THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-07-19
- IRS object ID
- 201332009349300103
- Schema version
- 2011v1.5
- 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 J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-07-19T08:23:36-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010523282 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 1100 | AddressLine1 |
| City | Portland | City |
| State | ME | State |
| ZIP Code | 041041100 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222171 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New London Hospital Association Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | NEWL | NameControl |
| Phone | 6035265339 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1 |
| City | New London | City |
| State | NH | State |
| ZIP Code | 03257 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Donald Griffin | Name |
| Title | CFO | Title |
| Phone | 6035265339 | Phone |
| Date Signed | 2013-07-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| PTIN | P00219457 | PTIN |
| Phone | 2077752387 | Phone |
| Date Prepared | 2013-07-08 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Bruce King | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1 |
| City | New London | City |
| State | NH | State |
| ZIP Code | 03257 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 65498787 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.newlondonhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1918 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | NLHA is a rural community Critical Access Hospital with an extended care center. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 644 | TotalNbrEmployees |
| Total Nbr Volunteers | 163 | TotalNbrVolunteers |
| Total Gross UBI | 111912 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -35584 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1061718 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1496917 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 56580492 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 58861902 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 441947 | InvestmentIncomePriorYear |
| Investment Income Current Year | 570976 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 3460 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1515 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 58087617 | TotalRevenuePriorYear |
| Total Revenue Current Year | 60931310 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32317756 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 32624497 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 205622 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 26029889 | OtherExpensePriorYear |
| Other Expenses Current Year | 25140379 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 58347645 | TotalExpensesPriorYear |
| Total Expenses Current Year | 57764876 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -260028 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3166434 | RevenuesLessExpensesCY |
| Total Assets BOY | 57974951 | TotalAssetsBOY |
| Total Assets EOY | 62092733 | TotalAssetsEOY |
| Total Liabilities BOY | 33308576 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 33399049 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24666375 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 28693684 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 33686692 | Expense |
| Revenue | 45592729 | Revenue |
| Description | 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 34,000 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10133718 | Expense |
| Revenue | 8585768 | Revenue |
| Description | 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 Newport and New London. NLHA employs forty-one providers. Twenty-three provide primary care including pediatrics, and eighteen are specialists covering general surgery, anesthesiology, orthopaedics, neurology, emergency medicine, hospitalists, gynecology, rheumatology, and ear, nose and throat. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3845307 | Expense |
| Revenue | 4571493 | Revenue |
| Description | 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. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 47665717 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 120 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 644 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | NH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Donald Griffin | NamePerson |
| Telephone Number | 6035265372 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1 |
| City | New London | City |
| State | NH | State |
| ZIP Code | 03257 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Anne B Holmes | |||||||
| Vice Chair | 8.00 | X | X | 0 | 0 | 0 | |
| Beverly S Payne | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Bruce P King | |||||||
| President & CEO | 50.00 | X | X | 301245 | 0 | 49869 | |
| Celeste C Cook | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| David E Marshall | |||||||
| Treasurer | 8.00 | X | X | 0 | 0 | 0 | |
| Eileen Kirk MD | |||||||
| Medical Staff President | 40.00 | X | 238250 | 0 | 14290 | ||
