MONADNOCK COMMUNITY HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MONADNOCK COMMUNITY HOSPITAL (EIN 02-0222157)
Tax period: 2013-10-01 to 2014-09-30
Filed: 2015-08-14
IRS object ID: 201542269349303464
Schema version: 2013v4.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-08-14T14:16:13-05:00	ReturnTs
Tax Period End	2014-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	010494526	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	BAKER NEWMAN & NOYES	BusinessNameLine1

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	BOX 507	AddressLine1
City	PORTLAND	City
State	ME	State
ZIP Code	04112	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222157	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Monadnock Community Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Business Name Control	MONA	BusinessNameControlTxt
Phone	6039247191	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	452 Old Street Road	AddressLine1
City	Peterborough	City
State	NH	State
ZIP Code	03458	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Richard D Scheinblum	PersonNm
Person Title	VP of Finance/CFO	PersonTitleTxt
Phone	6039247191	PhoneNum
Signature	2015-08-13	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Nicholas E Porto	PreparerPersonNm
PTIN	P01310283	PTIN
Phone	2078792100	PhoneNum
Preparation	2015-08-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Cynthia K McGuire	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	452 Old Street Road	AddressLine1
City	Peterborough	City
State	NH	State
ZIP Code	03458	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$82,165,613	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.monadnockcommunityhospital.com	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1919	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	Critical access hospital serving the Monadnock region of the State of New Hampshire	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	776	TotalEmployeeCnt
Total Volunteers	144	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,420,503	PYContributionsGrantsAmt
CY Contributions Grants	$916,625	CYContributionsGrantsAmt
PY Program Service Revenue	$76,958,001	PYProgramServiceRevenueAmt
CY Program Service Revenue	$79,776,991	CYProgramServiceRevenueAmt
PY Investment Income	$341,552	PYInvestmentIncomeAmt
CY Investment Income	$1,205,315	CYInvestmentIncomeAmt
PY Other Revenue	$369,213	PYOtherRevenueAmt
CY Other Revenue	$6,419	CYOtherRevenueAmt
PY Total Revenue	$79,089,269	PYTotalRevenueAmt
CY Total Revenue	$81,905,350	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$15,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$39,544,302	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$40,760,738	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$440,639	CYTotalFundraisingExpenseAmt
PY Other Expenses	$37,630,255	PYOtherExpensesAmt
CY Other Expenses	$38,619,692	CYOtherExpensesAmt
PY Total Expenses	$77,174,557	PYTotalExpensesAmt
CY Total Expenses	$79,395,430	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,914,712	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,509,920	CYRevenuesLessExpensesAmt
Total Assets BOY	$99,482,264	TotalAssetsBOYAmt
Total Assets EOY	$104,528,486	TotalAssetsEOYAmt
Total Liabilities BOY	$45,471,971	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$45,153,660	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$54,010,293	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$59,374,826	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Monadnock Community Hospital is committed to improving the health and well-being of our community. We will elevate the health of our community by providing accessible, high quality and value based care.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$69,619,735	ExpenseAmt
Grant	$15,000	GrantAmt
Revenue	$79,776,991	RevenueAmt
Desc	The primary purpose of Monadnock Community Hospital (MCH) is to ensure access to quality health care for patients in our community, regardless of their ability to pay. The following is a summary of the services MCH provides in an effort to fulfill its mission, together with key program statistics for fiscal year 2014.Inpatient Services - Includes: intensive care unit, adult stays, pediatric stays, maternity/births, and skilled nursing. During the fiscal year, the Hospital admitted 1,422 patients and recorded 5,249 patient days. Emergency Services - MCH offers health services 24 hours per day, 7 days per week. Responsible for the immediate treatment of any medical or surgical emergency; for initiating life saving procedures in all types of emergency situations; and for providing emergency and initial evaluations and treatment for other conditions including minor illnesses and injuries, and sub-acute medical problems. During the year, there were 14,765 visits to the ER. Physician Practices - Family health services, programs, and education are integral components of healthcare at MCH. Inpatient and outpatient primary care includes: medical, surgical, psychological and specialist services, provided by physicians and mid-level practitioners. These are located at the Hospital and its five satellite practices located in Antrim, Jaffrey, New Ipswich, Peterborough, and Rindge. During the year, 72,515 primary care office visits were recorded. Surgical Services - Includes same day and short-term inpatient surgery. MCH provides surgery in the areas of orthopaedics, general surgery, OB/GYN, opthamology, urology, ENT, and podiatry. In addition, the Hospital offers some non-surgical procedures including colonoscopies, gastrocopies, and pain management injections. During the fiscal year, 3,416 procedures were performed. Radiology and Diagnostics - MCH provides advanced radiological technology and extensive imaging services including: bone density, MRI, CT, nuclear medicine, ultrasound, mammography, and other diagnostic procedures, both inpatient and outpatient. During the fiscal year, 30,288 exams were performed. Rehabilitation Services - Additionally, MCH serves the people of the Monadnock Region through its medical rehabilitation services. MCH offers rehabilitation programs for cardiac, pulmonary and diabetic rehabilitation which feature educational and exercise components. We also provide physical and occupational therapy, as well as speech rehabilitation. During the fiscal year 51,079 procedures were recorded for these services. Wellness Services - Community members wanting to improve and maintain their health have access to an award-winning, medically-based fitness facility. During the fiscal year, 92,281 member visits were recorded.Monadnock Community Hospital's Financial Grant Program provides assistance with hospital and/or physician bills for qualifying patients. In FY 2014, the Organization recorded $3,785,000 in charges foregone based on established rates. The estimated cost incurred to provide these services was $2,017,000. In addition, Monadnock Community Hospital provided other services to the community at no cost or reduced cost, such as screenings and clinics. The cost of providing these services was approximately $2,081,000 in 2014.	Desc
Total Program Service Expenses	$69,619,735	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	0	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	Yes (1)	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (1)	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	120	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	776	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (1)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (1)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Nicole Humphrey	BusinessNameLine1

Field	Value	IRS element (for citing)
Phone	6039247191	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	452 Old Street Road	AddressLine1
City	Peterborough	City
State	NH	State
ZIP Code	03458	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Cyndy Burgess
Trustee	9.00	Yes (X)	$0	$0	$0
Diane Cherwin
Ex-Officio w/voting rights	2.00	Yes (X)	$0	$0	$0
Robert J Condon Jr
Trustee (part yr)	3.00	Yes (X)	$0	$0	$0
Barbara R Duckett
Trustee	2.00	Yes (X)	$0	$0	$0
Peter L Forssell MD
Trustee	1.00	Yes (X)	$0	$0	$0
Richard Frechette MD
Ex-Officio w/voting rights (part yr)	2.00	Yes (X)	$204,389	$0	$31,141
David A Hedstrom DDS
Trustee	4.00	Yes (X)	$0	$0	$0
Gregory Kriebel MD
Ex-Officio w/voting rights	50.00	Yes (X)	$223,166	$0	$26,625
Marcia Ober
Trustee	1.00	Yes (X)	$0	$0	$0
James D Potter MD
Ex-Officio w/voting rights (part yr)	25.00	Yes (X)	$108,880	$0	$21,793
Fletcher R Wilson MD
Ex-Officio w/voting rights	3.00	Yes (X)	$0	$0	$0
Carole Monroe
Chair	8.00	Yes (X)	$0	$0	$0	Yes (X)
Robert L Edwards
Immediate Past Chair	1.50	Yes (X)	$0	$0	$0	Yes (X)
Steven H Reynolds
Vice Chair	2.00	Yes (X)	$0	$0	$0	Yes (X)
Jamie Trowbridge
Treasurer	1.50	Yes (X)	$0	$0	$0	Yes (X)
Norman H Makechnie Esq
Secretary	1.00	Yes (X)	$0	$0	$0	Yes (X)
Cynthia McGuire
Chief Executive Officer (eff. 2/14)	60.00	Yes (X)	$0	$0	$0	Yes (X)
Peter L Gosline
Chief Executive Officer (thru 4/14)	55.00	Yes (X)	$295,107	$0	$23,234	Yes (X)
Richard D Scheinblum
VP Finance/CFO	50.00		$167,730	$0	$12,207	Yes (X)
Terrence McNamara DO
Physician	50.00		$555,557	$0	$19,881		Yes (X)
Ronald Michalak MD
Physician	50.00		$471,931	$0	$25,689		Yes (X)
Douglas Weiss MD
Physician	50.00		$491,623	$0	$8,173		Yes (X)
Shawn Harrington MD
Physician	50.00		$398,044	$0	$25,454		Yes (X)
Robert C Knowles MD FACS
Physician	50.00		$378,807	$0	$20,147		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,295,234	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$214,344	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	41	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
Monadnock Region Emergency Physicians PL
380 Lafayette Road	Hampton	NH	03842	Contract Emergency Physician Group	$1,855,300
Monadnock Anesthesia Associates
C/O Surgical Suite	Peterborough	NH	03458	Contract Anesthesiologist Group	$1,383,376
Catholic Medical Center
100 McGregor Street	Manchester	NH	03102	Contract Hospitalist Group	$1,244,299
McKesson
PO Box 98347	Chicago	IL	60693	IS Vendor	$698,885
American Health Centers Inc
100 Griffin Road Suite C	Portsmouth	NH	03801	MRI Services	$608,226

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Fundraising	$34,595	FundraisingAmt
All Other Contributions	$882,030	AllOtherContributionsAmt
Noncash Contributions	$63,400	NoncashContributionsAmt
Total Contributions	$916,625	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Net Patient Service Revenue	621400	$70,322,689	$70,322,689
Other Operating Revenue	621400	$5,365,112	$5,365,112
Disproportionate Share Funding	621400	$3,573,806	$3,573,806
Cafeteria/Vending Machine	722210	$348,552	$348,552
Employee Pharmacy Sales	446110	$166,832	$166,832

Field	Value	IRS element (for citing)
Total Program Service Revenue	$79,776,991	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$470,949	TotalRevenueColumnAmt
Exclusion	$470,949	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$976,803	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$233,069	SecuritiesAmt
Other	$9,368	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$743,734	SecuritiesAmt
Other	-$9,368	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$734,366	TotalRevenueColumnAmt
Exclusion	$734,366	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$24,245	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$34,595	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$17,826	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,419	TotalRevenueColumnAmt
Exclusion	$6,419	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$81,905,350	TotalRevenueColumnAmt
Related Or Exempt Func Income	$79,776,991	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,211,734	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$15,000	TotalAmt
Program Services	$15,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,253,275	TotalAmt
Program Services	$615,910	ProgramServicesAmt
Management And General	$637,365	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$31,810,640	TotalAmt
Program Services	$28,471,837	ProgramServicesAmt
Management And General	$3,073,596	ManagementAndGeneralAmt
Fundraising	$265,207	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$489,852	TotalAmt
Program Services	$422,851	ProgramServicesAmt
Management And General	$67,001	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,017,948	TotalAmt
Program Services	$4,348,527	ProgramServicesAmt
Management And General	$636,783	ManagementAndGeneralAmt
Fundraising	$32,638	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,189,023	TotalAmt
Program Services	$1,907,948	ProgramServicesAmt
Management And General	$262,376	ManagementAndGeneralAmt
Fundraising	$18,699	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$128,937	TotalAmt
Program Services	$6,624	ProgramServicesAmt
Management And General	$122,313	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$54,000	TotalAmt
Management And General	$54,000	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,345	TotalAmt
Fundraising	$1,345	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$5,122,716	TotalAmt
Program Services	$4,592,382	ProgramServicesAmt
Management And General	$530,334	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$73,219	TotalAmt
Program Services	$73,219	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,168,936	TotalAmt
Program Services	$1,098,964	ProgramServicesAmt
Management And General	$1,026,328	ManagementAndGeneralAmt
Fundraising	$43,644	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,143,989	TotalAmt
Program Services	$979,718	ProgramServicesAmt
Management And General	$164,271	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,046,758	TotalAmt
Program Services	$2,775,703	ProgramServicesAmt
Management And General	$271,055	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$79,543	TotalAmt
Program Services	$53,379	ProgramServicesAmt
Management And General	$25,204	ManagementAndGeneralAmt
Fundraising	$960	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$56,004	TotalAmt
Program Services	$38,490	ProgramServicesAmt
Management And General	$13,921	ManagementAndGeneralAmt
Fundraising	$3,593	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,181,275	TotalAmt
Management And General	$1,181,275	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,521,689	TotalAmt
Program Services	$4,350,749	ProgramServicesAmt
Management And General	$170,940	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$562,555	TotalAmt
Program Services	$422,694	ProgramServicesAmt
Management And General	$139,861	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
Med & Pharm Supplies	$7,633,626	$7,628,398	$5,228
Provision for Bad Debt	$4,465,396	$4,465,396
Other Med Exp/Service C	$4,234,345	$3,796,586	$396,372	$41,387
NH Medicaid Enhancement	$3,402,383	$3,402,383

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$742,976	TotalAmt
Program Services	$152,977	ProgramServicesAmt
