2017-05-12T16:10:19-05:00 2016-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2015-07-01 020222171 New London Hospital Association Inc NEWL 6035265339 273 County Road New London NH 03257 Donald Griffin CFO 6035265339 2017-05-11 1 Joseph R Byrne CPA P01289281 2077752387 2017-05-11 2015 2021-01-29 14:40:06Z Bruce King 273 County Road New London NH 03257 65330430 0 X www.newlondonhospital.org X 1918 NH NLHA is a rural community Critical Access Hospital with an extended care center. 18 9 693 124 -10594 -10594 1720947 1201429 59719738 63581249 2677478 225122 0 0 64118163 65007800 0 0 0 0 33325961 37127710 0 0 462746 26745874 28012650 60071835 65140360 4046328 -132560 74820173 78759410 36307003 41904873 38513170 36854537 X New 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. 0 0 38653943 51113320 Hospital 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. 11110330 8834224 Physician 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. 3407864 3633705 Nursing 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. 53172137 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 125 0 1 693 1 1 1 0 0 0 0 1 1 0 0 0 0 X 18 9 0 1 0 0 1 1 1 1 1 0 0 0 1 1 1 1 1 1 1 0 NH X Donald Griffin 6035262911 273 County Road New London NH 03257 Susan Reeves Chair 8.00 40.00 X X 0 13910 0 David Marshall Treasurer 8.00 0.00 X X 0 0 0 Stanley LCundy Secretary 8.00 0.00 X X 0 0 0 Celeste C Cook Trustee 2.00 0.00 X 0 0 0 Douglas Lyon Vice Chair 8.00 0.00 X X 0 0 0 Jane Rastallis Trustee 2.00 0.00 X 0 0 0 John C Ferries Trustee 2.00 0.00 X 0 0 0 Peter E Hagar Trustee 2.00 0.00 X 0 0 0 Robert M Rex Trustee 2.00 0.00 X 0 0 0 Karen E Ebel Trustee 2.00 0.00 X 0 0 0 Bruce P King President & CEO 50.00 0.00 X X 1170 347705 97689 John Kirk MD President of Med Staff 40.00 0.00 X 173891 0 8372 John R Butterly MD Trustee 2.00 40.00 X 0 482349 63446 Carolyn Kerrigan MD Trustee 2.00 40.00 X 0 345702 132628 Stephen J Leblanc Trustee 2.00 40.00 X 0 616651 179154 Danel Jantzen Trustee 2.00 50.00 X 0 676831 151921 Carolyn Majewski RN Trustee 2.00 40.00 X 0 188372 55077 Donald Eberly MD Past Pres Elect Med Staff 50.00 0.00 X 218657 0 2697 Lawrence Schissel MD Pres Elect Med Staff 50.00 0.00 X 201843 0 19585 Donald J Griffin Chief Financial Officer 50.00 0.00 X 155695 0 13430 James Murphy MD Co-Chief Medical Officer 50.00 0.00 X 259849 0 3048 Steven Powell MD Co-Chief Medical Officer & Physician 50.00 0.00 X 492279 0 20194 Sally Patton Chief Nursing Officer 50.00 0.00 X 112787 0 18008 David Foss Chief Information Officer 50.00 0.00 X 120569 0 18175 Adnan Khan MD Physician 50.00 0.00 X 474179 0 2400 Stephen Bissah MD Physician 50.00 0.00 X 388171 0 20026 David A Corbin MD Physician 50.00 0.00 X 267647 0 20194 Andrew Torkelson MD Physician 25.00 0.00 X 338374 0 2400 Kenneth Call MD Physician 50.00 0.00 X 343012 0 4180 3548123 2671520 832624 42 0 1 0 Dartmouth Hitchcock Clinic One Medical Center Dr Lebanon NH 03756 Physician Staffing and Lab Services 2903797 AHSA LLC PO Box 945 Transverse City MI 49685 Staffing 1147289 New England Alliance for Health One Medical Center Dr Lebanon NH 03756 Management Services 807767 Upper Valley Neurology Neurosurgery 106 Hanover St Lebanon NH 03766 Physician Services 678388 Fulcrum Associates 5 Tech Circle Amherst NH 03031 Construction 568345 14 93939 218426 889064 78325 1201429 Patient Revenue 621400 113934682 113934682 Physician Services 621110 3111329 3111329 Other Revenue 900099 495721 358973 136748 Provision for Bad Debts 621400 -1950907 -1950907 Contractual/Char. Adj. 621400 -52009576 -52009576 63581249 280856 -10594 291450 54861 146466 82741 174320 -27880 -27854 -55734 -55734 65569 93939 65569 0 65007800 63444501 -10594 372464 2223208 1158724 1064484 28080264 22508836 5259481 311947 5075172 4068203 933350 73619 1749066 1402032 324437 22597 160824 128915 31909 168774 135287 33487 139291 111654 27637 53909 43213 10696 3295127 2641338 653789 125631 100704 24927 2458144 1970421 468506 19217 1424781 1142089 282692 1712909 1373049 335585 4275 85598 68614 11226 5758 180119 144382 35331 406 823213 659879 163334 4668117 3741912 926205 748984 600377 148607 Other 4005431 3210710 794721 Medicaid Enhancement Ta 2808488 2808488 Medical Supplies 2731864 2731864 Drugs and Pharmaceutica 2421446 2421446 65140360 53172137 11505477 462746 X 7224757 6291068 364147 393879 37086 167167 7387946 8312324 1055863 868403 1531747 1301365 93399554 50688272 37098056 42711282 13047506 12793665 2595189 2581241 4477876 3339016 74820173 78759410 6185630 8810869 17668091 19230326 4307 312141 12448975 13551537 36307003 41904873 X 33967261 32393789 325554 344628 4220355 4116120 38513170 36854537 74820173 78759410 X -132560 -306497 -1219576 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 10078 10078 0 Part II-B, Line 1: Per 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%. 