MARY HITCHCOCK MEMORIAL HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MARY HITCHCOCK MEMORIAL HOSPITAL (EIN 02-0222140)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-13
IRS object ID: 202541339349301529
Schema version: 2023v6.0
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-13T08:58:08+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4801 Olympia Park Plaza Suite 4000	AddressLine1Txt
City	Louisville	CityNm
State Abbreviation	KY	StateAbbreviationCd
ZIP	402412098	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	020222140	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mary Hitchcock Memorial Hospital	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MARY	BusinessNameControlTxt
Phone	6036505000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Medical Center Drive	AddressLine1Txt
City	Lebanon	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Wendy E Fielding	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6036505000	PhoneNum
Signature	2025-05-13	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Kim Scifres	PreparerPersonNm
PTIN	P01316095	PTIN
Phone	5023263996	PhoneNum
Preparation	2025-05-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JOANNE M CONROY MD	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Medical Center Drive	AddressLine1Txt
City	Lebanon	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,264,104,728	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.DARTMOUTH-HITCHCOCK.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1889	FormationYr
Legal Domicile State	NH	LegalDomicileStateCd
Activity Or Mission	ADVANCING HEALTH THROUGH RESEARCH, EDUCATION, CLINICAL PRACTICE, COMMUNITY PARTNERSHIPS; PROVIDING EACH PERSON THE BEST CARE IN THE RIGHT PLACE, AT THE RIGHT TIME, EVERY TIME.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	6754	TotalEmployeeCnt
Total Volunteers	285	TotalVolunteersCnt
Total Gross UBI	$89,035,966	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$1,760,857	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$43,697,084	PYContributionsGrantsAmt
CY Contributions Grants	$29,766,770	CYContributionsGrantsAmt
PY Program Service Revenue	$1,885,742,726	PYProgramServiceRevenueAmt
CY Program Service Revenue	$2,178,328,478	CYProgramServiceRevenueAmt
PY Investment Income	$4,755,712	PYInvestmentIncomeAmt
CY Investment Income	$2,693,369	CYInvestmentIncomeAmt
PY Other Revenue	$46,224,691	PYOtherRevenueAmt
CY Other Revenue	$52,716,608	CYOtherRevenueAmt
PY Total Revenue	$1,980,420,213	PYTotalRevenueAmt
CY Total Revenue	$2,263,505,225	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,063,920	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$9,196,931	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$965,969,736	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,058,310,342	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$585,044	CYTotalFundraisingExpenseAmt
PY Other Expenses	$948,134,836	PYOtherExpensesAmt
CY Other Expenses	$1,151,324,073	CYOtherExpensesAmt
PY Total Expenses	$1,923,168,492	PYTotalExpensesAmt
CY Total Expenses	$2,218,831,346	CYTotalExpensesAmt
PY Revenues Less Expenses	$57,251,721	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$44,673,879	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,230,963,269	TotalAssetsBOYAmt
Total Assets EOY	$2,337,348,189	TotalAssetsEOYAmt
Total Liabilities BOY	$1,231,464,540	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$1,217,610,319	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$999,498,729	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,119,737,870	NetAssetsOrFundBalancesEOYAmt
Mission	WE ADVANCE HEALTH THROUGH RESEARCH, EDUCATION, CLINICAL PRACTICE, AND COMMUNITY PARTNERSHIPS, PROVIDING EACH PERSON THE BEST CARE IN THE RIGHT PLACE, AT THE RIGHT TIME, EVERY TIME.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,823,570,926	ExpenseAmt
Grant	$9,196,931	GrantAmt
Revenue	$2,076,458,250	RevenueAmt
Desc	MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) IS AN ACUTE AND TERTIARY CARE TEACHING HOSPITAL LOCATED IN LEBANON, NEW HAMPSHIRE. MHMH PROVIDES A BROAD RANGE OF PATIENT SERVICES AND HEALTH-RELATED COMMUNITY SERVICES, CONSISTENT WITH ITS ROLE AS A MAJOR TEACHING HOSPITAL, A TERTIARY CARE REFERRAL HOSPITAL, AND AS A PROSPECTIVE PAYMENT SYSTEM HOSPITAL (AS DEFINED BY CMS). MHMH PROVIDES A FULL RANGE OF SERVICES IN BOTH ACUTE AND CRITICAL MEDICINE, SURGERY, PSYCHIATRY AND REHABILITATION FOR INFANTS, CHILDREN AND ADULTS. DURING FY 2024, MHMH PROVIDED 158,898 ACUTE PATIENT DAYS OF INPATIENT SERVICE AND HAD 28,654 TOTAL ACUTE CARE DISCHARGES, WHILE MHMH'S EMERGENCY ROOM WAS OPEN TO THE PUBLIC 24 HOURS PER DAY, 7 DAYS PER WEEK AND HAD 33,374 DISCHARGES. DARTMOUTH-HITCHCOCK CLINIC (DHC) PROVIDES THE PHYSICIAN STAFF FOR THE HOSPITAL AND THE SOPHISTICATION ESSENTIAL FOR THE DEVELOPMENT OF THE HOSPITAL AS THE LARGEST ACADEMIC MEDICAL CENTER IN NEW HAMPSHIRE AND THE DESIGNATION BY THE FEDERAL GOVERNMENT AS A RURAL REFERRAL CENTER FOR NORTHERN NEW ENGLAND. THE SHARED MISSION OF MHMH AND DHC IS TO ADVANCE HEALTH THROUGH RESEARCH, EDUCATION, CLINICAL PRACTICE, AND COMMUNITY PARTNERSHIPS, PROVIDING EACH PERSON THE BEST CARE, IN THE RIGHT PLACE, AT THE RIGHT TIME, EVERY TIME. CONSISTENT WITH THIS MISSION AND IN PARTNERSHIP WITH DHC, MHMH PROVIDES HIGH-QUALITY, COST-EFFECTIVE, COMPREHENSIVE, AND INTEGRATED HEALTH CARE TO INDIVIDUALS, FAMILIES, AND THE COMMUNITIES IT SERVES, REGARDLESS OF A PATIENT'S ABILITY TO PAY. THROUGH FORMAL AFFILIATIONS AND OTHER CLINICAL COLLABORATIONS, MHMH ALSO SEEKS TO PARTNER WITH OTHER AREA HEALTH CARE PROVIDERS TO IMPROVE THE HEALTH STATUS OF THE REGION. THE JACK BYRNE CENTER FOR PALLIATIVE & HOSPICE CARE COORDINATES MHMH'S CLINICAL, EDUCATIONAL, AND RESEARCH EFFORTS AND VISITING NURSE ALLIANCES AROUND THE REGION TO OFFER MUCH-NEEDED END-OF-LIFE CARE FOR PATIENTS IN A CLINICAL SETTING THAT MEETS THE NEEDS OF PATIENTS AND THEIR FAMILIES. MHMH ALSO CONTINUES TO BUILD ITS TELE-MEDICINE PROGRAM TO PROVIDE CARE ACROSS ITS RURAL REGION AND IN PARTICULAR TO MAKE SPECIALIST CONSULTATION AND CARE AVAILABLE TO CRITICAL ACCESS AND COMMUNITY HOSPITALS. THIS ALLOWS CAREGIVERS AT REMOTE LOCATIONS TO ACCESS SPECIALISTS AT MHMH AND DHC AND TO BRING THEM "VIRTUALLY" TO THE PATIENT'S BEDSIDE. MHMH'S CONNECTED CARE CENTER FOR TELE-HEALTH IN LEBANON OFFERS A 24/7 TEAM OF PHYSICIANS, PHARMACISTS, AND NURSES SUPPORTING THE FOLLOWING ACUTE CARE TELE-HEALTH SERVICE LINES: TELE-EMERGENCY, TELE-PHARMACY, TELE-NEUROLOGY, TELE-ICU, TELE-PSYCHIATRY, AND TELE-NEONATOLOGY; OUTPATIENT TELE-URGENT CARE 7 DAYS/WEEK; AND OUTPATIENT VIRTUAL VISITS IN PEDIATRICS AND MORE THAN 30 SPECIALTY SERVICES TO PATIENTS IN 17 CLINICAL LOCATIONS ALONG WITH PATIENT HOMES. MHMH PARTNERS WITH REGIONAL COLLEGES, INCLUDING COLBY-SAWYER COLLEGE, TO SUPPORT NURSING EDUCATION AND CLINICAL EXPERIENCES FOR STUDENTS AS WELL AS CONTINUING EDUCATION AND CAREER ADVANCEMENT FOR MHMH STAFF. MHMH ALSO PROVIDES TRAINING PROGRAMS FOR ENTRY INTO FRONTLINE HEALTHCARE CAREERS THROUGH THE WORKFORCE READINESS INSTITUTE, A PROGRAM OF MHMH THAT IS A LICENSED CAREER SCHOOL WITH THE STATE OF NEW HAMPSHIRE. MHMH HAS ALSO ESTABLISHED TRAINING PATHWAYS FOR CURRENT HEALTHCARE EMPLOYEES TO ADVANCE THEIR HEALTHCARE CAREERS THROUGH CONTINUED EDUCATION. MHMH OFFERS PAID INTERNSHIP PROGRAMS FOR HIGH SCHOOL AND COLLEGE STUDENTS LOOKING TO EXPLORE HEALTHCARE CAREERS. MHMH ALSO HOSTS THE PROJECT SEARCH PROGRAM FOR STUDENTS WITH INTELLICTUAL DISABILITIES, ALLOWING THESE STUDENTS TO DEVELOP TRANSFERRABLE AND MARKETABLE JOB SKILLS. MHMH AND DHC JOINTLY FILE AN ANNUAL COMMUNITY BENEFITS REPORT WITH THE STATE OF NEW HAMPSHIRE WHICH OUTLINES THE COMMUNITY AND CHARITABLE BENEFITS MHMH AND DHC PROVIDE. THE MOST RECENT COMMUNITY BENEFITS REPORT IS AVAILABLE BY REQUEST. FINANCIAL ASSISTANCE (FORMERLY CALLED "CHARITY CARE") REPRESENTS SERVICES PROVIDED TO PATIENTS WHO CANNOT AFFORD HEALTH CARE SERVICES DUE TO INADEQUATE FINANCIAL RESOURCES WHICH RESULT FROM BEING UNINSURED OR UNDERINSURED. FOR THE YEAR ENDED JUNE 30, 2024, MHMH PROVIDED FINANCIAL ASSISTANCE TO 22,529 PATIENTS IN THE AMOUNT OF $28,734,667 AS MEASURED BY GROSS CHARGES. THE COST OF PROVIDING THIS CARE FOR THE YEAR ENDED JUNE 30, 2023 WAS $17,838,140. MHMH ALSO ROUTINELY PROVIDES SERVICES TO MEDICAID PATIENTS AT REIMBURSEMENT LEVELS THAT ARE BELOW THE COST OF THE CARE PROVIDED. THE COMMUNITY HEALTH ACTIVITIES NOTED INCLUDE THE COST OR VALUE OF SEVERAL DIFFERENT TYPES OF PROGRAMS INCLUDING THE COST OF COMMUNITY-BASED EDUCATION, HEALTH FAIRS, HEALTH SCREENINGS, SUPPORT GROUPS, AND PROGRAMS AND MATERIALS THAT PROMOTE WELLNESS AND PREVENT ILLNESS. EXAMPLES OF THESE TYPES OF EFFORTS INCLUDE PARTNERING WITH THE HEALTHY EATING ACTIVE LIVING NH INITIATIVE, THE WOMEN'S HEALTH RESOURCE CENTER, AND SMOKING PREVENTION AND CESSATION. THIS CATEGORY OF SUPPORT ALSO INCLUDES FINANCIAL CONTRIBUTIONS AND THE CONTRIBUTION OF TIME AND SERVICES TO COMMUNITY PROGRAMS, HOSPITALS AND AGENCIES. MHMH ALSO PROVIDES A SIGNIFICANT AMOUNT OF UNCOMPENSATED CARE TO ITS PATIENTS THAT IS REPORTED AS BAD DEBT, WHICH IS NOT INCLUDED IN THE AMOUNTS REPORTED ABOVE. DURING THE YEAR ENDED JUNE 30, 2024, THE HOSPITAL REPORTED EXPENSE FOR BAD DEBT OF $41,336,812.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$103,415,302	ExpenseAmt
Revenue	$64,141,969	RevenueAmt
Desc	AS A COMPONENT OF NEW HAMPSHIRE'S ONLY INTEGRATED ACADEMIC MEDICAL CENTER, MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) PROVIDES THE GEISEL SCHOOL OF MEDICINE AT DARTMOUTH (GSM) SUPPORT FOR PHYSICIANS' UNPAID TEACHING TIME AS PART OF ITS COMMUNITY BENEFIT INITIATIVES. THIS SUPPORT CONSISTS OF THE TIME PHYSICIANS SPEND PROVIDING CLINICAL SUPERVISION AND EDUCATION FOR RESIDENTS AND MEDICAL STUDENTS. IN ADDITION, THE HOSPITAL PROVIDES IN-KIND SUPPORT FOR RESEARCH AND OTHER GRANTS REPRESENTING COSTS IN EXCESS OF AWARDS FOR NUMEROUS GRANT-FUNDED HEALTH RESEARCH AND SERVICE INITIATIVES AWARDED TO DARTMOUTH-HITCHCOCK CLINIC (DHC) AND GSM. OTHER COMMUNITY BENEFIT INITIATIVES INCLUDE SUBSIDIZING THE COSTS OF PROVIDING MEDICAL AND CLINICAL EDUCATION TO PROFESSIONALS ACROSS NEW HAMPSHIRE, VERMONT AND BEYOND AS WELL AS UNCOMPENSATED COSTS OF ACADEMIC AND MEDICAL RESEARCH ACTIVITIES.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$1,926,986,228	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	Yes (true)	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	1036	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	6754	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	BD	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	Yes (true)	QuidProQuoContributionsInd
Quid Pro Quo Contri Discl	Yes (true)	QuidProQuoContriDisclInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (true)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	NH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Wendy E Fielding	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	6036535634	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MEDICAL CENTER DRIVE	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Charles G Plimpton MBA
Trustee / Treasurer (through 12/31/23)	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
David P Paul
Trustee / Secretary/Treasurer	0.8	1.8	Yes (X)	Yes (X)	$0	$0	$0
Joanne M Conroy MD
Trustee, Ex-Officio, CEO	37.8	18.3	Yes (X)	Yes (X)	$0	$2,078,492	$50,649
ROBERTA L HINES MD
TRUSTEE / Chair	1.5	2.0	Yes (X)	Yes (X)	$0	$0	$0
Carl W Dobson MD
Trustee/ Medical Director (through 12/31/23)	40.0	0.8	Yes (X)		$455,547	$0	$59,766
Celestina M Dooley-Jones PHD
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Duane A Compton PHD
Trustee / Ex-Officio	0.8	1.7	Yes (X)		$0	$0	$0
Edward H Stansfield III MA
Trustee (through 12/31/23)	0.8	2.3	Yes (X)		$0	$0	$0
Elof Eriksson MD PhD
Trustee (through 12/31/23)	0.8	0.8	Yes (X)		$0	$0	$0
Gary L Freed MD
Trustee / Physician (through 12/31/23)	28.0	12.0	Yes (X)		$0	$705,498	$28,710
Gary V Desir
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Geraldine Bednash PHD RN FAAN
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Jennifer L Moyer MBA
Trustee	0.8	1.3	Yes (X)		$0	$0	$0
Jonathan B Thyng MD
Trustee/Medical Director (as of 1/1/24)	28.0	12.0	Yes (X)		$0	$365,874	$76,040
Keith Loud MD
Trustee (as of 3/21/24)	0.1	40.0	Yes (X)		$0	$434,846	$67,529
Laura Chiang
Trustee	28.0	12.0	Yes (X)		$0	$361,900	$55,054
M Elyse Allan
Trustee (as of 1/1/24)		0	Yes (X)		$0	$0	$0
Marcus Coe MD
Trustee (as of 1/1/24)	0.1	40.0	Yes (X)		$0	$825,889	$65,626
Mark S Speers MBA
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Mark W Begor MBA
Trustee (through 12/31/23)	0.8	1.3	Yes (X)		$0	$0	$0
Nancy M Dunbar MD
Trustee / Physician	28.0	12.0	Yes (X)		$0	$398,149	$69,215
Pamela Thompson MSRNCENP
Trustee (through 12/31/23)	0.8	1.3	Yes (X)		$0	$0	$0
Paul A Taheri MD MBA
Trustee (through 12/31/23)	0.8	1.6	Yes (X)		$0	$0	$0
Sandra L Wong MD
Trustee (through 12/31/23)/SVP Svc Ln & Dept Chair	28.0	12.0	Yes (X)		$0	$792,829	$40,194
Sherri C Oberg
Trustee	0.8	0.8	Yes (X)		$0	$0	$0
Thomas Glynn PHD
Trustee (through 12/31/23)	0.8	1.3	Yes (X)		$0	$0	$0
Thomas Raffio
Trustee (through 12/31/23)	0.8	1.3	Yes (X)		$0	$0	$0
Aimee M Claiborne
Chief Human Resource Officer	28.0	12.5		Yes (X)	$591,866	$0	$44,913
EDWARD J MERRENS MD
Chief Clinical Officer	28.0	13.0		Yes (X)	$0	$931,192	$50,874
JOHN KACAVAS
Chief Legal Officer (as of 1/8/24)	28.0	15.0		Yes (X)	$55,362	$0	$0
Kimberly Troland JD
Deputy Gen Counsel / Interim Chief Legal Officer (through 1/7/24)	28.0	12.5		Yes (X)	$632,259	$0	$13,885
Matthew Haag
Chief Development Officer	28.0	12.0		Yes (X)	$482,401	$0	$42,715
Patrick F Jordan III MBA
Chief Operating Officer	28.0	15.0		Yes (X)	$979,872	$0	$71,266
Stephen Leblanc
Chief Strategy Officer	28.0	15.0		Yes (X)	$0	$918,361	$66,015
Susan A Reeves EDD RN
Executive VP (medical center)	28.0	12.0		Yes (X)	$917,950	$0	$42,718
Wendy Fielding
Chief Financial Officer	28.0	13.5		Yes (X)	$443,212	$0	$47,649
David F Duncan
System VP - Facilities Mgmt	28.0	13.0			$339,812	$0	$46,576	Yes (X)
Jeffrey Obrien MHA
Chief Operating Officer - DHMC	28.0	12.0			$374,775	$0	$64,682	Yes (X)
Martin Purcell MBA
Chief Information Officer	28.0	12.0			$566,582	$0	$69,259	Yes (X)
Samuel Shields
System VP - Strtgy & Rgnl Ops	40.0	1.5			$358,191	$0	$27,595	Yes (X)
Simon C Hillier
Dept. Chair - Anesthesiology	28.0	12.0			$0	$636,884	$68,491	Yes (X)
Staci Hermann PHARMD MS
Chief Pharmacy Officer (Through March 2024)	28.0	12.0			$372,899	$0	$42,373	Yes (X)
Tracy Galvin
Chief Nursing Officer	28.0	12.0			$224,744	$0	$21,247	Yes (X)
Barbara Vance
VP-Research Ops	40.0	0			$361,284	$0	$31,903		Yes (X)
Brenda L Blair
System VP HR Ops	40.0	0.0			$350,844	$0	$60,462		Yes (X)
Christopher L Hubble MD
VP Patient Safety	40.0	0.5			$405,376	$0	$63,589		Yes (X)
Kenneth Kelliher
System VP Supply Chain		0			$353,230	$0	$22,531		Yes (X)
Martin T Manion
President/CEO NLH	40.0	0.5			$383,541	$0	$21,050		Yes (X)
DANIEL P JANTZEN
Former Chief Financial Officer	28.0	15.0			$1,105,647	$0	$66,965			Yes (X)
GEORGE T BLIKE MD MHCDS
Former/ Chief Quality & Value Officer (DHC)	10.0	11.5			$0	$106,407	$7,471			Yes (X)
Maria Padin MD
Chief Medical Officer, CGP	28.0	14.0			$0	$560,847	$67,853			Yes (X)
Peter D Solberg MD
Chief Health Information Officer	28.0	12.0			$0	$543,330	$50,479			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,755,394	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$9,660,498	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,625,344	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	1108	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
PROLUCENT HEALTH INC
10000 N Central Expressway Suit	Dallas	TX	75231	Healthcare Staffing	$94,037,341
CONIFER REVENUE CYCLE SOLUTIONS LLC
1500 S Douglas Rd Ste 200	Ananheim	CA	92806	Revenue Management Services	$49,528,152
TRACE 3 LLC
4601 DTC Boulevard	Denver	CO	80237	Licenses and Services	$18,919,098	Suite 400
HINCKLEY ALLEN & SNYDER LLP
650 ELM STREET	MANCHESTER	NH	03101	LEGAL SERVICES	$14,554,605	SUITE 500
TRUSTEES OF DARTMOUTH COLLEGE
DARTMOUTH COLLEGE	HANOVER	NH	03755	Services	$6,647,209	6132 MCNUTT RM 103

