelson MD
Physician$214,086$0$123,364$0$924$0$0$0$2,400$0$340,774$0$0$0
Kenneth Call MD
Physician$337,150$0$4,056$0$1,806$0$0$0$4,180$0$347,192$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, Carolyn Kerrigan, Daniel Jantzen, Stephen Leblanc, John Butterly and Susan Reeves. 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.
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 $543 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. Susan Reeves is also on the Board of Trustees for New London Hospital, but was a part year employee 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 Issued2013-10-24BondIssuedDt
Issue Price$25,000,000IssuePriceAmt
PurposeTo refinance 2007 Bonds & finance construction of health center buildingPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$670,665RetiredAmt
Total Proceeds$25,000,000TotalProceedsAmt
Issuance Costs From Proceeds$355,400IssuanceCostsFromProceedsAmt
Capital Expenditures$4,052,090CapitalExpendituresAmt
Other Spent Proceeds$15,493,501OtherSpentProceedsAmt
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
Contribution6ContributionCnt
Noncash Contributions Rpt F990$78,325NoncashContributionsRptF990Amt
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 (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 11NLHA 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 Loss on Interest Rate Swap -1,115,340. Change in Beneficial Interest in Perpetual Trust -104,236.

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 9D-HH0
Dartmouth Hitchcock Medical Center
One Medical Center DriveLebanonNH03756222715483Supporting OrganizationNH501(C)(3)Line 11a, 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 11a, IDHC0
The Hitchcock Foundation
One Medical Center DriveLebanonNH03756020222139Healthcare ResearchNH501(C)(3)Line 7DHC0
Everwell Inc
One Medical Center DriveLebanonNH03756352506275Supporting OrganizationNH501(C)(3)Line 11a, 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 11a, ICMC0
Mt Ascutney Hosp Cmmty Hlth Found
289 County RoadWindsorVT05089030300481FoundationVT501(C)(3)Line 3WHA0
Historic Homes of Runnemede
289 County RoadWindsorVT05089237396147HealthcareVT501(C)(3)Line 9WHA0
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$327,332ShareOfTotalIncomeAmt
Share Of EOY Assets$12,878,238ShareOfEOYAssetsAmt
Disproportionate Allocations0DisproportionateAllocationsInd
UBI Code V-$10,594UBICodeVAmt
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$3,266$908,5661.00000
New London Medical Center East
273 County RoadNew LondonNH03257020480857Real EstateNHNew London Hospital AssociationC0$4,452$12,8161.00000
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$187,924InvolvedAmt
Method Of Amount DeterminationCostMethodOfAmountDeterminationTxt