THE NEW LONDON HOSPITAL ASSOCIATION INC: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
THE NEW LONDON HOSPITAL ASSOCIATION INC (EIN 02-0222171)
Tax period
2025-07-01 to 2025-09-30
Filed
2026-08-10
IRS object ID
202602229349302065
Schema version
2025v4.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2026-08-10T17:49:23+00:00ReturnTs
Tax Period End2025-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14801 OLYMPIA PARK PLAZA SUITE 4000AddressLine1Txt
CityLOUISVILLECityNm
State AbbreviationKYStateAbbreviationCd
ZIP402412098ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN020222171EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE NEW LONDON HOSPITAL ASSOCIATION INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlNEWLBusinessNameControlTxt
Phone6035262911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 COUNTY ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLISA COHENPersonNm
Person TitleCHIEF FINANCIAL OFFICERPersonTitleTxt
Phone6035262911PhoneNum
Signature2026-08-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRACHEL SPURLOCKPreparerPersonNm
PTINP00520729PTIN
Phone5023263996PhoneNum
Preparation2026-08-10PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1LAUREN GEDDES WIRTHBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 COUNTY ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$29,368,617GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.NEWLONDONHOSPITAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1918FormationYr
Legal Domicile StateNHLegalDomicileStateCd
Activity Or MissionTO CONTINUALLY IMPROVE THE WELLBEING OF INDIVIDUALS IN OUR REGION BY PROVIDING HIGH-QUALITY HEALTHCARE TO OUR COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body21VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers54TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,168,310PYContributionsGrantsAmt
CY Contributions Grants$384,665CYContributionsGrantsAmt
PY Program Service Revenue$107,130,522PYProgramServiceRevenueAmt
CY Program Service Revenue$28,587,609CYProgramServiceRevenueAmt
PY Investment Income$1,463,110PYInvestmentIncomeAmt
CY Investment Income$232,900CYInvestmentIncomeAmt
PY Other Revenue$717,258PYOtherRevenueAmt
CY Other Revenue$117,785CYOtherRevenueAmt
PY Total Revenue$110,479,200PYTotalRevenueAmt
CY Total Revenue$29,322,959CYTotalRevenueAmt
PY Grants And Similar Paid$7,094PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$17,502CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$61,507,038PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$15,835,781CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$66,432CYTotalFundraisingExpenseAmt
PY Other Expenses$37,322,277PYOtherExpensesAmt
CY Other Expenses$10,592,909CYOtherExpensesAmt
PY Total Expenses$98,836,409PYTotalExpensesAmt
CY Total Expenses$26,446,192CYTotalExpensesAmt
PY Revenues Less Expenses$11,642,791PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,876,767CYRevenuesLessExpensesAmt
Total Assets BOY$145,555,314TotalAssetsBOYAmt
Total Assets EOY$151,061,903TotalAssetsEOYAmt
Total Liabilities BOY$58,519,373TotalLiabilitiesBOYAmt
Total Liabilities EOY$59,343,444TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$87,035,941NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$91,718,459NetAssetsOrFundBalancesEOYAmt
MissionTHE MISSION OF THE NEW LONDON HOSPITAL ASSOCIATION IS TO CONTINUALLY IMPROVE THE WELLBEING OF INDIVIDUALS IN OUR REGION BY PROVIDING HIGH-QUALITY HEALTHCARE TO OUR COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$21,757,950ExpenseAmt
Grant$17,502GrantAmt
Revenue$28,691,673RevenueAmt
DescNEW 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 33,000 RESIDENTS IN ITS SERVICE AREA, A SIGNIFICANT PORTION OF WHOM ARE UNINSURED, UNDER-INSURED, AND/OR DEPENDENT ON MEDICAID/MEDICARE BENEFITS. THIS INCLUDES A LARGELY ELDERLY POPULATION AND A SIGNIFICANT NUMBER OF RURAL, LOW-INCOME FAMILIES. (CONTINUED ON SCHEDULE O)Desc
Total Program Service Expenses$21,757,950TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesYes (true)FundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredfalseScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Transaction With Control EntfalseTransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsYes (true)QuidProQuoContributionsInd
Quid Pro Quo Contri DisclYes (true)QuidProQuoContriDisclInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members21GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Policies Reference ChaptersfalsePoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Written Policy Or ProcedurefalseWrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldNHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LISA COHENBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6035262911PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 COUNTY ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
JANE RASTALLIS
TRUSTEE / SECRETARY0.50Yes (X)Yes (X)$0$0$0
JOHN HOLLINGER
TRUSTEE/CHAIR0.50Yes (X)Yes (X)$0$0$0
KAREN BONEWALD
TRUSTEE / TREASURER0.50Yes (X)Yes (X)$0$0$0
LAUREN GEDDES WIRTH MD
TRUSTEE/PRESIDENT/CEO-INTERIM EX-OFFICIO40.00Yes (X)Yes (X)$0$0$0
LISA RUBENBERG
TRUSTEE/MEDICAL STAFF PRESIDENT40.00Yes (X)Yes (X)$0$0$0
PETER NICHOLS
TRUSTEE/VICE CHAIR0.50Yes (X)Yes (X)$0$0$0
CASEY BIUSO
TRUSTEE0.50Yes (X)$0$0$0
CHRISTOPHER MARTIN
TRUSTEE0.50Yes (X)$0$0$0
CRAIG W BECK
TRUSTEE0.540.0Yes (X)$0$0$0
FRANCES FARO
TRUSTEE0.540.0Yes (X)$0$0$0
KATE HOYT
TRUSTEE0.50Yes (X)$0$0$0
KEITH BARRETT
TRUSTEE0.50Yes (X)$0$0$0
MATTHEW HAAG
TRUSTEE0.540.0Yes (X)$0$0$0
MICHAEL JARZOMBEK PSYD
TRUSTEE0.50Yes (X)$0$0$0
MICHAEL LIBERTY
TRUSTEE0.50Yes (X)$0$0$0
ROBERT FRIEDLANDER JR
TRUSTEE0.50Yes (X)$0$0$0
SALLY KRAFT MD
TRUSTEE40.00Yes (X)$0$0$0
SAMUEL SHIELDS
TRUSTEE0.541.0Yes (X)$0$0$0
SHANNON MACMICHAEL
TRUSTEE0.50Yes (X)$0$0$0
STEVE ALLENBY
TRUSTEE0.50Yes (X)$0$0$0
WENDY FIELDING
TRUSTEE0.541.0Yes (X)$0$0$0
LISA COHEN
CHIEF FINANCIAL OFFICER40.00Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KfalseTotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Fundraising$356,857FundraisingAmt
All Other Contributions$27,808AllOtherContributionsAmt
Noncash Contributions$2,664NoncashContributionsAmt
Total Contributions$384,665TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE622110$26,985,715$26,985,715
OTHER PROGRAM SERVICE REVENUE622110$1,601,894$1,601,894
$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$28,587,609TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$232,900TotalRevenueColumnAmt
Exclusion$232,900ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$325RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$325RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$325TotalRevenueColumnAmt
Exclusion$325ExclusionAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$59,054FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$356,857ContriRptFundraisingEventAmt
Fundraising Direct Expenses$45,658FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,396TotalRevenueColumnAmt
Exclusion$13,396ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES622110$59,782$59,782
CAFETERIA INCOME722212$44,282$44,282

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$104,064OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$29,322,959TotalRevenueColumnAmt
Related Or Exempt Func Income$28,691,673RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$246,621ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$17,502TotalAmt
Program Services$17,502ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,959,332TotalAmt
Program Services$11,101,689ProgramServicesAmt
Management And General$1,806,356ManagementAndGeneralAmt
Fundraising$51,287FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$573,784TotalAmt
Program Services$491,535ProgramServicesAmt
Management And General$79,978ManagementAndGeneralAmt
Fundraising$2,271FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,611,983TotalAmt
Program Services$1,380,915ProgramServicesAmt
Management And General$224,689ManagementAndGeneralAmt
Fundraising$6,379FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$690,682TotalAmt
Program Services$591,677ProgramServicesAmt
Management And General$96,272ManagementAndGeneralAmt
Fundraising$2,733FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$10,420TotalAmt
Management And General$10,420ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$5,308TotalAmt
Management And General$5,308ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,971,184TotalAmt
Program Services$763,451ProgramServicesAmt
Management And General$1,207,733ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$30,089TotalAmt
Program Services$1,120ProgramServicesAmt
Management And General$28,969ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$328,428TotalAmt
Program Services$276,678ProgramServicesAmt
Management And General$51,577ManagementAndGeneralAmt
Fundraising$173FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$38,670TotalAmt
Program Services$13,686ProgramServicesAmt
Management And General$24,984ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$368,961TotalAmt
Program Services$324,472ProgramServicesAmt
Management And General$44,489ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$24,970TotalAmt
Program Services$17,972ProgramServicesAmt
Management And General$6,643ManagementAndGeneralAmt
Fundraising$355FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,528TotalAmt
Program Services$4,218ProgramServicesAmt
Management And General$4,310ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$254,511TotalAmt
Program Services$254,511ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,254,451TotalAmt
Program Services$606,197ProgramServicesAmt
Management And General$648,183ManagementAndGeneralAmt
Fundraising$71FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$228,833TotalAmt