Management And General	$556,833	ManagementAndGeneralAmt
Fundraising	$33,166	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$79,395,430	TotalAmt
Program Services	$69,619,735	ProgramServicesAmt
Management And General	$9,335,056	ManagementAndGeneralAmt
Fundraising	$440,639	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$5,064	BOYAmt
EOY	$5,064	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$17,594,099	BOYAmt
EOY	$18,904,373	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$793,082	BOYAmt
EOY	$677,841	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,773,955	BOYAmt
EOY	$6,513,721	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$240,184	BOYAmt
EOY	$158,767	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,242,787	BOYAmt
EOY	$1,257,506	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$867,448	BOYAmt
EOY	$682,936	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$84,573,811	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$46,136,620	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$38,076,116	BOYAmt
EOY	$38,437,191	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$29,923,690	BOYAmt
EOY	$33,316,218	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,407,090	BOYAmt
EOY	$3,735,792	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$197,606	BOYAmt
EOY	$160,168	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,361,143	BOYAmt
EOY	$678,909	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$99,482,264	BOYAmt
EOY	$104,528,486	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$6,773,500	BOYAmt
EOY	$7,100,470	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$26,909,344	BOYAmt
EOY	$26,450,980	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$535,451	BOYAmt
EOY	$835,553	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,253,676	BOYAmt
EOY	$10,766,657	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$45,471,971	BOYAmt
EOY	$45,153,660	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$43,706,147	BOYAmt
EOY	$47,964,278	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,677,614	BOYAmt
EOY	$3,455,314	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,626,532	BOYAmt
EOY	$7,955,234	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$54,010,293	BOYAmt
EOY	$59,374,826	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$99,482,264	BOYAmt
EOY	$104,528,486	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,509,920	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$2,737,553	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$117,060	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (1)	GrantsOtherOrganizationsInd
Grants Other Organizations	$13,592	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$231	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	0	OtherActivitiesInd
Total Lobbying Expenditures	$13,823	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part II-B, Line 1:	FormAndLineReferenceDesc
Explanation	Monadnock Community Hospital 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 Monadnock Hospital in furtherance of its exempt purpose. Monadnock Hospital does not directly perform any lobbying activities. NHHA, Portion of dues available for lobbying: $10,305 AHA, Portion of dues available for lobbying: $3,287 In addition, MCH hosts an annual legislative breakfast, which is a bipartisan event to which legislators, local politicians, and other public officials are invited to discuss health care issues in New Hampshire. Topics for the 2014 breakfast included how the Affordable Care Act will affect the Monadnock region, the priorities of Monadnock Community Hospital as the primary healthcare provider and one of the largest employers in the region, and the Hospital's response to the community needs identified in its CHNA. The cost of this forum was $231.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,304,146	BeginningYearBalanceAmt
Contributions	$526,809	ContributionsAmt
Investment Earnings Or Losses	$924,772	InvestmentEarningsOrLossesAmt
Other Expenditures	$345,179	OtherExpendituresAmt
End Year Balance	$11,410,548	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,591,510	BeginningYearBalanceAmt
Contributions	$1,127,458	ContributionsAmt
Investment Earnings Or Losses	$819,722	InvestmentEarningsOrLossesAmt
Other Expenditures	$234,544	OtherExpendituresAmt
End Year Balance	$10,304,146	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$8,314,205	BeginningYearBalanceAmt
Contributions	$486,841	ContributionsAmt
Investment Earnings Or Losses	$948,400	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,157,936	OtherExpendituresAmt
End Year Balance	$8,591,510	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,031,251	BeginningYearBalanceAmt
Contributions	$884,501	ContributionsAmt
Investment Earnings Or Losses	$93,759	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,695,306	OtherExpendituresAmt
End Year Balance	$8,314,205	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,623,404	BeginningYearBalanceAmt
Contributions	$1,266,761	ContributionsAmt
Investment Earnings Or Losses	$200,900	InvestmentEarningsOrLossesAmt
Other Expenditures	$2,059,814	OtherExpendituresAmt
End Year Balance	$10,031,251	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.30280	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.69720	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	Yes (1)	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$966,127	OtherCostOrOtherBasisAmt
Book Value	$966,127	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$34,541,380	OtherCostOrOtherBasisAmt
Depreciation	$16,944,183	DepreciationAmt
Book Value	$17,597,197	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$964,272	OtherCostOrOtherBasisAmt
Depreciation	$503,856	DepreciationAmt
Book Value	$460,416	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,027,943	OtherCostOrOtherBasisAmt
Depreciation	$28,688,581	DepreciationAmt
Book Value	$18,339,362	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,074,089	OtherCostOrOtherBasisAmt
Book Value	$1,074,089	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$38,437,191	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
Interest Rate Swap Agreements	$2,961,591
Estimated Third-Party Settlements	$7,805,066

Field	Value	IRS element (for citing)
Total Liability	$10,766,657	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$84,319,324	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$2,737,553	NetUnrealizedGainsInvstAmt
Other Revenue	$117,060	OtherRevenueAmt
Revenue Not Reported	$2,854,613	RevenueNotReportedAmt
Revenue Subtotal	$81,464,711	RevenueSubtotalAmt
Other Revenues Not Included	$440,639	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$440,639	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$81,905,350	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$78,954,791	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$78,954,791	ExpensesSubtotalAmt
Other Expenses Not Included	$440,639	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$440,639	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$79,395,430	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part V, Line 4:	Temporarily restricted assets are available for health care services, including the purchase of equipment and providing health education and programs. The income and dividends on permanently restricted net assets are generally used to support health care services and for capital purchases of property and equipment.
Part X, Line 2:	The Hospital is a not-for-profit corporation as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Management evaluated the Hospital's tax positions and concluded the Hospital has maintained its tax-exempt status, does not have any significant unrelated business income and had taken no uncertain tax positions that require adjustment to or disclosure in the accompanying financial statements. With few exceptions, the Hospital is no longer subject to tax examination by the U.S. federal or state tax authorities for years prior to 2011.
Part XI, Line 2d - Other Adjustments:	Increase in fair value of interest rate swap agreement 117,060.
Part XI, Line 4b - Other Adjustments:	Fundraising Expenses 440,639.
Part XII, Line 4b - Other Adjustments:	Fundraising Expenses 440,639.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	MCH Golf Classic	NameOfEvent1Amt
Gross Receipts Event1	$58,840	GrossReceiptsEvent1Amt
Charitable Contri Event1	$34,595	CharitableContriEvent1Amt
Gross Revenue Event1	$24,245	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$5,547	NonCashPrizesEvent1Amt
Rent Facility Costs Event1	$5,440	RentFacilityCostsEvent1Amt
Food And Beverage Event1	$4,660	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$2,179	OtherDirectExpensesEvent1Amt
Gross Receipts Total	$58,840	GrossReceiptsTotalAmt
Charitable Contributions Tot	$34,595	CharitableContributionsTotAmt
Gross Revenue Total Events	$24,245	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$5,547	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$5,440	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$4,660	FoodAndBeverageTotalEventsAmt
Oth Direct Expnss Total Events	$2,179	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$17,826	DirectExpenseSummaryEventsAmt
Net Income Summary	$6,419	NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,017,035	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,017,035	NetCommunityBenefitExpnsAmt
Total Expense	0.02690	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,128,871	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,907,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,221,779	NetCommunityBenefitExpnsAmt
Total Expense	0.01630	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,145,906	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,907,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,238,814	NetCommunityBenefitExpnsAmt
Total Expense	0.04320	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$868,628	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$868,628	NetCommunityBenefitExpnsAmt
Total Expense	0.01160	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,529	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,529	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,066,064	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,066,064	NetCommunityBenefitExpnsAmt
Total Expense	0.01420	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$136,355	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$136,355	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,080,576	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,080,576	NetCommunityBenefitExpnsAmt
Total Expense	0.02770	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,226,482	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,907,092	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,319,390	NetCommunityBenefitExpnsAmt
Total Expense	0.07090	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$2,379,632	BadDebtExpenseAmt
Bad Debt Expense Attributable	$246,442	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$20,693,852	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$20,571,430	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$122,422	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Monadnock Community Hospital	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	452 Old Street Road	AddressLine1
City	Peterborough	City
State	NH	State
ZIP Code	03458	ZIPCode

Field	Value	IRS element (for citing)
State License	02507	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Monadnock Community Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	see Part V, Section C	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
All Needs Addressed	0	AllNeedsAddressedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (1)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (1)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	400.000000000000	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (1)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Insurance Status	Yes (X)	InsuranceStatusInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Attached To Invoice	Yes (X)	AttachedToInvoiceInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Provided On Admission	Yes (X)	ProvidedOnAdmissionInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	Yes (1)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Monadnock Community Hospital	Part V, Section B, Line 3: Monadnock Community Hospital (MCH) used a multi-phased methodology to achieve the objectives of the assessment. The methodology included the following stages: establishing a leadership team to provide project guidance and insight regarding local health resources and perspectives of community needs; strategic secondary research; four qualitative discussion groups with healthcare consumers, service providers, and other community opinion leaders; needs prioritization process. Establishing a Leadership Team - The MCH Leadership Group was established early in the project process in order to develop communication channels with, and to learn about the insights of, a diverse set of community stakeholders. In order to generate the information, MCH incorporated input from persons who represent the broad interest of the community served by the hospital facility, including those with special knowledge of our expertise in public health. Group members were selected based upon their perceived community health vision, knowledge, and power to impact the well-being of the community. The steering committee also offered critical feedback on quantitative data, refined the list of community needs, helped develop the database of available resources, and participated in quantitative and qualitative research methods to build the prioritized list of community needs identified in the report. Qualitative Discussion Groups - MCH conducted five discussion groups with individuals from a breadth of community groups regarding their perception of healthcare service gaps. The groups included in-depth discussion about topics such as community strengths, service gaps, needs prioritization, and ways that MCH may be able to help address community needs. The information gleaned was used to help triangulate statistical data and qualitative information collected through the other research modalities. The discussion groups included the following community segments: leadership group members (executives from a diverse range of organizations that have direct contact with healthcare consumers and/or provide affiliated services), healthcare consumers (consumer sectors included the homeless, people from diverse age groups and economic strata, and individuals with varying degrees of chronic illness), and community opinion leaders (healthcare consumers living in the MCH service area and also providing community services such as faith-based networking and in-school nursing).
Monadnock Community Hospital	Part V, Section B, Line 7: The Hospital will not directly address all the needs identified in the CHNA at the time of this filing. The community needs not addressed in the Hospital's implementation plan scored lower on the prioritization rationale, were determined as not being in the purview of the Hospital, and/or are better addressed by other community organizations. The needs not included in the Hospital's implementation plan include: parenting classes, lower insurance rates, and dental health services for adults and seniors.
Monadnock Community Hospital	Part V, Section B, Line 14g: The complete financial assistance policy is available upon request and in the waiting rooms. Instructions on how to find out more about financial assistance are posted on the Hospital's website, on the back of all billing invoices, and published in a brochure that is available around the Hospital and in the admissions office.Additionally, the financial assistance program is communicated to all employees during the orientation process.
Monadnock Community Hospital	Part V, Section B, Line 18e: Line E: Description from Credit and Collections Policy:The Hospital Patient Financial Services (PFS) Department shall develop and implement billing and collection procedures designed to maintain an adequate cash flow, keep accounts receivable at an acceptable level, and identify and write-off bad debts in a timely fashion. Monadnock Community Hospital contracts with an agency to process all self-pay accounts and self-pay after insurance balance statements/letters. I. Self-pay accounts and self-pay balances remaining after insurance adjudication shall be transferred to the agency on a weekly basis. The cycle for collections is three statements and/or letters and two phone call series spaced approximately thirty (30) days apart. The statements shall include:a. Previous balance (unless this is the first statement).b. Activity since last statement (except those accounts that went to a $0.00 balance).c. Current balance due.d. Telephone number(s) for inquiries concerning the statement.e. Status or reminder message where appropriate.f. Availability for the use of a credit card for payment.g. Information regarding Financial Assistance and Medication Bridge Programs.h. Return envelope.II. In the event that statements or letters are returned by the postal service as undeliverable for reasons such as "moved, left no forwarding address," "forwarding order expired," or "no such address" the agency will indicate on the daily report "mail returned." PFS staff will review system for the correct address and will make corrections within the computer system and correspondence will be re-mailed. If no correct or current information can be obtained, the specific account(s) shall be flagged for referral to an outside collection agency equipped to handle this type of situation (see bad debt processing footnote).In addition, on a weekly basis, the FAP staff run system reports to identify outpatient visits classified as self-pay. Based on the information in these reports, the guarantor of each visit is sent a financial assistance application in the mail. Determination of eligibility is contingent upon receiving a completed application and required documentation from the patient and/or guarantor.
Monadnock Community Hospital	Part V, Section B, Line 22: The State of NH does not allow healthcare providers to bill auto insurance companies directly in regards to a motor vehicle accident. The patient, when treated, has the choice to either be billed directly and they will then bill their auto insurance company or we can bill their health insurance company directly.
Schedule H, Part V, Section B, line 5a:	The CHNA is available at the Hospital facility's website: http://monadnockcommunityhospital.com/pdf/community-matters/Community%20Assessment%20Report%20-%20Monadnock%20Community-Hospital-Final-Version-with-Guide.pdf

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	FacilityFacilityTxt
Bond Wellness Center
458 Old Street Road Wellness Center	Peterborough	NH	03458	Fitness center and rehabilitation services
Monadnock Orthopaedic Associates
458 Old Street Road Wellness Center	Peterborough	NH	03458	Physician practice
Monadnock Regional Pediatrics
454 Old Street Road MAB Building	Peterborough	NH	03458	Physician practice
Jaffrey Family MedicinePT Satellite
82 Peterborough Road	Jaffrey	NH	03452	Physician practice
Monadnock Family Care
454 Old Street Road MAB Building	Peterborough	NH	03458	Physician practice
North Meadow
154 Hancock Road	Peterborough	NH	03458	Physician practice
Monadnock Behavioral Health
458 Old Street Road Wellness Center	Peterborough	NH	03458	Physician practice
Monadnock Internists
454 Old Street Road MAB Building	Peterborough	NH	03458	Physician practice
Monadnock Surgical Associates
454 Old Street Road MAB Building	Peterborough	NH	03458	Physician practice
Peterborough Internal Medicine
454 Old Street Road MAB Building	Peterborough	NH	03458	Physician practice
Rindge Family Practice
145 US Route 202	Rindge	NH	03461	Physician practice
New Ipswich Family Medicine
821 Turnpike Road	New Ipswich	NH	03071	Physician practice
Antrim Medical Group
12 Elm Street	Antrim	NH	03440	Physician practice
Neurology Center
458 Old Street Road Wellness Center	Peterborough	NH	03458	Physician practice

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Line 3c:	N/A
Part I, Line 6a:	N/A
Part I, Line 7:	Charity care and means tested programs use the cost to charge ratio as their methodology. This Hospital calculates the ratio in a manner consistent with worksheet 2, patient care charges to patient care expenses, to arrive at the ratio of cost to charges.
Part I, Line 7g:	Included in the subsidized health services activities reported for FY 2014 are unreimbursed costs of $479,784 attributed to an outpatient behavioral health practice and $533,538 related to emergency and trauma services.
Part I, Line 7, Column (f):	The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 4,465,396.
Part II, Community Building Activities:	See previous footnotes.
Part III, Line 2:	The amount reported on Part III line 2 was derived by applying the cost to charge ratio against the amount of bad debt expense reported on Form 990, Part IX, line 25, column (A) ($4,465,396). Accounts written off to bad debt include gross charges being written off less any payments received against those charges. Any cash collected on accounts previously written off is included as an offset to bad debt expense as recoveries of bad debt. The Hospital calculates the ratio in a manner consistent with worksheet 2, patient care charges to patient care expenses, to arrive at the ratio of costs to charges.
Part III, Line 3:	The estimated amount of charity care included in bad debt expense is based on the number of applications for charity care denied due to lack of complete documentation against the average charity care write off at cost per qualified patient. We believe the amount is minimal based on our extensive efforts to educate patients and staff about our various payment plans and financial grant programs to ensure that patients who qualify for any of our programs utilize them. Depending on the specific circumstances, a patient may be eligible for charity care, discounted care, payment programs, or a combination of the above. Due to these efforts, we believe that amounts written off to bad debt that could qualify as charity care is minimal.
Part III, Line 4:	See page 7 of the attached financial statements.
Part III, Line 8:	Medicare allowable costs for the Medicare cost report are reported in accordance with CMS guidelines using the cost to charge ratio methodology.
Part III, Line 9b:	As of 9/30/2011 Monadnock Community Hospital has a written credit and collection policy. Described within that policy are the collection practices and bad debt processes that are followed for patients who are known to qualify for charity care or financial assistance. The Organization maintains a Financial Assistance Program (FAP) database which is maintained by the Social Services Department of MCH. The Patient Financial Services (PFS) staff reference this database for approval status and eligibility amounts, identifying any account(s) where the discount will apply. Internal FAP insurance plans are applied to those accounts and related discount amounts are adjusted in the billing system. Remaining balances are expected to be paid in full by the patient. Payment plans may be requested by the patient and are established by the Financial Grant Coordinator based on the patient's available income and assets. Accounts are annotated to reflect payment arrangements. During bad debt processing, designated staff evaluate accounts listed as collection review for potential bad debt write off. This process includes an examination of account history for indication of FAP application.
Part VI, Line 2:	The State of NH, under RSA 7:32-f, requires every healthcare charitable trust, either alone or in conjunction with other healthcare charitable trusts in its community, to conduct a Community Health Needs Assessment to assist in determining the activities to be included in its community benefits plan. The needs assessment process includes consultation with members of the public, community organizations, service providers, and local government officials in the entity's service area to identify and prioritize the community needs that the health care entity can address directly or in collaboration with others. The Community Health Needs Assessment is updated at least every 5 years, most recently in 2012. In 2007, the Regional Community Benefits Steering Committee was first formed to prepare a single Community Benefits Needs Assessment for the Monadnock Region. The work group consisted of representatives from multiple organizations, including Monadnock Community Hospital. Based on the needs assessment and community engagement process, the priority needs and health concerns of the community MCH serves include access to care - driven by financial barriers and/or availability of primary care, availability of behavioral health care, general socioeconomic issues, and transportation services. Monadnock Community Hospital used this information to help focus its community benefit efforts to meet the priority needs identified in the community benefit plan. In addition, other needs or services not specifically identified in the community needs assessment, but addressed under the Organization's community benefit plan include availability of dental or oral health care (via the Organization's Monadnock Healthy Teeth to Toes program which focuses on dental hygiene and care, nutrition, and daily physical activity for children ages kindergarten to third grade) and availability of prescription medication (via the Organization's Medication Bridge program designed to help eligible patients apply for assistance programs that provide free or discounted prescription medications).
Part VI, Line 3:	MCH is committed to providing quality healthcare to anyone in need of services, regardless of ability to pay. We understand patients may not have the finances to pay for their healthcare services and medications, and do not want this to prevent anyone from receiving necessary treatment. As part of the Hospital's mission to the communities we serve, we have developed programs to help meet the needs of our patients who meet income eligibility. Through our Financial Assistance and Medication Bridge Programs, we have been providing financial assistance to those qualifying for many years. We reach out to our patients in many different ways to ensure they are aware that help is available and to guide them through the process. Brochures and signage are posted in high traffic areas and all employees of MCH are informed about the Financial Assistance Program during orientation. When a patient goes through the registration process at the Hospital the staff are trained to inform uninsured or underinsured patients about the Monadnock Community Hospital Financial Assistance and the New Hampshire Health Access programs and that there is assistance available within the Hospital to help with the application process. In addition, any time a patient calls customer service, the representative is trained to help identify and offer support to patients who may require financial assistance. Patients may qualify for free care, discounted care, payment plans or a combination of the above. Assistance is also provided in applying to federal and state programs for those who qualify.
Part VI, Line 4:	The Hospital's primary service area consists of 14 towns, including Antrim, Bennington, Dublin, Francestown, Greenfield, Greenville, Hancock, Jaffrey, Mason, New Ipswich, Peterborough, Rindge, Sharon, and Temple. The Hospital serves the general population of the primary service area referenced above.
Part VI, Line 5:	Monadnock Community Hospital is a critical access hospital located in the Monadnock Region of NH. Our mission is to improve the health and well-being of our community. The Hospital is served by a board of trustees consisting of local citizens active in their community and its organizations. The majority of the board is not employed by the Hospital and consists of local community and business representatives as well as medical staff. The Hospital is committed to giving back to the community to the greatest extent possible. Monadnock Community Hospital supports thousands of individuals and families with free or reduced-fee services and programs. Our Financial Assistance Program administered by the Social Services Department helps families and individuals in need with access to health care and other available community services such as catastrophic care, fuel assistance, meals on wheels, food banks, and visiting nurses. Other examples of the Hospital's effort to reach our patients beyond traditional hospital services include access to free or reduced cost medications through our Medication Bridge program; educating children on the importance of good oral hygiene, eating health, and daily physical activity through our Monadnock Healthy Teeth to Toes program; training for community agencies such as local volunteer fire and rescue personnel; prevention and wellness education including nutrition, smoking cessation and dealing with stress; providing regular community seminars regarding timely health topics; and screenings for important health issues such as breast cancer. These are just a few of the many areas where we are reaching out to others to assure they are cared for well.
Part VI, Line 6:	N/A
Part VI, Line 7, Reports Filed With States	NH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Town of Peterborough	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 Grove Street	AddressLine1
City	Peterborough	City
State	NH	State
ZIP Code	03458	ZIPCode

Field	Value	IRS element (for citing)
IRC Section	Governmental	IRCSectionDesc
Cash Grant	$15,000	CashGrantAmt
Purpose Of Grant	Cash contribution for the benefit of the Peterborough Ambulance.	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 2:	FormAndLineReferenceDesc
Explanation	During the tax year ending September 30, 2014, the Hospital only made contributions to governmental entities or other 501(c)(3) public charities, additional monitoring is not deemed necessary.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Richard Frechette MD
Ex-Officio w/voting rights (part yr)	$202,593	$0	$0	$0	$1,796	$0	$5,184	$0	$25,957	$0	$235,530	$0	$0	$0
Gregory Kriebel MD
Ex-Officio w/voting rights	$222,386	$0	$0	$0	$780	$0	$5,533	$0	$21,092	$0	$249,791	$0	$0	$0
Peter L Gosline
Chief Executive Officer (thru 4/14)	$266,478	$0	$6,238	$0	$22,391	$0	$6,314	$0	$16,920	$0	$318,341	$0	$0	$0
Richard D Scheinblum
VP Finance/CFO	$166,930	$0	$0	$0	$800	$0	$4,195	$0	$8,012	$0	$179,937	$0	$0	$0
Terrence McNamara DO
Physician	$406,121	$0	$133,958	$0	$15,478	$0	$0	$0	$19,881	$0	$575,438	$0	$0	$0
Ronald Michalak MD
Physician	$468,953	$0	$2,058	$0	$920	$0	$0	$0	$25,689	$0	$497,620	$0	$0	$0
Douglas Weiss MD
Physician	$474,847	$0	$0	$0	$16,776	$0	$0	$0	$8,173	$0	$499,796	$0	$0	$0
Shawn Harrington MD
Physician	$390,148	$0	$6,976	$0	$920	$0	$0	$0	$25,454	$0	$423,498	$0	$0	$0
Robert C Knowles MD FACS
Physician	$352,638	$0	$0	$0	$26,169	$0	$0	$0	$20,147	$0	$398,954	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Part I, Lines 4a-b	Peter L. Gosline served as Chief Executive Officer of the Hospital until April 2014. In the fiscal year covered by this filing, Mr. Gosline received severance payments totaling $113,379. Mr. Gosline received severance through mid-April, 2015. MCH sponsors a split-dollar life insurance employee benefit program for certain officers and key employees. Split-dollar life insurance is an arrangement in which the employee is the owner of the life insurance policy and the premiums are paid by both the employer and employee. Pursuant to MCH's split-dollar agreement, and the collateral assignment therein, the employer's share of the policy premiums paid is recovered either upon termination of the policy or at the death of the participant. Note that the split-dollar arrangement is part of an employee benefit program and economically not a direct extension of credit. Furthermore, the reportable compensation of the respective employees includes the annual value of the life insurance coverage. The policy was surrendered and contract terminated upon Mr. Gosline's retirement. As a result, no values are attributed to the split-dollar arrangement as of 9/30/14. Under the terms of his transition agreement with the Hospital, Mr. Gosline paid back $542,000 of cumulative premiums paid since 2001. Cynthia McGuire, President & CEO, participates in a 457(f) plan with Monadnock Community Hospital. Ms. McGuire began her tenure with the Hospital after calendar year 2013. Therefore, no compensation or benefits will be reported for her on this Schedule J, Part II. After a three-year vesting period, there will be a 457(f) amount included in W-2 wages for Ms. McGuire reported on Schedule J, Part II, Column B(iii). This amount will be comprised of interest and deferred compensation that was included in Schedule J, Part II, Column C. On May 19, 2015 $17,500 was deposited into Ms. McGuire's 457(f) plan account for calendar 2014. The 457(f) amount that will be included in W-2 wages properly accounts for the elimination of substantial risk of forfeiture.
Part I, Line 7	MCH compensates physicians utilizing productivity targets based on RVU (relative value units). In addition, the Compensation Committee recommends to the full board, annually, the variable pay award that may be issued to the Hospital's CEO. The payment of the award is discretionary and is subject to meeting the pre-determined goals of the Organization.
Schedule J, Part II	Cynthia McGuire, CEO began her tenure with Monadnock Community Hospital in February 2014. Peter L. Gosline remained with the Hospital in an advisory capacity until his resignation effective April 2014. Because IRS instructions require that compensation and benefit information be reported on Form 990, Part VII on a calendar year basis, no compensation and benefits are reported on this Form 990 for Ms. McGuire. The Organization's 2014 Form 990 will reflect Ms. McGuire's compensation information, accordingly, she has not been included as an independent board member on this return.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NHBFA Revenue Bonds Series 2013	BusinessNameLine1

Field	Value	IRS element (for citing)
Bond Issuer EIN	021304598	BondIssuerEIN
Bond Issued	2013-01-01	BondIssuedDt
Issue Price	$27,240,000	IssuePriceAmt
Purpose	refinance existing Series 2007 and 2009 bonds	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$27,240,000	TotalProceedsAmt
Refunding Escrow	$27,057,466	RefundingEscrowAmt
Issuance Costs From Proceeds	$182,534	IssuanceCostsFromProceedsAmt
Substantial Completion	2013	SubstantialCompletionYr
Current Refunding	0	CurrentRefundingInd
Advance Refunding	Yes (1)	AdvanceRefundingInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	Yes (1)	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	Yes (1)	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part III, Line 9, Part IV, line 7 and Part V:	FormAndLineReferenceDesc
Explanation	Although formal policies are not in place in regards to the remediation of our bond, the monitoring requirements of section 148, and procedures to ensure that violations are timely identified and corrected, Mondanock Community Hospital has compliance checks in place that substantiate these requirements. Below is a list of all compliance checks that Monadnock Community Hospital has in place to monitor the 2013 Bond Issue: 1. Covenant calculations performed monthly as part of the Financial Scorecard preparation which is reviewed by the MCH Board of Trustees 2. Covenant calculations are performed for each quarter and reported to the bond issuer, TD Bank 3. Covenant certificate is signed each quarter by the CFO and reported to the bond issuer, TD Bank 4. Financial statements and statistical reports are sent to the bond issuer, TD Bank, on a quarterly basis 5. Annual Operating and Capital budgets are reported to the bond issuer, TD Bank 6. A No Event of Default certificate is signed by the CFO annually and reported to the bond issuer, TD Bank 6. Annual Audited Financial statements are reported to the bond issuer, TD Bank Each of these items that are reported to TD Bank has a specific deadline for completion as outlined in the bond documents.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Patti Potter
Spouse to Trustee	$20,181	Mrs. Patti Potter is the spouse of Dr. James Potter, who was a trustee on MCH's Board for part of the year and listed in Part VII. Mrs. Potter is compensated as an employee of MCH. The W-2 compensation paid is in accordance with MCH's standard employment practices and policies.	0
Peter L Forssell MD
Board Member	$20,040	The Hospital rents a medical office space from Dr. Forssell. Though the transaction amount is below the threshold for disclosure, the Hospital is reporting it on Schedule L, Part IV for transparency purposes.	0

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	6	ContributionCnt
Noncash Contributions Rpt F990	$63,400	NoncashContributionsRptF990Amt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (1)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Part I, Line 32b:	FormAndLineReferenceDesc
Explanation	The Hospital uses its third party investment broker to sell gifts of publicly traded securities. Donations of such securities are sold as soon as administratively possible.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Section B, line 11	The Hospital's Form 990 is prepared with assistance by an independent public accounting firm. A draft of the Form 990 is initially reviewed in detail by key finance employees. Thereafter, the final draft is made available to the full board prior to filing with the IRS.
Form 990, Part VI, Section B, line 12c	On an annual basis, the Organization provides all administrators/directors/managers, Board Members, and medical staff members with the conflict of interest policy. Said individuals are required to complete a new conflict of interest disclosure on an annual basis. Any conflicts of interest noted are reviewed by the Chair of the Board, in conjunction with the Corporate Compliance Officer. If the conflict of interest appears to meet the policy definitions requiring full Board review, the President of the Board takes this to the full Board meeting, and it is discussed, and appropriate action is taken (in compliance with state and federal requirements). The conflict of interest statement requires signatories to inform the Hospital of any conflict of interest that occurs at any time throughout the year. If a conflict of interest arises during the year, it is reviewed by the Compliance Officer, and if necessary, is taken to the Board President/Board. The Compliance Officer confers with legal counsel with regard to conflicts of interest, if there is any question regarding the potential conflict.
Form 990, Part VI, Section B, line 15	The Organization has a written executive compensation policy and procedure. Under this policy, the Compensation Committee, comprised of delegated representatives of the Board of Trustees, has the power and responsibility to determine the Hospital's approach to executive compensation and review the performance of the CEO. The Compensation Committee has the responsibility to set, monitor and review the base salary of the CEO. The Committee maintains minutes of sessions and final recommendations and determinations in accordance with the Board of Trustee guidelines. Annually, market data is reviewed by the Committee to determine the appropriate salary for the Hospital's CEO based upon identified standards. At the end of the time period, the Committee reviews to what extent stated goals were met and recommends an amount for the variable pay award to be approved by the full board.
Form 990, Part VI, Section C, line 19	Monadnock Community Hospital files audited financial statements annually with the New Hampshire Attorney General's Charitable Trust Unit and informs the Director of Charitable Trusts of pecuniary benefit transactions that have occurred between MCH and a board member or officer. Notices of such transactions of $5,000 or more are also published in the local newspaper in accordance with NH RSA 7:19-A, II(D). Current copies of the bylaws, conflict of interest Policy and Form 990 are on file with the Charitable Trust Unit. The Hospital also makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
Form 990, Part VII, Section A, Column D: Director Compensation	The 2013 compensation reported for Dr. Kriebel, Dr. Frechette, and Dr. Potter was paid by Monadnock Community Hospital for their services as physicians. Neither was compensated for their services as an ex-officio voting members of MCH's Board of Trustees.
Form 990, Part VII, Section A, Column D: CEO Compensation	Cynthia McGuire, CEO began her tenure with Monadnock Community Hospital in February 2014. Peter L. Gosline remained with the Hospital in an advisory capacity until his resignation effective April 2014. Because IRS instructions require that compensation and benefit information be reported on Form 990, Part VII on a calendar year basis, no compensation and benefits are reported on this Form 990 for Ms. McGuire. The Organization's 2014 Form 990 will reflect Ms. McGuire's compensation information, accordingly, she has not been included as an independent board member on this return.
Form 990, Part XI, line 9:	Change in fair value of interest rate swap agreements 117,060.
Form 990, Part XI, Line 2c: Audit Review Process	The Audit Committee oversees the audit process for Monadnock Hospital. The audit process for the financial statements did not change from the prior year. Independent accountants performed the audit for the fiscal years ended 9/30/13 and 9/30/14.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Monadnock Health Services - INACTIVE	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	452 Old Street Road	AddressLine1
City	Peterborough	City
State	NH	State
ZIP Code	03458	ZIPCode

Field	Value	IRS element (for citing)
EIN	020420789	EIN
Primary Activities	Inactive	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	Line 11a, I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Monadnock Community Hospital	BusinessNameLine1

Field	Value	IRS element (for citing)
Controlled Organization	Yes (1)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd