2026-08-10T17:49:23+00:00 2025-09-30 350921680 CROWE LLP 4801 OLYMPIA PARK PLAZA SUITE 4000 LOUISVILLE KY 402412098 990 2025-07-01 020222171 THE NEW LONDON HOSPITAL ASSOCIATION INC NEWL 6035262911 273 COUNTY ROAD NEW LONDON NH 03257 LISA COHEN CHIEF FINANCIAL OFFICER 6035262911 2026-08-10 true RACHEL SPURLOCK P00520729 5023263996 2026-08-10 2025 2025-03-06 01:10:19Z LAUREN GEDDES WIRTH 273 COUNTY ROAD NEW LONDON NH 03257 29368617 false X WWW.NEWLONDONHOSPITAL.ORG X 1918 NH TO CONTINUALLY IMPROVE THE WELLBEING OF INDIVIDUALS IN OUR REGION BY PROVIDING HIGH-QUALITY HEALTHCARE TO OUR COMMUNITIES. 21 13 0 54 0 0 1168310 384665 107130522 28587609 1463110 232900 717258 117785 110479200 29322959 7094 17502 0 61507038 15835781 0 66432 37322277 10592909 98836409 26446192 11642791 2876767 145555314 151061903 58519373 59343444 87035941 91718459 THE 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. false false 21757950 17502 28691673 NEW LONDON HOSPITAL ASSOCIATION, INC. (NLHA) IS THE PRINCIPAL PROVIDER OF PRIMARY AND SECONDARY HEALTH CARE FOR 15 TOWNS IN SULLIVAN AND MERRIMACK COUNTIES IN NEW HAMPSHIRE. THE HOSPITAL PROVIDES ACUTE AND PRIMARY HEALTH CARE - FROM EMERGENCY SERVICES TO FAMILY MEDICAL PRACTICE TO SURGICAL CARE AND ESSENTIAL WELLNESS AND PREVENTION SERVICES FOR THE 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) 21757950 true true false true false false false false false true true true false true true false false true false false false false false false true false true true false true false false false false false false false false false false false false false false false false true false false false false true 0 0 0 true true false false false false true true false false false false false false X 21 13 false false false false true true true true true false false false true true true true true true false false false false NH X LISA COHEN 6035262911 273 COUNTY ROAD NEW LONDON NH 03257 JANE RASTALLIS TRUSTEE / SECRETARY 0.5 0 X X 0 0 0 JOHN HOLLINGER TRUSTEE/CHAIR 0.5 0 X X 0 0 0 KAREN BONEWALD TRUSTEE / TREASURER 0.5 0 X X 0 0 0 LAUREN GEDDES WIRTH MD TRUSTEE/PRESIDENT/CEO-INTERIM EX-OFFICIO 40.0 0 X X 0 0 0 LISA RUBENBERG TRUSTEE/MEDICAL STAFF PRESIDENT 40.0 0 X X 0 0 0 PETER NICHOLS TRUSTEE/VICE CHAIR 0.5 0 X X 0 0 0 CASEY BIUSO TRUSTEE 0.5 0 X 0 0 0 CHRISTOPHER MARTIN TRUSTEE 0.5 0 X 0 0 0 CRAIG W BECK TRUSTEE 0.5 40.0 X 0 0 0 FRANCES FARO TRUSTEE 0.5 40.0 X 0 0 0 KATE HOYT TRUSTEE 0.5 0 X 0 0 0 KEITH BARRETT TRUSTEE 0.5 0 X 0 0 0 MATTHEW HAAG TRUSTEE 0.5 40.0 X 0 0 0 MICHAEL JARZOMBEK PSYD TRUSTEE 0.5 0 X 0 0 0 MICHAEL LIBERTY TRUSTEE 0.5 0 X 0 0 0 ROBERT FRIEDLANDER JR TRUSTEE 0.5 0 X 0 0 0 SALLY KRAFT MD TRUSTEE 40.0 0 X 0 0 0 SAMUEL SHIELDS TRUSTEE 0.5 41.0 X 0 0 0 SHANNON MACMICHAEL TRUSTEE 0.5 0 X 0 0 0 STEVE ALLENBY TRUSTEE 0.5 0 X 0 0 0 WENDY FIELDING TRUSTEE 0.5 41.0 X 0 0 0 LISA COHEN CHIEF FINANCIAL OFFICER 40.0 0 X 0 0 0 0 0 0 0 false false false 0 356857 27808 2664 384665 NET PATIENT SERVICE REVENUE 622110 26985715 26985715 OTHER PROGRAM SERVICE REVENUE 622110 1601894 1601894 0 0 0 0 0 0 28587609 232900 232900 325 325 0 325 325 0 0 59054 356857 45658 13396 13396 VENDOR REBATES 622110 59782 59782 CAFETERIA INCOME 722212 44282 44282 0 0 0 0 104064 29322959 28691673 0 246621 17502 17502 12959332 11101689 1806356 51287 573784 491535 79978 2271 1611983 1380915 224689 6379 690682 591677 96272 2733 10420 10420 5308 5308 1971184 763451 1207733 0 30089 1120 28969 328428 276678 51577 173 38670 13686 24984 368961 324472 44489 24970 17972 6643 355 8528 4218 4310 254511 254511 1254451 606197 648183 71 228833 118967 109866 MEDICAL SUPPLIES & PHARMACEUTICAL 4363251 4363251 MEDICAID ENHANCEMENT & OTHER TAXES 1054749 1054749 EQUIPMENT RENTAL & MAINTENANCE 464796 271493 192885 418 ACADEMIC, DUES AND OTHER SUPPORT 90509 8929 78835 2745 95251 94938 313 0 26446192 21757950 4621810 66432 25582751 18775720 27067732 7173944 14374556 15131619 0 0 0 0 724115 735280 512341 1058188 113887183 70025285 44542458 43861898 10170 10188 21232533 52651369 0 2200000 2200000 9308658 9463697 145555314 151061903 5697247 7555074 5346 5346 0 0 52816780 51783024 58519373 59343444 X 82042183 86756640 4993758 4961819 87035941 91718459 145555314 151061903 X 2876767 1478014 327737 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 2705 2705 false SCHEDULE C, PART II-B, LINE 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY NEW 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. 4100792 13480 4114272 4067254 33538 4100792 2435556 265060 -1366638 4067254 2411012 131116 106572 2435556 2592725 -174667 7046 2411012 0.0 1.0 0.0 false false 1241000 1241000 59368246 29029834 30338412 50980721 39406806 11573915 2297216 1588645 708571 43861898 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES INVESTMENT IN POOLED FUNDS 52651369 F 52651369 BENEFICIAL INTEREST IN TRUSTS 1622806 OTHER MISCELLANEOUS ASSETS 2603634 DUE FROM AFFILIATES RIGHT OF USE ASSETS 1134378 INVESTMENT IN DHMIP 4102879 9463697 FEDERAL INCOME TAXES RIGHT OF USE LIABILITY 1205842 DEFERRED COMPENSATION 2605042 DUE TO AFFILIATE 25658958 ESTIMATED THIRD-PARTY PAYOR SETTLEMENT 22313182 51783024 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART V, LINE 4 INTENDED USES OF ENDOWMENT FUNDS THE INCOME FROM THE ENDOWMENT FUNDS IS USED TO ASSIST IN THE PAYMENT OF THE HOSPITAL'S PROGRAM-RELATED EXPENSES. ANNUAL BENEFIT 343309 294009 49300 35571 HOSPITAL DAYS 72602 62848 9754 1857 8230 0 415911 356857 59054 1857 43801 45658 13396 true true X true X 250 true X true true false true true 271584 0 271584 0.01027 2544671 2429686 114985 0.00435 0 0.0 0 0 2816255 2429686 386569 0.01462 106801 106801 0.00404 10245 10245 0.00039 0 0.0 0 0.0 0 0.0 0 0 117046 0 117046 0.00443 0 0 2933301 2429686 503615 0.01904 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 0 0 5835284 5971090 -135806 X true true 1 1 NEW LONDON HOSPITAL 273 COUNTY ROAD NEW LONDON NH 03257 https://www.newlondonhospital.org 02407 X X X X NEW LONDON HOSPITAL 1 false false true X X X X X X X X X 24 true true true true X https://www.newlondonhospital.org/about/annual-and-community-reports X X true 24 true https://www.newlondonhospital.org/about/annual-and-community-reports false true X 250.0 400.0 X X X X X true true X X X true X https://www.newlondonhospital.org/services/billing-charges/ X https://www.newlondonhospital.org/services/billing-charges/ X https://www.newlondonhospital.org/services/billing-charges/ X X X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 3E THE 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 , 1 FACILITY , 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 , 1 FACILITY , 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 , 1 FACILITY , 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 , 1 FACILITY , 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 , 1 FACILITY , 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 , 1 FACILITY , 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. 1 NEWPORT HEALTH CENTER 11 JOHN STARK HWY NEWPORT NH 03773 RURAL HEALTH CLINIC SCHEDULE H, PART I, LINE 3C OTHER FACTORS USED IN DETERMINING ELIGIBILITY OTHER THAN FPG IN 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 TABLE THE 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 AMOUNT AS 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 METHODOLOGY BAD 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 FOOTNOTE NLHA 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 COSTS THE 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 ASSISTANCE NEW 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/; SCHEDULE H, PART VI, LINE 2 NEEDS ASSESSMENT NLH ASSESSES THE NEEDS OF THE COMMUNITY PRIMARILY THROUGH A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH MOST RECENTLY OCCURRED IN 2024. SINCE THE ACA WAS ENACTED, NLHA HAS CONDUCTED FOUR CHNAS (2015, 2018, 2021 AND NOW 2024) USING A COMBINATION OF SURVEYS (LEADER AND RESIDENT) AS WELL AS A SMALL NUMBER OF FOCUS GROUPS AND A FEW KEY INFORMANT INTERVIEWS. THE SURVEYS ARE PROVIDED AS BOTH A DIGITAL OPTION AND PAPER. EACH CYCLE SOLICITED FEEDBACK USING 'A CONVENIENCE SAMPLING' APPROACH FOR THE ENTIRE NLHA CATCHMENT AREA. CONVENIENCE SAMPLING IS A LOW-COST APPROACH WHICH IS DEPENDENT ON THE AVAILABILITY AND WILLINGNESS OF A SURVEY PARTICIPANT. WHILE THE CONVENIENCE SAMPLING APPROACH IS AN EASILY UNDERSTOOD, AS WELL AS ARGUABLY THE LEAST COSTLY METHOD FOR SOLICITING INPUT ON SURVEYS, NLH ENGAGED IN A REVISED RECRUITMENT STRATEGY TO STRENGTHEN THE SAMPLE PROPORTION OF THE POPULATION WITHIN EACH TOWN FOR OUR 2024 CHNA. HISTORICALLY, THE CHNA CONVENIENCE SAMPLE HAS PRODUCED A VERY LOW RESPONSE RATE OUTSIDE OF NEW LONDON. FOR EXAMPLE, IN THE 2021 CHNA, THE RESPONSE RATE IN NEW LONDON WAS 31% , HOWEVER, NEW LONDON'S POPULATION REPRESENTS 13% POPULATION WITHIN OUR CATCHMENT AREA . CONVERSELY, NEWPORT'S POPULATION REPRESENTS ROUGHLY 21% OF THE TOTAL POPULATION WITHIN OUR CATCHMENT YET THE RESPONSE RATE WAS LESS THAN 7%. THE RATES ARE EVEN MORE DISPROPORTIONATE WITH THE SMALLER COMMUNITIES WITHIN OUR CATCHMENT AREA. IN RESPONSE TO THIS DIFFERENTIAL, IN 2024 NLHA WAS COMMITTED TO REVISITING THE RECRUITMENT STRATEGY TO INCREASE THE LIKELIHOOD THAT THE RESPONSE RATE WILL BE PROPORTIONAL TO THE TOWN POPULATION. THE OVERALL GOAL OF THE RECRUITMENT STRATEGY WAS TO REACH A MINIMUM NUMBER OF SAMPLES TO REACH A 95% CONFIDENCE INTERVAL WITH A 5% MARGIN OF ERROR. FOR THE 2024 NLH CHNA RECRUITMENT STRATEGY PLEASE SEE SECTION SCHEDULE H, PART V, SECTION B, LINE 5 - INPUT FROM PERSONS WHO REPRESENT BROAD INTEREST OF COMMUNITY. BASED ON THIS REVISED RECRUITMENT STRATEGY, NLH CHNA CONVENIENCE SAMPLE INCLUDES 1,352 SURVEY RESPONDENTS WITH THE DISTRIBUTION OF THESE RESPONSES BETTER ALIGNED WITH THE POPULATION DISTRIBUTION. FOR EXAMPLE, IN 2024 THE RESPONSE RATE IN NEW LONDON WAS 17% INSTEAD OF 31% (2021) BECAUSE NEW LONDON'S POPULATION REPRESENTS 13% POPULATION WITHIN OUR CATCHMENT AREA. ADDITIONALLY, NEWPORT'S RESPONSE RATE FOR 2024 WAS 13% INSTEAD OF 7% (2021) WHICH IS CLOSER TO THE PROPORTION OF THE POPULATION FOR NEWPORT (REPRESENTS ROUGHLY 21% OF THE TOTAL POPULATION WITHIN OUR CATCHMENT AREA). FOR SOME OF THE MOST RURAL TOWNS, THE RECRUITMENT STRATEGY MADE A DRAMATIC DIFFERENCE IN HAVING A BETTER DISTRIBUTION IN OUR SURVEY RESPONSES. FOR EXAMPLE, THE TOWN OF WASHINGTON SAW A +455% INCREASE IN THEIR RESPONSE RATE FROM 2021 TO 2024 (11 IN 2021 VERSUS 61 IN 2024). TO MAINTAIN AWARENESS OF THE COMMUNITIES' NEEDS, NLH HAS CONTINUED TO ENGAGE WITH THE INFRASTRUCTURE SET UP IN THE RECRUITMENT STRATEGY BRINGING BOTH THE BOARD APPROVED CHNA AND SUBSEQUENT COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) RESULTS TO THE TOWNS THROUGH THE LIBRARY INFRASTRUCTURE HOSTING 14 CHNA COMMUNITY CONVERSATIONS AND 11 CHIP COMMUNITY CONVERSATIONS. - COMMUNITY PARTNERSHIPS - NLH PHARMACY - NEWPORT POLICE DEPARTMENT - SULLIVAN COUNTY SHERIFFS DEPARTMENT - COLBY SAWYER COLLEGE - GRANITE HOPE VETERANS COALITION (CO-CHAIR) - SPRING LEDGE FARM - MORGAN HILL BOOKSTORE - NH FALLS TASK COMMITTEE - SULLIVAN COUNTY COMMUNITY PARTNERS - SULLIVAN COUNTY PUBLIC HEALTH NETWORK - SULLIVAN COUNTY TRANSPORTATION NETWORK - KEARSARGE NEIGHBORHOOD PARTNERS (KNP) - KEARSARGE COMMUNITY NETWORK (KCN) - CLIMATE AND HEALTH INITIATIVE FOR CHILDREN IN KEARSARGE & SUNAPEE (CHICKS) COMMITTEE - NH HUNGER SOLUTIONS - TLC RAINBOW ROUNDTABLE - NH QUEER CONSORTIUM - FOUNDATION FOR HEALTH COMMUNITIES (HEALTH EQUITY PEER GROUP, POPULATION HEALTH PEER GROUP, COMMUNITY BENEFIT - CO-CHAIR) - DARTMOUTH HEALTH AND NEW LONDON HOSPITAL (NLH) COMMITTEES - DH POPULATION HEALTH GROUP - DH COMMUNITY HEALTH GROUP - NLH FALLS COMMITTEE SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE NLHA 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 INFORMATION NLHA 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 HEALTH THE 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 SYSTEM NEW 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 REPORT NH true ASSISTANCE TO FAMILIES THROUGH THE WELLNESS CONNECTION PROGRAM 36 17502 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS EACH 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. 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 OFFICIAL THE 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 EMPLOYEES THE 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 COMMITTEE THE 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 STOCKHOLDERS THE 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 BODY THE 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 STOCKHOLDERS NOTWITHSTANDING 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 BODY THE 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 POLICY EACH 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 PUBLIC THE 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 ORGANIZATION THIS 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 BALANCES NET ASSET TRANSFERS - 327737; TOTAL - 327737; SHORT PERIOD FORM 990 ACCOUNTING PERIOD CHANGE REVENUE PROCEDURE 85-58 RULES APPLY DARTMOUTH-HITCHCOCK HEALTH ONE MEDICAL CENTER DRIVE LEBANON NH 03756 264812335 PARENT ORGANIZATION NH 501(C)(3) 7 NA false DARTMOUTH HEALTH HOME CARE INC 88 PROSPECT STREET WHITE RIVER JUNCTION VT 05001 036006494 HOSPICE VT 501(C)(3) 10 D-HH false CHESHIRE MEDICAL CENTER 580 COURT STREET KEENE NH 03431 020354549 HOSPITAL NH 501(C)(3) 3 D-HH false WINDSOR HOSPITAL CORPORATION 289 COUNTY ROAD WINDSOR VT 05089 030183721 HOSPITAL VT 501(C)(3) 3 D-HH false MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DRIVE LEBANON NH 03756 020222140 HOSPITAL NH 501(C)(3) 3 D-HH false DARTMOUTH-HITCHCOCK CLINIC ONE MEDICAL CENTER DRIVE LEBANON NH 03756 222519596 PHYSICIAN SERVICES NH 501(C)(3) 10 D-HH false ALICE PECK DAY MEMORIAL HOSPITAL 10 ALICE PECK DAY DRIVE LEBANON NH 03766 020222791 HOSPITAL NH 501(C)(3) 3 D-HH false SOUTHWESTERN VERMONT HEALTHCARE CORPORATION 100 HOSPITAL DRIVE BENNINGTON VT 05201 030179435 HOSPITAL VT 501(C)(3) 3 DHH false VALLEY REGIONAL HEALTHCARE INC 243 ELM STREET CLAREMONT NH 03743 020397338 SUPPORTING ORGANIZATION NH 501(C)(3) TYPE II D-HH false WOODIS MERRIFIELD IRREV TRUST 273 COUNTY ROAD NEW LONDON NH 03257 CHARITABLE TRUST NH NA TRUST 0.7 true false false false true true false false false false true false false true true true true false true true