4220355 -24649 7154 72427 4116125 4241594 178504 141831 57912 4220355 2052516 2117600 185482 89536 24468 4241594 2002989 172073 104101 18445 2052516 1890475 227326 96967 17845 2002989 1.00000 1 0 1660103 1660103 44289606 17121434 27168172 441889 432601 9288 38989491 32241760 6747731 8018465 892477 7125988 42711282 Charitable Gift Annuities 13800 Capital Lease Obligations 2546201 Other Liabilities 28000 Interest Rate Swap 4646130 Estimated Third-Party Payor Settlements 5205711 Deferred Compensation 1111695 13551537 Part V, Line 4: The income from the Endowment Funds is used to assist in the payment of the Hospital's program-related expenses. Golf Tournament 44200 28547 15653 2200 12790 663 Gala 74418 49903 24515 1000 16032 585 6898 1 40890 15489 25401 1110 400 23891 159508 93939 65569 3310 13790 16032 985 31452 65569 0 1 1 1 X 1 X 1 1 0 1 1 619824 619824 0.00950 6898419 5899549 998870 0.01530 7518243 5899549 1618694 0.02480 168142 168142 0.00260 59412 59412 0.00090 4154641 4154641 0.06380 12478 12478 0.00020 4394673 4394673 0.06750 11912916 5899549 6013367 0.09230 28475 28475 0.00040 57626 57626 0.00090 86101 86101 0.00130 1 1004927 23762 23873870 25346214 -1472344 X 1 1 1 1 New London Hospital 273 County Road New London NH 03257 www.newlondonhospital.org 02407 X New London Hospital Association 1 0 0 1 X X X X X X X X X 14 1 1 0 1 X www.newlondonhospital.org X 1 14 1 www.newlondonhospital.org 0 0 1 X 200.000000000000 400.000000000000 X 1 1 X X X 1 X http://www.newlondonhospital.org/services/patient_financial_services/ X http://www.newlondonhospital.org/services/patient_financial_services/ X X X X X 1 X 0 X X X X X 1 X X 0 0 New London Hospital Association Part 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 Association Part 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 Association Part 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 Association Part 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 Association Part 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. 1 1 - Newport Health Center 11 John Stark Hwy Newport NH 03773 Rural Health Clinic 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 States NH X 1 1 X X X X 0 1 0 0 0 0 0 1 0 Bruce P King President & CEO 0 323841 0 0 1170 23864 0 77609 0 20080 1170 445394 0 0 John Kirk MD President of Med Staff 163541 0 3330 0 7020 0 0 0 8372 0 182263 0 0 0 John R Butterly MD Trustee 0 433100 0 0 0 49249 0 62386 0 1060 0 545795 0 0 Carolyn Kerrigan MD Trustee 0 244369 0 70808 0 30525 0 131256 0 1372 0 478330 0 0 Stephen J Leblanc Trustee 0 480623 0 0 0 136028 0 159027 0 20127 0 795805 0 0 Danel Jantzen Trustee 0 514015 0 0 0 162816 0 136497 0 15424 0 828752 0 0 Carolyn Majewski RN Trustee 0 187974 0 0 0 398 0 41666 0 13411 0 243449 0 0 Donald Eberly MD Past Pres Elect Med Staff 211685 0 4200 0 2772 0 0 0 2697 0 221354 0 0 0 Lawrence Schissel MD Pres Elect Med Staff 155678 0 43971 0 2194 0 0 0 19585 0 221428 0 0 0 Donald J Griffin Chief Financial Officer 149093 0 2914 0 3688 0 0 0 13430 0 169125 0 0 0 James Murphy MD Co-Chief Medical Officer 254275 0 2802 0 2772 0 0 0 3048 0 262897 0 0 0 Steven Powell MD Co-Chief Medical Officer & Physician 486116 0 5533 0 630 0 0 0 20194 0 512473 0 0 0 Adnan Khan MD Physician 468934 0 4867 0 378 0 0 0 2400 0 476579 0 0 0 Stephen Bissah MD Physician 381511 0 6240 0 420 0 0 0 20026 0 408197 0 0 0 David A Corbin MD Physician 261609 0 5408 0 630 0 0 0 20194 0 287841 0 0 0 Andrew Torkelson MD Physician 214086 0 123364 0 924 0 0 0 2400 0 340774 0 0 0 Kenneth Call MD Physician 337150 0 4056 0 1806 0 0 0 4180 0 347192 0 0 0 Part I, Line 4b The 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 7 During 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. A NH Health and Education Facilities Authority 020279866 2013-10-24 25000000 To refinance 2007 Bonds & finance construction of health center building 0 0 0 A 670665 25000000 355400 4052090 15493501 5099009 1 0 0 1 A 0 0 0 0 0 0 1 A 0 0 1 0 1 1 Morgan Stanley 30.000000000000 0 0 0 0 1 A 1 X 6 78325 Stock Market Value 0 1 0 Form 990, Part VI, Section A, line 3 Mr. 