2026-06-15T06:54:31+00:00 2025-06-30 350921680 CROWE LLP 4801 Olympia Park Plaza Suite 4000 Louisville KY 402412098 990 2024-07-01 020222171 The New London Hospital Association Inc NEWL 6035262911 273 County Road New London NH 03257 Lisa Cohen Chief Financial Officer 6035262911 2026-06-15 true Rachel Spurlock P00520729 5023263996 2026-06-15 2024 2025-03-06 01:10:19Z Lauren Geddes Wirth 273 County Road New London NH 03257 110575088 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. 22 15 583 46 32746 24999 1653676 1168310 96678754 107130522 1113803 1463110 628678 717258 100074911 110479200 124312 7094 0 59654430 61507038 0 301830 33756688 37322277 93535430 98836409 6539481 11642791 127418616 145555314 55351017 58519373 72067599 87035941 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 88208589 7094 107277615 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. NLHA EMPLOYED 36 PROVIDERS IN FISCAL YEAR 2025, OF WHICH 19 WERE PRIMARY CARE AND PEDIATRICS, AND 17 WERE SPECIALTY PROVIDERS COVERING ANESTHESIOLOGY, EMERGENCY MEDICINE, AND HOSPITALISTS. DURING FISCAL YEAR 2025, NLHA HAD A TOTAL OF 1,889 DISCHARGES, CONSISTING OF 6,843 PATIENT DAYS AND ATTENDED TO 18,798 EMERGENCY ROOM VISITS. 88208589 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 true false false false false false false false false false false false false false false false true false false false false true 88 0 true 583 true true true false false false false true true false false false false false false X 22 15 false false false false true true true true true false false false true true true true true true false true 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 312880 113993 61066 Lisa Rubenberg Trustee/Medical Staff President (as of 1/1/25) 40.0 0 X X 256369 0 60194 Michael Madan MD Trustee / Medical Staff President (through 12/31/24) 40.0 0 X X 380655 0 23292 Steve Allenby 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 384729 77555 Jean Ten Haken MSN RN CENP Trustee (through 5/21/25) 0.5 40.0 X 0 274745 17422 John Kirk Trustee / Physician 2.0 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 MARK PITKIN TRUSTEE 0.5 0 X 0 0 0 Matthew Haag Trustee 0.5 40.0 X 0 517588 43749 Michael Jarzombek PsyD Trustee 0.5 0 X 0 0 0 Michael Liberty Trustee 0.5 0 X 0 0 0 Peter NICHOLS 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 360239 48259 Samuel Shields Trustee 0.5 41.0 X 0 399147 30060 Shannon MacMichael Trustee 0.5 0 X 0 0 0 Wendy Fielding Trustee 0.5 41.0 X 0 537524 68364 Lisa Cohen CHIEF FINANCIAL OFFICER 40.0 0 X 224608 0 31043 Karen Beinhaur Chief Nursing Officer 40.0 0 X 214509 0 52049 Lori Underwood Chief Operating Officer 40.0 0 X 221855 0 49259 Brian Frenkiewich Physician 40.0 0 X 389463 0 62886 Champa Abeysinghe Physician 40.0 0 X 306666 0 32316 Pineal Bekere Physician 40.0 0 X 275561 0 18564 Stephen Bissah MD PHYSICIAN 40.0 0 X 414855 0 64958 Stephen Jumper Physician 40.0 0 X 275162 0 18564 Martin T Manion Former CEO 0.0 40.0 X 0 497844 22728 Susan A Reeves EDD RN Former Vice Chair 0.0 40.0 X 0 216596 12996 3272583 3302405 795324 104 true true false MARY HITCHCOCK MEMORIAL HOSPITAL ONE MEDICAL CENTER DR LEBANON NH 03756 HEALTHCARE STAFFING 4957301 CONIFER REVENUE CYCLE SOLUTIONS LLC 14201 Dallas Pkwy DALLAS TX 75254 Revenue Management Services 4420559 AMERICAN HEALTHCARE STAFFING ASSN INC PO BOX 945 TRAVERSE CITY MI 49685 HEALTHCARE STAFFING 2959451 DARTMOUTH-HITCHCOCK CLINIC ONE MEDICAL CENTER DR LEBANON NH 03756 HEALTHCARE STAFFING 2124558 GLENDALE DINING SERVICES 1800 MOTOR PARKWAY ISLANDIA NY 11749 FOOD SERVICES 1376149 16 357409 440645 370256 19531 1168310 Net patient service revenue 622110 102082560 102082560 Ambulance services 621910 571472 571472 Other program service revenue 622110 113951 113951 Pharmacy Income 446110 4362539 4362539 0 0 0 0 107130522 1501260 32746 1468514 1950 1950 0 1950 1950 38150 0 -38150 -38150 -38150 38707 357409 57738 -19031 -19031 Child Care Center 624410 411567 411567 Cafeteria Income 722212 175679 175679 Vendor Rebates 622110 147093 147093 0 0 0 0 734339 110479200 107277615 32746 2000529 7094 7094 1733560 697984 1027892 7684 479965 422369 57596 49743010 46639491 2901751 201768 2094390 1963719 122176 8495 4823144 4542449 262446 18249 2632969 2468695 153594 10680 39453 39453 46325 46325 3913615 2741696 1130449 41470 45043 6746 38297 1349845 1299497 49191 1157 185069 115122 69947 1642231 225912 1416319 122276 99273 20774 2229 15526 14509 1017 1073635 1073635 5064756 4945720 118752 284 1030841 499090 531751 Medical Supplies & Pharmaceutical 15536352 15536352 MEDICAID ENHANCEMENT & OTHER TAXES 3696283 3696283 Equipment Rental & Maintenance 1417504 859459 558045 Food 44965 44965 2098558 262204 1826540 9814 98836409 88208589 10325990 301830 17915411 25582751 21084846 27067732 11666016 14374556 0 0 0 0 689257 724115 189809 512341 113474043 68931585 44979226 44542458 9688 10170 19105692 21232533 0 2200000 2200000 9578671 9308658 127418616 145555314 6524674 5697247 5346 0 0 0 48826343 52816780 55351017 58519373 X 67590667 82042183 4476932 4993758 72067599 87035941 127418616 145555314 X 11642791 2396851 928700 X false true true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 15791 15791 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. 4067254 33538 4100792 2435556 265060 -1366638 4067254 2411012 131116 106572 2435556 2592725 -174667 7046 2411012 2598461 5736 2592725 0.0 1.0 0.0 false false 1241000 1241000 59196408 28575606 30620802 50739419 38792636 11946783 2297216 1563343 733873 44542458 Closely-held equity interests Financial derivatives Investment in Pooled Funds 21232533 F 21232533 Beneficial Interest in Trusts 1609326 Other Miscellaneous Assets 2456154 Due from affiliates Right of Use 1199660 Investment in DHMIP 4043518 9308658 Federal Income Taxes Right of Use Liability 1265816 Deferred Compensation 2455154 Due to Affilliate 26632641 Estimated Third-Party Payor Settlement 22463169 52816780 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 202535 189845 12690 7500 20231 7875 HOSPITAL DAYS 184782 167564 17218 2107 12004 1 8799 8799 8021 396116 357409 38707 9607 20231 27900 57738 -19031 true true X true X 225 true X true true false true true 1105365 1105365 0.01118 9531054 10263690 0 0.0 0 0.0 0 0 10636419 10263690 1105365 0.01118 427202 427202 0.00432 40980 40980 0.00041 3596506 3038450 558056 0.00565 0 0.0 0 0.0 0 0 4064688 3038450 1026238 0.01038 0 0 14701107 13302140 2131603 0.02157 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 34212995 31075411 3137584 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 225.0 300.0 X X 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=33123) and the cohort for sampling is the town level (see Table 3). 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 3). 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). 