LITTLETON HOSPITAL ASSOCIATION: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- LITTLETON HOSPITAL ASSOCIATION (EIN 02-0222152)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-13
- IRS object ID
- 201242269349301729
- Schema version
- 2010v3.4
- 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 H
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-13T13:44:51-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 1000 Elm Street 15th Floor | AddressLine1 |
| City | Manchester | City |
| State | NH | State |
| ZIP Code | 03101 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 020222152 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Littleton Regional Hospital Association | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | LITT | NameControl |
| Phone | 6034449000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 St Johnsbury Road | AddressLine1 |
| City | Littleton | City |
| State | NH | State |
| ZIP Code | 03561 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Robert Fotter | Name |
| Title | CFO | Title |
| Phone | 6034449000 | Phone |
| Date Signed | 2012-08-06 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rachel Williamson CPA | Name |
| Phone | 6036697337 | Phone |
| Date Prepared | 2012-08-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Robert Fotter | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 St Johnsbury Road | AddressLine1 |
| City | Littleton | City |
| State | NH | State |
| ZIP Code | 03561 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 85587934 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.littletonhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1906 | YearFormation |
| State Legal Domicile | NH | StateLegalDomicile |
| Activity Or Mission Description | To provide health care services in Northern New Hampshire | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 483 | TotalNbrEmployees |
| Total Nbr Volunteers | 192 | TotalNbrVolunteers |
| Total Gross UBI | 38311 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -45249 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 79016 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 52337 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 67664227 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 68077388 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 892531 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1108132 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 68635774 | TotalRevenuePriorYear |
| Total Revenue Current Year | 69237857 | 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 | 36980445 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 37755272 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 29775137 | OtherExpensePriorYear |
| Other Expenses Current Year | 27973558 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 66755582 | TotalExpensesPriorYear |
| Total Expenses Current Year | 65728830 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1880192 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 3509027 | RevenuesLessExpensesCY |
| Total Assets BOY | 79806884 | TotalAssetsBOY |
| Total Assets EOY | 79535723 | TotalAssetsEOY |
| Total Liabilities BOY | 45277178 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 43998340 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 34529706 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 35537383 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | To provide quality, compassionate and accessible healthcare in a manner that brings value to all.To offer a full spectrum of services, including acute primary and selected secondary care; 24-hour emergency services; preventive diagnostic, theraputic, and rehabilitative services on an outpatient and inpatient basis; continuity of care from preventive programs to coordination with home health services.To provide these services without regard to race, religion, age, sex, income, creed, national origin, or disability.To maintain a sufficient number and mix of medical staff who are competent, dedicated and commmunity based, supporting them with the technologically up-to-date equipment and facility needed to provide these services competitively.To create a healthy, satisfying work environment for phsycians, nurses and other employees, with a commitment to support the continuing educational needs of its professional staff, including the physicians, nurses and allied health personnel. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 53003871 | Expense |
| Revenue | 68039077 | Revenue |
| Description | Littleton Regional Hospital provides health care services on an in/outpatient basis to the general public, including charity care, community education, and various other health programs and services. | Description |
| Total Program Service Expense | 53003871 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 0 | 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 | 0 | 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 | 1 | 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 | 126 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 483 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | 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 | 1 | 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
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Robert Fotter CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6034449000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 St Johnsbury Rd | AddressLine1 |
| City | Littleton | City |
| State | NH | State |
| ZIP Code | 03561 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (23 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 |
|---|---|---|---|---|---|---|---|
| John Starr | |||||||
| Chairman | 1.00 | X | X | 0 | 0 | 0 | |
| William Bedor | |||||||
| Vice Chairman | 1.00 | X | X | 0 | 0 | 0 | |
| Stevan Trooboff | |||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 | |
| Mell Brooks | |||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 | |
| Milton Bratz | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| George Brodeur | |||||||
| Trustee | 27.00 | X | 84371 | 0 | 0 | ||
| Edward Duffy MD | |||||||
| Trustee/Physician | 40.00 | X | 316121 | 0 | 54337 | ||
| Nicholas Marks MD | |||||||
| Chief of Staff | 40.00 | X | 306596 | 0 | 66204 | ||
| Deane Rankin MD | |||||||
| Trustee | 40.00 | X | 347365 | 0 | 59236 | ||
| Anna Rioux | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Wayne Rioux | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Maggie Starr | |||||||
| Axiliary Rep | 1.00 | X | 0 | 0 | 0 | ||
| Guilbert Vickery | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Charles Walcott MD | |||||||
| Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Susan Presby | |||||||
| Past Trustee | 1.00 | X | 0 | 0 | 0 | ||
| Warren West | |||||||
| CEO | 40.00 | X | 293337 | 0 | 54820 | ||
| Robert Fotter | |||||||
| CFO | 40.00 | X | 185196 | 0 | 25252 | ||
| Linda Gilmore | |||||||
| CAO/CNO | 40.00 | X | 194151 | 0 | 42572 | ||
| Lon Howard | |||||||
| Physician | 40.00 | 580888 | 0 | 67546 | X | ||
| Harlan Herr | |||||||
| Physician | 40.00 | 515275 | 0 | 44931 | X | ||
| David Lovejoy | |||||||
| Physician | 40.00 | 431581 | 0 | 55978 | X | ||
| Andrew Forrest | |||||||
| Physician | 40.00 | 320117 | 0 | 38457 | X | ||
| Michael Kindred | |||||||
| Physician | 40.00 | 363410 | 0 | 50845 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3938408 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 560178 | TotalOtherCompensation |
| Number Individuals GT100 K | 44 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Sheehan Phinney Bass & Green | |||||
| 1000 Elm Street PO Box 3701 | Manchester | NH | 03101 | Legal Services | 510914 |
| On Assignment Inc | |||||
| File 54318 | Los Angeles | CA | 90074 | Provide Temporary Clinical Staff | 419842 |
| Vista Staffing Solutions Inc | |||||
| File 50834 | Los Angeles | CA | 90074 | Provide Locum Tenens | 391780 |
| Community Hosp Advisors LLC | |||||
| 302 Summer Ave | Reading | MA | 01867 | Consulting Services | 344632 |
| Quorum Health Resources Inc | |||||
| 105 Continental Place | Brentwood | NH | 37027 | Consulting Services | 315526 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 49856 | RelatedOrganizations |
| All Other Contributions | 2481 | AllOtherContributions |
| Total Contributions | 52337 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Patient Service Revenu | 900099 | 66514542 | 66514542 | |
| Miscellaneous | 900099 | 664815 | 664815 | |
| Cafeteria | 900099 | 435338 | 435338 | |
| Other Income | 900099 | 202815 | 202815 | |
| Contract Lab | 621500 | 137286 | 98975 | 38311 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 122592 | TotalRevenueColumn |
| Related Or Exempt Function Income | 122592 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 68077388 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 477331 | TotalRevenueColumn |
| Exclusion | $477,331 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16974673 | Securities |
| Other | 6205 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 16318076 | Securities |
| Other | 32001 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 656597 | Securities |
| Other | -25796 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 630801 | TotalRevenueColumn |
| Exclusion | $630,801 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 69237857 | TotalRevenueColumn |
| Related Or Exempt Function Income | 68039077 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 38311 | UnrelatedBusinessRevenue |
| Exclusion | $1,108,132 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1945187 | Total |
| Management And General | 1945187 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26097830 | Total |
| Program Services | 23593608 | ProgramServices |
| Management And General | 2504222 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1029237 | Total |
| Program Services | 920085 | ProgramServices |
| Management And General | 109152 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4173691 | Total |
| Program Services | 3760768 | ProgramServices |
| Management And General | 412923 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4509327 | Total |
| Program Services | 4259405 | ProgramServices |
| Management And General | 249922 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 696392 | Total |
| Management And General | 696392 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69166 | Total |
| Management And General | 69166 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 162861 | Total |
| Management And General | 162861 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 143373 | Total |
| Management And General | 143373 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8947376 | Total |
| Program Services | 8779434 | ProgramServices |
| Management And General | 167942 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1713372 | Total |
| Program Services | 596062 | ProgramServices |
| Management And General | 1117310 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46329 | Total |
| Program Services | 25810 | ProgramServices |
| Management And General | 20519 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 97019 | Total |
| Management And General | 97019 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 801147 | Total |
| Program Services | 801147 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3923512 | Total |
| Program Services | 3923512 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 355075 | Total |
| Management And General | 355075 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Contract Wages | 2632220 | 2062033 | 570187 |
| Purchased Services | 2141282 | 1407605 | 733677 |
| Equipment Rental & Main | 1548186 | 876132 | 672054 |
| Information System Supp | 666782 | 187350 | 479432 |
| Collection Fees | 556436 | 27157 | 529279 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3473030 | Total |
| Program Services | 1783763 | ProgramServices |
| Management And General | 1689267 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 65728830 | Total |
| Program Services | 53003871 | ProgramServices |
| Management And General | 12724959 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3000 | BOY |
| EOY | 2915 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8253747 | BOY |
| EOY | 10606310 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9313655 | BOY |
| EOY | 7871050 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -1884 | BOY |
| EOY | 155762 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1167509 | BOY |
| EOY | 1264831 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1638939 | BOY |
| EOY | 943453 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 70957182 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 28932078 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41091824 | BOY |
| EOY | 42025104 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17497603 | BOY |
| EOY | 16400352 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 842491 | BOY |
| EOY | 265946 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79806884 | BOY |
| EOY | 79535723 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7227912 | BOY |
| EOY | 5805862 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 779119 | BOY |
| EOY | 551071 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29725000 | BOY |
| EOY | 29150000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7545147 | BOY |
| EOY | 8491407 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 45277178 | BOY |
| EOY | 43998340 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33708016 | BOY |
| EOY | 34807491 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168060 | BOY |
| EOY | 126032 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 653630 | BOY |
| EOY | 603860 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34529706 | BOY |
| EOY | 35537383 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 79806884 | BOY |
| EOY | 79535723 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 3509027 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2501350 | 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 | $14,034 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 14034 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Other Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1i: | ReturnReference |
| Explanation | Littleton Regional 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 Littleton Regional Hospital and other member organizations in furtherance of their exempt purposes. Littleton Regional Hospital does not directly perform any lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 767249 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -48189 | InvestmentEarningsOrLosses |
| Other Expenditures | 1115 | OtherExpenditures |
| End Of Year Balance | 717945 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 728305 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 49089 | InvestmentEarningsOrLosses |
| Other Expenditures | 10145 | OtherExpenditures |
| End Of Year Balance | 767249 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 739898 | BeginningOfYearBalance |
| Contributions | 9683 | Contributions |
| Investment Earnings Or Losses | -21200 | InvestmentEarningsOrLosses |
| Other Expenditures | 75 | OtherExpenditures |
| End Of Year Balance | 728306 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.84110 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.15890 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 786809 | OtherCostOrOtherBasis |
| Book Value | 786809 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 37441730 | OtherCostOrOtherBasis |
| Depreciation | 14594875 | Depreciation |
| Book Value | 22846855 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 24815100 | OtherCostOrOtherBasis |
| Depreciation | 13910810 | Depreciation |
| Book Value | 10904290 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7913543 | OtherCostOrOtherBasis |
| Depreciation | 426393 | Depreciation |
| Book Value | 7487150 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 42025104 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Reserve for Self-Funded Health Insurance | $1,015,000 |
| Due to Third Party Payers | $2,945,673 |
| Deferred Compensation | $661,382 |
| Interest Rate Swap | $3,869,352 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8491407 | TotalOfAmounts |
| Total Revenue | 69237857 | TotalRevenue |
| Total Expenses | 65728830 | TotalExpenses |
| Excess Or Deficit For Year | 3509027 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | -1897688 | NetUnrealizedGLOnInvestments |
| Other | -$603,662 | OtherAmount |
| Total Adjustments | -2501350 | TotalAdjustments |
| Excess Or Deficit Per FS | 1007677 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 66104174 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | -1897688 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | -1897688 | RevenueNotRptdF990 |
| Revenue Subtotal | 68001862 | RevenueSubtotal |
| Investment Expenses Not Included | 162861 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 1073134 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1235995 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 69237857 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 65096497 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 65096497 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 162861 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 469472 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 632333 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 65728830 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part XI, Line 8 - Other Adjustments: | Loss on Interest Rate Swap -603,662. |