| G William Helm Jr | |||||||
| Chair | 8.00 | X | X | 0 | 0 | 0 | |
| Jane Rastallis | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| John C Ferries | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| John F Robb MD | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| John R Butterly MD | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Lori D Richer MD | |||||||
| Past Trustee | 2.00 | X | 151648 | 0 | 18852 | ||
| Patricia Tilley | |||||||
| Past Secretary | 8.00 | X | X | 0 | 0 | 0 | |
| Peter E Hager | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Robert M Rex | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Sage Chase | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Stanley I Cundey Jr | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Stephen Jordan MD | |||||||
| Trustee | 2.00 | X | 119380 | 0 | 3665 | ||
| Susan A Reeves | |||||||
| Secretary | 8.00 | X | X | 0 | 0 | 0 | |
| Kris Eschbach DO | |||||||
| President Elect of Med. Staff | 2.00 | X | 0 | 0 | 0 | ||
| Douglas W Lyon | |||||||
| Trustee | 2.00 | X | 0 | 0 | 0 | ||
| Donald J Griffin | |||||||
| Chief Financial Officer | 50.00 | X | 132617 | 0 | 12157 | ||
| Gregory Q Curtis MD | |||||||
| Past Chief Medical Officer | 50.00 | X | 245351 | 0 | 19254 | ||
| Patricia Sweezey | |||||||
| Chief Nursing Officer | 50.00 | X | 105869 | 0 | 16934 | ||
| Teresa LeBlanc | |||||||
| Chief Operating Officer | 50.00 | X | 149567 | 0 | 1995 | ||
| James Murphy MD | |||||||
| Co-Chief Medical Officer | 50.00 | X | 71796 | 0 | 1041 | ||
| Steven PowellMD MPH | |||||||
| Co-Chief Medical Officer | 50.00 | X | 362807 | 0 | 3910 | ||
| Adnan Khan | |||||||
| Hospitalist | 40.00 | 396955 | 0 | 6750 | X | ||
| Donald A Eberly MD | |||||||
| General Surgeon | 40.00 | 281605 | 0 | 19254 | X | ||
| Kenneth D Call MD | |||||||
| Emergency Room Physician | 40.00 | 301914 | 0 | 4717 | X | ||
| Sean D Bears MD | |||||||
| General Surgeon | 40.00 | 275511 | 0 | 19254 | X | ||
| Thomas F Lucas MD | |||||||
| Anesthesiologist | 40.00 | 271724 | 0 | 19201 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3406239 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 211143 | TotalOtherCompensation |
| Number Individuals GT100 K | 45 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 1 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Dartmouth Hitchcock Clinic | |||||
| 1 Medical Center Drive | Lebanon | NH | 03756 | Physician Staffing & Lab Services | 952793 |
| Upper Valley Neurology Neurosurgery PC | |||||
| 106 Hanover St | Lebanon | NH | 03766 | Physician Services | 796377 |
| New England Alliance for Health LLC | |||||
| 1 Medical Center Drive | Lebanon | NH | 03756 | Management Services | 657738 |
| American Health Centers Inc | |||||
| 10 Commerce Park North Unit 10 | Bedford | NH | 03110 | Diagnostic Imaging Services | 519564 |
| Big Mikes Cleaning & Maintenance | |||||
| 57 Reed Farm Road | Newport | NH | 03773 | Cleaning Services | 178620 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Fundraising Events | 60107 | FundraisingEvents |
| Government Grants | 154577 | GovernmentGrants |
| All Other Contributions | 1282233 | AllOtherContributions |
| Total Contributions | 1496917 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Revenue | 621400 | 96220573 | 96220573 | |
| Physician Services | 621110 | 3521324 | 3521324 | |
| Child Care | 624410 | 283268 | 171356 | 111912 |
| Cafeteria | 900099 | 140344 | 140344 | |
| Contractual/Char. Adj. | 621400 | -41303607 | -41303607 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 58861902 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 372503 | TotalRevenueColumn |
| Exclusion | $372,503 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4670286 | Securities |
| Other | 3000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4474813 | Securities |
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 195473 | Securities |
| Other | 3000 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 198473 | TotalRevenueColumn |
| Exclusion | $198,473 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 94179 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 60107 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 92664 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1515 | TotalRevenueColumn |
| Exclusion | $1,515 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 60931310 | TotalRevenueColumn |
| Related Or Exempt Function Income | 58749990 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 111912 | UnrelatedBusinessRevenue |
| Exclusion | $572,491 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2401165 | Total |
| Program Services | 1584968 | ProgramServices |
| Management And General | 816197 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25362360 | Total |
| Program Services | 20315250 | ProgramServices |
| Management And General | 4903879 | ManagementAndGeneral |
| Fundraising | 143231 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 47103 | Total |
| Program Services | 37730 | ProgramServices |
| Management And General | 9373 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3241415 | Total |