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	162	CntrctRcvdGreaterThan100KCnt
Government Grants	$29,503,924	GovernmentGrantsAmt
All Other Contributions	$262,846	AllOtherContributionsAmt
Noncash Contributions	$213,258	NoncashContributionsAmt
Total Contributions	$29,766,770	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$1,890,790,340	$1,885,325,866	$5,464,474
RESEARCH RELATED ACTIVITIES	622110	$6,716,214	$6,716,214
PHARMACY INCOME	446110	$278,947,933	$207,452,550	$71,495,383
NEAH & PROGRAM RELATED INVESTMENTS	541900	$1,873,991	$909,009	$964,982

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$2,178,328,478	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,088,843	TotalRevenueColumnAmt
Unrelated Business Revenue	$2,100,968	UnrelatedBusinessRevenueAmt
Exclusion	$987,875	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$570,212	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$510,377	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$59,835	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$59,835	TotalRevenueColumnAmt
Exclusion	$59,835	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	-$306,348	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$89,126	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$306,348	SecuritiesAmt
Other	-$89,126	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$395,474	TotalRevenueColumnAmt
Exclusion	-$395,474	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA	722514	$3,450,034	$3,450,034
Other Revenue	622110	$49,206,739		$40,196,580	$9,010,159

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$52,656,773	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,263,505,225	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,140,600,219	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$89,035,966	UnrelatedBusinessRevenueAmt
Exclusion	$4,102,270	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$8,221,089	TotalAmt
Program Services	$8,221,089	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$621,719	TotalAmt
Program Services	$621,719	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$354,123	TotalAmt
Program Services	$354,123	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$13,563,610	TotalAmt
Program Services	$4,660,278	ProgramServicesAmt
Management And General	$8,368,552	ManagementAndGeneralAmt
Fundraising	$534,780	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$1,971,355	TotalAmt
Program Services	$957,468	ProgramServicesAmt
Management And General	$999,025	ManagementAndGeneralAmt
Fundraising	$14,862	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$811,787,556	TotalAmt
Program Services	$711,881,483	ProgramServicesAmt
Management And General	$99,906,073	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$54,578,190	TotalAmt
Program Services	$47,483,025	ProgramServicesAmt
Management And General	$7,095,165	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$123,480,349	TotalAmt
Program Services	$108,200,111	ProgramServicesAmt
Management And General	$15,280,238	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$52,929,282	TotalAmt
Program Services	$46,379,479	ProgramServicesAmt
Management And General	$6,514,639	ManagementAndGeneralAmt
Fundraising	$35,164	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,905,506	TotalAmt
Program Services	$129,917	ProgramServicesAmt
Management And General	$2,775,589	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$750,039	TotalAmt
Program Services	$129,611	ProgramServicesAmt
Management And General	$620,428	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$179,525,800	TotalAmt
Program Services	$161,728,464	ProgramServicesAmt
Management And General	$17,797,336	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,431,247	TotalAmt
Program Services	$67,132	ProgramServicesAmt
Management And General	$2,364,115	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$23,411,898	TotalAmt
Program Services	$17,887,312	ProgramServicesAmt
Management And General	$5,524,586	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$29,203,836	TotalAmt
Program Services	$2,336,307	ProgramServicesAmt
Management And General	$26,867,529	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$24,103,743	TotalAmt
Program Services	$10,854,465	ProgramServicesAmt
Management And General	$13,249,278	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,535,201	TotalAmt
Program Services	$2,329,441	ProgramServicesAmt
Management And General	$1,205,760	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$364,357	TotalAmt
Program Services	$317,225	ProgramServicesAmt
Management And General	$47,132	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$22,422,003	TotalAmt
Program Services	$177,208	ProgramServicesAmt
Management And General	$22,244,795	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$54,999,560	TotalAmt
Program Services	$19,040,240	ProgramServicesAmt
Management And General	$35,959,320	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$19,519,299	TotalAmt
Program Services	$15,694,398	ProgramServicesAmt
Management And General	$3,824,901	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$539,999,881	$537,919,674	$2,080,207
MEDICAID ENHANCEMENT TAX	$71,161,681	$71,161,681
EQUIPMENT RENTAL & MAINT	$20,461,814	$8,999,608	$11,462,206
ACADEMIC, GME, TEACHING & EDUCATIONAL	$8,618,239	$7,276,977	$1,341,262

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$147,909,969	TotalAmt
Program Services	$142,177,793	ProgramServicesAmt
Management And General	$5,731,938	ManagementAndGeneralAmt
Fundraising	$238	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,218,831,346	TotalAmt
Program Services	$1,926,986,228	ProgramServicesAmt
Management And General	$291,260,074	ManagementAndGeneralAmt
Fundraising	$585,044	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$641,307	BOYAmt
EOY	$645,592	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$234,512,694	BOYAmt
EOY	$291,458,793	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$216,322	BOYAmt
EOY	$223,089	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$14,307,589	BOYAmt
EOY	$11,744,790	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$36,309,027	BOYAmt
EOY	$45,376,713	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$67,590,040	BOYAmt
EOY	$43,864,012	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,720,069,472	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$1,088,507,668	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$611,276,099	BOYAmt
EOY	$631,561,804	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$51,918,153	BOYAmt
EOY	$54,442,256	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$811,886,376	BOYAmt
EOY	$896,668,634	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$12,199,798	BOYAmt
EOY	$12,362,908	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$390,105,864	BOYAmt
EOY	$348,999,598	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,230,963,269	BOYAmt
EOY	$2,337,348,189	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$240,556,966	BOYAmt
EOY	$244,613,274	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$873,024	BOYAmt
EOY	$1,435,160	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,500,000	BOYAmt
EOY	$25,500,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$73,933,361	BOYAmt
EOY	$57,772,058	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$890,601,189	BOYAmt
EOY	$888,289,827	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,231,464,540	BOYAmt
EOY	$1,217,610,319	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$863,216,474	BOYAmt
EOY	$968,951,031	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$136,282,255	BOYAmt
EOY	$150,786,839	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$999,498,729	BOYAmt
EOY	$1,119,737,870	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,230,963,269	BOYAmt
EOY	$2,337,348,189	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$44,673,879	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$94,727,814	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$19,000,709	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$216,572	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$194,254	OtherActivitiesAmt
Total Lobbying Expenditures	$410,826	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	LINES IB & 1G MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) EMPLOYS THREE FULL TIME STAFF WHOSE DUTIES INCLUDE LOBBYING. TYPICAL EXPENSES ASSOCIATED WITH THE LOBBYING ACTIVITIES INCLUDE STAFF SALARY, TRAVEL, MEMBERSHIP FEES AND DUES. FROM TIME TO TIME, MARY HITCHCOCK MEMORIAL HOSPITAL, THROUGH ITS EMPLOYEES AND THE USE OF CONSULTANTS, CONTACTS GOVERNMENT OFFICIALS AND LEGISLATORS. THIS CONTACT IS FOR THE PURPOSE OF PROPOSING LEGISLATION OR EXPRESSING AN OPINION ON CHANGES IN LEGISLATION THAT AFFECT MHMH AND ITS ABILITY TO CARRY OUT ITS MISSION. THE ACTIVITIES INCLUDE SENDING LETTERS TO, CALLING, AND MEETING WITH GOVERNMENT OFFICIALS AND LEGISLATORS. FOR THE FISCAL YEAR ENDED JUNE 30, 2024, MARY HITCHCOCK MEMORIAL HOSPITAL INCURRED $216,572 IN CONJUCTION WITH THESE ACTIVITIES. LINE 1I MHMH PAYS DUES TO VARIOUS ORGANIZATIONS RELATED TO ITS EXEMPT MISSION. THE AMOUNT REPORTED UNDER OTHER ACTIVITIES ON LINE 1I REFERS TO THE AMOUNT OF LOBBYING ACTIVITIES IDENTIFIED IN DUES PAYMENTS TO OUTSIDE ORGANIZATIONS.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$88,797,563	BeginningYearBalanceAmt
Contributions	$587,329	ContributionsAmt
Investment Earnings Or Losses	$8,400,809	InvestmentEarningsOrLossesAmt
Other Expenditures	$472,291	OtherExpendituresAmt
End Year Balance	$97,313,410	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$81,833,643	BeginningYearBalanceAmt
Contributions	$3,189,501	ContributionsAmt
Investment Earnings Or Losses	$2,743,447	InvestmentEarningsOrLossesAmt
Other Expenditures	-$1,030,972	OtherExpendituresAmt
End Year Balance	$88,797,563	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$73,799,593	BeginningYearBalanceAmt
Contributions	$12,519,797	ContributionsAmt
Investment Earnings Or Losses	-$4,250,857	InvestmentEarningsOrLossesAmt
Other Expenditures	$234,890	OtherExpendituresAmt
End Year Balance	$81,833,643	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$61,828,667	BeginningYearBalanceAmt
Contributions	$2,758,262	ContributionsAmt
Investment Earnings Or Losses	$10,467,971	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,255,307	OtherExpendituresAmt
End Year Balance	$73,799,593	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$59,733,699	BeginningYearBalanceAmt
Contributions	$2,989,578	ContributionsAmt
Investment Earnings Or Losses	$698,013	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,592,623	OtherExpendituresAmt
End Year Balance	$61,828,667	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.1644	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.5993	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.2363	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$63,288,249	OtherCostOrOtherBasisAmt
Book Value	$63,288,249	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$871,862,661	OtherCostOrOtherBasisAmt
Depreciation	$478,045,997	DepreciationAmt
Book Value	$393,816,664	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,111,615	OtherCostOrOtherBasisAmt
Depreciation	$4,048,789	DepreciationAmt
Book Value	$62,826	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$737,659,443	OtherCostOrOtherBasisAmt
Depreciation	$606,412,882	DepreciationAmt
Book Value	$131,246,561	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$43,147,504	OtherCostOrOtherBasisAmt
Book Value	$43,147,504	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$631,561,804	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PRIVATE EQUITIES	$8,857	F
HEDGE FUNDS
OTHER INVESTMENTS
INVESTMENT IN POOLED FUNDS (MIP)	$896,659,777	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$896,668,634	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN CAPTIVE	$31,460,523
CAPITAL LEASE RECEIVABLE	$29,122,199
DUE FROM AFFILIATES	$274,504,648
UNAMORTIZED BOND ISSUANCE COSTS	$359,604
OTHER INVESTMENT ASSETS	$6,437,675
INVESTMENT IN MIP
457B PLAN ASSETS	$3,998,545
OTHER RECEIVABLES	$3,116,404