Program Services$118,967ProgramServicesAmt
Management And General$109,866ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
MEDICAL SUPPLIES & PHARMACEUTICAL$4,363,251$4,363,251
MEDICAID ENHANCEMENT & OTHER TAXES$1,054,749$1,054,749
EQUIPMENT RENTAL & MAINTENANCE$464,796$271,493$192,885$418
ACADEMIC, DUES AND OTHER SUPPORT$90,509$8,929$78,835$2,745

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$95,251TotalAmt
Program Services$94,938ProgramServicesAmt
Management And General$313ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$26,446,192TotalAmt
Program Services$21,757,950ProgramServicesAmt
Management And General$4,621,810ManagementAndGeneralAmt
Fundraising$66,432FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$25,582,751BOYAmt
EOY$18,775,720EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$27,067,732BOYAmt
EOY$7,173,944EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,374,556BOYAmt
EOY$15,131,619EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$724,115BOYAmt
EOY$735,280EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$512,341BOYAmt
EOY$1,058,188EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$113,887,183LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$70,025,285LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$44,542,458BOYAmt
EOY$43,861,898EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$10,170BOYAmt
EOY$10,188EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$21,232,533BOYAmt
EOY$52,651,369EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,200,000BOYAmt
EOY$2,200,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,308,658BOYAmt
EOY$9,463,697EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$145,555,314BOYAmt
EOY$151,061,903EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,697,247BOYAmt
EOY$7,555,074EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,346BOYAmt
EOY$5,346EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$52,816,780BOYAmt
EOY$51,783,024EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$58,519,373BOYAmt
EOY$59,343,444EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$82,042,183BOYAmt
EOY$86,756,640EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,993,758BOYAmt
EOY$4,961,819EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$87,035,941BOYAmt
EOY$91,718,459EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$145,555,314BOYAmt
EOY$151,061,903EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$2,876,767ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,478,014NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$327,737OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$2,705OtherActivitiesAmt
Total Lobbying Expenditures$2,705TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationNEW LONDON HOSPITAL ASSOCIATION PAYS DUES TO VARIOUS ORGANIZATIONS RELATED TO ITS EXEMPT MISSION. THE AMOUNT REPORTED UNDER OTHER ACTIVITIES REFERS TO THE AMOUNT OF LOBBYING ACTIVITIES IDENTIFIED IN DUES PAYMENTS TO OUTSIDE ORGANIZATIONS.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,100,792BeginningYearBalanceAmt
Investment Earnings Or Losses$13,480InvestmentEarningsOrLossesAmt
End Year Balance$4,114,272EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,067,254BeginningYearBalanceAmt
Investment Earnings Or Losses$33,538InvestmentEarningsOrLossesAmt
End Year Balance$4,100,792EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,435,556BeginningYearBalanceAmt
Investment Earnings Or Losses$265,060InvestmentEarningsOrLossesAmt
Administrative Expenses-$1,366,638AdministrativeExpensesAmt
End Year Balance$4,067,254EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,411,012BeginningYearBalanceAmt
Investment Earnings Or Losses$131,116InvestmentEarningsOrLossesAmt
Other Expenditures$106,572OtherExpendituresAmt
End Year Balance$2,435,556EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,592,725BeginningYearBalanceAmt
Investment Earnings Or Losses-$174,667InvestmentEarningsOrLossesAmt
Other Expenditures$7,046OtherExpendituresAmt
End Year Balance$2,411,012EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.0BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.0PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,241,000OtherCostOrOtherBasisAmt
Book Value$1,241,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$59,368,246OtherCostOrOtherBasisAmt
Depreciation$29,029,834DepreciationAmt
Book Value$30,338,412BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,980,721OtherCostOrOtherBasisAmt
Depreciation$39,406,806DepreciationAmt
Book Value$11,573,915BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,297,216OtherCostOrOtherBasisAmt
Depreciation$1,588,645DepreciationAmt
Book Value$708,571BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$43,861,898TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS
FINANCIAL DERIVATIVES
INVESTMENT IN POOLED FUNDS$52,651,369F
FieldValueIRS element (for citing)
Total Book Value Securities$52,651,369TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INTEREST IN TRUSTS$1,622,806
OTHER MISCELLANEOUS ASSETS$2,603,634
DUE FROM AFFILIATES
RIGHT OF USE ASSETS$1,134,378
INVESTMENT IN DHMIP$4,102,879
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,463,697TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
FEDERAL INCOME TAXES
RIGHT OF USE LIABILITY$1,205,842
DEFERRED COMPENSATION$2,605,042
DUE TO AFFILIATE$25,658,958
ESTIMATED THIRD-PARTY PAYOR SETTLEMENT$22,313,182
FieldValueIRS element (for citing)
Total Liability$51,783,024TotalLiabilityAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$0RevenueSubtotalAmt
Other Revenues Not Included$0OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$0TotalRevenuePerForm990Amt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$0ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$0TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDSFormAndLineReferenceDesc
ExplanationTHE INCOME FROM THE ENDOWMENT FUNDS IS USED TO ASSIST IN THE PAYMENT OF THE HOSPITAL'S PROGRAM-RELATED EXPENSES.ExplanationTxt

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1ANNUAL BENEFITEvent1Nm
Gross Receipts Event1$343,309GrossReceiptsEvent1Amt
Charitable Contri Event1$294,009CharitableContriEvent1Amt
Gross Revenue Event1$49,300GrossRevenueEvent1Amt
Other Direct Expenses Event1$35,571OtherDirectExpensesEvent1Amt
Event2HOSPITAL DAYSEvent2Nm
Gross Receipts Event2$72,602GrossReceiptsEvent2Amt
Charitable Contri Event2$62,848CharitableContriEvent2Amt
Gross Revenue Event2$9,754GrossRevenueEvent2Amt
Rent Facility Costs Event2$1,857RentFacilityCostsEvent2Amt
Other Direct Expenses Event2$8,230OtherDirectExpensesEvent2Amt
Gross Revenue Other Events$0GrossRevenueOtherEventsAmt
Gross Receipts Total$415,911GrossReceiptsTotalAmt
Charitable Contributions Tot$356,857CharitableContributionsTotAmt
Gross Revenue Total Events$59,054GrossRevenueTotalEventsAmt
Rent Fclty Costs Total Events$1,857RentFcltyCostsTotalEventsAmt
Oth Direct Expnss Total Events$43,801OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$45,658DirectExpenseSummaryEventsAmt
Net Income Summary$13,396NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other250FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$271,584TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$271,584NetCommunityBenefitExpnsAmt
Total Expense0.01027TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,544,671TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,429,686DirectOffsettingRevenueAmt
Net Community Benefit Expns$114,985NetCommunityBenefitExpnsAmt
Total Expense0.00435TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,816,255TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,429,686DirectOffsettingRevenueAmt
Net Community Benefit Expns$386,569NetCommunityBenefitExpnsAmt
Total Expense0.01462TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,801TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$106,801NetCommunityBenefitExpnsAmt
Total Expense0.00404TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,245TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$10,245NetCommunityBenefitExpnsAmt
Total Expense0.00039TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$117,046TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$117,046NetCommunityBenefitExpnsAmt
Total Expense0.00443TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$2,933,301TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,429,686DirectOffsettingRevenueAmt
Net Community Benefit Expns$503,615NetCommunityBenefitExpnsAmt
Total Expense0.01904TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$0BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$5,835,284ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$5,971,090CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$135,806MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NEW LONDON HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 COUNTY ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps://www.newlondonhospital.orgWebsiteAddressTxt
State License02407StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NEW LONDON HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted24CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.newlondonhospital.org/about/annual-and-community-reportsOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt24ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLhttps://www.newlondonhospital.org/about/annual-and-community-reportsStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care250.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.newlondonhospital.org/services/billing-charges/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.newlondonhospital.org/services/billing-charges/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.newlondonhospital.org/services/billing-charges/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND ARE IDENTIFIED THROUGH CHNA.
SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY , 1FACILITY , 1 - NEW LONDON HOSPITAL ASSOCIATION. RECRUITMENT MESSAGING: NOTHING ABOUT US WITHOUT US. TO EMPHASIZE THE IMPORTANCE OF LOCAL VOICES, THE CHNA 2024 RECRUITMENT THEME IS THE WELL-KNOWN ADVOCACY PHRASE HING ABOUT US WITHOUT US". THE THEME IS A CELEBRATION OF NEW LONDON HOSPITAL'S COMMITMENT TO "PROVIDING HIGH-QUALITY HEALTHCARE TO OUR COMMUNITIES" THAT IS RESPONSIVE TO THE UNIQUENESS OF OUR RURAL CATCHMENT AREA. SAMPLE SIZE TO ENSURE A REPRESENTATIVE SURVEY SAMPLE CAPTURE THE "MINIMUM SAMPLE SIZE" IS CALCULATED. THE MINIMUM SAMPLE SIZE REFLECTS THE MINIMUM NUMBER OF RESPONDENTS NEEDED TO PRODUCE A DESIRED RESULT. SPECIFICALLY, IF THE STUDY WERE TO BE REPRODUCED 100 TIMES, OVER THAT 95% OF THE TIME THE RESULT WOULD BE THE SAME WITH A 5% MARGIN OF ERROR. FOR OUR MINIMUM SAMPLE SIZE, THE TOTAL POPULATION SIZE IS OUR ENTIRE CATCHMENT AREA (N=33192) AND THE COHORT FOR SAMPLING IS THE TOWN LEVEL (SEE TABLE ON PAGE 11 OF 2024 CHNA). USING THE PROPORTION OF THE CATCHMENT POPULATION, THE MINIMUM SAMPLE SIZE CALCULATOR ESTIMATES THE SAMPLE SIZE THAT WILL PRODUCE A MEANINGFUL RESULT PER COHORT (TOWN). WHILE THE TOWN COHORTS HAVE A RANGE OF DEMOGRAPHICS (I.E., GENDER, AGE, ETC) WE WILL NOT STRATIFY BY DEMOGRAPHICS DUE TO THE SMALL SAMPLE SIZE. IN ORDER TO ACHIEVE THE MINIMUM SURVEY SAMPLE SIZE, MULTIPLY THE MINIMUM SURVEY SAMPLE NUMBER BY THE EXPECTED RESPONSE RATE OF 33%. THE PREVIOUS LEADER RESPONSE RATE IS 59% YET THE RESIDENT RESPONSE RATE IS UNKNOWN, SO USING THE AVERAGE SURVEY RESPONSE RATE OF 33% SEEMED A REASONABLE APPROACH. THIS PROVIDES US THE BENCHMARK FOR RECRUITMENT. TO ACHIEVE THE OVERALL NLHA CATCHMENT GOAL OF 1391 RESPONDENTS, WE WILL NEED TO RECRUIT 4,212 INDIVIDUALS TO PARTICIPATE. THE OVERALL NLHA CATCHMENT GOAL IS SUPPORTED BY INDIVIDUAL RECRUITMENT NUMBERS BY TOWN (SEE TABLE ON PAGE 11 OF THE 2024 CHNA). IMPLEMENTATION STRATEGY BOTH TARGETED RESPONDENT POOLS IN THE CHNA (LEADER AND RESIDENT) WILL HAVE THE OPTION OF FILLING OUT THE 10 MINUTE SURVEY EITHER BY PAPER OR VIA QUALTRICS (A DIGITAL LINK). BETWEEN SEPTEMBER 2023 AND MAY 2024, THE 2024 CHNA DEPLOYED A SERIES OF TECHNIQUES TO ENSURE BROAD COMMUNITY INPUT. THIS INCLUDED: 1. DIRECT ENGAGEMENT IN THE COMMUNITY (PHYSICAL AS WELL AS DIGITAL) SORTED/IDENTIFIED BY TOWN OF RESIDENCE - FOUR IN PERSON COMMUNITY EVENTS INCLUDING IN NEWPORT (2), BRADFORD, AND FRANKLIN WHICH SERVES DANBURY AND WILMOT TO PROVIDE PEOPLE AN OPPORTUNITY TO FILL IN THE HARD COPY SURVEY. WE ALSO SENT OVER 400 PAPER COPIES TO THE MEALS ON WHEELS PROGRAM THROUGH NEWPORT, BRADFORD, AND FRANKLIN SERVING DANBURY AND WILMOT. 2. COMMUNITY HEALTH PARTNER EMAIL DISTRIBUTION LISTS, RESTRICTED TO TOWN OF RESIDENCE 3. SOCIAL MEDIA (NEW LONDON HOSPITAL AS WELL AS PARTNER ORGANIZATIONS WITH HIGHLIGHTS BY TOWN) 4. HARD COPIES OF THE SURVEY WERE SHARED WITH THE 14 LIBRARIES IN OUR SERVICE AREA WITH SURVEY DROP BOXES FOR PEOPLE TO DROP OFF THE SURVEY IN THEIR COMMUNITY. TO ENHANCE TOWN PARTICIPATION, TOWN ASSETS WERE INCLUDED IN THE RECRUITMENT STRATEGY USING 'SNOWBALL RECRUITMENT' WHICH ASKED PARTICIPANTS TO SHARE THE SURVEY LINK WITH OTHERS IN THEIR COMMUNITY. SPECIFICALLY, THE LOCAL PUBLIC ASSETS ARE: 1. TOWN LIBRARY: LIBRARIES WERE CONTACTED WITHIN EACH TOWN TO SERVE AS A POINT OF DISTRIBUTION FOR BOTH THE DIGITAL LINK AND THE PAPER SURVEYS. FOR EACH LIBRARY, A "BALLOT BOX" WAS PLACED TO MAINTAIN CONFIDENTIALITY OF THE RESPONDENTS. 2. TOWN HALLS: ADMINISTRATORS AT EACH TOWN HALL WERE RECRUITED TO SHARE THE DIGITAL LINKS AND PROVIDE THE PAPER SURVEYS TO THE PUBLIC. 3. LOCAL LEADERS: LOCAL COMMUNITY LEADERS SUCH AS SCHOOL ADMINISTRATORS, FIRE AND POLICE, AS WELL AS ELECTED OFFICIALS WERE RECRUITED TO SOLICIT RESIDENT INPUT. 4. BUSINESS: THE LARGEST EMPLOYER(S), AND/OR LOCAL SMALL BUSINESS, WERE IDENTIFIED AND RECRUITED TO ENGAGE EMPLOYEES. THE PROGRAM MANAGER FOR COMMUNITY HEALTH ENGAGED IN OUTREACH WITH EACH OF THESE DOMAINS AT THE TOWN LEVEL TO PROMOTE EQUITY IN RECRUITMENT SUCCESS.