| Program Services | 2596374 | ProgramServices |
| Management And General | 637740 | ManagementAndGeneral |
| Fundraising | 7301 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1572454 | Total |
| Program Services | 1259536 | ProgramServices |
| Management And General | 302240 | ManagementAndGeneral |
| Fundraising | 10678 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 254711 | Total |
| Program Services | 204024 | ProgramServices |
| Management And General | 50687 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131087 | Total |
| Program Services | 105001 | ProgramServices |
| Management And General | 26086 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 56918 | Total |
| Program Services | 45591 | ProgramServices |
| Management And General | 11327 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4934952 | Total |
| Program Services | 3952897 | ProgramServices |
| Management And General | 982055 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 200654 | Total |
| Program Services | 160724 | ProgramServices |
| Management And General | 28091 | ManagementAndGeneral |
| Fundraising | 11839 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2160806 | Total |
| Program Services | 1730806 | ProgramServices |
| Management And General | 408875 | ManagementAndGeneral |
| Fundraising | 21125 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 553472 | Total |
| Program Services | 443331 | ProgramServices |
| Management And General | 110141 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1611433 | Total |
| Program Services | 1290758 | ProgramServices |
| Management And General | 316551 | ManagementAndGeneral |
| Fundraising | 4124 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 107490 | Total |
| Program Services | 86099 | ProgramServices |
| Management And General | 14607 | ManagementAndGeneral |
| Fundraising | 6784 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173127 | Total |
| Program Services | 138675 | ProgramServices |
| Management And General | 33912 | ManagementAndGeneral |
| Fundraising | 540 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 914542 | Total |
| Program Services | 732548 | ProgramServices |
| Management And General | 181994 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 167374 | Total |
| Program Services | 134067 | ProgramServices |
| Management And General | 33307 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3636928 | Total |
| Program Services | 2913179 | ProgramServices |
| Management And General | 723749 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 645559 | Total |
| Program Services | 517093 | ProgramServices |
| Management And General | 128466 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| Bad Debt Expense | 2941149 | 2941149 |
| Medicaid Enhancement Ta | 2194918 | 2194918 |
| Medical Supplies | 2075552 | 2075552 |
| Drugs and Pharmaceutica | 1504021 | 1504021 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 875686 | Total |
| Program Services | 701426 | ProgramServices |
| Management And General | 174260 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 57764876 | Total |
| Program Services | 47665717 | ProgramServices |
| Management And General | 9893537 | ManagementAndGeneral |
| Fundraising | 205622 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6198610 | BOY |
| EOY | 7832625 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1435340 | BOY |
| EOY | 2107677 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 568429 | BOY |
| EOY | 221530 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6947286 | BOY |
| EOY | 7034343 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1002338 | BOY |
| EOY | 988908 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 543702 | BOY |
| EOY | 462985 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 66603469 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 36582186 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31195022 | BOY |
| EOY | 30021283 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6782749 | BOY |
| EOY | 9705309 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 315079 | BOY |
| EOY | 303792 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2986396 | BOY |
| EOY | 3414281 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57974951 | BOY |
| EOY | 62092733 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6481106 | BOY |
| EOY | 5292720 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16415000 | BOY |
| EOY | 16175000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 631306 | BOY |
| EOY | 151601 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9781164 | BOY |
| EOY | 11779728 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33308576 | BOY |
| EOY | 33399049 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22468215 | BOY |
| EOY | 26286652 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 307685 | BOY |
| EOY | 404043 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1890475 | BOY |
| EOY | 2002989 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24666375 | BOY |
| EOY | 28693684 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57974951 | BOY |
| EOY | 62092733 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3166434 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 860875 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $9,634 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 9634 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | Per information provided by the NH Hospital Association (NHHA), the NHHA percentage of dues expended for lobbying purposed was 19.47%. The percentage of American Hospital Association dues expended for lobbying purposed was 23.98%. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1890475 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 227326 | InvestmentEarningsOrLosses |
| Other Expenditures | 96967 | OtherExpenditures |
| Administrative Expenses | 17845 | AdministrativeExpenses |
| End Of Year Balance | 2002989 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1928036 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 77754 | InvestmentEarningsOrLosses |
| Other Expenditures | 90305 | OtherExpenditures |
| Administrative Expenses | 25010 | AdministrativeExpenses |
| End Of Year Balance | 1890475 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1870163 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 90988 | InvestmentEarningsOrLosses |
| Other Expenditures | 30386 | OtherExpenditures |
| Administrative Expenses | 2729 | AdministrativeExpenses |
| End Of Year Balance | 1928036 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1870163 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 2996 | InvestmentEarningsOrLosses |
| Other Expenditures | 132 | OtherExpenditures |
| Administrative Expenses | 2864 | AdministrativeExpenses |
| End Of Year Balance | 1870163 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 1.00000 | PermanentEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 941274 | OtherCostOrOtherBasis |
| Book Value | 941274 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 35924124 | OtherCostOrOtherBasis |
| Depreciation | 14086043 | Depreciation |
| Book Value | 21838081 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 419333 | OtherCostOrOtherBasis |
| Depreciation | 295830 | Depreciation |
| Book Value | 123503 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 27814095 | OtherCostOrOtherBasis |
| Depreciation | 21575503 | Depreciation |
| Book Value | 6238592 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1504643 | OtherCostOrOtherBasis |
| Depreciation | 624810 | Depreciation |
| Book Value | 879833 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 30021283 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliate | 585867 |
| Other Assets | 6066 |
| Deferred Compensation Plan Assets | 1193226 |
| Beneficial Interest in Perpetual Trust | 1629122 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 3414281 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Charitable Gift Annuities | $22,166 |
| Capital Lease Obligations | $1,169,922 |
| Other Liabilities | $20,000 |
| Interest Rate Swap | $4,773,651 |
| Estimated Third Party Settlements | $4,600,763 |
| Deferred Compensation | $1,193,226 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 11779728 | TotalOfAmounts |
| Total Revenue | 60931310 | TotalRevenue |
| Total Expenses | 57764876 | TotalExpenses |
| Excess Or Deficit For Year | 3166434 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 916108 | NetUnrealizedGLOnInvestments |
| Other | -$55,233 | OtherAmount |
| Total Adjustments | 860875 | TotalAdjustments |
| Excess Or Deficit Per FS | 4027309 | ExcessOrDeficitPerFS |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | The income from the Endowment Funds is used to assist in the payment of the hospitals program-related expenses. |
| Part XI, Line 8 - Other Adjustments: | Unrealized Loss on Interest Rate Swap -167,747. Change in beneficial interest in perpetual trust 112,514. Total to Schedule D, Part XI, Line 8: -55,233. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Golf Tournament | NameOfEvent1 |
| Gross Receipts Event1 | 48615 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 25287 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 23328 | GrossRevenueEvent1 |
| Non Cash Prizes Event1 | 1559 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 7310 | RentFacilityCostsEvent1 |
| Food And Beverage Event1 | 4555 | FoodAndBeverageEvent1 |
| Other Direct Expenses Event1 | 8389 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Hospital Gala | NameOfEvent2 |
| Gross Receipts Event2 | 75030 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 34820 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 40210 | GrossRevenueEvent2 |
| Rent Facility Costs Event2 | 7476 | RentFacilityCostsEvent2 |
| Food And Beverage Event2 | 18190 | FoodAndBeverageEvent2 |
| Entertainment Event2 | 4261 | EntertainmentEvent2 |
| Other Direct Expenses Event2 | 10283 | OtherDirectExpensesEvent2 |
| Total Number Of Other Events | 1 | TotalNumberOfOtherEvents |
| Gross Receipts Other Events | 30641 | GrossReceiptsOtherEvents |
| Gross Revenue Other Events | 30641 | GrossRevenueOtherEvents |
| Non Cash Prizes Other Events | 624 | NonCashPrizesOtherEvents |
| Rent Facility Costs Other Events | 6118 | RentFacilityCostsOtherEvents |