| Part XII, Line 4b - Other Adjustments: | Foundation Subsidy 41,518. Unrealized Gain on Interest Rate Swap 603,661. Community Benefit 427,955. |
| Part XIII, Line 4b - Other Adjustments: | Foundation Subsidy 41,518. Community Benefit 427,954. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | 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 | 1784528 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1784528 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02710 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1629634 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1629634 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02480 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3414162 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3414162 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05190 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 160303 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 160303 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 66322 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 66322 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00100 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 268953 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 268953 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00410 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 85994 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 85994 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 581572 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 581572 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00880 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3995734 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3995734 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06070 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 831 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 831 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 33070 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 33070 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00050 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 19106 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 19106 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 2410 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 2410 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 55417 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 55417 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $4,076,025 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 20101873 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 20101873 | CostOfCareReimbursedByMedicare |
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 | Littleton Regional Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 St Johnsbury Road | AddressLine1 |
| City | Littleton | City |
| State | NH | State |
| ZIP Code | 03561 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Critical Access Hospital | X | CriticalAccessHospital |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Not Required | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 3 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| Littleton Rehabilitative Services | ||||
| 551 Meadow Street | Littleton | NH | 03561 | Rehabilitation Clinic |
| Littleton Orthopaedics | ||||
| 81 Bethlehem Road | Littleton | NH | 03561 | Outpatient Physician Clinic |
| Summit Medical Group | ||||
| 220 Cottage Street | Littleton | NH | 03561 | Outpatient Physician Clinic |
Form990 Schedule H Part VI Form990ScheduleHPartVI (8 entries)
| ExplanationExplanation | IdentifierIdentifier | Return ReferenceReturnReference |
|---|---|---|
| Part I, Line 7: The Hospital determines its cost of charity care based on an overall financial statement cost to charge ratio applied against gross charity care charges. | ||
| Part I, Line 7g: Paramedic Intercept Program | ||
| Part I, L7 Col(f): The Hospital has recorded $4,076,025 of Bad Debt Expense included on Form 990, Part VIII, which has been subtracted for purposes of calculating the percentage in this column. | ||
| Part III, Line 4: Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of individual accounts and historical adjustments. Balances that are still outstanding, after management has used reasonable collection efforts, are written off through a charge to the valuation allowance and a credit to patient accounts receivable. The valuation of charity care does not include any bad debt receivables or revenue. | ||
| Part VI, Line 2: The Littleton Regional Hospital Community is defined as all people living in the communities listed in Part XI, Line 4. These communities were chosen by their geographic proximity to the Hospital and to the services and programs provided. | ||
| Part VI, Line 3: Any applicant will receive a prompt decision on eligibility and amount of charity care offered. Notices of the Charity Care Policy are posted in the lobbies, waiting rooms and other public areas. Notices are also given to recipients who are served in their homes. | ||
| Part VI, Line 4: The Hospital's primary service area includes Littleton, Bethlehem, Lisbon, Franconia and Sugar Hill. The secondary service area includes Whitefield, Lancaster, Goveton, Monroe, North Woodstock, Lincoln, Woodsville and Bath (all in NH), and St. Johnsbury, Lunenberg, Lyndonville, Concord, Gilman (all in VT). The area spans across a good majority of Northern New Hampshire and the Northeast Kingdom of Vermont. | ||
| NH | Reports Filed With States | Part VI, Line 7 |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| 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 | 0 | 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Edward Duffy MD | |||||||||||||
| 261821 | 0 | 0 | 0 | 54300 | 0 | 12250 | 0 | 42087 | 0 | 370458 | 0 | 0 | 0 |
| Nicholas Marks MD | |||||||||||||
| 306596 | 0 | 0 | 0 | 0 | 0 | 12250 | 0 | 53954 | 0 | 372800 | 0 | 0 | 0 |
| Deane Rankin MD | |||||||||||||
| 307461 | 0 | 33654 | 0 | 6250 | 0 | 0 | 0 | 59236 | 0 | 406601 | 0 | 0 | 0 |
| Warren West | |||||||||||||
| 270651 | 0 | 16686 | 0 | 6000 | 0 | 12250 | 0 | 42570 | 0 | 348157 | 0 | 0 | 0 |
| Robert Fotter | |||||||||||||
| 179917 | 0 | 5279 | 0 | 0 | 0 | 6279 | 0 | 18973 | 0 | 210448 | 0 | 0 | 0 |
| Linda Gilmore | |||||||||||||
| 188740 | 0 | 5411 | 0 | 0 | 0 | 9885 | 0 | 32687 | 0 | 236723 | 0 | 0 | 0 |
| Lon Howard | |||||||||||||
| 520899 | 0 | 55239 | 0 | 4750 | 0 | 0 | 0 | 67546 | 0 | 648434 | 0 | 0 | 0 |
| Harlan Herr | |||||||||||||
| 515275 | 0 | 0 | 0 | 0 | 0 | 12250 | 0 | 32681 | 0 | 560206 | 0 | 0 | 0 |
| David Lovejoy | |||||||||||||
| 414081 | 0 | 17000 | 0 | 500 | 0 | 12250 | 0 | 43728 | 0 | 487559 | 0 | 0 | 0 |
| Andrew Forrest | |||||||||||||
| 277606 | 0 | 9356 | 0 | 33155 | 0 | 12250 | 0 | 26207 | 0 | 358574 | 0 | 0 | 0 |
| Michael Kindred | |||||||||||||
| 300167 | 0 | 43243 | 0 | 20000 | 0 | 12250 | 0 | 38595 | 0 | 414255 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Business Finance Authority of the State of New Hampshire | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 521304598 | IssuerEIN |
| CUSIP Number | 64468kbg0 | CUSIPNumber |
| Date Issued | 2007-11-15 | DateIssued |
| Issue Price | 30000000 | IssuePrice |
| Description Of Purpose | Refunded series 1998A and 1998B Bonds | 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) |
|---|---|---|
| Total Proceeds | 30000000 | TotalProceeds |
| Refunding Escrow | 17757778 | RefundingEscrow |
| Issuance Costs From Proceeds | 274108 | IssuanceCostsFromProceeds |
| Capital Expenditures | 11968114 | CapitalExpenditures |
| Year Of Subst Completion | 2007 | YearOfSubstCompletion |
| Current Refunding | 0 | CurrentRefunding |
| Advance Refunding | 1 | 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 | 0 | PostIssuanceComplianceProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form8038 T Filed | 0 | Form8038TFiled |
| Variable Rate Issue | 0 | VariableRateIssue |
| Hedge Identified In Books And Recds | 0 | HedgeIdentifiedInBooksAndRecds |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGIC |
| Gross Proceeds Invested | 0 | GrossProceedsInvested |
| Exception To Rebate | 0 | ExceptionToRebate |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | George Brodeur | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Trustee | Relationship |
| Amount Of Transaction | 84371 | AmountOfTransaction |
| Description Of Transaction | George Brodeur is the Owner's Representative for Littleton Regional Hospital's building project. He became a member of the Board of Trustees in September 2010 and was paid as an independent contractor for his services. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | All persons making an annual contribution to Littleton Regional Hospital or Littleton Regional Hospital Charitable Foundation, who are at least eighteen (18) years of age, or any legal adult resident of any town raising an annual appropriation to the Littleton Regional Hospital shall thereupon, and without further election or action by the Association, automatically become a member of the Association. Failure to contribute to the Hospital or Foundation in the following fiscal year shall automatically terminate the membership. | |
| Form 990, Part VI, Section A, line 7a | Each member of the Association shall be qualified to originate and take part in the discussion of any subject that may properly come before any meeting of the Association, to vote on such subject, and to hold any office in the Association to which he or she may be elected or appointed. | |
| Form 990, Part VI, Section B, line 11 | The return was reviewed by the entire Board of Directors prior to the filing. | |
| All Trustees, Department directors and Auxilians complete a Conflict of Interest Statement each year, and any potential conflicts are reported to the Board of Trustees and to other places as required by law. In addition, front-line employees who don't normally make decisions for the facility are expected to report forward any conflicts they may have, should they ever be in a position to influence decision making. Quality Services queries these groups on an annual basis, and tracks down people until all statements are complete. | Form 990, Part VI, Section B, line 12c | |
| Key employees complete self-evaluation - HR Director prepares compensation surveys, reviews 990 of other organizations. The CFO's salary is approved by the CEO. The CEO's salary is approved by the Board. | Form 990, Part VI, Section B, line 15 | |
| The hospital's governing documents and financial statements are made available upon request. The hospital's conflict of interest policy is not made available to the public. | Form 990, Part VI, Section C, line 19 | |
| Changes in Net Assets or Fund Balances: | Net unrealized losses on investments: -1,897,688. Loss on Interest Rate Swap -603,662. Total to Form 990, Part XI, Line 5: -2,501,350. | Form 990, Part XI, line 5: |
| The organization has not changed its oversight or selection process during the tax year. | Form 990, Part XII, Line 2c |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Littleton Regional Hospital Charitable Foundation | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 600 St Johnsbury Road | AddressLine1 |
| City | Littleton | City |
| State | NH | State |
| ZIP Code | 03561 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 043750643 | EIN |
| Primary Activities | Charitable Foundation | PrimaryActivities |
| Legal Domicile State | NH | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | Line 7 | PublicCharityStatus |
| Controlled Org | 0 | ControlledOrg |
| 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 | 1 | 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 |
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