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 6 The sole member of the Corporation is Dartmouth-Hitchcock Health, a New Hampshire non-profit corporation. Form 990, Part VI, Section A, line 7a The 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 7b The Member has certain reserved powers which require the Organization to obtain approval of the Member. Form 990, Part VI, Section B, line 11 NLHA 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 12c Each 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 15 The 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 19 NLHA 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 Equipment Section 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. Mary Hitchcock Memorial Hospital One Medical Center Drive Lebanon NH 03756 020222140 Hospital NH 501(C)(3) Line 3 D-HH 0 Dartmouth Hitchcock Clinic One Medical Center Drive Lebanon NH 03756 222519596 Physician Services NH 501(C)(3) Line 9 D-HH 0 Dartmouth Hitchcock Medical Center One Medical Center Drive Lebanon NH 03756 222715483 Supporting Organization NH 501(C)(3) Line 11a, I N/A 0 Dartmouth Hitchcock Health One Medical Center Drive Lebanon NH 03756 264812335 Parent Organization NH 501(C)(3) Line 7 N/A 0 Hamden Risk Retention Group Inc 30 Main Street STE 330 Burlington VT 05401 208530788 Self Ins VT 501(C)(3) Line 11a, I DHC 0 The Hitchcock Foundation One Medical Center Drive Lebanon NH 03756 020222139 Healthcare Research NH 501(C)(3) Line 7 DHC 0 Everwell Inc One Medical Center Drive Lebanon NH 03756 352506275 Supporting Organization NH 501(C)(3) Line 11a, I N/A 0 Windsor Hospital Corporation 289 County Road Windsor VT 05089 030183721 Hospital VT 501(C)(3) Line 3 D-HH 0 Cheshire Medical Center 580 Court Street Keene NH 03431 020354549 Hospital NH 501(C)(3) Line 3 D-HH 0 Cheshire Health Foundation 580 Court Street Keene NH 03431 020202220 Supporting Organization NH 501(C)(3) Line 11a, I CMC 0 Mt Ascutney Hosp Cmmty Hlth Found 289 County Road Windsor VT 05089 030300481 Foundation VT 501(C)(3) Line 3 WHA 0 Historic Homes of Runnemede 289 County Road Windsor VT 05089 237396147 Healthcare VT 501(C)(3) Line 9 WHA 0 Cheshire Health Services 580 Court Street Keene NH 03431 473379283 Healthcare NH 501(C)(3) Line 3 CMC 0 Alice Peck Day Memorial Hospital 10 Alice Peck Day Drive Lebanon NH 03766 020222791 Hospital NH 501(C)(3) Line 3 D-HH 0 Surgery Center of Greater Nashua 10 Prospect Street STE 101 Nashua NH 03060 461084049 Surgery Center NH 501(C)(3) Line 3 N/A 0 D-H Master Inv Program One Medical Center Drive Lebanon NH 03756 020205863 Pooled Invest NH MHMH Excluded 327332 12878238 0 -10594 1 0.02330 Pompanoosuc Investment Corp One Medical Center Drive Lebanon NH 03756 020352330 Real Estate Holding NH DHC C 0 Hamden Assurance Co LTD 44 Church St Hamilton BD HM 980121409 Liability Insurance HM DHC C 0 Hitchcock Health Connect One Medical Center Drive Lebanon NH 03756 800908979 TeleHealth DE D-HH C 0 Kearsarge Community Services Inc 273 County Road New London NH 03257 020460136 Real Estate Holding NH New London Hospital Association C 3266 908566 1.00000 0 New London Medical Center East 273 County Road New London NH 03257 020480857 Real Estate NH New London Hospital Association C 4452 12816 1.00000 0 New London Physician Group Inc 273 County Road New London NH 03257 020494420 Physician Group NH New London Hospital Association C 1.00000 0 Keene Health Services 580 Court Street Keene NH 03431 020374997 Real Estate Holding NH CMC C 0 Keene Health Realty 580 Court Street Keene NH 03431 020374998 Real Estate Holding NH CMC C 0 Keene Health Enterprises 580 Court Street Keene NH 03431 020374999 Real Estate Holding NH CMC C 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 Kearsarge Community Services K 187924 Cost