| Food And Beverage Other Events | 1763 | FoodAndBeverageOtherEvents |
| Entertainment Other Events | 4650 | EntertainmentOtherEvents |
| Other Direct Expenses Other Events | 17486 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 154286 | GrossReceiptsTotal |
| Charitable Contributions Total | 60107 | CharitableContributionsTotal |
| Gross Revenue Total Events | 94179 | GrossRevenueTotalEvents |
| Non Cash Prizes Total Events | 2183 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 20904 | RentFacilityCostsTotalEvents |
| Food And Beverage Total Events | 24508 | FoodAndBeverageTotalEvents |
| Entertainment Total Events | 8911 | EntertainmentTotalEvents |
| Other Direct Expenses Total Events | 36158 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 92664 | DirectExpenseSummaryEvents |
| Net Income Summary | 1515 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 0 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1109609 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1109609 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02020 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5449149 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5228054 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 221095 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6558758 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5228054 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1330704 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02420 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 89037 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 89037 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 24221 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 24221 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3564309 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3564309 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06500 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13025 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 13025 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3690592 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3690592 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06720 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10249350 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5228054 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5021296 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.09140 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 90072 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 90072 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 56523 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 56523 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 11362 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 11362 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 157957 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 157957 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00280 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $1,484,754 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 14085674 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 14859044 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -773370 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New London Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 273 County Road | AddressLine1 |
| City | New London | City |
| State | NH | State |
| ZIP Code | 03257 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Critical Access Hospital | X | CriticalAccessHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | New London Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 11 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| On Request | X | OnRequest |
| Other Needs Addressed | X | OtherNeedsAddressed |
| All Needs Addressed | 1 | AllNeedsAddressed |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 0 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Average Negotiated Rates | X | AverageNegotiatedRates |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 1 | NumberOfOtherFacilities |
Other Facilities OtherFacilities
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Newport Health Center | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11 John Stark Hwy | AddressLine1 |
| City | Newport | City |
| State | NH | State |
| ZIP Code | 03773 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Type | Clinic | FacilityType |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7g: The hospital subsidized the delivery of primary care to the community in the amount of $3,564,309 in FY 2012. In addition, the hospital provided a Medication Bridge Program at a cost of $20,227 that works with patients to ensure that prescription medication is available at an affordable cost. Due to limited access to mental health services in the service area, NLHA partnered with West Central Behavioral Health to give patients access to care at a cost of $163,521. | ||
| 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 $ 2941149. | ||
| Part II: A variety of healthcare support services comprises a significant area of community benefits for NLHA. The hospital supports many local service agencies through the participation of members of its management team on committees and governing boards and by supporting the cost of operating a childcare center that is open to community members. | ||
| Part III, Line 4: The Hospital used the cost-to-charge ratio for reporting the bad debt expense at cost. | ||
| Part III, Line 9b: The Collection Coordinator is reponsible for giving Financial Assistance Program applications, reviewing returned applications, securing financial data necessary, evaluating applications and making recommendations for approval to the Director of Patient Business Services and/or the Chief Financial Officer, and notifying the patients of eligibility determinations. When patients claim they cannot pay in full or meet installment plan guidelines due to a lack of resources, the Hospital can agree to an installment plan, refer the account to collections, write off the account as a bad debt or pursue a charity care application. | ||
| Part V, Section B, Line 3: New London Hospital conducted their community health needs assessment in collaboration with Valley Regional Hospital. | New London Hospital Association | |
| Part V, Section B, Line 6i: During 2013, the Hospital commenced the development of a framework and strategic plan to guide the design, development and implementation of New London Hospital's Population Health Improvement Initiative. The initiative seeks to roll out health promoting activities and will leverage on the good work of community organizations that currently exist, build new capacity to address gaps relative to health priorities and issues, and formalize a process for addressing future population health improvement initiatives. | New London Hospital Association | |
| Part V, Section B, Line 19d: 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. | New London Hospital Association | |
| Part VI, Line 2: The Affordable Care Act of 2010 requires not-for-profit hospitals to conduct a Community Health Needs Assessment (CHNA) every three years and the State of New Hampshire requires one to be completed every five years. The most recent community needs assessment was completed in May 2012 and involved New London Hospital (NLH) working with Crescendo Consulting Group (CCG) to bring together key healthcare and public service stakeholders, collect quantitative and qualitative data, and reach out to the community in order to elicit feedback directly from them and their service providers. In addition to performing quantitative analysis of existing survey data NLH and CCG conducted focus group discussions with a diverse set of community stakeholders including leadership group members, healthcare consumers and community opinion leaders.Subsequently, information gathered during the quantitative and qualitative phases of the research was used to establish an extensive list of community health needs. CCG then asked leadership group members (i.e. executives from service area organizations that have direct contact with healthcare consumers) to complete a survey to evaluate each of the community needs identified and then CCG ranked the survey scores to order the list of 30 community needs.The prioritization of community needs identified in the Community Needs Assessment include the following: (1) availability of affordable healthcare, prescriptions, and related services, (2) communication between healthcare providers and other community service providers regarding the bredth of services available, (3) primary care physician availability, (4) drug and alcohol abuse early detection and treatment, (5) insurance coverage rates, (6) chronic disease screenings (hypertension, cancer, heart disease), (7) coordination of care among provider organizations, (8) dementia spectrum issues / elder care services, (9) obesity, nutrition, and exercise education and services. | ||
| Part VI, Line 3: New London Hospital Association, Inc. extends a 25% discount from gross charges to to uninsured patients which approximates the average of its three lowest negotiated commercial insurance rates. | ||
| Part VI, Line 4: 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 towns in the NLHA service area (HSA) are: Andover, Bradford, Croydon, Danbury, Goshen, Grantham, Lempster, New London, Newbury, Newport, Springfield, Sunapee, Sutton, Washington and Wilmot. The HSA has a population of 32,868 persons (2010) representing approximately 2.5% of the NH State population (1,316,470). The percent of families living below the proverty line in New London Hospital's HSA was 11.8% compared to 8.6% for the State of NH. | ||
| NH | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bruce P King | |||||||||||||
| 291385 | 0 | 0 | 0 | 9860 | 0 | 32229 | 0 | 17640 | 0 | 351114 | 0 | 0 | 0 |
| Eileen Kirk MD | |||||||||||||
| 237284 | 0 | 0 | 0 | 966 | 0 | 1250 | 0 | 13040 | 0 | 252540 | 0 | 0 | 0 |
| Lori D Richer MD | |||||||||||||
| 141648 | 0 | 10000 | 0 | 0 | 0 | 1250 | 0 | 17602 | 0 | 170500 | 0 | 0 | 0 |
| Gregory Q Curtis MD | |||||||||||||
| 244931 | 0 | 0 | 0 | 420 | 0 | 1250 | 0 | 18004 | 0 | 264605 | 0 | 0 | 0 |
| Teresa LeBlanc | |||||||||||||