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$348,999,598	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
THIRD PARTY RESERVES	$41,022,168
ACCRUED POST RETMNT PENS & MED	$62,840,679
Payable to Dartmouth Hitchcock Health	$784,426,980

Field	Value	IRS element (for citing)
Total Liability	$888,289,827	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule D, Part V, Line 4 Intended uses of endowment funds	FormAndLineReferenceDesc
Explanation	THE INTENDED USE OF THE ENDOWMENT FUNDS IS TO PROMOTE AND ADVANCE THE FOLLOWING MISSION-RELATED PROGRAMS: HEALTHCARE SERVICES, RESEARCH, CHARITY CARE, COMMUNITY OUTREACH AND ADVOCACY, EQUIPMENT PURCHASES, AND HEALTH EDUCATION.	ExplanationTxt

Schedule F IRS990ScheduleF

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Account Activities Outside US AccountActivitiesOutsideUSGrp (6 entries)

RegionRegionTxt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean	0	Investments	$27,237,634
South Asia	4	Program Services	$21,381	DOCTORS HELPED TO LAUNCH LIFE-SAVING EMERGENCY MEDICAL EDUCATION TO BHUTAN.
Sub-Saharan Africa	4	Program Services	$21,086	PROVIDERS WENT TO RWANDA TO HELP TRAIN AND DELIVER EMDOSCOPIC CARE ALONGSIDE RWANDAN PEERS.
Sub-Saharan Africa	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$256,180
Europe (Including Iceland and Greenland)	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$84,137
North America (Canada & Mexico only)	0	GRANTS TO RECIPIENTS LOCATED IN THE REGION	$13,806

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	8	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	8	TotalEmployeeCnt
Subtotal Spent	$27,634,224	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$27,634,224	TotalSpentAmt

Grants To Org Outside US GrantsToOrgOutsideUSGrp (4 entries)

RegionRegionTxt	Purpose Of GrantPurposeOfGrantTxt	Cash GrantCashGrantAmt	Manner Of Cash DisbursementMannerOfCashDisbursementTxt	Valuation Method UsedValuationMethodUsedDesc
Sub-Saharan Africa	PROGRAM SUPPORT	$256,180	CASH	FMV
Europe (Including Iceland and Greenland)	PROGRAM SUPPORT	$39,950	CASH	FMV
Europe (Including Iceland and Greenland)	PROGRAM SUPPORT	$44,187	CASH	FMV
North America (Canada & Mexico only)	PROGRAM SUPPORT	$13,806	CASH	FMV

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	Yes (true)	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (true)	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule F, Part I, Line 2 Procedures for monitoring use of grant funds	THE HOSPITAL PROVIDES UNRESTRICTED PROGRAM SUPPORT FOR CERTAIN FOREIGN ORGANIZATIONS CHOSEN AND DIRECTED BY THE PHYSICIANS AND/OR RESEARCHERS WORKING DIRECTLY WITH THE CHARITY.
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	CENTRAL AMERICA AND THE CARIBBEAN-Accrual; EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SOUTH ASIA-Accrual; SUB-SAHARAN AFRICA-Accrual
Schedule F, Part II, Line 1 Method used to account for expenditures on org's financial statements	EUROPE (INCLUDING ICELAND AND GREENLAND)-Accrual; NORTH AMERICA (CANADA & MEXICO ONLY)-Accrual; SUB-SAHARAN AFRICA-Accrual

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	225	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,689,049	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$9,689,049	NetCommunityBenefitExpnsAmt
Total Expense	0.0044	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$317,940,633	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$179,173,694	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$138,766,939	NetCommunityBenefitExpnsAmt
Total Expense	0.0637	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$327,629,682	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$179,173,694	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$148,455,988	NetCommunityBenefitExpnsAmt
Total Expense	0.0682	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,645,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$303,793	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,342,095	NetCommunityBenefitExpnsAmt
Total Expense	0.0029	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,377,385	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$20,764,987	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,612,398	NetCommunityBenefitExpnsAmt
Total Expense	0.0191	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,437,374	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$14,418,721	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,018,653	NetCommunityBenefitExpnsAmt
Total Expense	0.0032	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$73,200,141	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$44,065,069	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,135,072	NetCommunityBenefitExpnsAmt
Total Expense	0.0134	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,654,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,654,650	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$165,315,438	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$79,552,570	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$85,762,868	NetCommunityBenefitExpnsAmt
Total Expense	0.0394	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$492,945,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$258,726,264	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$234,218,856	NetCommunityBenefitExpnsAmt
Total Expense	0.1076	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$96,381	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$96,381	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$96,381	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$96,381	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$356,411,249	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$381,648,660	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$25,237,411	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARY HITCHCOCK MEMORIAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MEDICAL CENTER DRIVE	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.DARTMOUTH-HITCHCOCK.ORG	WebsiteAddressTxt
State License	01799	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Childrens Hospital	Yes (X)	ChildrensHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Research Facility	Yes (X)	ResearchFacilityInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	PSYCHIATRIC UNIT AND TRANSPLANT UNIT CANCER CENTER	OtherDesc
Facility Reporting Group	1	FacilityReportingGroupCd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	1	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	https://www.dartmouth-hitchcock.org/about/community-health	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	23	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	https://www.dartmouth-hitchcock.org/sites/default/files/2022-10/community-health-improvement-plan-20	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	225.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.0	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY WHICH ARE IDENTIFIED THROUGH CHNA.
Schedule H, Part V, Section B, Line 5 Facility 1, 1	Facility 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) AND DARTMOUTH-HITCHCOCK CLINIC (DHC, COLLECTIVELY KNOWN AS D-H) ARE ACTIVELY ENGAGED IN THE DEVELOPMENT OF THE UPPER VALLEY REGIONAL PUBLIC HEALTH ADVISORY COUNCIL AND GREATER SULLIVAN COUNTY PUBLIC HEALTH ADVISORY COUNCIL (WITH 60+ COMMUNITY REPRESENTATIVES). MEMBERS OF THESE TWO COMMUNITY HEALTH ADVISORY GROUPS HAVE HAD THE OPPORTUNITY TO REVIEW AND COMMENT ON DRAFTS OF D-H'S COMMUNITY HEALTH IMPROVEMENT PLAN. THE PLAN DOCUMENT HAS ALSO BEEN CIRCULATED TO PUBLIC HEALTH OFFICIALS IN NEW HAMPSHIRE AND VERMONT FOR THEIR COMMENT. IN ADDITION, D-H REPRESENTATIVES SERVE ON NUMEROUS BOARDS, TASK FORCES, MUNICIPAL HEALTH LEADERSHIP AND PLANNING TEAMS, AND OTHER COMMUNITY HEALTH LEADERSHIP ENTITIES IN ORDER TO ENSURE THAT BOTH ORGANIZATIONS PARTICIPATE IN AND BETTER-UNDERSTAND THE NEEDS OF OUR COMMUNITY. MHMH CONTRACTED WITH JOHN SNOW RESEARCH AND TRAINING INSTITUTE/COMMUNITY HEALTH INSTITUTE TO PROVIDE CONSULTATION AND TECHNICAL EXPERTISE TO OUR ASSESSMENT PROCESS. JOHN SNOW RESEARCH AND TRAINING INSTITUTE IS A PUBLIC HEALTH MANAGEMENT CONSULTING AND RESEARCH ORGANIZATION DEDICATED TO IMPROVING THE HEALTH OF INDIVIDUALS AND COMMUNITIES THROUGHOUT THE WORLD. DURING THE PERIOD FEBRUARY THROUGH OCTOBER 2021, A COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED BY DARTMOUTH-HITCHCOCK AND ALICE PECK DAY MEMORIAL HOSPITAL IN PARTNERSHIP WITH NEW LONDON HOSPITAL, VALLEY REGIONAL HOSPITAL, MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, AND VISITING NURSE & HOSPICE OF VT/NH AND LAKE SUNAPEE VNA. THE PURPOSE OF THE ASSESSMENT WAS TO IDENTIFY COMMUNITY HEALTH CONCERNS, PRIORITIES, AND OPPORTUNITIES FOR COMMUNITY HEALTH AND HEALTH CARE DELIVERY SYSTEMS IMPROVEMENT. WHILE DARTMOUTH-HITCHCOCK MEDICAL CENTER SERVES AS A TERTIARY REFERRAL MEDICAL CENTER FOR A LARGE, MULTI-STATE AREA, THE GEOGRAPHIC AREA OF INTEREST FOR THE PURPOSES OF THIS ASSESSMENT WAS THE PRIMARY SERVICE AREA OF MARY HITCHCOCK MEMORIAL HOSPITAL HOSPITAL, MT. ASCUTNEY HOSPITAL AND HEALTH CENTER, VISITING NURSE & HOSPICE OF VT/NH, AND ALICE PECK DAY MEMORIAL HOSPITAL. THIS PRIMARY SERVICE AREA WAS DEFINED AS 19 MUNICIPALITIES COMPRISING THE UPPER VALLEY OF NEW HAMPSHIRE AND VERMONT WITH A TOTAL RESIDENT POPULATION OF APPROXIMATELY 70,000 PEOPLE. METHODS EMPLOYED IN THE ASSESSMENT INCLUDED A SURVEY OF AREA RESIDENTS MADE AVAILABLE THROUGH DIRECT MAIL AND WEBSITE LINKS, A SURVEY OF KEY COMMUNITY STAKEHOLDERS WHO ARE AGENCY, MUNICIPAL OR COMMUNITY LEADERS, A SERIES OF COMMUNITY DISCUSSION GROUPS CONVENED IN THE PRIMARY SERVICE AREA, AND A REVIEW OF AVAILABLE POPULATION DEMOGRAPHICS AND HEALTH STATUS INDICATORS. IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), POPULATIONS EXPERIENCING HEALTH DISPARITIES OR VULNERABLE TO POOR HEALTH OUTCOMES ARE PRIMARILY DEFINED AS THOSE POPULATIONS FACING SIGNIFICANT INCOME AND SOCIAL DETERMINANTS CHALLENGES, WHICH IN THIS REGION ARE STRONGLY ASSOCIATED WITH NEGATIVE IMPACTS ON HEALTH. ENHANCED EFFORTS WERE MADE TO UNDERSTAND THE NEEDS OF THESE POPULATIONS THROUGH TARGETED SURVEYS AND VIRTUAL COMMUNITY CONVERSATIONS, MULTIPLE REGIONAL FREE COVID VACCINATION CLINICS, HOMELESS PROGRAMS, AND OTHER COMMUNITY SETTINGS SERVING ECONOMICALLY-VULNERABLE RESIDENTS. FINDINGS OF THIS ASSESSMENT HAVE BEEN SHARED WITH PUBLIC HEALTH OFFICIALS IN NH AND VT, AS WELL AS WITH THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY. DURING THIS ASSESSMENT, MARY HITCHCOCK MEMORIAL HOSPITAL USED SURVEYS FROM FEBRUARY 2021 THROUGH SEPTEMBER 2021 TO GENERATE INPUT FROM 1,642 RESIDENTS. SURVEYS WERE MADE AVAILABLE THROUGH PRIMARY CARE CLINICS, FREE CARE CLINICS, ANNUAL TOWN MEETINGS/ELECTIONS, AND NUMEROUS OTHER COMMUNITY LOCATIONS. VISITING NURSES AND OTHERS PROVIDED PRE-PAID MAILERS AND SURVEYS TO HOMEBOUND RESIDENTS. RESIDENTS COMPLETING SURVEYS INCLUDED MEMBERS OF AFRICAN-AMERICAN, HISPANIC, NATIVE AMERICAN, AND ASIAN POPULATIONS. SURVEYS WERE DISTRIBUTED THROUGH REGIONAL HEALTH CLINICS, THE REGION'S SHELTER FOR HOMELESS POPULATIONS; THE REGION'S LOW-INCOME HOUSING TRUST; SENIOR CENTERS; SUBSTANCE USE DISORDER TREATMENT PROGRAMS, DELIVERED DIRECTLY TO RESIDENT HOMES, AND OTHER LOCATIONS WHERE POPULATIONS MOST AFFECTED BY HEALTH DISPARITIES CONGREGATE. MARY HITCHCOCK MEMORIAL HOSPITAL DISSEMINATED THE SURVEY TOGETHER WITH MULTIPLE COMMUNITY ORGANIZATIONS THAT SERVE LOW-INCOME, FRAIL, AND HEALTH DISPARITY POPULATIONS. COMMUNITY PARTNERS PROVIDED ASSISTANCE DISSEMINATING THE SURVEY, INCLUDING THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY, WHOSE MEMBERSHIP INCLUDES COMMUNITY MENTAL HEALTH SERVICES, SUBSTANCE USE SERVICES, MENTAL HEALTH PEER LEADERS, WIC PROVIDERS, SENIOR SERVICES ADVOCATES, SERVICES WORKING WITH PEOPLE WITH PHYSICAL AND DEVELOPMENTAL DISABILITIES, COMMUNITY NURSING, VISITING NURSES, AND OTHER CORE HUMAN SERVICES. IN ADDITION TO ASSISTING IN SURVEY DISSEMINATION, THESE PROVIDERS ADVOCATED FOR UNDERSERVED AND VULNERABLE POPULATIONS IN OUR REGION AS A PART OF THE CHNA PROCESS. DURING THIS CHNA PROCESS, WE MADE RESIDENT SURVEYS WIDELY AVAILABLE TO COMMUNITY RESIDENTS THROUGH PUBLIC LIST SERVES, DIRECT E-MAIL INVITATIONS TO PATIENTS OF OUR PRIMARY CARE CLINICS, SURVEY LINKS ON TOWN WEB SITES AND E-NEWS, EMPLOYEE E-NEWS IN MAJOR EMPLOYERS, AND THROUGH OTHER SYSTEMS THAT PROVIDED WIDESPREAD ACCESS TO OUR SURVEYS. WE PARTNERED CLOSELY WITH ORGANIZATIONS SERVING POPULATIONS AFFECTED BY POVERTY, LACK OF INSURANCE, HOMELESSNESS, BEHAVIORAL HEALTH CONDITIONS, AND SERIOUS AND CHRONIC ILLNESSES IN ORDER TO SURVEY THESE MEMBERS OF POPULATIONS IN OUR COMMUNITY, AND HOSTED MULTIPLE DISCUSSION GROUPS WITH PEOPLE AFFECTED BY POVERTY AND CHRONIC ILLNESS. WE RECOGNIZE THE LIMITATIONS OF OUR ENGAGEMENT OF RACIAL AND ETHNIC MINORITY MEMBERS OF OUR COMMUNITY AND ARE WORKING TO IMPROVE THIS PART OF OUR CHNA PROCESS. THIS POPULATION IS QUITE SMALL: 0.9% OF THE POPULATION OF GRAFTON COUNTY, NH IDENTIFIES AS AFRICAN AMERICAN, 0.4% AS NATIVE AMERICAN, 1.8% AS HISPANIC/LATINO, 3.0% AS ASIAN. 92.1% OF THE MHMH HOSPITAL SERVICE AREA'S RESIDENTS IDENTIFY AS CAUCASIAN. WIDE DISPERSAL OF THIS POPULATION ACROSS A LARGE GEOGRAPHY FURTHER COMPLICATES ENGAGEMENT EFFORTS. HOUSEHOLD MEDIAN INCOME, INSURANCE STATUS, AND OTHER INDICATORS OF POVERTY ARE SIGNIFICANT DRIVERS OF DISPARITY IN OUR REGION. POVERTY RATES RANGE WIDELY BY TOWN, WITH A RANGE BY TOWN OF 2% TO 16% OF HOUSEHOLDS LIVING ON INCOMES BELOW 100% OF FEDERAL POVERTY LEVEL. THESE POPULATIONS FACE NOTABLE HEALTH DISPARITY CONDITIONS ASSOCIATED WITH POVERTY AND OTHER SOCIAL DETERMINANTS OF HEALTH. (CONTINUED PART vi)
Schedule H, Part V, Section B, Line 6a Facility 1, 1	Facility 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. DURING FEBRUARY 2021 - OCTOBER 2021, MHMH PARTNERED WITH ALICE PECK DAY MEMORIAL HOSPITAL TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT. WE ALSO PARTNERED WITH NEIGHBORING HOSPITALS AND ORGANIZATIONS INCLUDING VALLEY REGIONAL HOSPITAL, NEW LONDON HOSPITAL, MOUNT ASCUTNEY HOSPITAL AND HEALTH CENTER, VISITING NURSE & HOSPICE OF VT/NH AND LAKE SUNAPEE VNA. WE USED SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENT TOOLS AND APPROACHES, ALLOWING US TO COMPARE COMMUNITY HEALTH NEEDS ACROSS A BROAD GEOGRAPHIC, MULTI-HOSPITAL REGION.
Schedule H, Part V, Section B, Line 6b Facility 1, 1	Facility 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. DURING FEBRUARY 2021 - OCTOBER 2021, IN ADDITION TO WORKING WITH DARTMOUTH-HITCHCOCK CLINIC, MHMH WORKED CLOSELY WITH THE MEMBER ORGANIZATIONS OF THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY (60+ MEMBER ORGANIZATIONS) AND GREATER SULLIVAN COUNTY PUBLIC HEALTH ADVISORY COUNCIL TO DISSEMINATE SURVEYS, SERVE AS KEY INFORMANTS, AND TO PROVIDE OVERALL REVIEW AND FEEDBACK RE: FINDINGS IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT
Schedule H, Part V, Section B, Line 7 Facility 1, 1	Facility 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. THE CHNA WAS DISTRIBUTED TO NON-PROFIT ORGANIZATIONS THROUGHOUT THE REGION INCLUDING THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY, WHICH IS A MEMBERSHIP GROUP OF REGIONAL NON-PROFIT, MUNICIPAL, SAFETY, HUMAN SERVICE, AND PUBLIC HEALTH ORGANIZATIONS. IT IS ALSO AVAILABLE FROM THE ORGANIZATION UPON REQUEST AND IS POSTED ON THE MHMH WEB PAGE (HTTPS://WWW.DARTMOUTH-HEALTH.ORG/SITES/DEFAULT/FILES/2023-07/2022-COMMUNITY-HEALTH-NEEDS-ASSESSMENT.PDF)
Schedule H, Part V, Section B, Line 11 Facility 1, 1	Facility 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. MHMH IS INCREASING COMMUNITY BENEFITS SPENDING TO ADDRESS IDENTIFIED COMMUNITY NEEDS BASED ON THE MOST RECENT CHNA IN AREAS OF TRAUMA AND VIOLENCE, SOCIAL DETERMINANTS OF HEALTH, IMPROVING ACCESS TO HEALTH CARE, AND NEEDS OF OLDER ADULTS, AS WELL AS MAINTAINING ONGOING INVESTMENTS IN BEHAVIORAL HEALTH AND SUBSTANCE USE NEEDS, STRENGTHENING FAMILIES AND CHILDREN, AND CANCER CARE AND TREATMENT. IN FY 2024, MARY HITCHCOCK MEMORIAL HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT STRATEGIES WERE CONSISTENT WITH THE INTENTIONS IDENTIFIED IN OUR PREVIOUS COMMUNITY HEALTH IMPROVEMENT PLANS. AREAS WERE ANALYZED AND MHMH RESPONDED BY INCREASING INVESTMENTS, MAINTAINING SIMILAR LEVELS OF INVESTMENTS FOR SERVICES AND INITIATIVES, OR LIMITING INVESTMENT IN AREAS WHERE OTHER COMMUNITY ORGANIZATIONS ALREADY PROVIDE LEADERSHIP AND SERVICES TO ADDRESS THE NEED, AND/OR WHERE THE IDENTIFIED NEED IS SIGNIFICANTLY OUTSIDE THE MISSION/SERVICES/SCOPE OF MHMH. MARY HITCHCOCK MEMORIAL HOSPITAL'S COMMUNITY HEALTH IMPROVEMENT PLAN IS A 3-YEAR DOCUMENT IDENTIFYING ANTICIPATED INVESTMENTS AND ACTIVITIES THAT IT WILL TAKE TO ADDRESS NEEDS IDENTIFIED IN THE MOST RECENT UPPER VALLEY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - MARY HTCHCOCK MEMORIAL 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 MHMH.
Schedule H, Part V, Section B, Line 13 Facility 1, 1	Facility 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. MHMH 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, 1	Facility 1, 1 - MARY HITCHCOCK MEMORIAL HOSPITAL. THE FINANCIAL ASSISTANCE POLICY IS POSTED ON MHMH'S WEBSITE, INCLUDING THE VERBATIM POLICY AND A SHORTER, MORE PATIENT-FRIENDLY PLAIN-LANGUAGE SUMMARY. MHMH PROVIDES THE PLAIN-LANGUAGE SUMMARY BROCHURE TO ALL INPATIENTS, EMERGENCY DEPARTMENT INTAKES, UNINSURED, AND SELF-PAY INDIVIDUALS. MHMH CONTINUES TO NOTIFY PATIENTS ON THE BACK OF THE BILLING STATEMENT ABOUT FINANCIAL ASSISTANCE AVAILABLE TO THEM. ADDITIONALLY, MHMH 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. MHMH SCREENS 100% OF UNINSURED INPATIENT AND SAME-DAY PATIENTS PRIOR TO ADMISSION. AS PART OF THIS PROCESS, MHMH 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.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section A FACILITY INFORMATION	THE HOSPITAL HAS A SECOND CANCER TREATMENT CENTER LOCATED IN SAINT JOHNSBURY, VERMONT. THIS LOCATION IS REGISTERED UNDER THE SAME LICENSE AS THE ORGANIZATION'S MAIN CAMPUS LOCATED IN LEBANON, NEW HAMPSHIRE.
Schedule H, Part I, Line 3c OTHER FACTORS USED IN DETERMINING ELIGIBILITY OTHER THAN FPG	MHMH USES THE FPG GUIDELINES IN DETERMINING THE INITIAL LEVEL OF FINANCIAL ASSISTANCE PROVIDED. IN ADDITION, MHMH 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 AGE 55 AND $250,000 FOR PATIENTS AGED 55 AND OLDER, AND A RETIREMENT SHELTER OF UP TO $100,000 IN RETIREMENT ASSETS AS LONG AS THE FUNDS ARE EMPLOYER-BASED CONTRIBUTIONS (IF WORKING) OR IN AN IRA (IF SELF-EMPLOYED). IF A PATIENT IS RETIRED, PRIOR RETIREMENT ACCOUNTS WOULD BE INCLUDED AS A SHELTERED ASSET.
Schedule H, Part I, Line 6a COMMUNITY BENEFITS REPORT	MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC (COLLECTIVELY REFERRED TO AS DARTMOUTH-HITCHCOCK (D-H)) SHARE COMMON BOARD MEMBERS AND OPERATE UNDER AN AFFILIATION AGREEMENT. D-H PERFORMS A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND FILES A CONSOLIDATED COMMUNITY BENEFIT REPORT WITH THE STATE OF NEW HAMPSHIRE. FOR PURPOSES OF IRS FORM 990, SCHEDULE H, ONLY MARY HITCHCOCK MEMORIAL HOSPITAL NUMBERS WERE USED. ALL AMOUNTS RELATING TO DHC WERE EXCLUDED. THE NEW HAMPSHIRE COMMUNITY BENEFITS REPORT FILED FOR FISCAL YEAR 2024 SHOWS THAT COMBINED, DHC AND MHMH PROVIDED BENEFIT TOTALING $326,680,381.
Schedule H, Part V, Section B, Line 5 PERSONS WHO REPRESENT BROAD INTERESTS OF COMMUNITY SERVED CONT	DURING OUR ASSESSMENT PROCESS, MHMH MADE SPECIFIC EFFORTS TO CONTACT AND RECEIVE INPUT FROM MEMBERS OF INCOME-VULNERABLE POPULATIONS, INCLUDING: SURVEYS DISTRIBUTED AT A COVID VACCINATION CLINIC DESIGNATED FOR MEMBERS OF THE BIPOC COMMUNITY VIRTUAL DISCUSSION GROUP WITH PEOPLE RECEIVING MEDICATION ASSISTED TREATMENT FOR OPIATE USE DISORDER (JANUARY 25, 2021). * VIRTUAL DISCUSSION GROUP WITH ADULTS WHO REGULARLY ACCESS FOOD VIA LOCAL FOOD SHELVES (1/26/2021). * VIRTUAL DISCUSSION GROUP WITH PEOPLE IDENTIFYING AS HAVING COMPLEX HEALTH CONDITIONS (1/26/2021.) * VIRTUAL DISCUSSION GROUP WITH COMMUNITY HEALTH WORKERS SERVING CHRONICALLY ILL, AND OTHERWISE VULNERABLE OLDER ADULTS IN REGIONAL TOWNS (1/26/2021.) * VIRTUAL DISCUSSION GROUP WITH RECOVERY COACHES SERVING PEOPLE WITH SUBSTANCE USE DISORDER (1/27/2021.) VIRTUAL DISCUSSION GROUP WITH MEMBERS OF THE COMMUNITY AGES 65+ RECEIVING SERVICES FROM THE LAKE SUNAPEE VISITING NURSE ALLIANCE (1/28/2021). WORKING WITH THE GOOD NEIGHBOR HEALTH CLINIC AND MASCOMA COMMUNITY HEALTH CENTER TO DISSEMINATE SURVEYS TO PATIENTS WHO ARE UNINSURED AND LOW-INCOME. DISSEMINATING SURVEYS AT THE UPPER VALLEY HAVEN (SHELTER); LISTEN COMMUNITY SERVICES (BASIC NEED SUPPORT, FOOD SHELF, AND COMMUNITY DINNERS); TO PARENTS OF CHILDREN IN DARTMOUTH-HITCHCOCK AND ALICE PECK DAY'S PEDIATRICS CLINICS; VIA WOMEN, INFANTS, AND CHILDREN'S CLINICS; THROUGH GRAFTON COUNTY SENIOR CITIZENS COUNCIL (HOME-DELIVERED MEALS AND CONGREGATE MEALS); THROUGH VISITING NURSE AND HOSPICE OF VT AND NH (HOME-VISITING PROGRAMS FOR FAMILIES WITH YOUNG CHILDREN AND FOR SENIORS WITH COMPLEX HEALTH NEEDS); AND THROUGH OTHER COMMUNITY ORGANIZATIONS SERVING PEOPLE AFFECTED BY POVERTY AND POOR HEALTH. IN FY21 MHMH STAFF WORKED CLOSELY WITH UPPER VALLEY STRONG AND GREATER SULLIVAN STRONG, RAPID-FORMING COMMUNITY RESPONSE COALITIONS EACH WITH 50+ COMMUNITY ORGANIZATION MEMBERS, TO SHARE INFORMATION AND ASSESS COMMUNITY NEEDS ABOUT REAL-TIME IMPACTS OF COVID-19, INCLUDING SHARING INFORMATION ABOUT PREVENTION, RISK REDUCTION, VACCINATIONS, AND IMPACT OF COVID-19 ON COMMUNITY SOCIAL SAFETY ORGANIZATIONS, HELPING TO COORDINATE COMMUNITY RESPONSE AND KEEP CRITICAL COMMUNITY SERVICES OPEN AND FUNCTIONING DESPITE COVID-19 RELATED COMMUNITY DISRUPTIONS.
Schedule H, Part I, Line 7g Subsidized Health Services	THE ORGANIZATION DID NOT INCLUDE ANY SUBSIDIZED HEALTH SERVICE COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC ON PART I, LINE 7G.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	41336812
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.
Schedule H, Part II Community Building Activities	COMMUNITY BUILDING ACTIVITIES INCLUDE CONTINUING EXPENSES RELATED TO COALITIONS SUCH AS ONES THAT ADDRESS REGIONAL PUBLIC HEALTH NETWORKS, IMPROVEMENT IN SYSTEMS OF CARE FOR SUBSTANCE USE AND MENTAL HEALTH DISORDERS, PREVENTION OF SUBSTANCE ABUSE, FALLS REDUCTION FOR OLDER ADULTS, AND PRESCRIPTION DRUG MISUSE. IT ALSO INCLUDES SUPPORTING INVESTMENTS IN REGIONAL PUBLIC TRANSPORTATION AND AFFORDABLE HOUSING INITIATIVES AND WORKFORCE TRAINING INITIATIVES THAT ENABLE UNEMPLOYED AND MARGINALLY EMPLOYED PERSONS TO ACCESS CAREERS IN OUR HOSPITAL, OTHER HEALTH CARE SETTINGS, AND OTHER REGIONAL EMPLOYERS.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BASED ON ACCOUNTING GUIDANCE, BAD DEBT IS RECORDED AS A REDUCTION TO NET PATIENT REVENUE.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	The hospital is unable to estimate accurately the amount of bad debt expense attributable to patients eligible for financial assistance. Although a portion of bad debt expense may be related to patients who would qualify for charity care, a reportable figure cannot be reasonably estimated.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	MHMH IS INCLUDED IN THE DARTMOUTH-HITCHCOCK HEALTH AND SUBSIDIARIES CONSOLIDATED FINANCIAL STATEMENTS. AS A RESULT OF ACCOUNTING CHANGES (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 used to calculate the amounts reported as Medicare shortfalls was derived from the Internal Revenue Service's Worksheet B as provided for Part III calculations. MHMH had revenues of $199,647,423 and costs of $287,978,621 for services not included on the Medicare Cost Report (Ambulance Services, Laboratory and other fee screens, and Medicare Part C & D services). MHMH incurred a net loss of $88,331,196 on the provision of these services. Because of the central role of the organization in serving the healthcare needs of its community and the demographic characteristics of the community served, it is likely that a portion of the Medicare shortfall should be considered community benefit expenditure. MHMH 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	MHMH 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 D-H CREDIT AND COLLECTIONS POLICY.
Schedule H, Part V, Section B, Line 16a FAP website	1 - MARY HITCHCOCK MEMORIAL HOSPITAL: Line 16a URL: https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16b FAP Application website	1 - MARY HITCHCOCK MEMORIAL HOSPITAL: Line 16b URL: https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	1 - MARY HITCHCOCK MEMORIAL HOSPITAL: Line 16c URL: https://www.dartmouth-hitchcock.org/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE;
Schedule H, Part VI, Line 2 Needs assessment	MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH HITCHCOCK CLINIC (COLLECTIVELY REFERRED TO AS DARTMOUTH-HITCHCOCK (D-H)) SHARE COMMON BOARD MEMBERS AND OPERATE UNDER AN AFFILIATION AGREEMENT. D-H PERFORMS A JOINT COMMUNITY NEEDS ASSESSMENT AND FILES A CONSOLIDATED COMMUNITY BENEFITS REPORT. DARTMOUTH-HITCHCOCK PARTICIPATES WITH OTHER HEALTH CARE CHARITABLE TRUSTS AND COMMUNITY PARTNERS IN EACH OF OUR SERVICE AREAS TO COMPLETE COMMUNITY HEALTH NEEDS ASSESSMENTS. DURING FY2022, MHMH PARTNERED WITH ALICE PECK DAY MEMORIAL HOSPITAL, TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT. WE ALSO WORKED TOGETHER WITH NEIGHBORING HOSPITALS, INCLUDING MOUNT ASCUTNEY HOSPITAL AND HEALTH CLINIC, VALLEY REGIONAL HOSPITAL, NEW LONDON HOSPITAL, AND VISITING NURSE & HOSPICE OF VT & NH TO USE SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENTS TOOLS AND APPROACHES, TO ALLOW COMPARABILITY OF HEALTH DATA ACROSS A WIDER GEOGRAPHIC REGION. COLLECTIVELY D-H AND PARTNERED HOSPITALS HIRED COMMUNITY HEALTH INSTITUTE/JOHN SNOW RESEARCH AND TRAINING INSTITUTE, A PUBLIC HEALTH CONSULTING FIRM, TO PROVIDE TECHNICAL ASSISTANCE AND ANALYSIS RELATED TO OUR COMMUNITY HEALTH NEEDS ASSESSMENTS. THE NEEDS ASSESSMENT INCLUDED REVIEWING SELECTED SERVICE AREA DEMOGRAPHICS; PUBLIC HEALTH DATA AVAILABLE THROUGH NH AND VT HEALTH DEPARTMENTS, HOSPITAL DISCHARGE DATA, BEHAVIORAL RISK FACTOR SURVEILLANCE SURVEY AND YOUTH RISK BEHAVIOR SURVEYS; FOCUS GROUPS WITH EMPLOYERS AND WITH COMMUNITY MEMBERS RECEIVING SERVICES AT REGIONAL SAFETY NET SERVICE ORGANIZATIONS; ELECTRONIC SURVEYS OF PROFESSIONAL HEALTH AND SOCIAL SERVICE PROVIDERS; AS WELL AS PAPER AND ELECTRONIC CONVENIENCE SURVEYS OF COMMUNITY RESIDENTS. FINDINGS OF THE FY2022 COMMUNITY HEALTH NEEDS ASSESSMENT WERE REVIEWED AT 2 LARGE VIRTUAL COMMUNITY MEETINGS (80+ TOTAL STAKEHOLDERS) HOSTED IN CONCERT WITH THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY AND OTHERS FOR FURTHER COMMENTS AND FEEDBACK. THE FINDINGS WERE ALSO REVIEWED IN 16 DEPARTMENT MEETINGS WITHIN MHMH INCLUDING MORE THAN 50 STAFF. ADDITIONALLY, MHMH COMMUNITY HEALTH STAFF PARTICIPATE IN OR LEAD MULTIPLE COMMUNITY COALITIONS AND PROJECTS CONNECTING US TO A WIDE ARRAY OF COMMUNITY-BASED HEALTH, MUNICIPAL, SCHOOL, SERVICE ORGANIZATION, REGIONAL PLANNING AND STATE PUBLIC HEALTH STAKEHOLDERS. WE REGULARLY REVIEW EMERGING NH & VT STATE HEALTH DATA; QUANTITATIVE AND QUALITATIVE DATA FROM LOCAL SOURCES (NEWSPAPERS, REGIONAL PLANNING OFFICES, COMMUNITY FORUMS), AND CONVERSATIONS WITH COMMUNITY PARTNERS TO IDENTIFY CONCERNS THAT ARE EMERGING, INTENSIFYING, OR ARE THE SOURCE OF LOCAL ATTENTION SINCE THE LAST CHNA WAS CONDUCTED.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	ALL UNINSURED INPATIENTS, SAME DAY SURGERY, OBSERVATION, AND EMERGENCY DEPARTMENT PATIENTS ARE PROACTIVELY SCREENED USING PAPER AND/OR AN AUTOMATED TOOL TO IDENTIFY POTENTIAL QUALIFICATION FOR OTHER FEDERAL, STATE, AND LOCAL PROGRAMS. IN ADDITION, SPECIFIC OUTPATIENT ACTIVITIES DEEMED TO HAVE A HIGHER RATE OF NEED ARE SCREENED AS PART OF OUR REGULAR PROTOCOL. IF A PATIENT APPEARS TO BE ELIGIBLE, ON-SITE FINANCIAL COUNSELORS ASSIST THE PATIENT IN COMPLETING THE APPROPRIATE PAPERWORK/APPLICATIONS AND PROVIDE INSTRUCTIONS REGARDING HOW TO COMPLETE THE QUALIFICATION PROCESS. IN SOME CASES, A FINANCIAL COUNSELOR WILL ACT ON BEHALF OF THE PATIENT, AT THEIR SIGNED CONSENT, IN ORDER TO COMPLETE THE APPLICATION PROCESS (FOR EXAMPLE, IN NEW HAMPSHIRE A PATIENT MUST BE PHYSICALLY PRESENT AT THE DISTRICT OFFICE). IF A PATIENT DOESN'T QUALIFY FOR SPECIFIC PROGRAMS, THEY ARE ALSO CONSIDERED FOR FINANCIAL ASSISTANCE AS PART OF THEIR SCREENING. FOR OUTPATIENT SERVICES THAT ARE NOT ROUTINELY SCREENED, STAFF INTERACTING WITH PATIENTS ARE INSTRUCTED TO PROVIDE EITHER A FINANCIAL ASSISTANCE APPLICATION OR CONTACT INFORMATION FOR A FINANCIAL COUNSELOR WHEN A PATIENT EXPRESSES THEIR INABILITY TO MAKE PAYMENT. EVERY APPLICATION IS SCREENED FOR COMPLETED INCOME AND ASSET DOCUMENTATION. APPLICATIONS ARE ALSO SCREENED TO ASSURE THERE ARE NO OTHER POTENTIAL OPTIONS OF FEDERAL, STATE, OR LOCAL PROGRAMS. THE WEBSITE, PATIENT STATEMENTS, AND FINANCIAL BROCHURES ALL INCLUDE INFORMATION ABOUT FINANCIAL ASSISTANCE AND HOW TO APPLY.
Schedule H, Part VI, Line 4 Community information	THE ORGANIZATION DEFINES ITS SERVICE REGION AS NEW HAMPSHIRE AND EASTERN VERMONT, WITH THE LARGEST PRESENCE IN A 19-TOWN HOSPITAL SERVICE AREA REGION ADJOINING LEBANON, NEW HAMPSHIRE, SITE OF DARTMOUTH-HITCHCOCK MEDICAL CENTER WHICH INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL AND DARTMOUTH-HITCHCOCK CLINIC'S MAIN NORTHERN CLINIC. THE 19-TOWN HOSPITAL SERVICE AREA REGION HAS A POPULATION OF 70,000 PEOPLE, WITH TOWNS RANGING IN POPULATION FROM 200-14,000 PEOPLE. THESE TOWNS ARE GENERALLY CONSIDERED RURAL, THOUGH THE HANOVER, LEBANON, NH AND HARTFORD, VT COMMUNITIES ARE CONSIDERED TO BE A MICROPOLITAN AREA. AMONG THE REGION'S 19 TOWNS, MEDIAN HOUSEHOLD INCOME VARIES WIDELY, FROM $50K-$120K ANNUALLY. 17.5% OF THE POPULATION IS OVER THE AGE OF 65; 11% OF CHILDREN LIVE IN HOUSEHOLDS WHOSE MEDIAN HOUSEHOLD INCOME IS LESS THAN 100% OF FEDERAL POVERTY LEVEL, 26.8% OF CHILDREN LIVE IN HOUSEHOLDS WITH INCOME LESS THAN 200% OF FEDERAL POVERTY LEVEL; 1.5% OF THE REGION'S RESIDENTS HAVE LIMITED ENGLISH PROFICIENCY; AND 7.1% LACKED HEALTH INSURANCE. 11.8% OF NH RESIDENTS AND 24.9% OF VERMONT RESIDENTS ARE MEDICAID BENEFICIARIES. THE REGION IS SERVED BY MHMH AND BY ALICE PECK DAY MEMORIAL HOSPITALS. THERE ARE NO FEDERALLY QUALIFIED HEALTH CENTERS OPERATING WITHIN THE REGION, THOUGH ONE REGIONAL COMMUNITY HEALTH CLINIC IS PURSUING THIS STATUS. THE GOOD NEIGHBOR HEALTH CLINIC, IN HARTFORD, VT, OFFERS CARE TO UNINSURED COMMUNITY MEMBERS. TWO MINOR CIVIL DIVISIONS IN OUR REGION, DORCHESTER NH AND PIERMONT NH, ARE CONSIDERED MEDICALLY UNDERSERVED AREAS. MHMH SERVES THE GENERAL POPULATION WITH A WIDE RANGE OF SERVICES. IN ADDITION TO GENERAL HOSPITAL POPULATIONS, THE ORGANIZATION PROVIDES SERVICES TO PATIENTS WITH HIGHLY-SPECIALIZED NEEDS THAT ARE NOT AVAILABLE ELSEWHERE IN NEW HAMPSHIRE. MHMH IS THE STATE'S ONLY TERTIARY REFERRAL CENTER, PROVIDES THE STATE'S ONLY COMPREHENSIVE CANCER CENTER (NORRIS COTTON CANCER CENTER ~ NCCC), OPERATES THE ONLY LEVEL I TRAUMA CENTER IN NEW HAMPSHIRE, OPERATES THE ONLY COMPREHENSIVE CHILDREN'S HOSPITAL AND ACCREDITED PEDIATRIC TRAUMA CENTER IN NEW HAMPSHIRE (CHILDREN'S HOSPITAL AT DARTMOUTH - CHAD), HOSTS THE ONLY LEVEL IV NEONATAL INTENSIVE CARE NURSERY, HAS ONE OF TWO PEDIATRIC INTENSIVE CARE UNITS IN NEW HAMPSHIRE, AND OPERATES THE ONLY HELICOPTER TRANSPORT SERVICE IN THE STATE. AS SUCH, THE SERVICE POPULATION IS BOTH THE GENERAL PUBLIC SEEKING PRIMARY HEALTH CARE SERVICES AS WELL AS RESIDENTS WITH UNIQUE AND HIGHLY-SPECIALIZED HEALTH CARE NEEDS.
Schedule H, Part VI, Line 5 Promotion of community health	MHMH supports organizations and initiatives that further health by strengthening and developing key community capacities to address identified community health needs. This includes hosting or leading community partnerships to address substance misuse and treatment and to improve public health; providing funding for child and adult oral health initiatives, and participation of our staff in other partnerships including the outpatient falls prevention task force, the transportation management association, and the Upper Valley Housing Coalition. In addition, MHMH operates health education and support services such as a women's health resource center, the aging resource center, and a health education center. MHMH uses cash contributions, contracted services, and in-kind contributions of staff time and expertise to support these strategies which improve community health. At MHMH's Lebanon, NH campus, the hospital extends professional staff privileges to qualified and appropriate physicians who are employees of Dartmouth Hitchcock Clinic, Mary Hitchcock Memorial Hospital, and Dartmouth College, who also hold a faculty appointment at the Geisel School of Medicine at Dartmouth College. MHMH's trustees annually set strategic priorities for the institution and approve operating and capital budgets which support improvements, patient care, medical education, and research. Examples of these investments include the development of MHMH's patient safety and training center; ongoing quality and patient safety initiatives; purchases of new and emerging medical technologies; support for translational research, and medical education. Of the 16 voting members of the Mary Hitchcock board of trustees at the end of FY24, 10 are neither contractors nor employees of MHMH.
Schedule H, Part VI, Line 6 Affiliated health care system	COMMUNITY BENEFITS ARE PROVIDED BY THE DARTMOUTH HEALTH SYSTEM, WHICH INCLUDES MARY HITCHCOCK MEMORIAL HOSPITAL, DARTMOUTH-HITCHCOCK CLINIC, AND OTHER RELATED ORGANIZATIONS WHOSE PRIMARY MISSION IS HEALTH CARE. MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) IN LEBANON IS NEW HAMPSHIRE'S LARGEST HOSPITAL. IN FISCAL YEAR 2024 MHMH HAD 460 LICENSED INPATIENT BEDS. THE DARTMOUTH-HITCHCOCK CLINIC (DHC) IS A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH A NETWORK OF PROVIDERS ACROSS NEW HAMPSHIRE AND VERMONT. WHILE DHC'S MAIN OFFICES ARE LOCATED IN LEBANON, THE CLINIC ALSO HAS MULTI-SPECIALTY PRACTICES IN MANCHESTER, NASHUA, CONCORD, AND KEENE, NH AREAS AS WELL AS BENNINGTON, VT. IN ADDITION, THE CLINIC PROVIDES PRIMARY CARE IN RURAL COMMUNITIES IN VERMONT AND NORTHERN NEW HAMPSHIRE. THE HOSPITAL AND CLINIC OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING AND MANAGEMENT AND THEY SHARE IDENTICAL MISSIONS. THE GEISEL SCHOOL OF MEDICINE AT DARTMOUTH COLLEGE, WHICH WORKS CLOSELY WITH THE HOSPITAL AND CLINIC, IS FOCUSED ON MEDICAL EDUCATION AND RESEARCH.
Schedule H, Part VI, Line 7 State filing of community benefit report	NH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (95 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2Txt
American Cancer Society
2 Commerce Drive Suite 110	BEDFORD	NH	03110	131788491	501(c)3	$28,000	FMV	PROGRAM SUPPORT
Amoskeag Health
145 Hollis Street	MANCHESTER	NH	03101	020458174	501(c)3	$28,000	FMV	PROGRAM SUPPORT
Baby Steps Family Assistance
169 Main St Suite 211	CLAREMONT	NH	03743	821200566	501(c)3	$10,500	FMV	PROGRAM SUPPORT
BAYLOR COLLEGE OF MEDICINE
PO BOX 301207	DALLAS	TX	753031207	741613878	501(c)3	$31,117	FMV	CHARITABLE RESEARCH
BOARD OF REGENTS OF UNIV OF NEBRASKA
UNIV OF NEBRASKA MEDICAL CENTER	OMAHA	NE	681985045	470049123	STATE OF NE	$21,111	FMV	EDUCATIONAL SERVICES	985045 NEBRASKA MED CTR
BOSTON MEDICAL CENTER
ATTN ELTA ETIENNE	BOSTON	MA	02118	043314093	501(c)3	$18,743	FMV	CHARITABLE RESEARCH	660 HARRISON AVE GAMBRO 2
BOSTON UNIVERSITY
PO BOX 28763	NEW YORK	NY	100878763	042103547	501(c)3	$27,769	FMV	CHARITABLE RESEARCH
CENTERSTONE RESEARCH INSTITUTE INC
44 VANTAGE WAY	NASHVILLE	TN	372197520	262505456	501(c)3	$123,487	FMV	CHARITABLE RESEARCH
CHILDREN'S HOSPITAL
VICTORIA CUNNIGHAM	BOSTON	MA	02115	042774441	501(c)3	$34,935	FMV	CHARITABLE RESEARCH	300 LONGWOOD AVENUE
CHILDREN'S HOSPITAL LOS ANGELES
4650 SUNSET BOULEVARD	LOS ANGELES	CA	90027	195612191	501(c)3	$28,564	FMV	CHARITABLE RESEARCH
CHILDREN'S HOSPITAL OF PHILADELPHIA
LOCKBOX 7932	PHILADELPHIA	PA	191787932	231352166	501(c)3	$44,485	FMV	CHARITABLE RESEARCH
City of Lebanon
City Hall 51 Park Street	LEBANON	NH	03766	026000473	Lebanon, NH	$247,280	FMV	PROGRAM SUPPORT
Claremont Learning Partnership
169 Main Street	CLAREMONT	NH	03743	820901496	501(c)3	$10,500	FMV	PROGRAM SUPPORT
Claremont Soup Kitchen Inc
51 Central Street	CLAREMONT	NH	03743	020367045	501(c)3	$7,000	FMV	PROGRAM SUPPORT
COLBY-SAWYER COLLEGE
FINANCIAL SERVICES	NEW LONDON	NH	03257	020222120	STATE OF NH	$69,008	FMV	EDUCATIONAL SERVICES	541 MAIN STREET
COMMUNITY ACTION PROGRAM BELKNAP
2 INDUSTRIAL PARK DR	CONCORD	NH	03301	020270376	501(c)3	$10,500	FMV	CHARITABLE PROGRAM SUPPORT
COMMUNITY COLLEGE SYSTEM NEW HAMPSHIRE
C/O RIVER VALLEY COMM COLLEGE	CLAREMONT	NH	037439707	900531902	STATE OF NH	$112,588	FMV	EDUCATIONAL SERVICES	ONE COLLEGE DRIVE
Community Nurse Connection
PO Box 1302	LEBANON	NH	03766	831224873	501(c)3	$30,100	FMV	CHARITABLE PROGRAM SUPPORT
Early Care and Education Association
Po Box 5428	WEST LEBANON	NH	03784	853076751	501(c)3	$17,500	FMV	PROGRAM SUPPORT
Families Flourish Northeast
235 Whitford Street	MANCHESTER	NH	03104	844591232	501(c)3	$21,000	FMV	PROGRAM SUPPORT
FAMILY PLACE INC
319 US ROUTE 5 SOUTH	NORWICH	VT	05055	030305264	501(c)4	$49,928	FMV	CHARITABLE EDUCATIONAL SERVICES
Foundation for Healthy Communities (NHHA)
125 Airport Road	CONCORD	NH	03301	020275078	501(c)3	$605,323	FMV	PROGRAM SUPPORT
Girls Incorporated of New Hampshire
1711 South Willow Street Unit 5	MANCHESTER	NH	03103	237416090	501(c)3	$7,000	FMV	PROGRAM SUPPORT
Good Neighbor Health Clinic
POBox 1250	WHITE RIVER JUNCTION	VT	05001	030346949	501(c)3	$56,000	FMV	PROGRAM SUPPORT
Grafton County Senior Citizens Council
10 Campbell St	LEBANON	NH	03766	237248316	501(c)3	$16,100	FMV	PROGRAM SUPPORT
GRANITE UNITED WAY
22 CONCORD STREET	MANCHESTER	NH	03101	026006033	501(c)3	$48,327	FMV	EDUCATIONAL SERVICES
Hartford Community Coalition
POBox 4343	WHITE RIVER JUNCTION	VT	05001	824272638	501(c)3	$24,515	FMV	PROGRAM SUPPORT
HIVHCV Resource Center
2 Blacksmith Street	LEBANON	NH	03766	223104237	501(c)3	$14,000	FMV	PROGRAM SUPPORT
JOHNS HOPKINS UNIVERSITY
3910 KESWICK ROAD N4327-B	BALTIMORE	MD	21211	520595110	501(c)3	$22,089	FMV	EDUCATIONAL SERVICES
JSI RESEARCH &TRAINING INSTITUTE INC
501 South Street 2nd Floor	BOW	NH	03304	042679824	501(c)3	$17,500	FMV	PROGRAM SUPPORT
KAISER FOUNDATION RESEARCH INSTITUTE
KAISER FOUNDATION HOSPITAL	LOS ANGELES	CA	900748165	941105628	501(c)3	$662,369	FMV	CHARITABLE RESEARCH	P O BOX 748165
LISTEN COMMUNITY SERVICES
60 HANOVER ST	LEBANON	NH	03766	237225952	501(c)3	$50,058	FMV	CHARITABLE PROGRAM SUPPORT
MAGEE-WOMENS RESEARCH INSTITUTE AND FDN
3240 CRAFT PLACE	PITTSBURGH	PA	15213	251462312	501(c)3	$6,037	FMV	CHARITABLE RESEARCH
MAINE COUNCIL ON AGING
PO BOX 988	BRUNSWICK	ME	04011	461549012	501(c)3	$24,666	FMV	CHARITABLE PROGRAM SUPPORT
MASSACHUSETTS GENERAL HOSPITAL
100 CHARLES RIVER PLAZA STE 600	BOSTON	MA	021142792	042697983	501(c)3	$43,636	FMV	CHARITABLE PROGRAM SUPPORT
MAYO CLINIC
PO BOX 4003	ROCHESTER	MN	55905	416011702	501(c)3	$12,414	FMV	CHARITABLE RESEARCH
MAYO CLINIC ARIZONA
PO BOX 860334	MINNEAPOLIS	MN	554860334	860800150	501(c)3	$7,746	FMV	CHARITABLE RESEARCH
MEMORIAL SLOAN-KETTERING CANCER CENTER
PO BOX 27084	NEW YORK	NY	100876352	131924236	501(c)3	$47,755	FMV	CHARITABLE RESEARCH
Millennium Running LLC
138 Bedford Ct Road	BEDFORD	NH	03110	352410359		$12,600	FMV	PROGRAM SUPPORT
MONADNOCK UNITED WAY
23 CENTER STREET	KEENE	NH	03431	020236885	501(c)3	$14,000	FMV	CHARITABLE PROGRAM SUPPORT
MT ASCUTNEY HOSPITAL AND HEALTH CENTER
289 COUNTY RD	WINDSOR	VT	05089	030183721	501(c)3	$21,000	FMV	CHARITABLE RESEARCH
MY CNA NOW LLC DBA LNA HEALTH CAREERS
22 CONCORD ST 3RD FLOOR	MANCHESTER	NH	03101	850569951	For Profit	$15,820	FMV	CHARITABLE RESEARCH
NAVAL HEALTH RESEARCH CENTER
140 SYLVESTER ROAD	SAN DIEGO	CA	92106	800520146	501(c)3	$76,699	FMV	CHARITABLE RESEARCH
New Hampshire Hunger Solutions Inc
POBox 3477	CONCORD	NH	03301	222936618	501(c)3	$17,500	FMV	PROGRAM SUPPORT
NEW HAMPSHIRE LEGAL ASSISTANCE
117 NORTH STATE STREET	CONCORD	NH	03301	020300897	501(c)3	$107,810	FMV	CHARITABLE PROGRAM SUPPORT
NH Children's Trust Inc
10 Ferry Street Suite 315	CONCORD	NH	03301	272458454	501(c)3	$10,500	FMV	PROGRAM SUPPORT
NORTH COUNTRY HEALTH CONSORTIUM INC
262 COTTAGE STREET	LITTLETON	NH	03561	020503184	501(c)3	$28,162	FMV	CHARITABLE PROGRAM SUPPORT
OREGON CLINIC PC
847 NE 19TH AVENUE	PORTLAND	OR	97232	931127856	501(c)3	$195,499	FMV	CHARITABLE RESEARCH
OREGON HEALTH & SCIENCE UNIVERSITY
PO BOX 575	PORTLAND	OR	97207	931176109	501(c)3	$130,583	FMV	CHARITABLE EDUCATIONAL SERVICES
PRONTO INTERNATIONAL
5419 Greenwood Ave N	SEATTLE	WA	98103	461318242	501(c)3	$17,500	FMV	PROGRAM SUPPORT
PUBLIC HEALTH COUNC OF THE UPPER VALLEY
ONE COURT STREET	LEBANON	NH	03766	752991608	501(c)3	$57,645	FMV	CHARITABLE PROGRAM SUPPORT
RECTOR & VISITORS OF UNIV OF VIRGINIA
JOHN W STEINKE	CHARLOTTESVILLE	VI	229081355	546001796	STATE OF VA	$45,243	FMV	EDUCATIONAL SERVICES	PO BOX 801355
RESEARCH INSTITUTE AT NATIONWIDE CHILDRE
PO BOX 781653	DETROIT	MI	482781653	316055230	501(c)3	$33,803	FMV	CHARITABLE RESEARCH
RHODE ISLAND HOSPITAL
PO BOX 373	PROVIDENCE	RI	02901	050258954	501(c)3	$13,152	FMV	CHARITABLE RESEARCH
RIVER VALLEY COMMUNITY COLLEGE
RVCC BOOKSTORE 967	CLAREMONT	NH	03743	540903278	STATE OF NH	$99,173	FMV	EDUCATIONAL SERVICES
RUTGERS THE STATE UNIVERSITY OF NJ
33 KNIGHTSBRIDGE ROAD	PISCATAWAY	NJ	08854	226001086	501(c)3	$28,428	FMV	EDUCATIONAL SERVICES
Safeline Inc
POBox 368	CHELSEA	VT	05038	030332395	501(c)3	$7,000	FMV	PROGRAM SUPPORT
SEVEN COUNTIES SERVICES INC
ATTN ACCTS RECEIVABLE	LOUISVILLE	KY	40223	310939757	501(c)3	$190,986	FMV	CHARITABLE RESEARCH	10401 LINN STATION RD
SINAI HOSPITAL OF BALTIMORE INC
2401 W BELVEDERE AVENUE	BALTIMORE	MD	21215	520486540	501(c)3	$9,785	FMV	CHARITABLE RESEARCH
Southeast Vermont Transit Inc
706 Rockingham Road	ROCKINGHAM	VT	05101	030353976	501(c)3	$21,000	FMV	PROGRAM SUPPORT
Southwestern Community Services
PO Box 603 / 63 Community Way	KEENE	NH	03431	026013808	501(c)3	$14,000	FMV	CHARITABLE PROGRAM SUPPORT
STANFORD UNIVERSITY
ADMINISTRATION	LOS ANGELES	CA	900884253	941156365	501(c)3	$24,917	FMV	CHARITABLE PROGRAM SUPPORT	PO BOX 884253
STATE OF NEW HAMPSHIRE
25 Capitol St	CONCORD	NH	03301	026000618	501(c)3	$14,000	FMV	PROGRAM SUPPORT
THE BRIGHAM AND WOMEN'S HOSPITAL INC
75 FRANCIS ST	BOSTON	MA	02115	042312909	501(c)3	$56,911	FMV	CHARITABLE RESEARCH
The Hitchcock Foundation
One Medical Center Drive	LEBANON	NH	03756	020222139	501(c)3	$474,772	FMV	PROGRAM SUPPORT
The Second Wind Foundation
200 Olcott Drive	WHITE RIVER JUNCTION	VT	05001	020451558	501(c)3	$10,500	FMV	PROGRAM SUPPORT
THE UNIVERSITY OF TEXAS HEALTH SCIENCE
CENTER AT SAN ANTONIO	SAN ANTONIO	TX	782293900	741586031	STATE OF TX	$58,978	FMV	EDUCATIONAL SERVICES	7703 FLOYD CURL DRIVE
TLC FAMILY RESOURCE CENTER
62 PLEASANT ST	CLAREMONT	NH	03743	522439830	501(c)3	$42,262	FMV	CHARITABLE PROGRAM SUPPORT
Town of Hartford School District
37 Highland Ave	WHITE RIVER JUNCTION	VT	05001	036000504	501(c)3	$9,800	FMV	PROGRAM SUPPORT
Tri-Valley Transit
279 Creek Road	MIDDLEBURY	VT	05753	030335768	501(c)3	$44,111	FMV	PROGRAM SUPPORT
TRUSTEES OF DARTMOUTH COLLEGE
CASHIERS OFFICE / AR	HANOVER	NH	03755	020222111	501(c)3	$2,423,077	FMV	CHARITABLE EDUCATIONAL SERVICES	6132 MCNUTT RM 103
TRUSTEES OF THE UNIV OF PENNSYLVANIA
THE WHARTON SCHOOL	PHILADELPHIA	PA	191789726	231352685	STATE OF PA	$36,528	FMV	EDUCATIONAL SERVICES	LOCKBOX 9726
Twin Pines Housing Trust
226 Holiday Drive Suite 20	WHITE RIVER JUNCTION	VT	05001	222809527	501(c)3	$28,000	FMV	PROGRAM SUPPORT
UMASS MEDICAL SCHOOL
222 MAPLE AVENUE	SHREWSBURY	MA	01545	042911067	STATE OF MA	$9,091	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF ALABAMA AT BIRMINGHAM
GRANTS CONTRACTS ACCOUNTING	BIRMINGHAM	AL	352940109	636005396	STATE OF AL	$140,281	FMV	EDUCATIONAL SERVICES	1720 2ND AVE SOUTH
UNIVERSITY OF CALIFORNIA SAN FRANCISCO
SUNDRY DEBTOR - BOX 0815	SAN FRANCISCO	CA	94143	946036493	STATE OF CA	$9,748	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF CALIFORNIA SAN DIEGO
BIOCHEMICAL GENETICS LABORATORY	LA JOLLA	CA	920930830	956006144	STATE OF CA	$39,519	FMV	EDUCATIONAL SERVICES	9500 GILMAN DRIVE BOX 0830
UNIVERSITY OF COLORADO ANSCHUTZ
UNIVERSITY OF COLORADO	AURORA	CO	80045	846000555	STATE OF CO	$98,502	FMV	EDUCATIONAL SERVICES	12801 E 17th AVE L18-10101 MAIL
UNIVERSITY OF FLORIDA
123 GRINTER HALL	GAINESVILLE	FL	32611	596002052	STATE OF FL	$66,881	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF MARYLAND
PO BOX 41428	BALTIMORE	MD	212036428	526002033	STATE OF MD	$125,225	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF PITTSBURGH
PO BOX 640458	PITTSBURGH	PA	152640458	250965591	STATE OF PA	$79,436	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF TEXAS SOUTHWESTERN MED CTR
5323 HARRY HINES BLVD	DALLAS	TX	752359029	756002868	STATE OF TX	$55,637	FMV	EDUCATIONAL SERVICES
UNIVERSITY OF UTAH
GRANTS CONTRACTS ACCOUNTING	SALT LAKE CITY	UT	841129020	876000525	STATE OF UT	$8,881	FMV	EDUCATIONAL SERVICES	201 S PRESIDENTS CIR RM 406
UNIVERSITY OF VERMONT
MEDICAL CENTER	BURLINGTON	VT	05402	030179440	STATE OF VT	$42,955	FMV	EDUCATIONAL SERVICES	PO BOX 1902
UNIVERSITY OF WASHINGTON
GRANT CONTRACT ACCOUNTING	CHICAGO	IL	60693	916001537	STATE OF WA	$38,605	FMV	EDUCATIONAL SERVICES	12455 COLLECTIONS DRIVE
UNIVERSITY SYSTEM OF NEW HAMPSHIRE
5 CHANELL DRIVE	CONCORD	NH	03301	026000937	STATE OF NH	$26,434	FMV	EDUCATIONAL SERVICES
Upper Valley Haven
713 Hartford Ave	WHITE RIVER JUNCTION	VT	05001	030277908	501(c)3	$76,329	FMV	PROGRAM SUPPORT
Upper Valley Lake Sunapee Regional Planning Foundation
10 Water Street Ste 225	LEBANON	NH	037661604	834074101	501(c)3	$31,500	FMV	PROGRAM SUPPORT
VIRGINIA COMMONWEALTH UNIVERSITY
BOX 843035	RICHMOND	VA	23219	546001758	STATE OF VA	$35,058	FMV	EDUCATIONAL SERVICES
WEILL MEDICAL COLLEGE OF CORNELL
ATTN CORNELL ECHO 2001	NEW YORK	NY	10021	131623978	STATE OF VA	$26,719	FMV	EDUCATIONAL SERVICES
WEST VIRGINIA UNIVERSITY RESEARCH CORPOR
ONE WATERFRONT PLACE	MORGANTOWN	WV	265066001	550665758	STATE OF WV	$9,986	FMV	EDUCATIONAL SERVICES
WESTAT INC
PO BOX 1004 ATTN ACCOUNTS RECEIVA	ROCKVILLE	MD	20850	840529566	For Profit	$45,277	FMV	CHARITABLE RESEARCH
White River Council on Aging
262 North Main St	WHITE RIVER JUNCTION	VT	05001	030261891	501(c)3	$7,000	FMV	PROGRAM SUPPORT
WILLING HANDS
198 CHURCH STREET	NORWICH	VT	05055	202204811	501(c)3	$25,043	FMV	CHARITABLE PROGRAM SUPPORT
Women's Information Service of the Upper Valley
38 Bank Street	LEBANON	NH	03766	020346512	501(c)3	$14,000	FMV	PROGRAM SUPPORT

Field	Value	IRS element (for citing)
Total501c3 Org	91	Total501c3OrgCnt
Total Other Org	4	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Awards and Educational Assistance	66	$462,288	FMV
Patient Assistance	3011	$159,431	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	EACH AWARD ESTABLISHED BY MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH) HAS WRITTEN GUIDELINES AND PROCEDURES. AWARD PAYMENTS ARE PROCESSED IN ACCORDANCE WITH THE SPECIFIC TERMS OF EACH AWARD. THE DARTMOUTH INSTITUTE SCHOLARSHIPS (TDI) ARE PAID DIRECTLY TO DARTMOUTH COLLEGE ON BEHALF OF THE INDIVIDUALS RECEIVING THE AWARDS. THE COORDINATORS OF THE PROGRAM ARE RESPONSIBLE FOR ASSURING THAT ALL TERMS ARE MET, INCLUDING PROPER DOCUMENTATION OF EXPENSES WITH RECEIPTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (33 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Joanne M Conroy MD
Trustee, Ex-Officio, CEO	$0	$1,470,830	$0	$420,000	$0	$187,662	$0	$31,590	$0	$19,059	$0	$2,129,141	$0	$0
Sandra L Wong MD
Trustee (through 12/31/23)/SVP Svc Ln & Dept Chair	$0	$724,829	$0	$0	$0	$68,000	$0	$24,990	$0	$15,204	$0	$833,023	$0	$0
Carl W Dobson MD
Trustee/ Medical Director (through 12/31/23)	$407,482	$0	$25,000	$0	$23,065	$0	$16,500	$0	$43,266	$0	$515,313	$0	$0	$0
Gary L Freed MD
Trustee / Physician (through 12/31/23)	$0	$643,417	$0	$1,548	$0	$60,533	$0	$24,990	$0	$3,720	$0	$734,208	$0	$0
Nancy M Dunbar MD
Trustee / Physician	$0	$366,278	$0	$0	$0	$31,871	$0	$24,990	$0	$44,225	$0	$467,364	$0	$0
Laura Chiang
Trustee	$0	$335,314	$0	$0	$0	$26,586	$0	$14,994	$0	$40,060	$0	$416,954	$0	$0
Marcus Coe MD
Trustee (as of 1/1/24)	$0	$777,216	$0	$0	$0	$48,673	$0	$24,990	$0	$40,636	$0	$891,515	$0	$0
Keith Loud MD
Trustee (as of 3/21/24)	$0	$396,242	$0	$0	$0	$38,604	$0	$31,590	$0	$35,939	$0	$502,375	$0	$0
Jonathan B Thyng MD
Trustee/Medical Director (as of 1/1/24)	$0	$348,927	$0	$0	$0	$16,947	$0	$31,590	$0	$44,450	$0	$441,914	$0	$0
DANIEL P JANTZEN
Former Chief Financial Officer	$812,887	$0	$148,750	$0	$144,010	$0	$31,590	$0	$35,375	$0	$1,172,612	$0	$0	$0
Maria Padin MD
Chief Medical Officer, CGP	$0	$484,606	$0	$35,700	$0	$40,541	$0	$31,590	$0	$36,263	$0	$628,700	$0	$0
Wendy Fielding
Chief Financial Officer	$363,306	$0	$28,000	$0	$51,906	$0	$31,590	$0	$16,059	$0	$490,861	$0	$0	$0
Aimee M Claiborne
Chief Human Resource Officer	$486,033	$0	$85,825	$0	$20,008	$0	$24,990	$0	$19,923	$0	$636,779	$0	$0	$0
Patrick F Jordan III MBA
Chief Operating Officer	$777,017	$0	$140,000	$0	$62,855	$0	$31,590	$0	$39,676	$0	$1,051,138	$0	$0	$0
Stephen Leblanc
Chief Strategy Officer	$0	$686,348	$0	$122,500	$0	$109,513	$0	$31,590	$0	$34,425	$0	$984,376	$0	$0
EDWARD J MERRENS MD
Chief Clinical Officer	$0	$723,268	$0	$131,250	$0	$76,674	$0	$31,590	$0	$19,284	$0	$982,066	$0	$0
Susan A Reeves EDD RN
Executive VP (medical center)	$674,530	$0	$113,800	$0	$129,620	$0	$31,590	$0	$11,128	$0	$960,668	$0	$0	$0
Kimberly Troland JD
Deputy Gen Counsel / Interim Chief Legal Officer (through 1/7/24)	$481,706	$0	$90,995	$0	$59,558	$0	$0	$0	$13,885	$0	$646,144	$0	$0	$0
Matthew Haag
Chief Development Officer	$365,972	$0	$69,125	$0	$47,304	$0	$24,990	$0	$17,725	$0	$525,116	$0	$0	$0
GEORGE T BLIKE MD MHCDS
Former/ Chief Quality & Value Officer (DHC)	$0	$106,407	$0	$0	$0	$0	$0	$7,449	$0	$22	$0	$113,878	$0	$0
Peter D Solberg MD
Chief Health Information Officer	$0	$461,656	$0	$35,000	$0	$46,674	$0	$31,590	$0	$18,889	$0	$593,809	$0	$0
Staci Hermann PHARMD MS
Chief Pharmacy Officer (Through March 2024)	$323,611	$0	$33,500	$0	$15,788	$0	$24,990	$0	$17,383	$0	$415,272	$0	$0	$0
Simon C Hillier
Dept. Chair - Anesthesiology	$0	$595,395	$0	$1,299	$0	$40,190	$0	$31,590	$0	$36,901	$0	$705,375	$0	$0
Jeffrey Obrien MHA
Chief Operating Officer - DHMC	$349,987	$0	$0	$0	$24,788	$0	$31,590	$0	$33,092	$0	$439,457	$0	$0	$0
Martin Purcell MBA
Chief Information Officer	$460,630	$0	$35,075	$0	$70,877	$0	$31,590	$0	$37,669	$0	$635,841	$0	$0	$0
David F Duncan
System VP - Facilities Mgmt	$303,767	$0	$30,980	$0	$5,065	$0	$19,800	$0	$26,776	$0	$386,388	$0	$0	$0
Samuel Shields
System VP - Strtgy & Rgnl Ops	$313,919	$0	$37,800	$0	$6,472	$0	$24,990	$0	$2,605	$0	$385,786	$0	$0	$0
Tracy Galvin
Chief Nursing Officer	$203,677	$0	$20,000	$0	$1,067	$0	$12,891	$0	$8,356	$0	$245,991	$0	$0	$0
Brenda L Blair
System VP HR Ops	$327,150	$0	$16,800	$0	$6,894	$0	$31,590	$0	$28,872	$0	$411,306	$0	$0	$0
Martin T Manion
President/CEO NLH	$317,497	$0	$40,800	$0	$25,244	$0	$19,800	$0	$1,250	$0	$404,591	$0	$0	$0
Barbara Vance
VP-Research Ops	$337,472	$0	$17,219	$0	$6,593	$0	$19,800	$0	$12,103	$0	$393,187	$0	$0	$0
Christopher L Hubble MD
VP Patient Safety	$383,440	$0	$20,000	$0	$1,936	$0	$19,800	$0	$43,789	$0	$468,965	$0	$0	$0
Kenneth Kelliher
System VP Supply Chain	$298,739	$0	$31,000	$0	$23,491	$0	$19,800	$0	$2,731	$0	$375,761	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Discretionary spending account	THE ORGANIZATION HAS IN PLACE A MANAGEMENT SELF DEVELOPMENT PLAN (MSDP) DESIGNED TO PROMOTE PROFESSIONAL AND PERSONAL DEVELOPMENT. THE MSDP IS CAPPED AT 2% OF GROSS PAY AND MAY BE UTILIZED FOR EXPENSES SUCH AS PROFESSIONAL DUES, MEETINGS AND SEMINARS, TUITION REIMBURSEMENT, AND OTHER MISCELLANEOUS ITEMS THAT PROMOTE PROFESSIONAL KNOWLEDGE. ALL EXPENSES ARE SUBMITTED FOR APPROVAL BEFORE REIMBURSEMENT.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	THE ORGANIZATION HAS IN PLACE A MANAGEMENT SELF DEVELOPMENT PLAN (MSDP) DESIGNED TO PROMOTE PROFESSIONAL AND PERSONAL DEVELOPMENT. THE MSDP IS CAPPED AT 2% OF GROSS PAY AND MAY BE UTILIZED FOR EXPENSES SUCH AS PROFESSIONAL DUES, MEETINGS AND SEMINARS, TUITION REIMBURSEMENT, AND OTHER MISCELLANEOUS ITEMS THAT PROMOTE PROFESSIONAL KNOWLEDGE. ALL EXPENSES ARE SUBMITTED FOR APPROVAL BEFORE REIMBURSEMENT.
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation	THE CEO IS PAID BY DARTMOUTH-HITCHCOCK CLINIC (DHC), A RELATED ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, AN INDEPENDENT CONSULTANT, 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	Dartmouth Hitchcock Clinic (DHC) and Mary Hitchcock Memorial Hospital (MHMH) sponsor a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable DHC and MHMH to attract and retain quality executive personnel, improve the physicians' post-retirement life insurance benefits, and to replace an increasingly costly retiree life insurance program. The plan was frozen to new participants in 1998. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization. THE FOLLOWING INDIVIDUALS HAVE A SPLIT DOLLAR LIFE PLAN ARRANGEMENT AND RESPECTIVE EMPLOYER PREMIUMS: DANIEL JANTZEN $148,478 STEPHEN LEBLANC $68,044 RICHARD ROTHSTEIN $105,014
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 MHMH 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 BY D-H ON BEHALF OF ITS EMPLOYEES.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NH HEALTH AND ED FACILITIES AUTHORITY
A	020279866	6446142B4	2014-08-13	$41,242,990	REFUNDING	false	false	false
NH HEALTH AND ED FACILITIES AUTHORITY
B	020279866	000000000	2016-07-01	$35,575,000	REFUNDING AND CONSTRUCTION	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$26,960,000	$0	$41,242,990	$0	$0	$0	$352,990	$0	$0	$0	$40,890,000	$0	2014	Yes (true)	false	Yes (true)	Yes (true)
B	$24,605,000	$0	$35,575,000	$0	$0	$0	$408,058	$0	$0	$15,936,616	$19,230,326	$0	2017	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	false	false	false	false	0.0	0.0	0.0	false	false	Yes (true)
B	false	Yes (true)	false	Yes (true)	0.0	0.0	0.0	false	false	Yes (true)	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	false	false	false	false	Yes (true)
B	false	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part I, Column (f) Bond B	THE PURPOSE OF THE ISSUE IS TO CURRENTLY REFUND THE SERIES 2013A AND SERIES 2013B DATED 10/24/2013; TO FINANCE ROUTINE CAPTIAL EXPENDITURES AND REIMBURSE EXPENDITURES IN CONNECTION WITH THE WILLIAMSON TRANSLATIONAL RESEARCH BUILDING.
Schedule K, Part I, Column (a) Bonds A & B	THE ISSUER NAME IS NEW HAMPSHIRE HEALTH AND EDUCATION FACILITIES AUTHORITY.
Schedule K, Part IV, Line 2c Bond B	FINAL REBATE CALCULATION PERFORMED ON 08/31/2021.
Schedule K, Part I, Column (f) Bond A	THE PURPOSE OF THE ISSUE IS TO CURRENTLY REFUND THE SERIES 2009 DATED 08/19/2009.
Schedule K, Part IV, Line 2c Bond A	FORM 8038-T FILED ON 09/18/2019. THE LATEST ARBITRAGE CALCULATION PERFORMED ON 09/18/2019.
Schedule K, Part II, Line 11 Bonds A & B	The Other Spent Proceeds are the refunding proceeds of the issue no longer in escrow.
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: NH HEALTH AND ED. FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 09/18/2019
Schedule K, Part IV, Line 2c COLUMN B	Issuer name: NH HEALTH AND ED. FACILITIES AUTHORITY The calculation for computing no rebate due was performed on 08/31/2021

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
DANIEL JANTZEN
OFFICER	SPLIT DOLLAR LIFE	Yes (X)	$0	$148,478	false	Yes (true)	Yes (true)
DEBORAH JANTZEN
FAMILY MEMBER	SPLIT DOLLAR LIFE	Yes (X)	$0	$74,611	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$223,089	TotalBalanceDueAmt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$213,258	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	Yes (true)	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I, Line 32b Third parties used to solicit, process, or sell noncash contributions	THE ORGANIZATION USES DARTMOUTH-HITCHCOCK HEALTH, MHMH'S PARENT ORGANIZATION, FOR SOLICITATION OF CONTRIBUTIONS AND ANNUAL FUND ACTIVITIES.
Schedule M, Part I Explanations of reporting method for number of contributions	Securities - Publicly traded - MHMH is reporting the number of contributors of stock.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 15a OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR UNDERTAKEN	ALTHOUGH PAID BY A RELATED ORGANIZATION, DARTMOUTH-HITCHCOCK CLINIC, THE COMPENSATION FOR THE CEO IS EVALUATED BY AN INDEPENDENT THIRD PARTY FIRM FOR REASONABLENESS AND NATIONAL DATA BENCHMARKING. THE TALENT DEVELOPMENT AND COMPENSATION COMMITTEE, ALONG WITH INDEPENDENT TRUSTEES, APPROVE THE FINAL COMPENSATION IN CONSIDERATION WITH THE INDEPENDENT THIRD PARTY FIRM'S RECOMMENDATIONS AND SUGGESTIONS. THIS PROCESS WAS CONTEMPORANEOUSLY DOCUMENTED AND LAST UNDERTAKEN IN 2024.
Form 990, Part VI, Line 1a Delegate broad authority to a committee	The Mary Hitchcock Memorial Hospital (MHMH) board has a Governance Committee who has the authority/responsibility of the MHMH Board to ensure that MHMH continues to fulfill its central mission and vision. This committee has authority to act on behalf of the full Board when the need arises. Members are all members of the governing board.
Form 990, Part VI, Line 4 Significant changes to organizational documents	MHMH'S FORMER BYLAWS CALLED FOR A BOARD OF GOVERNORS (BOG), WHICH FULFILLED TWO FUNCTIONS: PROVIDING A MEANS FOR PROVIDERS/MEDICAL STAFF TO COMMENT AND PROVIDE INPUT ON GOVERNING DECISIONS, AND TO OVERSEE MEDICAL DECISION-MAKING WITHIN THE ORGANIZATION. DURING FY '24, THE BYLAWS WERE AMENDED TO EFFECTIVELY SPLIT THESE TWO FUNCTIONS, ESTABLISHING BOTH A: * GROUP PRACTICE COUNCIL THAT IS CHARGED WITH PROVIDING A COLLECTIVE VOICE FOR MHMH MEDICAL STAFF, AND A * MEDICAL EXECUTIVE COMMITTEE THAT HAS RESPONSIBILITY FOR OVERSEEING THE MEDICAL SERVICES MHMH PROVIDES. ADDITIONALLY, THE UPDATED BYLAWS AMENDED: * THE SELECTION/ELIGIBILITY CRITERIA FOR THE MHMH PRESIDENT/CEO BY REMOVING THE REQUIREMENT THAT THE INDIVIDUAL BE A LICENSED PHYSICIAN AND REMOVING THE PREFERENCE FOR AN INTERNAL CANDIDATE. * THE BYLAWS AMENDMENT PROCESS BY REMOVING THE REQUIREMENT THAT MHMH MEDICAL STAFF VOTE ON AN ADVISORY RECOMMENDATION RELATIVE TO ANY BYLAWS AMENDMENTS.
Form 990, Part VI, Line 6 Classes of members or stockholders	DARTMOUTH-HITCHCOCK HEALTH (D-HH) IS THE SOLE CORPORATE MEMBER OF MARY HITCHCOCK MEMORIAL HOSPITAL (MHMH).
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	D-HH HAS SPECIFIC AUTHORITY AND RESERVED POWERS, INCLUDING THE POWER TO CONFIRM THE ELECTION OF MEMBERS OF MHMH'S BOARD OF TRUSTEES AND THE POWER TO APPROVE SIGNIFICANT GOVERNANCE, FINANCIAL, AND OPERATIONAL DECISIONS OF MHMH'S TRUSTEES.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	IN ADDITION TO RESERVED POWERS, DARTMOUTH-HITCHCOCK HEALTH (D-HH) SHALL HAVE THE AUTHORITY TO TAKE ACTIONS TO ESTABLISH, MANAGE, AND GOVERN MHMH TO CREATE AND MAINTAIN AN INTEGRATED HEALTH CARE DELIVERY SYSTEM IN FURTHERANCE OF THE MISSION OF MHMH AND OTHER ORGANIZATIONS WITHIN THE SYSTEM. THESE POWERS INCLUDE BUT ARE NOT LIMITED TO ITEMS SUCH AS THE ABILITY TO APPROVE, DISAPPROVE, OR MODIFY ALL MATERIAL GOVERNANCE, PROGRAMMATIC, AND FINANCIAL DECISIONS OF MHMH'S BOARD OF TRUSTEES, TO APPOINT OR REMOVE A MEMBER OF MHMH'S BOARD OF TRUSTEES, ASSESS MHMH A MONETARY AMOUNT FOR THE PAYMENT OF THE EXPENSES OF D-HH, APPROVE MHMH'S BUDGET, APPROVE THE BORROWINGS OR DISPOSITIONS OF ASSETS BY MHMH, APPROVE KEY STRATEGIC RELATIONSHIPS, APPROVE THE ELIMINATION OR ADDITION OF ANY MATERIAL HEALTH CARE SERVICE OR PROGRAM, AND OTHER AUTHORITY TO TAKE ACTION ON BEHALF OF MHMH.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE FORM 990 IS REVIEWED BY THE DIRECTOR OF FINANCIAL COMPLIANCE, THE VICE PRESIDENT OF CORPORATE FINANCE, THE CHIEF FINANCIAL OFFICER, AND EXTERNAL TAX ADVISORS BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED, A FINAL FORM 990 IS SENT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS AND RESPONSES PRIOR TO OFFICIAL FILING.
Form 990, Part VI, Line 12c Conflict of interest policy	THE MARY HITCHCOCK MEMORIAL HOSPITAL BOARD OF TRUSTEES APPROVED A POLICY CONCERNING A VOLUNTARY SELF-DISCLOSURE OF ANY POTENTIAL CONFLICT OF INTEREST. THE DARTMOUTH-HITCHCOCK HEALTH (D-HH) COMPLIANCE AND AUDIT SERVICES DEPARTMENT CONDUCTS AN ANNUAL SURVEY OF ALL OFFICERS, TRUSTEES, AND KEY EMPLOYEES AND PERFORMS OTHER PROCEDURES AS CONSIDERED NECESSARY TO REPORT ON COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE DEPARTMENT THEN REPORTS TO EACH BOARD ANY POTENTIAL CONFLICTS FOR THEIR REVIEW. PER THE POLICY, ANY CONFLICTS OR OTHERWISE PERCEIVED CONFLICTS ARE REQUIRED TO BE ADDRESSED BY THE BOARD OF TRUSTEES ON AN ONGOING BASIS. IN THE EVENT A CONFLICT ARISES, THE INDIVIDUAL MAY BE REMOVED FROM PARTICIPATING IN ANY DECISION-MAKING REGARDING THE IDENTIFIED CONFLICT AND/OR ITS CORRESPONDING TRANSACTIONS. IF THE BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE THAT AN INTERESTED PERSON HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM SUCH PERSON ON THE BASIS FOR SUCH BELIEF AND AFFORD HIM/HER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE RESPONSE OF THE INTERESTED PERSON AND MAKING SUCH FURTHER INVESTIGATION AS MAY BE WARRANTED IN THE CIRCUMSTANCES, THE BOARD OR COMMITTEE DETERMINES THAT SUCH PERSON HAS, IN FACT, FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	COMPENSATION FOR OFFICERS AND KEY EMPLOYEES IS EVALUATED BY INTERNAL HUMAN RESOURCES STAFF USING NATIONAL BENCHMARKING DATA (ALONG WITH ONGOING EVALUATIONS AND APPROVAL BY AN INDEPENDENT THIRD-PARTY FIRM FOR REASONABLENESS). THE LAST FORMAL PROCESS WAS COMPLETED IN 2024 AND CONTEMPORANEOUSLY DOCUMENTED. EXTERNAL BENCHMARKING FROM AN INDEPENDENT THIRD PARTY HAS BEEN USED FOR ANY OFFICER WHO WAS HIRED OR RECEIVED A COMPENSATION ADJUSTMENT SINCE THE LAST FORMAL PROCESS. COMPENSATION RATES ARE DETERMINED BY FOLLOWING THE GUIDELINES OF THE COMPENSATION COMMITTEE CHARTER AND PHILOSOPHY DOCUMENTS AND A FORMAL REVIEW BY COMPENSATION COMMITTEE MEMBERS. THE PROCESS DESCRIBED ABOVE TO ESTABLISH COMPENSATION WAS USED FOR THE FOLLOWING POSITIONS: Chief Financial Officer, Chief Strategy Officer, Chief Clinical Officer, Chief Legal Officer, Chief Human Resources Officer, Chief Operating Officer, Chief Nursing - Executive, Chief Nursing Officer, Chief Pharmacy Officer, Chief Quality & Value Officer, Department Chair - Anesthesia, Department Chair - Radiology, Department Chair - Pathology and similar positions.
Form 990, Part VI, Line 19 Required documents available to the public	MHMH'S GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE NEW HAMPSHIRE SECRETARY OF STATE. THE AUDITED FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE AVAILABLE UPON REQUEST EITHER IN ELECTRONIC OR HARD COPY FORM.
Form 990, Part VII, Section A, Line 1a, Column (B) AVERAGE HOURS PER WEEK	AS PART OF DARTMOUTH-HITCHCOCK CLINIC AND MARY HITCHCOCK MEMORIAL HOSPITAL'S AFFILIATION AGREEMENT, THE TWO ORGANIZATIONS SHARE OFFICERS. AS SUCH, THE AVERAGE HOURS PER WEEK ARE ALLOCATED BETWEEN THE TWO ORGANIZATIONS' FORMS 990 EVEN THOUGH COMPENSATION REPORTED IN PART VII IS BASED ON THE ENTITY ISSUING THE W-2. IN ADDITION, CERTAIN OFFICERS SPEND TIME ON DARTMOUTH-HITCHCOCK HEALTH (THE SOLE CORPORATE MEMBER OF BOTH MHMH AND DHC), AND/OR DARTMOUTH-HITCHCOCK CLINIC ALONG WITH OTHER AFFILIATED ORGANIZATIONS: DARTMOUTH-HITCHCOCK MEDICAL CENTER, HAMDEN RISK RETENTION GROUP (AND RELATED ENTITIES), ALICE PECK DAY MEMORIAL HOSPITAL, WINDSOR HOSPITAL CORPORATION (DBA MT ASCUTNEY HOSPITAL AND HEALTH CENTER), MT. ASCUTNEY HOSPITAL COMMUNITY HEALTH FOUNDATION, HISTORIC HOMES OF RUNNEMEDE, CHESHIRE MEDICAL CENTER, CHESHIRE HEALTH FOUNDATION, CHESHIRE HEALTH SERVICES, THE NEW LONDON HOSPITAL ASSOCIATION, VNA & HOSPICE OF VT AND NH, THE HITCHCOCK FOUNDATION, AND SOUTHWESTERN VERMONT HEALTH CARE CORPORATION.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	NET ASSET TRANSFER FROM AFFILIATES - 19573300; PENSION-RELATED AND OTHER CHANGES - -22445536; NET ASSET RELEASED FROM RESTRICTION - -16128473;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NEW ENGLAND ALLIANCE FOR HEALTH LLC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264232401	HEALTH IMPROVEMENT	NH	$60,023	$2,057,058	MHMH
D-H SPECIALTY SERVICES LLC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	460876427	SHARED SAVINGS PROGRAM	NH	$0	$0	MHMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SERVICES	NH	501(c)(3)	10	D-HH	false
DARTMOUTH-HITCHCOCK HEALTH
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264812335	PARENT ORGANIZATION	NH	501(c)(3)	7	NA	false
THE NEW LONDON HOSPITAL ASSOCIATION INC
273 COUNTY ROAD	NEW LONDON	NH	03257	020222171	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
CHESHIRE MEDICAL CENTER
580 COURT STREET	KEENE	NH	03431	020354549	HOSPITAL	NH	501(c)(3)	3	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
VISITING NURSE ASSOCIATON AND HOSPICE OF VERMONT AND NEW HAMPSHIRE INC
88 Prospect Street	White River Juction	VT	05001	036006494	HOSPICE	VT	501(c)(3)	10	D-HH	false
DARTMOUTH -HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222715483	SUPPORTING ORGANIZATION	NH	501(c)(3)	Type I	NA	false
SOUTHWESTERN VERMONT HEALTH CARE CORPORATION
100 HOSPITAL DRIVE	BENNINGTON	VT	05201	030179435	HOSPITAL	VT	501(c)(3)	3	DHH	false

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DARTMOUTH-HITCHCOCK MASTER INVESTMENT PROGRAM OF POOLED INVESTMENT ACCOUNTS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1 MED CTR DR	AddressLine1Txt
City	LEBANON	CityNm
State Abbreviation	NH	StateAbbreviationCd
ZIP	03756	ZIPCd

Field	Value	IRS element (for citing)
EIN	020205863	EIN
Primary Activities	POOLED INVESTMENTS	PrimaryActivitiesTxt
Legal Domicile State	NH	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MHMH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Predominant Income Type	Excluded	PredominantIncomeTypeTxt
Share Of Total Income	$58,206,102	ShareOfTotalIncomeAmt
Share Of EOY Assets	$986,813,329	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
UBI Code V	$2,080,449	UBICodeVAmt
General Or Managing Partner	Yes (true)	GeneralOrManagingPartnerInd
Ownership	0.7478	OwnershipPct

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (true)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Dartmouth-Hitchcock Master Investment	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$10,500,000	InvolvedAmt