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 will be included in the recruitment strategy using 'snowball recruitment' which asks participants to share the survey link with others in their community. Specifically, the local public assets are: 1. Town Library: libraries are being 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" will be placed to maintain confidentiality of the respondents. 2. Town Halls: administrators at each town hall are being 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 are being recruited to solicit resident input. 4. Business: the largest employer(s), and/or local small business, are being identified and will be 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, Dartmouth Health, Alice Peck day memorial Hospital, Valley regional Healthcare, Mt. Ascutney Hospital and Health Center, Cheshire Medical Center, Visiting Nurse and Hospice for Vermont and New Hampshire with technical support from the New Hampshire Community Health Institute/JSI. 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 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 13 Facility , 1 Facility , 1 - New London Hospital. PATIENTS WHOSE FAMILY INCOME EXCEEDS 300% OF THE FPL MAY BE ELIGIBLE TO RECEIVE DISCOUNTED RATES ON A CASE-BY-CASE BASIS BASED ON THEIR SPECIFIC CIRCUMSTANCES, SUCH AS CATASTROPHIC ILLNESS OR MEDICAL INDIGENCE, AT THE DISCRETION OF NLHA. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - New London Hospital. NLHA HAS A SEPARATE UNINSURED DISCOUNT POLICY THAT OUTLINES HOW THE DISCOUNT IS CALCULATED ANNUALLY AND IS APPLIED PRIOR TO BILLING ANY UNINSURED PATIENT. THIS ASSURES A PATIENT IS NOT BILLED AT AN AMOUNT GREATER THAN THE AMOUNT GENERALLY BILLED TO PATIENTS WITH INSURANCE. THIS POLICY IS REFERENCED IN THE FINANCIAL ASSISTANCE POLICY 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 BROCHURE 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 BROCHURES 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 NLHA USES THE FPG GUIDELINES IN DETERMINING THE INITIAL LEVEL OF FINANCIAL ASSISTANCE PROVIDED. IN ADDITION, NLHA ALLOWS FOR CATASTROPHIC ASSISTANCE CONSIDERATION BASED ON A CALCULATION OF 10% OF TWO YEARS INCOME PLUS 10% OF AMOUNT OVER SHELTERED ASSETS. IF THE PROJECTED OR CURRENT SELF-PAY BALANCE IS GREATER THAN THIS CALCULATION, THE SELF-PAY BALANCE IS REDUCED TO THE SUM OF 10% OF TWO YEARS INCOME PLUS 10% OF ASSETS. EACH HOUSEHOLD IS ALLOWED CERTAIN SHELTERED ASSETS WHICH ARE NOT USED WHEN CALCULATING HOUSEHOLD INCOME OR ASSETS SAVINGS IS SHELTERED UP TO 100% OF FPL BASED ON FAMILY SIZE, EQUITY IN PRIMARY RESIDENCE UP TO $200,000 UP TO 55 AND $250,000 FOR AGED 55 AND OLDER, AND A RETIREMENT SHELTER OF UP TO $100,000 IN RETIREMENT ASSETS AS LONG AS IT IS EMPLOYER BASED CONTRIBUTIONS IF WORKING OR IRA IF SELF-EMPLOYED. IF A PATIENT IS RETIRED, PRIOR RETIREMENT ACCOUNTS WOULD BE INCLUDED AS A SHELTERED ASSET. Schedule H, Part I, Line 7g Subsidized Health Services LINE 7G DOES NOT INCLUDE ANY COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance 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, 7F, AND 7G 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 INCLUDE 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. 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. 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 CHNA (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 an 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 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, 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 71 7094 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. false true false false false false false false false Susan A Reeves EDD RN Former Vice Chair 0 216346 0 250 0 0 0 12996 0 0 0 229592 0 0 Michael Madan MD Trustee / Medical Staff President (through 12/31/24) 377397 0 0 0 3258 0 20700 0 2592 0 403947 0 0 0 Lauren Geddes Wirth MD Trustee/President/CEO-Interim Ex-officio 296921 79965 15000 33800 959 228 19083 5594 35990 399 367953 119986 0 0 Lisa Rubenberg Trustee/Medical Staff President (as of 1/1/25) 254580 0 0 0 1789 0 16263 0 43931 0 316563 0 0 0 Sally Kraft MD Trustee 0 302751 0 23070 0 34418 0 32970 0 15289 0 408498 0 0 Wendy Fielding Trustee 0 434374 0 47500 0 55650 0 32970 0 35394 0 605888 0 0 Craig W Beck Trustee 0 338087 0 42770 0 3872 0 32970 0 44585 0 462284 0 0 Jean Ten Haken MSN RN CENP Trustee (through 5/21/25) 0 244257 0 29300 0 1188 0 16229 0 1193 0 292167 0 0 Samuel Shields Trustee 0 347386 0 35000 0 16761 0 26070 0 3990 0 429207 0 0 Matthew Haag Trustee 0 394030 0 85000 0 38558 0 26070 0 17679 0 561337 0 0 Martin T Manion Former CEO 0 418164 0 54648 0 25032 0 20700 0 2028 0 520572 0 0 Lisa Cohen CHIEF FINANCIAL OFFICER 191906 0 24000 0 8702 0 13822 0 17221 0 255651 0 0 0 Lori Underwood Chief Operating Officer 188999 0 24600 0 8256 0 14096 0 35163 0 271114 0 0 0 Karen Beinhaur Chief Nursing Officer 189695 0 24000 0 814 0 13405 0 38644 0 266558 0 0 0 Stephen Bissah MD PHYSICIAN 390889 0 0 0 23966 0 20700 0 44258 0 479813 0 0 0 Brian Frenkiewich Physician 244082 0 144979 0 402 0 20700 0 42186 0 452349 0 0 0 Champa Abeysinghe Physician 276902 0 10000 0 19764 0 17400 0 14916 0 338982 0 0 0 Pineal Bekere Physician 265417 0 10000 0 144 0 16500 0 2064 0 294125 0 0 0 Stephen Jumper Physician 265000 0 10000 0 162 0 16500 0 2064 0 293726 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation The CEO IS EMPLOYED AND PAID BY A RELATED ORGANIZATION WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, FORM 990 INFORMATION FROM OTHER ORGANIZATIONS, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO ESTABLISH THE CEO'S COMPENSATION. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A NONQUALIFIED RETIREMENT PLAN (WHICH ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B (III)): Wendy Fielding $13,607 Matthew Haag $14,931 Martin Manion $2,032 Samuel Shields $2,885 Sally Kraft $2,640 Schedule J, Part II Note Regarding Compensation FORM 990, SCHEDULE J, PART II COLUMN B, PARTS I, II, AND III REPRESENT ACTUAL AMOUNTS PAID TO EMPLOYEES BY NLHA AND RELATED ORGANIZATIONS. THESE AMOUNTS ARE REPORTED TO EMPLOYEES ON THEIR ANNUAL W-2 FORMS AS COMPENSATION. COLUMNS C AND D REPRESENT ITEMS EARNED, HOWEVER, NOT PAID DIRECTLY TO THE EMPLOYEE AS CASH PAYMENTS DURING THE CALENDAR YEAR. COLUMN C INCLUDES RETIREMENT BENEFITS IN A CALENDAR YEAR. COLUMN D REPRESENTS NONTAXABLE BENEFITS SUCH AS THE COST OF HEALTHCARE COVERAGE PROVIDED ON BEHALF OF ITS EMPLOYEES. 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 2024. 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 in 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 OF THE FORMS. 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 15b Process to establish compensation of other 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 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 XI, Line 9 Other changes in net assets or fund balances Net Asset Transfers - 928700; Total - 928700; 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 44379 1609326 0.7 true false false false true true false false false false true false false true true true true false true true