2017-05-05T09:57:54-05:00 2016-09-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2015-10-01 020222152 Littleton Hospital Association LITT 6034449000 600 St Johnsbury Road Littleton NH 03561 VP of Finance VP of Finance 6034449000 2017-05-01 1 Barbara J McGuan CPA P00219457 2077752387 2017-05-01 2015 2021-01-29 14:40:06Z Littleton Regional Healthcare Robert F Nutter 600 St Johnsbury Road Littleton NH 03561 96164188 0 X www.littletonhospital.org X 1906 NH To provide health care services in Northern New Hampshire 14 10 577 247 237 -149 30872 367741 87169612 87274990 586877 9836 218632 203874 88005993 87856441 235168 98329 0 0 47819749 49421138 0 0 0 38957121 38190407 87012038 87709874 993955 146567 95939117 98584999 49197745 49112149 46741372 49472850 X To provide quality, compassionate and accessible healthcare in a manner that brings value to all.To offer a full spectrum of services, including acute primary and selected secondary care; 24-hour emergency services; preventive diagnostic, theraputic, and rehabilitative services on an outpatient and inpatient basis; continuity of care from preventive programs to coordination with home health services.To provide these services without regard to race, religion, age, sex, income, creed, national origin, or disability.To maintain a sufficient number and mix of medical staff who are competent, dedicated and commmunity based, supporting them with the technologically up-to-date equipment and facility needed to provide these services competitively.To create a healthy, satisfying work environment for phsycians, nurses and other employees, with a commitment to support the continuing educational needs of its professional staff, including the physicians, nurses and allied health personnel. 1 0 66752103 98329 87274990 Littleton Hospital Association provides health care services on an in/outpatient basis to the general public, including charity care, community education, and various other health programs and services. 66752103 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 1 123 0 1 577 1 0 0 0 0 0 0 0 0 0 0 X 14 10 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NH X Leslie Walker VP of Finance 6034449000 600 St Johnsbury Rd Littleton NH 03561 Stevan Trooboff Past Chairman 1.00 1.00 X X 0 0 0 William Bedor Chairman 1.00 1.00 X X 0 0 0 James Hamblin Trustee 1.00 X 0 0 0 John Starr Vice Chair 1.00 1.00 X X 0 0 0 Dr Andrew Forrest Trustee/Physician 40.00 X 308176 0 37484 Dr John Sauter Trustee Emeritus 40.00 1.00 X 308570 0 13250 Laurie Morgan Auxiliary Representative 1.00 X 0 0 0 Dr Deane Rankin Trustee/Physician 40.00 X 380911 0 51457 Roger Gingue Treasurer 1.00 1.00 X X 0 0 0 Dr Imelyn Fernandez Trustee 1.00 X 0 0 0 Gail Tomlinson Trustee 1.00 X 0 0 0 Kim Butler Past Trustee 1.00 X 0 0 0 Jeff Woodward Trustee 1.00 X 0 0 0 Erin Hennessey Secretary 1.00 X X 0 0 0 Dr Dougald MacArthur Past Chief of Staff 40.00 X 706000 0 0 James Nohl Trustee 1.00 X 0 0 0 Dr Stephen Goldberg Chief of Staff 40.00 X 316610 0 55049 Warren West Ex-Officio/ Past CEO 40.00 1.00 X 336953 0 30157 Nick Braccino Interim President 40.00 1.00 X 207397 0 40578 Andrew Majka CFO 40.00 1.00 X 0 0 0 Linda Gilmore CAO/CNO 40.00 X 219309 0 47194 Dr Patrick Fitzpatrick Physician 40.00 X 721788 0 51143 Dr Eric Mullins Physician 40.00 X 693744 0 46159 Dr Harlan Herr Physician 40.00 X 575967 0 28456 Dr Jeffrey Kauffman Physician 40.00 X 466528 0 50000 Dr Leon Kogan Physician 40.00 X 496559 0 24464 5738512 0 475391 68 0 1 0 The Alpine Clinic PLLC 1095 Profile Rd Franconia NH 03580 Professional Services Agreement 4596834 Hutter Construction 810 Turnpike Road New Ipswich NH 03071 General Contractor 645330 Balanced Healthcare Receivables LLC 164 Burke St Nashua NH 03060 Collection Services 427674 Griffin York & Krause 121 River Front Drive Manchester NH 03102 Advertising Consultant 341319 Rath Young & Pignatelli PC 1 Capital Plaza Suite 2 Concord NH 03302 Legal Services 320652 11 355435 12306 338459 367741 Patient Service Revenue 900099 162442904 162442904 Other Revenue 900099 3128741 2434430 694311 Contract Lab 621500 124278 124041 237 Provision for Bad Debts 900099 -4097253 -4097253 Contractual Allowances 900099 -74323680 -74323680 87274990 428841 428841 203874 0 203874 203874 203874 7839461 49281 8204347 103400 -364886 -54119 -419005 -419005 87856441 86580442 237 908021 98329 98329 2353094 1471507 881587 38132605 33255380 4877225 1231413 1082941 148472 5490504 4775328 715176 2213522 1903001 310521 287313 287313 135014 135014 97744 97744 5298587 2743695 2554892 434554 29834 404720 3964325 3027218 937107 1893819 286393 1607426 3777016 2321073 1455943 96435 59532 36903 64893 64893 894422 894422 5242668 4400177 842491 1417174 498582 918592 Medical Supplies 9060391 9060391 Medicaid Enhancement Ta 3436805 3436805 Miscellaneous Expenses 1723472 779407 944065 Recruiting Expenses 365775 365775 87709874 66752103 20957771 0 X 204935 81785 8559600 7871995 58784 8931966 8877739 1140682 94403 1624404 1580635 2508440 1612448 92648972 51117518 40275394 41531454 32332837 35727434 102963 0 257896 1148322 95939117 98584999 7131593 7109172 678830 580859 26585000 25180505 3050242 3348960 11752080 12892653 49197745 49112149 X 45841613 47191321 179563 459376 720196 1822153 46741372 49472850 95939117 98584999 X 146567 1418432 1166479 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 15177 15177 0 Part II-B, Line 1: Littleton Hospital Association is a member of the NH Hospital Association and the American Hospital Association. A portion of the dues paid to these organizations is available for lobbying expenditures on behalf of Littleton Hospital Association and other member organizations in furtherance of their exempt purposes. Littleton Hospital Association does not directly perform any lobbying activities. 886217 1148768 31397 75 2066307 939547 5464 -57271 1523 886217 870609 5517 63496 75 939547 794094 81883 5368 870609 717945 77221 1072 794094 0.00000 0.88090 0.11910 0 0 786809 786809 42178221 22733583 19444638 45944707 27353018 18591689 3739235 1030917 2708318 41531454 Reserve for Self-Funded Health Insurance 515941 Due to Third Party Payors 6958966 Deferred Compensation 1936718 Interest Rate Swap 3481028 12892653 90020421 1418432 1010322 2428754 87591667 97744 167030 264774 87856441 87288943 0 87288943 97744 323187 420931 87709874 Part XI, Line 2d - Other Adjustments: Unrealized Loss on Interest Rate Swap -282,584. Community Benefit Expense -156,157. Net Asset Transfers - Merger 1,449,063. Part XI, Line 4b - Other Adjustments: Foundation Subsidy 64,067. Loss on Refinancing of Debt 102,963. Part XII, Line 4b - Other Adjustments: Foundation Subsidy 64,067. Community Benefit Expense 156,157. Loss on Refinancing of Debt 102,963. Central America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas, 0 Investments 9555535 0 0 0 0 0 0 9555535 0 9555535 1 0 1 0 1 0 1 1 X 1 X 1 X 1 1 0 1 1 3844568 3441996 402572 0.00460 15731490 12924444 2807046 0.03200 19576058 16366440 3209618 0.03660 485853 485853 0.00550 97502 97502 0.00110 22664969 16211646 6453323 0.07360 5800 5800 0.00010 23254124 16211646 7042478 0.08030 42830182 32578086 10252096 0.11690 47561 47561 0.00050 36482 36482 0.00040 3600 3600 0.00000 87643 87643 0.00090 1 2016671 27656720 27656720 X 1 1 1 1 Littleton Regional Hospital 600 St Johnsbury Road Littleton NH 03561 www.littletonhealthcare.org 02790 X X X X Littleton Regional Hospital 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X www.littletonhealthcare.org X 1 15 1 www.littletonhealthcare.org 0 0 1 X 200.000000000000 300.000000000000 X X X X X 1 1 X X 1 X http://www.littletonhealthcare.org/pfs_assistance.php X http://www.littletonhospital.org/pfs_assistance.php X X X X X 1 X 0 X X X X 1 X 0 0 Littleton Regional Hospital Part V, Section B, Line 5: Input from the community was solicited through a survey, which was available both electronically (through Survey Money) and via paper copy. Paper copies were distributed to various community locations. Electronic surveys were available via the Littleton and North Country Healthcare websites and through the Littleton Facebook page, plus other community partner websites. 252 surveys were completed. In addition, 49 Community leaders were also surveyed electronically. This group represented area business & economic development leaders, community board members of health & human service organizations, municipal government and human service providers. Littleton Regional Hospital Part V, Section B, Line 6a: The Hospital's CHNA was conducted along with Upper Connecticut Valley Hospital, Weeks Medical Center, and Androscoggin Valley Hospital. Littleton Regional Hospital Part V, Section B, Line 11: The Hospital is addressing the significant needs identified in its most recently conducted CHNA as follows:1. Substance Misuse, Alcohol Abuse & Mental Health Problems: 24/7 Emergency medical care available. Naloxone (Narcan) treatment for overdoses is an available option. Policy being developed for sharing Narcan kits with 3rd party friends and families. Weeks Medical Center employs several Behavorial Health Providers, including a Licensed Alcohol and Drug Counselor(LADC) through the Primary Care Offices. In addition, there are other Community based services available. Alcoholics Anonymous is given space in the hospital for regular weekly meetings. North Country Healthcare is currently in discussion with the State to determine feasibility of creating a more in-depth hospitalization/outpatient type program for the entire region and is collaborating with the NH Region 7 activities that are targeting behavorial health concerns for the entire state.2. Obesity/Overweight: North Country Healthcare member hospitals employ registered dieticians and diabetes educators who are available to provide consults through the Primary Care offices. In addition, Littleton will seek to add new fitness classes for the public. Meeting space for Weight Watchers and healthy and affordable meal choices for the public/visitors are also available.3. Smoking and Tobacco Use: Ongoing smoking cessation classes available to the public. In addition, Littleton is a smoke/tobacco free campus. Significant Needs not being addressed and why:The needs identified that Littleton is not able to address center around the County's lack of jobs. Low Income/Poverty and Unemployment/Lack of Jobs were two such items. Cost of healthy foods was also mentioned. These are not within the scope of our mission; however we will continue to work with local resources in our role as a responsible corporate citizen to improve our economy where we can. There are currently several economic development groups in the area and some new businesses are considering moving in.Other needs we are currently unable to meet revolve around lack of dental insurance, cost of prescription drugs, and access to health insurance. While Littleton cannot fix these issues, we have made a huge effort over these past 3 years to ensure as many of our patients as possible take advantage of Medicaid Expansion or the Insurance Exchanges. This has resulted in a significant drop in our uninsured population. Littleton continues to offer free care for eligible patients through our LRH Cares program. Part I, Line 7: The Hospital determines its cost of charity care based on an overall financial statement cost to charge ratio applied against gross charity care charges. Part I, Line 7g: All costs reported on Part I, Line 7g are attributable to physician practices as well as the paramedic program. Part II, Community Building Activities: Littleton Regional Healthcare is involved in many community building activities that promote the health and wellbeing of the communities it serves. We work closely with a number of local healthcare agencies including; North Country Health Consortium, North Country Home Health & Hospice, Ammonosuc Community Health Services, and Littleton Area Senior Center, to name a few, whose mission is similar to LRH. Each of these agencies addresses common concerns including access to healthcare, health improvement, and health education. LRH encourages its staff to serve oncommunity collaboration boards, and health advocacy agencies to promote the services and programs provided by LRH and surrounding agencies. We also work with local safety providers to promote safety and prevent injuries. LRH is actively involved in working with area schools to promote health and wellness among our youth. Part III, Line 4: Patient accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historical adjustments. Balances that are still outstanding, after management has used reasonable collection efforts, are written off through a charge to the valuation allowance and a credit to patient accounts receivable. In evaluating the collectibility of accounts receivable, the Hospital analyzes past results and identifies trends for each major payor source of revenue for the purpose of estimating the appropriate amounts of the allowance for doubtful accounts and the provision for bad debts. The adequacy of the allowance for doubtful accounts is regularly reviewed. For receivables associated with services provided to patients who have third-party coverage, an allowance for doubtful accounts and a provision for bad debts are established at varying levels based on the age and payor source of the receivable. For receivables associated with self-pay patients, the Hospital records a provision for bad debts in the period of service based on past experience indicating the inability or unwillingness to pay amounts for which they are financially responsible. Part III, Line 8: Any shortfall is treated as a community benefit. The Organization uses a cost to charge ratio from the Medicare cost report to determine the amount of Medicare allowable costs. Part III, Line 9b: Patients who are known to qualify for financial assistance are given a financial assistance application to fill out and return to our Financial Counselor. Upon receipt of the financial assistance application, the application is processed and the amount of financial assistance that will be granted to the patient is determined.Once the percentage of financial assistance is approved, we adjust the account balance accordingly. If a balance is left over after the financial assistance is adjusted, the patient will receive their monthly statements for the remaining balance.If the patient defaults on paying the remaining balance , their account will be sent to a third party collection agency no sooner than 120 days from date of their first statements issued. At this time we would turn the account over to the third party collection agency for further collection efforts. Part VI, Line 2: LRH takes a comprehensive approach to assess community health needs. We perform several independent data analyses based on secondary source data, augment this with local survey data and resolve any data inconsistency or discrepancies from the combined opinions formed from local experts. We rely on secondary source data amd most secondary sources use the county as the smallest unit of analysis. Since the service area comprises parts of Grafton County, we asked local residents to note if they perceived the problems, or needs, identified by secondary sources to exist in their portion of the county. Part VI, Line 3: Any applicant will receive a prompt decision on eligibility and amount of charity care offered. Notices of the Charity Care Policy are posted in the lobbies, waiting rooms and other public areas. Notices are also given to recipients who are served in their homes. Part VI, Line 4: The Hospital's defines its primary service area as Grafton County, New Hampshire. The 2012 population for Grafton County is estimated to be 90,847, and is expected to grow at a rate faster than the national rate of growth, projecting a 2017 population of 95,080. This population growth is at a faster rate than for New Hampshire as a whole.According to the population estimates utilized by Truven, provided by the Neilson Company, the 2012 median age for the County is 39.9 years, younger than the New Hampshire median age (40.4 years) but older then the national median age (36.8 years). The 2012 Median Household Income for the area is $52,729, which is lower than the New Hampshire median income of $59,470 but higher than the national median income of $49,599. Median Household Wealth and Median Home Values likewise are below State and above national values. Grafton's unemployment rate as of August 2012 was 4.4%, which is lower than the statewide rate of 5.7%, and considerably better than the national civilian unemployment rate of 8.1%.The portion of the population in the County over 65 is 15.9%, above the New Hampshire average of 13.5%. The portion of the population of women of childbearing age is 19.9%, somewhat higher than the New Hampshire average of 19.5%. In the County this population is anticipated to increase 1%, whereas for New Hampshire as a whole, the female population age 15 to 44 is anticipated to decline as a rate of just over 2%. Part VI, Line 7, Reports Filed With States NH 1 Littleton Regional Healthcare Charitable Foundation 600 St Johnsbury Road Littleton NH 03561 043750643 501(c)(3) 64067 Foregiveness of salary and benefit expense that is paid on behalf of the charitable foundation. 1 Part I, Line 2: The Organization tracks the amount of expenses paid on behalf of the Littleton Regional Hospital Charitable Foundation, a related organization, and at the end of the year will forgive the Foundation for the reimbursement of expenses related to salaries and benefits. The Organization only makes grants and other assistance payments to other 501(c)(3) organizations. Therefore, additional monitoring is not deemed necessary. X X X X 0 0 0 0 0 1 0 1 0 Dr Andrew Forrest Trustee/Physician 308176 0 0 0 0 0 13250 0 24234 0 345660 0 0 0 Dr John Sauter Trustee Emeritus 262499 0 22889 0 23182 0 13250 0 0 0 321820 0 0 0 Dr Deane Rankin Trustee/Physician 338898 0 0 0 42013 0 13250 0 38207 0 432368 0 0 0 Dr Dougald MacArthur Past Chief of Staff 706000 0 0 0 0 0 0 0 0 0 706000 0 0 0 Dr Stephen Goldberg Chief of Staff 316610 0 0 0 0 0 13250 0 41799 0 371659 0 0 0 Warren West Ex-Officio/ Past CEO 330902 0 0 0 6051 0 13250 0 16907 0 367110 0 0 0 Nick Braccino Interim President 187153 0 20193 0 51 0 12273 0 28305 0 247975 0 0 0 Linda Gilmore CAO/CNO 199065 0 20193 0 51 0 11361 0 35833 0 266503 0 0 0 Dr Patrick Fitzpatrick Physician 339226 0 345442 0 37120 0 13250 0 37893 0 772931 0 0 0 Dr Eric Mullins Physician 553715 0 114132 0 25897 0 13250 0 32909 0 739903 0 0 0 Dr Harlan Herr Physician 493001 0 37222 0 45744 0 13250 0 15206 0 604423 0 0 0 Dr Jeffrey Kauffman Physician 440515 0 0 0 26013 0 13250 0 36750 0 516528 0 0 0 Dr Leon Kogan Physician 451739 0 0 0 44820 0 13250 0 11214 0 521023 0 0 0 Part I, Line 6 Nicholas Braccino, Interim President, received a bonus based on certain goals included in his contract, one of which is related to the performance of the Organization. The Board assesses the performance of these goals and determines the bonus to be paid. Part I, Line 7 Dr. Patrick Fitzpatrick, Dr. Eric Mullins, and Dr. Harlan Herr, Highest Compensated Employees, received bonuses during the year based upon their productivity using MGMA Standards by RVU and by their specialties. Dr. John Sauter received a bonus in accordance with his employment contract. Linda Gilmore, CAO/CNO, received a bonus calculated as a percentage of her salary based on a board decision. A New Hampshire Health and Education Facilities Authority 020279866 2015-10-01 5331100 Refunded series 2007 Bond 0 0 0 B New Hampshire Health and Education Facilities Authority 020279866 2015-10-01 20753200 Refunded series 2007 Bond 0 0 0 A 164355 5331100 41800 5289300 2015 1 0 1 1 B 544023 20753200 162500 20590700 2015 1 0 1 1 A 0 1 0 0 0 0 1 B 0 1 0 0 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 1 Deutsche Bank AG 20.000000000000 0 0 0 0 1 A 1 B 1 Schedule K, Part III, Line 2, Lease Arrangements: The debt-financed property is leased to 3 physician practices which operated primarily for purposes related to the hospitals performance of its exempt purpose. Therefore, these leases are not considered to be private business use. X Equipment & Building Improvements 1 338459 FMV 0 0 0 Form 990, Part III, line 2 Effective July 2016, the Littleton Regional Healthcare Charitable Foundation was dissolved and all net assets were transferred to the Hospital. Form 990, Part VI, Section A, line 4 On June 30, 2015, Weeks Medical Center, Upper Connecticut Valley Hospital Association, Androscoggin Valley Hospital and Littleton Hospital Association, Inc. (collectively, the "Hospitals") entered into an Affiliation Agreement (the "Affiliation Agreement"), pursuant to which the Hospitals agreed to affiliate under a single common parent upon the closing of the agreement. The Affiliation Agreement resulted in the formation of North Country Healthcare, Inc. ("NCH"), a 501(c)(3) charitable organization. Effective April 1, 2016, the closing of the Affiliation Agreement occurred and NCH became the sole member of each of the Hospitals. In accordance with the Affiliation Agreement, each Hospital's charter and bylaws were amended to effect the establishment of NCH as the sole member and to create a shared governance structure between the Board of Directors of NCH and the Boards of each Hospital. Each Hospital continues to maintain its own Board of Directors (Corporation Board) that is distinct from the NCH Board of Directors. However, the Bylaws of NCH and each Hospital identify certain "Major matters" (divided into organizational and operational matters) that require initiation and/or authorization by a majority of the NCH Board. Members of the Hospital Boards are nominated exclusively by the Hospitals. However, the election of any such director must be approved by both the Hospital Board and the NCH Board. Some examples of other organizational "Major matters" requiring the initiation and/or approval of the NCH Board include amendments to by-laws, election of officers, dissolution of a Hospital, merger decisions and hiring/termination of Hospital Presidents. Examples of operational "Major matters" requiring the initiation and/or approval of the NCH Board include approval of annual capital and operating budgets, adoption of compensation and benefit programs, approval of information technology systems, financial systems and auditors, plus approval of any major changes to clinical services offered. The Chief Executive Officer position at each of the Hospitals has been changed to a President position. As with Board members, each Hospital President must be nominated at the Hospital level and then approved by both the Hospital Board and the NCH Board. This position reports to both the applicable Hospital Board and the Chief Executive Officer of NCH. The Chief Financial Officer of each of the Hospitals will remain an appointed position by the President, but this individual will also report to the President/Chief Financial Officer of NCH. Form 990, Part VI, Section A, line 6 Effective April 1, 2016, North Country Healthcare (NCH) became the Sole Member of Littleton Hospital Association. Form 990, Part VI, Section A, line 7a See narrative provided for Form 990, Part VI, Line 4. Form 990, Part VI, Section A, line 7b See narrative provided for Form 990, Part VI, Line 4. Form 990, Part VI, Section B, line 11 The return was reviewed by the entire Board of Directors prior to the filing. Form 990, Part VI, Section B, line 12c All Trustees, Department directors and Auxilians complete a Conflict of Interest Statement each year, and any potential conflicts are reported to the Board of Trustees and to other places as required by law. In addition, front-line employees who don't normally make decisions for the facility are expected to report forward any conflicts they may have, should they ever be in a position to influence decision making. Quality Services queries these groups on an annual basis, and tracks down people until all statements are complete. Form 990, Part VI, Section B, line 15 Key employees complete self-evaluation - HR Director prepares compensation surveys, reviews 990 of other organizations. The CFO's salary is approved by the CEO. The CEO's salary is approved by the Board. Form 990, Part VI, Section C, line 19 The hospital's governing documents and financial statements are made available upon request. The hospital's conflict of interest policy is not made available to the public. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Littleton Hospital Association 600 St. Johnsury Road Littleton, NH 03561 EIN 02-0222152 Littleton Hospital Association 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 -282,584. Net Asset Transfers - Merger 1,449,063. Littleton Regional Healthcare Charitable Foundation 600 St Johnsbury Road Littleton NH 03561 043750643 Charitable Foundation NH 501(c)(3) Line 7 Littleton Hospital Association 1 North Country Healthcare Inc 8 Clover Lane Whitefield NH 03598 812225283 Healthcare Management NH 501(c)(3) Line 11a, I 0 Androscoggin Valley Hospital 59 Page Hill Road Berlin NH 03570 020280367 Critical Access Hospital NH 501(c)(3) Line 3 0 Upper Connecticut Valley Hospital Corliss Lane Colebrook NH 03576 020276210 Critical Access Hospital NH 501(c)(3) Line 3 0 Weeks Medical Center 173 Middle Street Lancaster NH 03584 020222242 Critical Access Hospital NH 501(c)(3) Line 3 0 0 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0 Littleton Regional Hospital Charitable Foundation B 64067 FMV Littleton Regional Hospital Charitable Foundation D 1749850 FMV