SCHEDULE H, PART V, SECTION B, LINE 6A FACILITY , 1FACILITY , 1 - NEW LONDON HOSPITAL ASSOCIATION. THE 2024 COMMUNITY HEALTH NEEDS ASSESSMENT PARTNERSHIP INCLUDES NEW LONDON HOSPITAL ASSOCIATION, ALICE PECK DAY MEMORIAL HOSPITAL, VALLEY REGIONAL HEALTHCARE, MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, AND CHESHIRE MEDICAL CENTER.
SCHEDULE H, PART V, SECTION B, LINE 6B FACILITY , 1FACILITY , 1 - NEW LONDON HOSPITAL ASSOCIATION. IN ADDITION TO WORKING WITH THE ENTITIES LISTED ON LINE 6A, NLHA WORKED CLOSELY WITH DARTMOUTH HEALTH HOME CARE (FKA VISITING NURSE ASSOCIATION AND HOSPICE OF NEW HAMPSHIRE AND VERMONT) AND DARTMOUTH HEALTH, WITH TECHNICAL SUPPORT FROM THE NEW HAMPSHIRE COMMUNITY HEALTH INSTITUTE/JSI AND THE MEMBER ORGANIZATIONS OF THE GREATER SULLIVAN COUNTY PUBLIC HEALTH NETWORK (GSCPHN) TO DISSEMINATE SURVEYS VIRTUALLY. NLHA ALSO WORKED CLOSELY WITH NEWPORT SENIOR CENTER, BRADFORD SENIOR CENTER, FRANKLIN SENIOR CENTER AND 14 LIBRARIES WITHIN THE NLH SERVICE AREA TO PROVIDE PAPER BALLOTS FOR COMMUNITY MEMBERS.
SCHEDULE H, PART V, SECTION B, LINE 7 FACILITY , 1FACILITY , 1 - NEW LONDON HOSPITAL ASSOCIATION. THE CHNA HAS BEEN MADE AVAILABLE BOTH DIGITALLY AND HARD COPY TO 14 LIBRARIES IN OUR 15-TOWN SERVICE AREA (EACH TOWN IN OUR SERVICE AREA EXCEPT GRANTHAM AND CROYDON SHARE A LIBRARY). ADDITIONALLY, 14 COMMUNITY CONVERSATIONS WERE HELD IN THE 14 LIBRARIES TO PROVIDE AN OPPORTUNITY FOR THE COMMUNITY TO REVIEW RESULTS IN PERSON IN THEIR TOWN AND PROVIDE INPUT INTO THE DIRECTION OF THE CHIP. WE HAVE HARD COPIES IN THE WAITING AREAS OF NEWPORT HEALTH CENTER (NHC) AND IN THE LOBBY, EMERGENCY DEPARTMENT, AND EXPRESS CARE AT NEW LONDON HOSPITAL LOCATION. THE CHNA HAS ALSO BEEN PROVIDED TO COMMUNITY PARTNERS AND PRESENTATIONS HAVE BEEN GIVEN TO REQUESTING ORGANIZATIONS ON THE RESULTS OF THE CHNA. IT IS ALSO AVAILABLE ON REQUEST.
SCHEDULE H, PART V, SECTION B, LINE 11 FACILITY , 1FACILITY , 1 - NEW LONDON HOSPITAL ASSOCIATION. GIVEN THE CYCLICAL NATURE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) WILL FOCUS ON STRENGTHENING INTERVENTIONS ON PERSISTENT THEMES (E.G., HEALTHCARE AFFORDABILITY AND AVAILABILITY) ACROSS CYCLES THAT REMAIN A PRIORITY AREA AND EVALUATING ADDITIONAL PROGRAMMING FOR NEW AND EMERGING THEMES (E.G., PROVIDER CULTURAL AWARENESS). TO ACHIEVE THESE GOALS, THE CHIP WILL UTILIZE A COMBINATION OF THESE FOUR STRATEGIES: 1. STRENGTHENING EXISTING NLH EFFORTS THAT SEEK TO IMPROVE HEALTHCARE AVAILABILITY AND AFFORDABILITY. THIS INCLUDES ACCESS TO AFFORDABLE MEDICATIONS AS WELL AS MENTAL AND DENTAL HEALTH CARE. 2. EVALUATE AND ENGAGE PARTNERSHIPS FOR IMPACT WITH A SPECIFIC FOCUS ON SPECIAL POPULATIONS IDENTIFIED IN THE 2024 CHNA: SENIORS, LGBTQIA+, VETERANS, YOUTH, AND INDIGENOUS POPULATIONS. 3. ENGAGE IN COMMUNITY HEALTH PROGRAMMING THAT SEEKS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH) FACTORS INFLUENCING OUR SERVICE AREA. 4. DEVELOP A HEALTH LITERACY PLAN THAT WILL EXPAND ON THE COMMUNITIES' UNDERSTANDING OF HEALTH RESOURCES IN OUR SERVICE AREA. THE CHIP CATEGORIZES ISSUE AREAS BY AIM INCLUDING 1) ACCESS TO HEALTHCARE, 2) CONNECT PUBLIC HEALTH PROGRAMS IN THE COMMUNITY, AND 3) ADDRESS SOCIAL DETERMINANTS OF HEALTH (SDOH). A FULL LIST OF NLH PROGRAMS IS LISTED IN OUR CHIP ONLINE AT HTTPS://WWW.NEWLONDONHOSPITAL.ORG/ABOUT/ANNUAL-AND-COMMUNITY-REPORTS
SCHEDULE H, PART V, SECTION B, LINE 16 FACILITY , 1FACILITY , 1 - NEW LONDON HOSPITAL. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON NLHA'S WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY PLAIN-LANGUAGE SUMMARY. NLHA PROVIDES THE PLAIN-LANGUAGE SUMMARY TO ALL INPATIENTS, EMERGENCY DEPARTMENT INTAKES, UNINSURED, AND SELF-PAY INDIVIDUALS. NLHA CONTINUES TO NOTIFY PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABLE TO THEM. ADDITIONALLY, NLHA POSTS INFORMATION ABOUT THE POLICY IN PUBLIC AREAS THROUGHOUT THE FACILITIES INCLUDING ADMISSION OFFICES, PUBLIC AREA BOARDS THROUGHOUT THE FACILITIES, THE EMERGENCY ROOMS, AND FINANCIAL ASSISTANCE POLICY IN PATIENT AREAS. NLHA SCREENS 100% OF UNINSURED INPATIENT AND SAME-DAY PATIENTS PRIOR TO ADMISSION. AS PART OF THIS PROCESS, NLHA CHECKS ALL STATE AND FEDERAL PROGRAMS TO SEE IF INDIVIDUALS ARE ELIGIBLE FOR ASSISTANCE. PATIENTS ARE ALSO SCREENED TO DETERMINE QUALIFICATION FOR FINANCIAL ASSISTANCE AND THE APPLICATION IS PROVIDED AND/OR COMPLETED AT THIS TIME.