| 148965 | 0 | 0 | 0 | 602 | 0 | 0 | 0 | 1995 | 0 | 151562 | 0 | 0 | 0 |
| Steven PowellMD MPH | |||||||||||||
| 352387 | 0 | 10000 | 0 | 420 | 0 | 1250 | 0 | 2660 | 0 | 366717 | 0 | 0 | 0 |
| Adnan Khan | |||||||||||||
| 386577 | 0 | 10000 | 0 | 378 | 0 | 1250 | 0 | 5500 | 0 | 403705 | 0 | 0 | 0 |
| Donald A Eberly MD | |||||||||||||
| 281605 | 0 | 0 | 0 | 0 | 0 | 1250 | 0 | 18004 | 0 | 300859 | 0 | 0 | 0 |
| Kenneth D Call MD | |||||||||||||
| 300108 | 0 | 0 | 0 | 1806 | 0 | 1250 | 0 | 3467 | 0 | 306631 | 0 | 0 | 0 |
| Sean D Bears MD | |||||||||||||
| 275091 | 0 | 0 | 0 | 420 | 0 | 1250 | 0 | 18004 | 0 | 294765 | 0 | 0 | 0 |
| Thomas F Lucas MD | |||||||||||||
| 269959 | 0 | 0 | 0 | 1765 | 0 | 1250 | 0 | 17951 | 0 | 290925 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Information | Identifier |
| Return Reference | Part III | ReturnReference |
| Explanation | Bruce King, CEO is paid by the Mary Hitchcock Memorial Hospital, an unrelated organization. Mr. King's total compensation from MHMH for the 2011 calendar year was $341,254, the remainder of his compensation was paid directly by NHLA. The compensation paid by NHLA consisted of expenses relating to personal use of a company leased car and the cost of long term disability insurance. Mr. King also received club dues of $519 during the year which was included in his compensation. | Explanation |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NH Health and Education Facilities Authority | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 020279866 | IssuerEIN |
| CUSIP Number | 644614SL4 | CUSIPNumber |
| Date Issued | 2007-06-21 | DateIssued |
| Issue Price | 20000000 | IssuePrice |
| Description Of Purpose | New medical office building construction & renovation of hospital facilities | DescriptionOfPurpose |
| Defeased | 0 | Defeased |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Pool Financing | 0 | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amount Retired | 3825000 | AmountRetired |
| Total Proceeds | 20000000 | TotalProceeds |
| Amount In Reserve Fund | 370031 | AmountInReserveFund |
| Issuance Costs From Proceeds | 304750 | IssuanceCostsFromProceeds |
| Credit Enhancement | 75035 | CreditEnhancement |
| Working Capital Expenditures | 19250184 | WorkingCapitalExpenditures |
| Year Of Subst Completion | 2009 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 0 | AdvanceRefunding |
| Final Allocation Made | 1 | FinalAllocationMade |
| Adequate Books And Recds Maintaind | 1 | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Owning Bond Financed Property | 0 | OwningBondFinancedProperty |
| Any Lease Arrangements | 0 | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | 0 | MngmentCntrctBondFinancdPrprty |
| Any Research Agreements | 0 | AnyResearchAgreements |
| Post Issuance Compliance Procdrs | 1 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 1 | VariableRateIssue |
| Hedge Identified In Books And Recds | 1 | HedgeIdentifiedInBooksAndRecds |
Name Of Hedge Provider NameOfHedgeProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morgan Stanley | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of Hedge | 30.000000000000 | TermOfHedge |
| Superintegrated Hedge | 0 | SuperintegratedHedge |
| Hedge Terminated | 0 | HedgeTerminated |
| Gross Proceeds Invested In GIC | 1 | GrossProceedsInvestedInGIC |
Name Of GIC Provider NameOfGICProvider
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Hypo Public Finance | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Of GIC | 1.830000000000 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | 1 | RegulatorySafeHarborSatisfied |
| Exception To Rebate | 1 | ExceptionToRebate |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (7 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 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. Prior to this, a draft version of the Form 990 was reviewed with NLHA's Audit Committee. | |
| 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. Additionally, trustees are asked quarterly at Board of Trustee meetings if any new situations have arisen 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 XI, line 5: | Net unrealized gains on investments: 916,108. Unrealized Loss on Interest Rate Swap -167,747. Change in beneficial interest in perpetual trust 112,514. Total to Form 990, Part XI, Line 5: 860,875. | Changes in Net Assets or Fund Balances: |
| Form 990, Part XII, Line 2c | The organization has not changed its oversight or selection process during the tax year. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Kearsage Community Services | |||||||||||
| 273 County Road | New London | NH | 03257 | 020460136 | Real Estate | NH | New London Hospital Association | C | -140 | 731187 | 1.00000 |
| New London Medical Center East | |||||||||||
| 273 County Road | New London | NH | 03257 | 020480857 | Real Estate | NH | New London Hospital Association | C | 2107 | 16387 | 1.00000 |
| New London Physician Group Inc | |||||||||||
| 273 County Road | New London | NH | 03257 | 020494420 | Physician Pratice | NH | New London Hospital Association | C | 1.00000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |