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COMMUNITY BENEFITS REPORTING FORM Pursuant to RSA 7:32cl FOR FISCAL YEAR BEGINNING 10/01/2013 to be filed with: Office of the Attorney General Charitable Trusts Unit 33 Capitol Street, Concord, NH
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How to Fill Out Community-Benefits-Form2013final - Cottage Hospital:

01
Start by accessing the community benefits form on the Cottage Hospital website.
02
Read the instructions carefully to understand the purpose and requirements of the form.
03
Provide your personal information, including your name, address, contact information, and any other requested details.
04
If applicable, indicate your affiliation with Cottage Hospital, such as being a current patient or employee.
05
Answer the questions about the specific community benefits you have received from Cottage Hospital. This may include discounted services, charity care, health education programs, or any other support provided by the hospital.
06
If there are monetary contributions or in-kind services provided by Cottage Hospital to other organizations or community programs, provide accurate details about these contributions.
07
Describe any partnerships or collaborations between Cottage Hospital and community organizations, highlighting the specific initiatives and activities involved.
08
Indicate any future plans or projects that Cottage Hospital has to further contribute to the community's well-being.
09
Review the completed form to ensure all information is accurate and complete.
10
Submit the form according to the instructions provided.

Who needs Community-Benefits-Form2013final - Cottage Hospital:

01
Patients who have received community benefits from Cottage Hospital, such as discounted services or charity care.
02
Individuals who have been involved in health education programs or other initiatives provided by Cottage Hospital.
03
Community organizations that have received monetary or in-kind support from Cottage Hospital.
04
Individuals or organizations interested in understanding Cottage Hospital's community involvement and contributions.
05
Current or potential patients who want to learn more about Cottage Hospital's commitment to the community and its plans for future projects.
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This form is a document that records the community benefits provided by Cottage Hospital in 2013.
Cottage Hospital is required to file this form.
The form must be filled out with details of the community benefits provided by the hospital in 2013.
The purpose of this form is to document the community benefits activities of Cottage Hospital.
The form must include detailed information on the community benefits initiatives undertaken by Cottage Hospital in 2013.
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