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Business Name Line1NEWPORT HEALTH CENTERBusinessNameLine1Txt

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Address Line111 JOHN STARK HWYAddressLine1Txt
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Supplemental Information Detail SupplementalInformationDetail (16 entries)

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SCHEDULE H, PART I, LINE 3C OTHER FACTORS USED IN DETERMINING ELIGIBILITY OTHER THAN FPGIN ADDITION TO FALLING WITHIN CERTAIN FPG PARAMETERS, A PATIENT MUST ALSO SATISFY OTHER ELIGIBILITY CRITERIA TO QUALIFY FOR FREE OR DISCOUNTED CARE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. THE PATIENT MUST BE A RESIDENT OF NEW HAMPSHIRE OR VERMONT, OR A NON-RESIDENT WHO RECEIVES EMERGENCY TREATMENT AT A DARTMOUTH HEALTH ("DH") FACILITY. THE PATIENT MUST ALSO BE UNINSURED OR UNDERINSURED, INELIGIBLE FOR BENEFITS THROUGH A GOVERNMENT HEALTH CARE PROGRAM, AND UNABLE TO PAY FOR CARE AS DESCRIBED IN THE CREDIT AND COLLECTIONS POLICY, BASED ON A DETERMINATION OF FINANCIAL NEED UNDER THIS POLICY. IN ADDITION, THE PATIENT MUST HAVE A GROSS FAMILY INCOME AT OR BELOW 600% OF FPG AND HAVE AGGREGATE BALANCES OWED FOR SERVICES PROVIDED AT DH THAT EXCEED 20% OF ONE YEAR'S FAMILY INCOME, INCLUDING SAVINGS. FOR PURPOSES OF THIS DETERMINATION, SAVINGS (WHICH INCLUDE SAVINGS ACCOUNTS, ALIMONY, AND CERTIFICATE(S) OF DEPOSIT) ARE SHELTERED UP TO 400% OF FPG. WHEN ELIGIBLE, THE PATIENT MUST ALSO DEMONSTRATE COMPLIANCE WITH THE REQUIREMENTS TO APPLY FOR QUALIFIED HEALTH PLAN COVERAGE IN THE NEW HAMPSHIRE OR VERMONT HEALTHCARE EXCHANGE PROGRAM. EXCEPTIONS TO THIS REQUIREMENT MAY BE APPROVED BY SENIOR LEADERSHIP FOR GOOD CAUSE ON A CASE-BY-CASE BASIS. "GOOD CAUSE" WILL DEPEND ON FACTS AND CIRCUMSTANCES AND MAY INCLUDE THOSE THAT MISSED THE OPEN ENROLLMENT PERIOD AND DO NOT FALL INTO A LIFE CHANGING EVENT CATEGORY OUTSIDE OF OPEN ENROLLMENT, ALONG WITH THOSE FOR WHOM THE FINANCIAL BURDEN WILL BE GREATER FOR THE PATIENT TO ENROLL IN A QUALIFIED HEALTH PLAN THAN NOT TO DO SO. IN CATASTROPHIC SITUATIONS INVOLVING EITHER UNINSURED OR INSURED PATIENTS, IF THE TOTAL AMOUNT OWED FOR EMERGENCY AND MEDICALLY NECESSARY SERVICES RENDERED EXCEEDS 20% OF THE PATIENT'S HOUSEHOLD INCOME, THEN THE AMOUNT OWED SHALL BE REDUCED SO THAT IT IS EQUAL TO 20% OF THE PATIENT'S HOUSEHOLD'S INCOME.
SCHEDULE H, PART I, LINE 7 EXPLANATION OF COSTING METHODOLOGY USED FOR CALCULATING LINE 7 TABLETHE COSTING METHODOLOGY USED TO CALCULATE THE AMOUNTS REPORTED WAS A COST-TO-CHARGE RATIO DERIVED FROM WORKSHEET 2, RATIO OF PATIENT CARE TO COST-TO-CHARGES FOR LINES 7A AND 7B. LINES 7E AND 7F ARE BASED ON ACTUAL COSTS.
SCHEDULE H, PART III, LINE 2 BAD DEBT EXPENSE - METHODOLOGY USED TO ESTIMATE AMOUNTAS A RESULT OF ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606), BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE.
SCHEDULE H, PART III, LINE 3 BAD DEBT EXPENSE METHODOLOGYBAD DEBT IS NOT TREATED AS AN EXPENSE DUE TO ACCOUNTING GUIDANCE (STATEMENT 15 AND ASC 606). AS A RESULT, AN AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY IS UNABLE TO BE REASONABLY ESTIMATED.
SCHEDULE H, PART III, LINE 4 BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTENLHA IS INCLUDED IN THE DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. AS A RESULT OF THE ADOPTION OF ASC 606, BAD DEBT IS NO LONGER AN EXPENSE, BUT IS INCLUDED AS A REDUCTION IN NET PATIENT REVENUE. THEREFORE, THERE IS NO SEPARATE FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT.
SCHEDULE H, PART III, LINE 8 COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSTHE COSTING METHODOLOGY WAS COMPLETED ACCORDING TO GUIDANCE PROVIDED BY THE INTERNAL REVENUE SERVICE. BECAUSE OF THE CENTRAL ROLE OF THE ORGANIZATION IN SERVING THE HEALTHCARE NEEDS OF ITS COMMUNITY, IT IS LIKELY THAT A PORTION OF THE MEDICARE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT EXPENDITURE. THE ORGANIZATION HAS NOT IDENTIFIED A SPECIFIC AMOUNT OF MEDICARE SHORTFALL THAT SHOULD BE REPORTED AS SUCH.
SCHEDULE H, PART III, LINE 9B COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCENEW LONDON HOSPITAL ASSOCIATION HAS A CREDIT AND COLLECTION POLICY THAT ADDRESSES THE PROCEDURES FOR PATIENTS WHO QUALIFY FOR REDUCED-COST CARE. THE POLICY PROHIBITS USING EXTRAORDINARY COLLECTION PRACTICES OR PLACING AMOUNTS WITH COLLECTION AGENCIES BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER THE PATIENT IS ELIGIBLE FOR FINANCIAL ASSISTANCE. IF A FINANCIAL ASSISTANCE POLICY ELIGIBLE PATIENT HAS A BALANCE FOR WHICH THEY ARE RESPONSIBLE, AFTER A FINANCIAL ASSISTANCE DISCOUNT IS APPLIED, THE STANDARD PRACTICES ARE FOLLOWED AS OUTLINED IN THE CREDIT AND COLLECTIONS POLICY.
