2016-05-16T11:26:44-05:00 2015-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2014-07-01 020222171 New London Hospital Association Inc NEWL 6035262911 273 County Road New London NH 03257 Donald Griffin CFO 6035265339 2016-05-13 1 Barbara J McGuan CPA P00219457 2077752387 2016-05-13 2014 2016-08-17 19:52:53Z Bruce King 273 County Road New London NH 03257 77556687 0 X www.newlondonhospital.org X 1918 NH NLHA is a rural community Critical Access Hospital with an extended care center. 18 11 704 125 152651 -21191 2804115 1720947 41503638 59719738 938070 2677478 0 0 45245823 64118163 0 0 0 0 26212056 33325961 0 0 403956 18471315 26745874 44683371 60071835 562452 4046328 71158043 74820173 34522401 36307003 36635642 38513170 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 38522219 47396702 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 prevention services for the 32,715 residents in its service area, a significant proportion of whom are uninsured, underinsured and/or dependent on Medicaid/Medicare benefits. This includes a large elderly population and a significant number of rural, low-income families. 7703465 8339039 Physician practices: In a recent community health needs assessment access to primary care is identified as a central community 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 47 providers of which 19 are primary care including pediatrics and 28 are specialists covering general surgery, anesthesiology, orthopedics, neurology, emergency medicine, hospitalists, gynecology, and rheumatology. 2775141 3983997 Nursing Home: The Clough Center is a 58-bed extended nursing care facility located within 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 exercise sessions, and individual attention by highly skilled providers who have immediate access to the comprehensive services of a hospital and pharmacy. 49000825 1 1 0 1 0 0 0 0 0 1 1 0 0 1 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 0 0 0 0 0 1 0 0 0 1 126 0 1 704 1 1 1 0 0 0 0 1 1 0 0 0 0 X 18 11 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 Anne Holmes Chair 8.00 0.00 X X 0 0 0 Susan Reeves Vice Chair 8.00 40.00 X X 0 317485 129186 Stanley I Cundey Jr Secretary 8.00 0.00 X X 0 0 0 David Marshall Treasurer 8.00 0.00 X X 0 0 0 Bruce P King President & CEO 50.00 0.00 X X 384 351565 183662 Celeste C Cook Trustee 2.00 0.00 X 0 0 0 Karen E Ebel Trustee 2.00 0.00 X 0 0 0 Kris Eschbach DO Medical Staff President 7.00 0.00 X 0 0 0 John C Ferries Trustee 2.00 0.00 X 0 0 0 Peter E Hager Trustee 2.00 0.00 X 0 0 0 Douglas W Lyon Trustee 2.00 0.00 X 0 0 0 Jane Rastallis Trustee 2.00 0.00 X 0 0 0 Robert M Rex Trustee 2.00 0.00 X 0 0 0 John Kirk MD President Elect of Med. Staff 40.00 0.00 X 181922 0 8364 John R Butterly MD Trustee 2.00 40.00 X 0 552569 72827 Daniel Jantzen CPA Trustee 2.00 50.00 X 0 604478 210934 Stephen J LeBlanc Trustee 2.00 40.00 X 0 602197 269589 Carolyn Kerrigan MD Trustee 2.00 40.00 X 0 458370 162812 Donald J Griffin Chief Financial Officer 50.00 0.00 X 159373 0 7987 James Murphy MD Co-Chief Medical Officer 50.00 0.00 X 293515 0 3048 Steven Powell MD MPH Co-Chief Medical Officer 50.00 0.00 X 485079 0 19721 Sally Patton Co-Chief Nursing Officer 50.00 0.00 X 117421 0 17629 Dave Foss Chief Information Officer 50.00 0.00 X 122835 0 17796 Adnan S Khan MD Hospitalist 50.00 0.00 X 505067 0 2400 Kenneth D Call MD Physician 50.00 0.00 X 411353 0 4549 Stephen Bissah MD Hospitalist 50.00 0.00 X 329389 0 19623 David Corbin MD Physician 50.00 0.00 X 328365 0 19791 Donald A Eberly MD Surgeon 50.00 0.00 X 292379 0 7216 3227082 2886664 1157134 41 0 1 0 Dartmouth Hitchcock Clinic One Medical Center Dr Lebanon NH 03756 Physician Staffing and Lab Services 1951998 AHSA LLC PO Box 945 Transverse City MI 49685 Staffing 821782 New England Alliance for Health One Medical Center Dr Lebanon NH 03756 Management Services 809923 Upper Valley Neurology Neurosurgery 106 Hanover St Lebanon NH 03766 Physician Services 690697 NH Imaging Services One Pillsbury St Suite 200 Concord NH 03301 Imaging 324502 12 41751 189177 1490019 18797 1720947 Patient Revenue 621400 107786795 107786795 Physician Services 621110 2746967 2746967 Other Revenue 900099 488682 336906 151776 Provision for Bad Debts 621400 -1688547 -1688547 Contractual/Char. Adj. 621400 -49614159 -49614159 59719738 444270 875 443395 15622425 13389217 2233208 2233208 2233208 49307 41751 49307 0 64118163 59567962 152651 2676603 1432995 786153 646842 26129137 20924549 4930452 274136 4100826 3283994 752136 64696 1663003 1331754 310774 20475 503266 403022 100244 191878 153659 38219 158276 126749 31527 71547 57296 14251 4085951 3272082 813869 121874 97598 94 24182 2144377 1717245 412048 15084 1076976 862457 214519 1317633 1055177 258338 4118 59522 47666 10901 955 97636 78188 19138 310 849031 679915 169116 4072295 3261146 811149 763356 611305 152051 Other 4926950 3945564 981386 Drugs and Pharmaceutica 2278864 2278864 Medical Supplies 2085831 2085831 Medicaid Enhancement Ta 1940611 1940611 60071835 49000825 10667054 403956 X 3867141 7224757 357302 364147 47711 37086 7105551 7387946 969944 1055863 1302965 1531747 83487846 46389790 38599645 37098056 10435104 13047506 2601222 2595189 5871458 4477876 71158043 74820173 5040568 6185630 17923481 17668091 55982 4307 11502370 12448975 34522401 36307003 X 32075811 33967261 318239 325554 4241592 4220355 36635642 38513170 71158043 74820173 X 4046328 -1926934 -241866 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 9419 9419 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 23.46%. 4241594 178504 141831 57912 4220355 2052516 2117600 185482 89536 24468 4241594 2002989 172073 104101 18445 2052516 1890475 227326 96967 17845 2002989 1928036 77754 90305 25010 1890475 1.00000 1 0 1660103 1660103 46511255 16859605 29651650 441889 388970 52919 33999483 28277915 5721568 875116 863300 11816 37098056 Due from Affiliate 637476 Other Assets 990658 Deferred Compensation Plan Assets 1120853 Beneficial Interest in Perpetual Trust 1728889 4477876 Charitable Gift Annuities 13800 Capital Lease Obligations 1008882 Other Liabilities 20000 Interest Rate Swap 3530790 Estimated Third-Party Payor Settlements 6754650 Deferred Compensation 1120853 12448975 Part V, Line 4: The income from the Endowment Funds is used to assist in the payment of the hospitals program-related expenses. Golf Tournament 52650 31155 21495 4928 15800 767 Hospital Days 38408 10596 27812 603 73 650 26486 91058 41751 49307 5531 15800 73 650 27253 49307 0 1 1 1 X 1 X 1 1 1 0 1 1 939893 939893 0.01560 5948273 4561846 1386427 0.02310 6888166 4561846 2326320 0.03870 112069 112069 0.00190 47243 47243 0.00080 4232324 4232324 0.07050 14541 14541 0.00020 4406177 4406177 0.07340 11294343 4561846 6732497 0.11210 22066 22066 0.00040 63399 63399 0.00110 85465 85465 0.00150 1 953582 22458 21287269 22405943 -1118674 X 1 1 1 1 New London Hospital 273 County Road New London NH 03257 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 www.newlondonshospital.org 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 25% discount from gross charges to uninsured patients, which approximates the average of its three lowest negotiated commercial insurance rates. Part V, Section B, Line 16 Financial Assistance Policy Website Availability New London Hospital Association Part V, Section B, line 16b website: www.newlondonshospital.org 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 2015, the Hospital subsidized health care services to the community in the amount of $4,232,324. This included support for primary care services, community wellness programs and grants, mental health services, EMS training, community health advocacy 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 $4.2 million dollars for fiscal year 2015.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 $28,000. 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 86% at June 30, 2014 to 74% at June 30, 2015. In addition, the Association's self-pay accounts receivable decreased from approximately $1,422,000 at June 30, 2014 to $1,015,000 at June 30, 2015. The Association has not changed its free care or uninsured discount policies during 2015. 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 X 0 0 0 0 0 0 0 1 0 Susan Reeves Vice Chair 0 288501 0 0 0 28984 0 111170 0 18016 0 446671 0 0 Bruce P King President & CEO 0 313800 0 0 384 37765 0 163148 0 20514 384 535227 0 0 John Kirk MD President Elect of Med. Staff 173407 0 1025 0 7490 0 0 0 8364 0 190286 0 0 0 John R Butterly MD Trustee 0 498440 0 0 0 54129 0 72827 0 0 0 625396 0 0 Daniel Jantzen CPA Trustee 0 515042 0 0 0 89436 0 190359 0 20575 0 815412 0 0 Stephen J LeBlanc Trustee 0 478894 0 0 0 123303 0 249014 0 20575 0 871786 0 0 Carolyn Kerrigan MD Trustee 0 337624 0 83644 0 37102 0 141651 0 21161 0 621182 0 0 Donald J Griffin Chief Financial Officer 155560 0 125 0 3688 0 0 0 7987 0 167360 0 0 0 James Murphy MD Co-Chief Medical Officer 290618 0 125 0 2772 0 0 0 3048 0 296563 0 0 0 Steven Powell MD MPH Co-Chief Medical Officer 484324 0 125 0 630 0 0 0 19721 0 504800 0 0 0 Adnan S Khan MD Hospitalist 504564 0 125 0 378 0 0 0 2400 0 507467 0 0 0 Kenneth D Call MD Physician 409422 0 125 0 1806 0 0 0 4549 0 415902 0 0 0 Stephen Bissah MD Hospitalist 328844 0 125 0 420 0 0 0 19623 0 349012 0 0 0 David Corbin MD Physician 327610 0 125 0 630 0 0 0 19791 0 348156 0 0 0 Donald A Eberly MD Surgeon 289482 0 125 0 2772 0 0 0 7216 0 299595 0 0 0 Part I, Line 7 During the year the Organization provided bonus compensation based on the individuals time with the organization. Bonuses were not performance related. 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 directly provided to Mr. King from NLHA. Mr. King also received club dues of $650 during the year from MHMH, which was included in his compensation. John R. Butterly, MD, Stephen J. LeBlanc, MD, Daniel Jantzen, CPA, Susan Reeves, & Carolyn Kerrigan are all on the Board of Trustees for New London Hospital, but are employees of our affiliated group. Compensation 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 430810 25000000 355400 2250000 15493501 6901099 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 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 273 Country Road New London, NH 03257 EIN 02-0222171 New London Hospital 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 -220,629. Change in Beneficial Interest in Perpetual Trust -21,237. Dartmouth Hitchcock Health One Medical Street Lebanon NH 03756 264812335 Supporting Organization NH 501(C)(3) Line 11b, II N/A 0 Dartmouth Hitchcock Clinic One Medical Street Lebanon NH 03756 222519596 Physician Services NH 501(C)(3) Line 9 Dartmouth Hitchock 0 Mary Hitchcock Memorial Hospital One Medical Street Lebanon NH 03756 020222140 Hospital NH 501(C)(3) Line 3 Dartmouth Hitchock 0 Dartmouth Hitchcock Medical Center One Medical Street Lebanon NH 03756 222715483 Supporting Organization NH 501(C)(3) Line 11a, I N/A 0 Kearsarge Services Inc 273 County Road New London NH 03257 020460136 Real Estate NH New London Hospital Association C 45876 897797 1.00000 0 New London Medical Center East 273 County Road New London NH 03257 020480857 Real Estate NH New London Hospital Association C -6269 10750 1.00000 0 New London Physician Group Inc 273 County Road New London NH 03257 020494420 Physician Practice NH New London Hospital Association C 1.00000 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 Kearsarge Community Services K 181565 Cost