Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| Form 990, Part VI, Section A, line 6 | Members of the Organization shall be of three classes: 1. Institutional - comprised of hospitals located within the State of New Hampshire which are primarily for patients with acute diseases and conditions who stay a comparatively short time, and hospitals located within the State of New Hampshire which provide inpatient care for patients who require habilitation or rehabilitation for critical or chronic conditions in such fields as physical rehabilitation, oncology, neurology, substance abuse, psychiatry and similar specialities. 2. Corporate - organizations and business corporations interested in information about the New Hampshire Hospital Association and wishing to subscribe to general mailings and Association activities. 3. Personal - persons interested in the object of the Association who are not affiliated with a healthcare facility or related industry |
| Form 990, Part VI, Section A, line 7a | Each institutional member shall be entitled to one voting representative at any meeting of the Association. The members elect the trustees of the Board of Directors. |
| Form 990, Part VI, Section B, line 11b | The Form 990 and all schedules were made available to the board prior to filing the form. The President reviewed the Form 990 and all schedules with New Hampshire Hospital Association accounting staff to ensure accuracy prior to filing. |
| Form 990, Part VI, Section B, line 12c | Each member of the board is required to sign a conflict of interest policy at each yearly meeting. The Board members are asked at each Board meeting if any conflicts have arisen since the prior meeting. The conflict of interest policy is reviewed by the President and maintained by the Executive Assistant. |
| Form 990, Part VI, Section B, line 15a | The Executive Committee of the Organization contracts with a third party organization to produce a comparable state hospital association CEO compensation study, which is used for comparative purposes. The Executive Committee reviews CEO performance and approves the CEO's compensation. The Executive Committee informs the full NHHA Board of the approved compensation package for the CEO. |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. |
| Form 990, Part IX, line 11g | Sub-Contracted Services 50,643. Advocacy Initiative 266,318. Other Services 6,039. |
| Form 990, Part X, Line 10: Land, Buildings, and Equipment | Section 1.263(a)-3(n) Election: New Hampshire Hospital Association 125 Airport Road Concord, NH 03301 EIN 02-6012527 New Hampshire Hospital Association is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). |
| Form 990, Part XI, line 9: | Change in cash surrender value of life insurance -34,414. |
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