SCHEDULE H, PART V, SECTION B, LINE 16A FAP WEBSITE- NEW LONDON HOSPITAL: LINE 16A URL: HTTPS://WWW.NEWLONDONHOSPITAL.ORG/SERVICES/BILLING-CHARGES/;
SCHEDULE H, PART V, SECTION B, LINE 16B FAP APPLICATION WEBSITE- NEW LONDON HOSPITAL: LINE 16B URL: HTTPS://WWW.NEWLONDONHOSPITAL.ORG/SERVICES/BILLING-CHARGES/;
SCHEDULE H, PART V, SECTION B, LINE 16C FAP PLAIN LANGUAGE SUMMARY WEBSITE- NEW LONDON HOSPITAL: LINE 16C URL: HTTPS://WWW.NEWLONDONHOSPITAL.ORG/SERVICES/BILLING-CHARGES/;
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
SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCENLHA PROVIDES THE FINANCIAL ASSISTANCE POLICY (FAP) FOR PATIENTS BOTH IN PERSON AND ONLINE DEPENDING ON THE PATIENTS PREFERENCES. THE POLICY IS AVAILABLE ON NLH WEBSITE, UPON ADMISSION, UPON REQUEST AND THROUGHOUT THE BILLING PROCESS.
SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATIONNLHA INCLUDES FIFTEEN TOWNS WITHIN ITS PRIMARY CATCHMENT: ANDOVER, BRADFORD, CROYDON, DANBURY, GOSHEN, GRANTHAM, LEMPSTER, NEW LONDON, NEWBURY, NEWPORT, SPRINGFIELD, SUNAPEE, SUTTON, WASHINGTON, WILMOT. THE PRIMARY CATCHMENT AREA INCLUDES TWO PHYSICAL FACILITIES, A CRITICAL ACCESS HOSPITAL HEADQUARTERED IN NEW LONDON AS WELL AS A SATELLITE HEALTH CENTER IN NEWPORT WHICH INCLUDES AN ANCILLARY SUPPORT SITE FOR PEDIATRICS THROUGH THE NEWPORT MIDDLE/HIGH SCHOOL CALLED TIGER TREATMENT CENTER. THE TOTAL POPULATION OF THE NEW LONDON HOSPITAL PRIMARY SERVICE AREA IN 2022 WAS 33,192 ACCORDING TO THE UNITED STATES CENSUS BUREAU (AMERICAN COMMUNITY SURVEY) EQUIVALENT TO ABOUT 2.4% OF THE TOTAL POPULATION OF NEW HAMPSHIRE. THE ESTIMATED SERVICE AREA POPULATION HAS INCREASED BY APPROXIMATELY 0.4% OR ABOUT 120 PEOPLE OVER THE LAST 3 YEARS. NEW HAMPSHIRE'S POPULATION GREW BY ABOUT 2% OVER THE SAME TIME FRAME. COMPARED TO NEW HAMPSHIRE (NH) OVERALL, THE SERVICE AREA POPULATION HAS PROPORTIONALLY MORE SENIORS - ABOUT 24% ARE 65+ COMPARED TO ABOUT 19% IN NH OVERALL - AND THE MEDIAN AGE OF SERVICE AREA RESIDENTS IS 6 YEARS OLDER THAN THE STATE OVERALL. A SUBSTANTIAL RANGE IS OBSERVED FOR THIS STATISTIC WITHIN THE REGION FROM 18% OF RESIDENTS IN BOTH NEWPORT AND SPRINGFIELD AGED 65+ TO 36% OF NEW LONDON RESIDENTS. A SIMILAR RANGE IS OBSERVED FOR THE PERCENTAGE OF RESIDENTS WHO ARE UNDER 18 YEARS OF AGE FROM 11% IN WASHINGTON TO 24% IN LEMPSTER. THE REGION OVERALL HAS SIMILAR DEMOGRAPHICS COMPARED TO NEW HAMPSHIRE WITH REGARD TO MEDIAN HOUSEHOLD INCOME, THE PERCENT OF PEOPLE LIVING IN POVERTY, THE PERCENT OF HOUSEHOLD WITH CHILDREN HEADED BY A SINGLE PARENT, AND THE PERCENT OF PEOPLE LIVING WITH A DISABILITY. HOWEVER, THERE IS A SUBSTANTIAL RANGE WITHIN THE REGION ON THESE MEASURES. FOR EXAMPLE, THE TOWN WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME COMMUNITY (SUTTON, $130,568) HAS MEDIAN HOUSEHOLD INCOME OVER TWICE AS HIGH AS THE LOWEST INCOME COMMUNITY (GOSHEN, $59,896). SIMILARLY, A SUBSTANTIAL RANGE IS OBSERVED FOR THE PERCENT OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL) WITH AN ESTIMATE OF 0% IN GRANTHAM COMPARED TO ABOUT 13% OF RESIDENTS IN DANBURY AND 14% OF RESIDENTS IN NEWPORT AND SUNAPEE. OVERALL, THE PERCENT OF RESIDENTS WITHIN THE SERVICE AREA LIVING BELOW THE FEDERAL POVERTY LEVEL MIRRORS THE STATEWIDE PERCENTAGE AT ABOUT 7% OF HOUSEHOLDS. 96% OF THE POPULATION OF THE NEW LONDON HOSPITAL SERVICE AREA IDENTIFIES AS 'WHITE ABOUT 2% IDENTIFY AS HISPANIC ETHNICITY. IN GENERAL, THE SERVICE AREA IS SOMEWHAT LESS DIVERSE WITH REGARD TO RACE AND ETHNICITY COMPARED TO NEW HAMPSHIRE OVERALL.
SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTHTHE NEW LONDON HOSPITAL ASSOCIATION PLAYS AN ACTIVE ROLE IN PROMOTING COMMUNITY HEALTH BY SUPPORTING COMMUNITY BASED EDUCATIONAL PROGRAMS SUCH AS THE TAI JI QUAN PROGRAM WHICH IS AN EVIDENCE BASED PROGRAM FOR FALLS PREVENTION, DRUG TAKE BACK PROGRAMMING IN THE SPRING AND FALL TO REDUCE SUBSTANCE MISUSE IN THE COMMUNITY, AS WELL AS A WIDE VARIETY OF EDUCATIONAL MATERIALS PROVIDED THROUGHOUT THE CLINICAL AREAS OF BOTH NLH AND NHC ON TOPICS RELATED TO HEALTHY LIFESTYLE, SMOKING CESSATION, CANCER SCREENINGS, PROGRAMS TO SUPPORT NEW PARENTS. NLHA PARTNERS WITH LIBRARIES WITHIN OUR FIFTEEN TOWN SERVICE AREA TO PROVIDE EDUCATIONAL MATERIALS FOR PATRONS DIRECTLY IN THE COMMUNITY. ADDITIONALLY, CASH CONTRIBUTIONS, CONTRACTED SERVICES, AND IN-KIND CONTRIBUTIONS OF STAFF TIME AND EXPERTISE ARE USED TO SUPPORT THESE STRATEGIES TO IMPROVE THE HEALTH OF THE COMMUNITY.
SCHEDULE H, PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEMNEW LONDON HOSPITAL ASSOCIATION IS AN AFFILIATE OF DARTMOUTH-HITCHCOCK HEALTH. THIS RELATIONSHIP ALLOWS THE STREAMLINING OF PATIENT CARE BETWEEN MEMBERS OF THE TWO HEALTHCARE SYSTEM AND STRENGTHENS THE CENTER AS A REGIONAL RESOURCE FOR THE KEARSARGE/LAKE SUNAPEE REGION IN CENTRAL NEW HAMPSHIRE. THE AFFILIATION ALLOWS MORE PATIENTS TO RECEIVE CARE CLOSER TO HOME, FREES UP BED CAPACITY FOR TERTIARY CARE PATIENTS AT DARTMOUTH-HITCHCOCK MEDICAL CENTER IN LEBANON, AND ALLOWS THE NEW LONDON HOSPITAL ASSOCIATION TO CONTINUE ITS ROLE IN PROVIDING PRIMARY CARE AND SPECIALIZED CLINICAL SERVICES IN A PATIENT AND FAMILY-FRIENDLY ENVIRONMENT. IT ENABLES NLHA TO MORE EFFECTIVELY PURSUE A COMMON VISION WITH OTHER D-HH ENTITIES OF THE FUTURE OF HEALTH CARE THAT IS BASED ON CREATING A SUSTAINABLE HEALTH SYSTEM, FOCUSING ON POPULATION HEALTH, DELIVERING VALUE-BASED CARE, AND EMBRACING THE OPPORTUNITIES PROVIDED BY NEW PAYMENT MODELS. IN ADDITION TO THE NEW LONDON HOSPITAL ASSOCIATION AND DARTMOUTH-HITCHCOCK HEALTH, THE AFFILIATED HEALTH CARE SYSTEM INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH-HITCHCOCK CLINIC, CHESHIRE MEDICAL CENTER, WINDSOR HOSPITAL CORPORATION, ALICE PECK DAY MEMORIAL HOSPITAL, DARTMOUTH HEALTH HOME CARE (FKA VISITING NURSE ASSOCIATION AND HOSPICE OF NEW HAMPSHIRE AND VERMONT) AND A NUMBER OF OTHER RELATED ORGANIZATIONS WHOSE PRIMARY MISSION IS HEALTH CARE IN THE REGION. THE NEW LONDON HOSPITAL ASSOCIATION AND OTHER MEMBERS OF THE AFFILIATED HEALTH CARE SYSTEM OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING, MANAGEMENT, AND THEY SHARE IDENTICAL MISSIONS.
SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORTNH

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeASSISTANCE TO FAMILIES THROUGH THE WELLNESS CONNECTION PROGRAMGrantTypeTxt
Recipient36RecipientCnt
Cash Grant$17,502CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDSFormAndLineReferenceDesc
ExplanationEACH AWARD ESTABLISHED BY THE NEW LONDON HOSPITAL ASSOCIATION HAS WRITTEN GUIDELINES AND PROCEDURES. AWARD PAYMENTS ARE PROCESSED IN ACCORDANCE WITH THE SPECIFIC TERMS OF EACH AWARD AND COORDINATORS ARE RESPONSIBLE FOR ASSURING ALL TERMS ARE MET, INCLUDING PROPER DOCUMENTATION OF EXPENSES.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4A PROGRAM SERVICE DESCRIPTION (CONTINUED)NLHA EMPLOYED 55 PROVIDERS IN FISCAL 2025, OF WHICH 18 WERE PRIMARY CARE, 2 WERE PEDIATRICS, AND 35 WERE SPECIALTY PROVIDERS COVERING GENERAL SURGERY, ANESTHESIOLOGY, EMERGENCY MEDICINE, EXPRESS CARE, AND HOSPITALISTS. DURING THE SHORT TAX YEAR ENDING SEPTEMBER 30, 2025, NLHA HAD A TOTAL OF 236 PATIENT DISCHARGES CONSISTING OF 1,930 PATIENT DAYS AND ATTENDED TO 2,227 EMERGENCY ROOM VISITS & 2,308 EXPRESSCARE PLUS (EMERGENCY ROOM B) VISITS.
FORM 990, PART VI, LINE 15A PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIALTHE PRESIDENT/CEO IS PAID BY A RELATED ORGANIZATION, THEREFORE LINE 15A IS MARKED NO IN ACCORDANCE WITH INSTRUCTIONS. HOWEVER, THE PRESIDENT/CEO'S COMPENSATION IS DETERMINED BY THE NEW LONDON HOSPITAL ASSOCIATION'S EXECUTIVE COMMITTEE AND MARY HITCHCOCK MEMORIAL HOSPITAL'S (THE EMPLOYER) EXECUTIVE BOARD AFTER CONSIDERING COMPENSATION FOR PRESIDENTS AND CEOS OF VARIOUS-SIZED HOSPITALS IN THE REGION. COMPENSATION IS REVIEWED AND DOCUMENTED ANNUALLY WITH THE LAST REVIEW COMPLETED IN FY 2025.
FORM 990, PART VI, LINE 15B PROCESS TO ESTABLISH COMPENSATION OF OTHER OFFICERS OR KEY EMPLOYEESTHE PRESIDENT OF THE MEDICAL STAFF AND ANY OTHER PAID OFFICERS' COMPENSATION LEVELS 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, WITH THE LAST REVIEW CONDUCTED AND DOCUMENTED IN FY 2025.
FORM 990, PART VI, LINE 1A DELEGATE BROAD AUTHORITY TO A COMMITTEETHE EXECUTIVE COMMITTEE SHALL BE COMPOSED FROM TIME TO TIME OF THE FOLLOWING MEMBERS OF THE BOARD OF TRUSTEES: THE THEN CURRENT CHAIRMAN, THE CHAIRMAN-ELECT, THE PRESIDENT, THE THEN CURRENT VICE CHAIRMAN, THE THEN CURRENT SECRETARY, THE THEN CURRENT TREASURER, THE THEN CURRENT ASSISTANT TREASURER, AND THE PRESIDENT OF THE MEDICAL STAFF. THE EXECUTIVE COMMITTEE SHALL POSSESS ALL POWERS AND AUTHORITY OF THE BOARD OF TRUSTEES (EXCEPT THOSE POWERS WHICH THE ARTICLES OF AGREEMENT, THESE BY-LAWS OR APPLICABLE LAWS OR REGULATIONS DO NOT PERMIT TO BE DELEGATED) BETWEEN MEETINGS OF THE BOARD OF TRUSTEES WHEN TIME AND CIRCUMSTANCE REQUIRE THOSE POWERS TO BE EXERCISED. THE EXECUTIVE COMMITTEE SHALL MEET AT THE CALL OF ITS CHAIRMAN. AT LEAST ANNUALLY AND BASED ON POLICIES ESTABLISHED BY THE BOARD OF TRUSTEES, THE EXECUTIVE COMMITTEE SHALL EVALUATE THE PERFORMANCE AND REVIEW THE COMPENSATION OF THE PRESIDENT.
FORM 990, PART VI, LINE 6 CLASSES OF MEMBERS OR STOCKHOLDERSTHE ORGANIZATION'S SOLE MEMBER IS DARTMOUTH-HITCHCOCK HEALTH, A NEW HAMPSHIRE NON-PROFIT CORPORATION.
FORM 990, PART VI, LINE 7A MEMBERS OR STOCKHOLDERS ELECTING MEMBERS OF GOVERNING BODYTHE SOLE MEMBER, DARTMOUTH-HITCHCOCK HEALTH, HAS THE POWER TO APPOINT 1/3 OF THE MEMBERS AND TO RATIFY THE NOMINATION OF 2/3 OF THE MEMBERS OF THE ORGANIZATION'S BOARD OF TRUSTEES.
FORM 990, PART VI, LINE 7B DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERSNOTWITHSTANDING ANY OTHER PROVISION OF THESE BY-LAWS, THE FOLLOWING ACTIONS OF THE CORPORATION REQUIRE THE APPROVAL OF THE MEMBER: (I) MATERIAL GOVERNANCE, PROGRAMMATIC AND FINANCIAL DECISIONS, INCLUDING THE ELIMINATION OR ADDITION OF MAJOR HEALTH CARE SERVICES OR PROGRAMS AND THE PURCHASE OR SALE OF REAL PROPERTY; (II) TO APPOINT ONE-THIRD OF THE MEMBERS OF THE NLHA BOARD OF TRUSTEES AS SET FORTH IN SECTION 3(A)(I) OF ARTICLE III HEREOF; (III) TO RATIFY THE NOMINATION OF TWO-THIRDS OF THE MEMBERS OF THE BOARD OF TRUSTEES AS SET FORTH IN SECTION 3(A)(II) OF ARTICLE III HEREOF; (IV) TO REMOVE ANY NLHA TRUSTEE NOT ACTING IN THE BEST INTERESTS OF THE D-H SYSTEM AS SET FORTH IN SECTION 6 OF ARTICLE III HEREOF; (V) BORROWINGS AND DISPOSITIONS OF THE CORPORATION'S ASSETS; (VI) ESTABLISHMENT OF KEY STRATEGIC RELATIONSHIPS, INCLUDING ACQUIRING OWNERSHIP OR CONTRACTUAL PARTICIPATION IN A NETWORK, SYSTEM, AFFILIATION, JOINT VENTURE, ALLIANCE OR SIMILAR ARRANGEMENT WITH AN ORGANIZATION THAT IS NOT PART OF THE D-H SYSTEM OR WHICH IS NOT ADDRESSED IN AN NLHA STRATEGIC PLAN THAT HAS BEEN APPROVED BY THE MEMBER; (VII) ADOPTION OF OPERATING AND CAPITAL BUDGETS AND STRATEGIC PLANS; (VIII) ADOPTION OF POLICIES RELATING TO ACADEMIC AND RESEARCH PROGRAMS AND AFFILIATIONS; (IX) TO REALLOCATE THE ASSETS AND RESOURCES OF NLHA AND THE MEMBER, AS APPROPRIATE, TO SERVE THE OVERALL BEST INTERESTS OF THE D-H SYSTEM AS SET FORTH IN ARTICLE II HEREOF; (X) TO APPOINT, EVALUATE, COMPENSATE AND TERMINATE THE NLHA CEO AS SET FORTH IN SECTION 4 OF ARTICLE VI HEREOF (XI) AMENDMENTS TO THE CORPORATION'S ARTICLES OF AGREEMENT OR BY-LAWS IF SUCH AMENDMENT WOULD HAVE THE EFFECT OF IMPACTING THE MEMBER'S RESERVED POWERS OR MAY REASONABLY BE EXPECTED TO HAVE A MATERIAL STRATEGIC, COMPETITIVE OR FINANCIAL IMPACT ON THE D-H SYSTEM AS SET FORTH IN ARTICLE XII HEREOF; AND (XII) DISSOLUTION OR LIQUIDATION OF THE CORPORATION.
FORM 990, PART VI, LINE 11B REVIEW OF FORM 990 BY GOVERNING BODYTHE FORM 990 IS REVIEWED BY EXTERNAL TAX ADVISORS, THE DIRECTOR OF FINANCIAL COMPLIANCE, AND NLHA'S CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL 990 IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO THE OFFICIAL FILING OF THE FORM.
FORM 990, PART VI, LINE 12C CONFLICT OF INTEREST POLICYEACH YEAR, A WRITTEN CONFLICT OF INTEREST SURVEY IS SENT TO EACH TRUSTEE AND OFFICER INQUIRING ABOUT SITUATIONS THAT COULD RESULT IN CONFLICTS OF INTEREST. THESE INDIVIDUALS ALSO HAVE A DUTY TO VOLUNTARILY DISCLOSE ANY POTENTIAL CONFLICTS OF INTEREST PRIOR TO ASSUMING THEIR RESPONSIBILITIES OR AT THE TIME ANY POTENTIAL CONFLICT ARISES. IF A CONFLICT OF INTEREST IS IDENTIFIED, THE ORGANIZATION REQUIRES THE INDIVIDUAL TO REMOVE THEMSELVES FROM ANY VOTING OR DECISION MAKING WITH RESPECT TO THE CONFLICT. OVERSIGHT OF THE POLICY IS THE RESPONSIBILITY OF THE AUDIT COMMITTEE.
FORM 990, PART VI, LINE 19 REQUIRED DOCUMENTS AVAILABLE TO THE PUBLICTHE NEW LONDON HOSPITAL MAKES GOVERNING DOCUMENTS, THE CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO MEMBERS OF THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A COMPENSATION PAID BY THE FILING OR A RELATED ORGANIZATIONTHIS FORM 990 FILING IS FOR THE SHORT TAX YEAR BEGINNING JULY 1, 2025 AND ENDING SEPTEMBER 30, 2025. PURSUANT TO THE IRS INSTRUCTIONS TO FORM 990, COLUMNS (D), (E), AND (F) OF PART VII SECTION A SHOULD BE BLANK FOR A SHORT-YEAR RETURN THAT IS NOT A FINAL RETURN AND IN WHICH THERE IS NO CALENDAR YEAR THAT ENDS WITH OR WITHIN THE SHORT YEAR. THEREFORE, ALTHOUGH THE ORGANIZATION REPORTS INDIVIDUALS ON ITS FORM 990 PART VII SECTION A WHO RECEIVE COMPENSATION FROM THE FILING ORGANIZATION AND/OR FROM RELATED ORGANIZATIONS, COMPENSATION AMOUNTS REPORTED ON PART VII SECTION A OF THIS SHORT YEAR FORM 990 ARE ZERO IN ACCORDANCE WITH THE IRS INSTRUCTIONS.
FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCESNET ASSET TRANSFERS - 327737; TOTAL - 327737;
SHORT PERIOD FORM 990 ACCOUNTING PERIOD CHANGEREVENUE PROCEDURE 85-58 RULES APPLY

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVELEBANONNH03756264812335PARENT ORGANIZATIONNH501(C)(3)7NAfalse
DARTMOUTH HEALTH HOME CARE INC
88 PROSPECT STREETWHITE RIVER JUNCTIONVT05001036006494HOSPICEVT501(C)(3)10D-HHfalse
CHESHIRE MEDICAL CENTER
580 COURT STREETKEENENH03431020354549HOSPITALNH501(C)(3)3D-HHfalse
WINDSOR HOSPITAL CORPORATION
289 COUNTY ROADWINDSORVT05089030183721HOSPITALVT501(C)(3)3D-HHfalse
MARY HITCHCOCK MEMORIAL HOSPITAL
ONE MEDICAL CENTER DRIVELEBANONNH03756020222140HOSPITALNH501(C)(3)3D-HHfalse
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVELEBANONNH03756222519596PHYSICIAN SERVICESNH501(C)(3)10D-HHfalse
ALICE PECK DAY MEMORIAL HOSPITAL
10 ALICE PECK DAY DRIVELEBANONNH03766020222791HOSPITALNH501(C)(3)3D-HHfalse
SOUTHWESTERN VERMONT HEALTHCARE CORPORATION
100 HOSPITAL DRIVEBENNINGTONVT05201030179435HOSPITALVT501(C)(3)3DHHfalse
VALLEY REGIONAL HEALTHCARE INC
243 ELM STREETCLAREMONTNH03743020397338SUPPORTING ORGANIZATIONNH501(C)(3)TYPE IID-HHfalse

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

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FieldValueIRS element (for citing)
Business Name Line1WOODIS MERRIFIELD IRREV TRUSTBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1273 COUNTY ROADAddressLine1Txt
CityNEW LONDONCityNm
State AbbreviationNHStateAbbreviationCd
ZIP03257ZIPCd
FieldValueIRS element (for citing)
Primary ActivitiesCHARITABLE TRUSTPrimaryActivitiesTxt
Legal Domicile StateNHLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeTRUSTEntityTypeTxt
Ownership0.7OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (true)LoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

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