MARY HITCHCOCK MEMORIAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: MARY HITCHCOCK MEMORIAL HOSPITAL (EIN 02-0222140)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-15
IRS object ID: 201731359349301878
Schema version: 2015v3.0
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 K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-15T08:21:58-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	101 SEAPORT BLVD	AddressLine1Txt
City	BOSTON	CityNm
State Abbreviation	MA	StateAbbreviationCd
ZIP	02210	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	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)
In Care Of	% DANIEL JANTZEN	InCareOfNm
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	DANIEL JANTZEN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	6036505634	PhoneNum
Signature	2017-05-11	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Paul Tanis	PreparerPersonNm
PTIN	P01441612	PTIN
Phone	6175305000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	James Weinstein DO MS	PrincipalOfficerNm

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	$1,067,191,105	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	19	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	6003	TotalEmployeeCnt
Total Volunteers	480	TotalVolunteersCnt
Total Gross UBI	$3,716,159	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$319,154	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,075,715	PYContributionsGrantsAmt
CY Contributions Grants	$7,326,385	CYContributionsGrantsAmt
PY Program Service Revenue	$908,783,191	PYProgramServiceRevenueAmt
CY Program Service Revenue	$994,071,500	CYProgramServiceRevenueAmt
PY Investment Income	$17,620,625	PYInvestmentIncomeAmt
CY Investment Income	$86,360	CYInvestmentIncomeAmt
PY Other Revenue	$47,796,806	PYOtherRevenueAmt
CY Other Revenue	$51,273,295	CYOtherRevenueAmt
PY Total Revenue	$979,276,337	PYTotalRevenueAmt
CY Total Revenue	$1,052,757,540	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,947,820	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,204,568	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$602,661,971	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$635,248,980	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$242,002	CYTotalFundraisingExpenseAmt
PY Other Expenses	$377,996,999	PYOtherExpensesAmt
CY Other Expenses	$448,365,775	CYOtherExpensesAmt
PY Total Expenses	$982,606,790	PYTotalExpensesAmt
CY Total Expenses	$1,085,819,323	CYTotalExpensesAmt
PY Revenues Less Expenses	-$3,330,453	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$33,061,783	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,294,964,551	TotalAssetsBOYAmt
Total Assets EOY	$1,312,172,799	TotalAssetsEOYAmt
Total Liabilities BOY	$696,007,861	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$787,785,889	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$598,956,690	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$524,386,910	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
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	$878,507,558	ExpenseAmt
Grant	$2,204,568	GrantAmt
Revenue	$1,005,285,452	RevenueAmt
Desc	Mary Hitchcock Memorial Hospital (the Hospital), is an acute and tertiary care teaching hospital located in Lebanon, New Hampshire. The Hospital is a not-for-profit organization, as described in Section 501(c)(3) of the Internal Revenue Code (the Code) and is exempt from Federal income taxes on related income pursuant to Section 501(a) of the Code. The Hospital provides a broad range of patient services and health related community services, consistent with its role as a community hospital, a major teaching hospital and a tertiary care referral hospital. These include a full range of services in both acute and critical medicine, surgery, psychiatry and rehabilitation for infants, children and adults. During FY 2016 the Hospital provided 129,561 acute patient days of inpatient service and had 27,371 total acute care discharges, while the Hospital's emergency room was open to the public 24 hours per day, 7 days per week and had 30,929 discharges. The Hospital operates as an integral component of Dartmouth-Hitchcock Medical Center (DHMC), a New Hampshire nonprofit corporation organized for the exploration and coordination of matters of mutual interest among its members: the Hospital, Dartmouth-Hitchcock Clinic (the Clinic), Geisel School of Medicine (GSM), a component of Dartmouth College, and the Veterans Affairs Medical Center in White River Junction, Vermont. The Clinic provides the physician staff to the Hospital and the sophistication essential for the development of the Hospital as the largest and only teaching hospital in New Hampshire and the designation by the federal government as a Rural Referral Center for northern New England. The shared mission of the Hospital and Clinic 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. Its strategic operating plan lays out a path to creating a "sustainable health system to improve the lives of the people and communities we serve, for generations to come." The focus of this work, across the Dartmouth-Hitchcock organization, i.e. all Hospital and Clinic sites, is in three main areas: Improving Population Health; Delivering Value Based Care; and Developing and Implementing New Payment Models. Consistent with this mission and in partnership with the Dartmouth-Hitchcock Clinic, the Hospital 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. The Hospital actively supports community-based health care and promotes the coordination of services among health care providers and social services organizations. The Hospital also seeks to work collaboratively with other area health care providers to improve the health status of the region. Effective with fiscal year 2000, the Hospital and the Clinic began filing an annual Community Benefit Report with the State of New Hampshire which outlines the community and charitable benefits they provide. The most recent Community Benefit Reports are available upon request or can be found on Dartmouth-Hitchcock's web site (www.dartmouth-hitchcock.org). 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, 2016 the Hospital provided financial assistance to 7,598 patients in the amount of $15,552,463, as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2016 was $6,127,670. The Hospital also routinely provides services to Medicaid patients at reimbursement levels that are below the cost of the care provided. The Community health activities includes 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 also includes financial contributions and the contribution of time and services to community programs, hospitals and agencies. The Hospital also provides a significant amount of uncompensated care to its patients reported as provision for bad debts, which is not included in the amounts reported above. During the years ended June 30, 2016, the Hospital reported a provision for bad debts of approximately $24,261,088.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$47,577,276	ExpenseAmt
Revenue	$32,485,788	RevenueAmt
Desc	As a component of New Hampshires only integrated academic medical center, the Hospital provides significant support for academic and research programs through its support of The Geisel School of Medicine at Dartmouth (GSM), the Hospital provides support for Physicians' unpaid teaching time as part of its Community Benefit Initiatives, consisting 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 the Clinic 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	$926,084,834	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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	Yes (true)	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	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	Yes (true)	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
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
IRP Document	992	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	6003	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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	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

Field	Value	IRS element (for citing)
Person	DANIEL JANTZEN	PersonNm
Phone	6036505634	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

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (62 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Vincent S Conti MHA
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Anne-Lee Verville
Trustee/Brd Chair eff. 1/1/16	1.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
Barbara Couch MS
Trustee/Board Secretary	0.75	1.25	Yes (X)	$0	$0	$0	Yes (X)
William J Conaty
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Robert A Oden Jr PhD
Trustee/Vice Chair eff 1/1/16	1.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
James N Weinstein DO MS
Trustee Ex-Officio/CEO	42.75	18.76	Yes (X)	$0	$1,332,138	$162,531	Yes (X)
Denis A Cortese MD
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Matthew B Dunne
Trustee End 12/31/15	0.75	1.25	Yes (X)	$0	$0	$0
Senator Judd A Gregg
Trustee	0.75	0.75	Yes (X)	$0	$0	$0
Laura K Landy MBA
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Paul P Danos PhD
Trustee/Bd Trsrer end 12/31/15	1.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
Barbara C Jobst MD
Trustee	28.75	12.75	Yes (X)	$0	$321,341	$85,446
Troyen Brennan MD MPH
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
R William Burgess Jr MBA
Trustee	0.75	1.25	Yes (X)	$0	$0	$0
Duane A Compton PhD
Trustee/Ex-Officio	0.75	1.56	Yes (X)	$0	$0	$0
M Brooke Herndon MD MS
Trustee	28.75	12.75	Yes (X)	$0	$231,626	$64,481
Charles G Plimpton MBA
Trustee/Bd Trsr eff 1/1/16	1.5	2.5	Yes (X)	$0	$0	$0	Yes (X)
Richard J Powell MD
Trustee end 12/31/15	28.75	13.55	Yes (X)	$0	$466,328	$117,201
Richard Rothstein MD
Trustee end 12/31/15	28.75	12.75	Yes (X)	$0	$556,900	$71,864
Steven A Paris MD
Trustee end 12/31/15	28.75	15.76	Yes (X)	$0	$375,697	$53,636
Jeffrey A Cohen MD
Trustee eff. 12/4/15	28.75	13.05	Yes (X)	$0	$402,436	$136,011
Timothy D Scherer MD
Trustee eff. 12/4/15	28.75	12.75	Yes (X)	$0	$500,250	$63,440
Brian C Spence MD MHCDS
Trustee eff. 12/4/15	28.75	12.75	Yes (X)	$0	$419,847	$44,863
Robin Kilfeather-Mackey CPA
Chief Financial Officer	42.75	19.76		$0	$550,797	$175,125	Yes (X)
Daniel Jantzen CPA
Chief Operating Officer	42.0	21.0		$676,831	$0	$151,921	Yes (X)
Stephen Leblanc
Exec VP Strtgy & Ntwrk Rltns	42.75	20.76		$0	$616,651	$179,153	Yes (X)
Edward Merrens MD
Chief Medical Officer	42.0	18.0		$0	$469,611	$67,752	Yes (X)
John Birkmeyer MD
Chf Clncl Offr/EVP Entprs Sup	42.0	20.5		$0	$791,471	$59,542	Yes (X)
Maria Padin MD
Chf Med Ofcr eff 11/9/15	42.0	8.0		$0	$372,362	$183,439	Yes (X)
Vincent Fusca III
Chief of Staff	42.0	19.0		$329,987	$0	$40,558		Yes (X)
George Blike MD
Chief Quality & Value Officer	42.0	18.0		$0	$449,299	$210,887		Yes (X)
John S Malanowski MILR
Chief HR Officer	42.0	8.0		$506,482	$0	$56,423		Yes (X)
Terrence P Carroll PHD
Chf Innvtn Offcr end 8/29/15	42.0	18.0		$654,526	$0	$55,371		Yes (X)
Gay Landstrom PhD RN NEA-BC
Chief Nursing Officer	42.75	18.75		$597,242	$0	$44,070		Yes (X)
Robert Greene MD MHCDS FACP
Chf Popul Mgmt Ofr	42.0	18.0		$0	$557,843	$38,671		Yes (X)
John Kacavas JD
Chief Legal Officer	42.0	19.0		$242,425	$0	$29,942		Yes (X)
Peter D Solberg MD
Chf Med Info Ofcr eff. 9/2/15	42.0	18.0		$0	$339,723	$48,738		Yes (X)
Karen Clements RN BSN MSB FACHE
Actg Chf Nrsg Ofr eff 6/15/16	42.0	18.0		$158,313	$0	$18,474		Yes (X)
Thomas J Siepka
Chief Pharmacy Offr Eff 1/4/16	42.0	18.0		$216,867	$0	$16,136		Yes (X)
Bruce King MSPH FHFMA
Pres & CEO New London Hosp	0.0	50.0		$347,705	$0	$97,689			Yes (X)
Roderic Young
VP Communications & Marketing	28.0	12.0		$311,382	$0	$45,595			Yes (X)
Martin Purcell MBA
VP IS Operations	28.0	12.0		$331,662	$0	$125,676			Yes (X)
Kimberly Troland JD
Fmr Intrm GC/Deputy Gen Cnsl	28.0	12.0		$371,724	$0	$38,986			Yes (X)
Kevin Donovan MHA
CEO - WHC end 6/14/16	0.0	40.5		$308,276	$0	$59,783			Yes (X)
Carl Dematteo MD
Fmr Chf Ql Compl Ofr/Physician	28.0	12.0		$0	$130,501	$1,482				Yes (X)
John Butterly MD
Fmr Offr/Exec VP Med Affairs	28.0	12.0		$0	$482,349	$63,446				Yes (X)
Jeanine Arden-Ornt
Fmr General Counsel	25.0	0.0		$213,499	$0	$0				Yes (X)
Thomas Colacchio MD
Former Officer/Phys	28.0	13.0		$0	$1,021,525	$81,611				Yes (X)
Darlene A Saler MBA RN
Frmr Actg Chf Nrsg Ofr	28.0	12.0		$193,999	$0	$115,514				Yes (X)
Clifford J Belden MD
Former Chief Clinical Officer	28.0	12.0		$0	$722,128	$29,907				Yes (X)
Mary Oseid MHCDS
Fmr Key Emp/VP Enterprise Svcs	28.0	12.0		$0	$263,800	$189,207				Yes (X)
Christine Schon MPA
Fmr Key Emp/Adm VP Prmry Care	28.0	12.01		$0	$235,521	$57,261				Yes (X)
Gail Dahlstrom
Fmr Key Emp/VP Facilities Mgmt	28.0	12.0		$165,977	$0	$44,038				Yes (X)
Tina Naimie CPA MHCDS
Fmr Key Emp/VP Corp Finance	28.0	13.5		$234,879	$0	$23,643				Yes (X)
Wendy Fielding MBA
Fmr Key Emp/VP Finance Plnning	28.0	14.5		$234,382	$0	$56,833				Yes (X)
Mary Kay Boudewyns
Fmr Key Emp/Adm Dir Rev Mgmt	28.0	12.0		$229,591	$0	$141,496				Yes (X)
Thomas Dodds MD
Former Key Emp/Dept Chr Anesth	28.0	12.0		$0	$552,374	$106,025				Yes (X)
Wendy Wells MD
Fmr Key Emp/Dpt Chr Pathology	28.0	12.0		$0	$448,323	$124,193				Yes (X)
Jocelyn Chertoff MD
Fmr Key Emp/Dpt Chr Dgnstc Rad	28.0	12.0		$0	$544,464	$179,487				Yes (X)
Edward Catherwood MD MS
Former Key Emp/Ctr Dir Hrt/Vsc	28.0	12.0		$0	$465,442	$72,895				Yes (X)
Steven Boyce
Fmr Key Emp/Adm. VP Med Spclts	28.0	12.0		$0	$255,054	$75,059				Yes (X)
Jeffrey OBrien MHA
Fmr Key Emp/VP Oncology	28.0	12.0		$277,541	$0	$41,301				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,603,290	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$13,875,801	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,946,802	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	411	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
TRUSTEES OF DARTMOUTH COLLEGE
37 DEWEY FIELD	HANOVER	NH	03755	ADMIN & DIR SUPPORT	$19,018,393
Cross Country Staffing
PO Box 404674	ATLANTA	GA	303844674	Staffing Services	$10,183,721
Accretive Health
401 N Michigan Ave Ste 2700	CHICAGO	IL	60611	REVENUE MGMT	$14,964,524
Conifer Revenue Cycle Solutions LL
1500 S Douglass Road Ste 200	ANAHEIM	CA	92806	Revenue Mgmt	$13,719,309
Turner Construction
Two Seaport Lane	BOSTON	MA	02210	Construction Svcs	$25,439,385

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	53	CntrctRcvdGreaterThan100KCnt
Government Grants	$2,378,499	GovernmentGrantsAmt
All Other Contributions	$4,947,886	AllOtherContributionsAmt
Noncash Contributions	$525,439	NoncashContributionsAmt
Total Contributions	$7,326,385	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	622110	$987,835,649	$986,647,738	$1,187,911
RESEARCH RELATED ACTIVITIES	622110	$6,235,851	$6,235,851

Field	Value	IRS element (for citing)
Total Program Service Revenue	$994,071,500	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,114,602	TotalRevenueColumnAmt
Unrelated Business Revenue	-$423,728	UnrelatedBusinessRevenueAmt
Exclusion	$3,538,330	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,120,858	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$569,592	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$551,266	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$551,266	TotalRevenueColumnAmt
Exclusion	$551,266	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$10,804,425	SecuritiesAmt
Other	$31,306	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$12,029,632	SecuritiesAmt
Other	$1,834,341	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,225,207	SecuritiesAmt
Other	-$1,803,035	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,028,242	TotalRevenueColumnAmt
Exclusion	-$3,028,242	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PHARMACY INCOME	622110	$29,007,019	$28,897,933	$109,086
CAFETERIA INCOME	622110	$2,882,402			$2,882,402
OTHER ALLOCATED INCOME	622110	$9,645,850	$9,645,850

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,186,758	TotalRevenueColumnAmt
Related Or Exempt Func Income	$6,343,868	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,842,890	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$50,722,029	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,052,757,540	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,037,771,240	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,716,159	UnrelatedBusinessRevenueAmt
Exclusion	$3,943,756	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$825,729	TotalAmt
Program Services	$825,729	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,378,839	TotalAmt
Program Services	$1,378,839	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$11,139,844	TotalAmt
Program Services	$4,619,333	ProgramServicesAmt
Management And General	$6,300,316	ManagementAndGeneralAmt
Fundraising	$220,195	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$5,173,529	TotalAmt
Program Services	$4,236,495	ProgramServicesAmt
Management And General	$915,703	ManagementAndGeneralAmt
Fundraising	$21,331	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$480,597,480	TotalAmt
Program Services	$407,317,175	ProgramServicesAmt
Management And General	$73,280,305	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$46,845,432	TotalAmt
Program Services	$39,697,012	ProgramServicesAmt
Management And General	$7,148,420	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$58,681,803	TotalAmt
Program Services	$49,727,201	ProgramServicesAmt
Management And General	$8,954,602	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$32,810,892	TotalAmt
Program Services	$27,804,085	ProgramServicesAmt
Management And General	$5,006,807	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,121,110	TotalAmt
Program Services	$45,251	ProgramServicesAmt
Management And General	$2,075,859	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$660,654	TotalAmt
Management And General	$660,654	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$38,500	TotalAmt
Management And General	$38,500	ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$91,406,800	TotalAmt
Program Services	$58,394,194	ProgramServicesAmt
Management And General	$33,012,606	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,001,260	TotalAmt
Program Services	$31,565	ProgramServicesAmt
Management And General	$2,969,695	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,451,721	TotalAmt
Program Services	$11,429,572	ProgramServicesAmt
Management And General	$2,022,149	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,253,855	TotalAmt
Program Services	$9,125,931	ProgramServicesAmt
Management And General	$1,127,924	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,048,820	TotalAmt
Program Services	$12,459,591	ProgramServicesAmt
Management And General	$1,589,229	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$3,695,050	TotalAmt
Program Services	$1,836,736	ProgramServicesAmt
Management And General	$1,858,314	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$101,172	TotalAmt
Program Services	$92,759	ProgramServicesAmt
Management And General	$8,413	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,828,649	TotalAmt
Program Services	$11,417,498	ProgramServicesAmt
Management And General	$1,411,151	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$60,735,848	TotalAmt
Program Services	$54,053,546	ProgramServicesAmt
Management And General	$6,682,302	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,023,478	TotalAmt
Program Services	$3,023,478	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$165,842,804	$165,711,223	$131,581
MEDICAID ENHANCEMENT TAX	$46,077,549	$46,077,549
EQUIPMENT RENTAL & MAINT	$12,488,248	$11,114,541	$1,373,707
ACDMC, GME, TEACHING, & EDU	$7,605,114	$5,507,306	$2,097,808

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$985,143	TotalAmt
Program Services	$158,225	ProgramServicesAmt
Management And General	$826,442	ManagementAndGeneralAmt
Fundraising	$476	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,085,819,323	TotalAmt
Program Services	$926,084,834	ProgramServicesAmt
Management And General	$159,492,487	ManagementAndGeneralAmt
Fundraising	$242,002	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$115,693	BOYAmt
EOY	$1,876,637	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,175,102	BOYAmt
EOY	$1,933,626	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$125,676,961	BOYAmt
EOY	$157,353,140	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$313,922	BOYAmt
EOY	$168,957	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	$806,671	BOYAmt
EOY	$579,058	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,427,916	BOYAmt
EOY	$17,379,674	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,906,477	BOYAmt
EOY	$9,333,121	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$1,021,194,469	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$593,845,656	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$427,313,043	BOYAmt
EOY	$427,348,813	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$325,346,264	BOYAmt
EOY	$234,549,775	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$254,702,840	BOYAmt
EOY	$337,361,745	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$8,808,343	BOYAmt
EOY	$7,950,879	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$118,371,319	BOYAmt
EOY	$116,337,374	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,294,964,551	BOYAmt
EOY	$1,312,172,799	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$125,289,886	BOYAmt
EOY	$126,756,517	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$465,950	BOYAmt
EOY	$631,346	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$335,292,116	BOYAmt
EOY	$326,836,101	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	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	$147,351,381	BOYAmt
EOY	$227,716,877	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$87,608,528	BOYAmt
EOY	$105,845,048	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$696,007,861	BOYAmt
EOY	$787,785,889	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$519,605,834	BOYAmt
EOY	$435,627,969	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,053,367	BOYAmt
EOY	$58,764,416	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,297,489	BOYAmt
EOY	$29,994,525	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$598,956,690	BOYAmt
EOY	$524,386,910	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,294,964,551	BOYAmt
EOY	$1,312,172,799	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$33,061,783	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$11,245,687	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$30,262,310	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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	$148,428	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$72,593	OtherActivitiesAmt
Total Lobbying Expenditures	$221,021	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

LOBBYING ACTIVITY EXPLANATION

FORM 990, SCHEDULE C, PART II B, LINES 1B & 1G MARY HITCHCOCK MEMORIAL HOSPITAL EMPLOYS TWO 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 THE HOSPITAL 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, 2016, MARY HITCHCOCK MEMORIAL HOSPITAL INCURRED $148,428 IN CONJUCTION WITH THESE ACTIVITIES.

Form 990 Schedule C, Part II B, 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.

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$72,720,335	BeginningYearBalanceAmt
Contributions	$378,941	ContributionsAmt
Investment Earnings Or Losses	-$377,000	InvestmentEarningsOrLossesAmt
Other Expenditures	$17,967,476	OtherExpendituresAmt
End Year Balance	$54,754,800	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$74,609,411	BeginningYearBalanceAmt
Contributions	$208,107	ContributionsAmt
Investment Earnings Or Losses	-$516,882	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,580,301	OtherExpendituresAmt
End Year Balance	$72,720,335	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,935,134	BeginningYearBalanceAmt
Contributions	$17,029,356	ContributionsAmt
Investment Earnings Or Losses	$3,029,123	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$16,800	GrantsOrScholarshipsAmt
Other Expenditures	$1,648,675	OtherExpendituresAmt
End Year Balance	$73,328,138	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$57,050,185	BeginningYearBalanceAmt
Contributions	$188,155	ContributionsAmt
Investment Earnings Or Losses	-$357,053	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,322	GrantsOrScholarshipsAmt
Other Expenditures	$1,940,831	OtherExpendituresAmt
End Year Balance	$54,935,134	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,023,225	BeginningYearBalanceAmt
Contributions	$30,717	ContributionsAmt
Investment Earnings Or Losses	$3,834,255	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$15,000	GrantsOrScholarshipsAmt
Other Expenditures	$823,012	OtherExpendituresAmt
End Year Balance	$57,050,185	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.29860	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.54480	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.15660	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$0	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$41,365,774	OtherCostOrOtherBasisAmt
Book Value	$41,365,774	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$507,941,964	OtherCostOrOtherBasisAmt
Depreciation	$290,401,270	DepreciationAmt
Book Value	$217,540,694	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,111,615	OtherCostOrOtherBasisAmt
Depreciation	$3,686,428	DepreciationAmt
Book Value	$425,187	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$438,422,564	OtherCostOrOtherBasisAmt
Depreciation	$299,757,958	DepreciationAmt
Book Value	$138,664,606	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,352,552	OtherCostOrOtherBasisAmt
Depreciation	$0	DepreciationAmt
Book Value	$29,352,552	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$427,348,813	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME	$123,429,884	F
PRIVATE EQUITIES	$40,457,779	F
HEDGE FUNDS	$52,203,204	F
OTHER INVESTMENTS	$121,270,878	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$337,361,745	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN CAPTIVE	$2,878,669
DUE FROM AFFILIATES	$74,003,079
BOND ISSUANCE COSTS	$2,988,285
OTHER MISC ASSETS	$22,981,051
CAPITAL LEASE RECEIVABLE	$13,486,290

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$116,337,374	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
THIRD PARTY RESERVES	$22,811,759
ACCRUED POST RETMNT PENS & MED	$73,562,340
INTEREST RATE SWAP	$9,470,949

Field	Value	IRS element (for citing)
Total Liability	$105,845,048	TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Intended use of Endowment Funds	FormAndLineReferenceDesc
Explanation	Form 990, Schedule D, Part V, Line 4 The intended use of the endowment funds is to promote and advance the following mission-related programs: healthcare services, research, charity care, and health education. ASC 740 (Fin 48) Footnote Form 990, Schedule D, Part X, Line 2 No ASC 740 (Fin 48) footnote was included in the audited financial statements as there were no material uncertain tax positions at or since adoption.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (21 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	EmployeeEmployeeCnt
Central America and the Caribbean	Program Services	Travel	$20,773
East Asia and the Pacific	Program Services	Medical Services	$6,145	1
East Asia and the Pacific	Program Services	Travel	$2,228
East Asia and the Pacific	Program Services	Research	$53,632
Europe (Including Iceland and Greenland)	Program Services	Dues and Licenses	$287
Europe (Including Iceland and Greenland)	Program Services	Insurance	$105,000
Europe (Including Iceland and Greenland)	Program Services	Software	$59,632
Europe (Including Iceland and Greenland)	Program Services	Travel	$33,939
Middle East and North Africa	Program Services	Travel	$10
North America	Program Services	Advertising	$17,987
North America	Program Services	Dues and Licenses	$60
North America	Program Services	Honorariums	$1,887
North America	Program Services	Publications	$330
North America	Program Services	Services	$2,083
North America	Program Services	Software	$297,587
North America	Program Services	Travel	$21,939
South America	Program Services	Medical Services	$14,851	3
South America	Program Services	Travel	$1,115
Sub-Saharan Africa	Program Services	Medical Services	$441,543	8
Sub-Saharan Africa	Program Services	Travel	$3,245
Central America and the Caribbean	Investments	Inv in Ins Captive	$2,878,669

Field	Value	IRS element (for citing)
Subtotal Employees	4	SubtotalEmployeesCnt
Continutation Total Employee	8	ContinutationTotalEmployeeCnt
Total Employee	12	TotalEmployeeCnt
Subtotal Spent	$638,370	SubtotalSpentAmt
Continuation Spent	$3,324,572	ContinuationSpentAmt
Total Spent	$3,962,942	TotalSpentAmt
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

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
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	$6,127,670	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,127,670	NetCommunityBenefitExpnsAmt
Total Expense	0.00590	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$181,946,139	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,152,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$77,793,231	NetCommunityBenefitExpnsAmt
Total Expense	0.07480	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$188,073,809	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$104,152,908	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$83,920,901	NetCommunityBenefitExpnsAmt
Total Expense	0.08070	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,262,106	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,803,643	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,458,463	NetCommunityBenefitExpnsAmt
Total Expense	0.00240	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,295,253	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,857,037	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,438,216	NetCommunityBenefitExpnsAmt
Total Expense	0.03020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$14,911,020	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$228,881	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,682,139	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,202,904	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,756	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,195,148	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$917,496	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$917,496	NetCommunityBenefitExpnsAmt
Total Expense	0.00090	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,588,779	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$13,897,317	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$51,691,462	NetCommunityBenefitExpnsAmt
Total Expense	0.04970	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$253,662,588	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$118,050,225	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$135,612,363	NetCommunityBenefitExpnsAmt
Total Expense	0.13040	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,504,864	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$669,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$835,623	NetCommunityBenefitExpnsAmt
Total Expense	0.00080	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,509	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$50,509	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$135,237	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$135,237	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,690,610	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$669,241	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,021,369	NetCommunityBenefitExpnsAmt
Total Expense	0.00100	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$24,261,088	BadDebtExpenseAmt
Reimbursed By Medicare	$287,705,469	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$320,139,906	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$32,434,437	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	Psych Unit and Transplant Unit Cancer Center	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	Mary Hitchcock Memorial Hospital	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
CHNA Conducted	15	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	Please see Section C, Supplemental Info	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	12	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	Please see Section C, Supplemental Info	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.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	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
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	See Section C, Supplemental Info	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	See Section C, Supplemental Info	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	See Sect. C, Spplmntl Info	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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Average Negotiated Rates	Yes (X)	AverageNegotiatedRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Input From Representatives of Community Served by the Hospital Facility

Form 990, Sch H, Part V, Section B, Line 5 D-H IS ACTIVELY ENGAGED IN THE DEVELOPMENT OF AN ACTIVE UPPER VALLEY REGIONAL PUBLIC HEALTH ADVISORY COUNCIL (35+ COMMUNITY REPRESENTATIVES) AND BROADER RETHINK HEALTH INITIATIVES (100+ COMMUNITY REPRESENTATIVES). MEMBERS OF THESE TWO COMMUNITY HEALTH ADVISORY GROUPS HAVE HAD THE OPPORTUNITY TO REVIEW AND COMMENT ON DRAFTS OF DARTMOUTH-HITCHOCK'S COMMUNITY HEALTH IMPROVEMENT PLAN. THE PLAN DOCUMENT HAS ALSO BEEN CIRCULATED TO PUBLIC HEALTH OFFICIALS IN VERMONT FOR THEIR COMMENT. IN ADDITION, DARTMOUTH-HITCHCOCK REPRESENTATIVES SERVE ON NUMEROUS BOARDS, TASK FORCES, MUNICIPAL HEALTH LEADERSHIP AND PLANNING TEAMS, AND OTHER COMMUNITY HEALTH LEADERSHIP ENTITIES IN ORDER TO ENSURE THAT WE BOTH PARTICIPATE IN AND BETTER UNDERSTAND THE NEEDS OF OUR COMMUNITY. CHNA Conducted With One Or More Other Hospital Facilities Form 990, Schedule H, Part V, Section B, Line 6A During 2012, MHMH partnered with Alice Peck Day Memorial Hospital and Mount Ascutney Hospital and Health Care. CHNA Conducted With One Or More Organizations Other Than Hospital Facilities Form 990, Schedule H, Part V, Section B, Line 6B In 2012, in addition to other hospitals, the assessment was completed in partnership with Granite State United Way. Community Health Needs Assessment Form 990, Schedule H, Part V, Section B, Line 7a The Community Health Needs Assessment can be found online at http://www.dartmouth-hitchcock.org/about_dh/community_benefits_program.htm l Community Health Needs Assessment Form 990, Schedule H, Part V, Section B, Line 7c & 7d The Needs Assessment was distributed to non-profit organizations throughout the region including the Public Health Council of the Upper Valley and Granite United Way. It is also available from the Organization upon request. Community Health Needs Assessment and Implementation Strategy Form 990, Schedule H, Section B, Line 9 Mary Hitchcock Memorial Hospital Conducted a new CHNA which was approved by the board on June 28th, 2016. The CHIS was approved by the board in September of 2016. The information provided here represents the 2013 (Tax Year 2012) CHNA, which was in place for the majority of FY16. Community Health Needs Assessment Implementation Strategy Form 990, Schedule H, Part V, Section B, Line 10a The Community Health Needs Assessment Implementation Strategy can be found online at http://www.dartmouth-hitchcock.org/about_dh/community_benefits_program.htm l Community Health Needs Identified Form 990, Schedule H, Part V, Section B, Line 11 Based upon the most recent community benefits report, MHMH is increasing community benefits spending to address identified community needs, particularly, oral health, needs of older adults, substance misuse prevention, and obesity/nutrition/physical activity. In FY 2016, Mary Hitchcock Memorial Hospital's (MHMH) Community Health Improvement strategies were consistent with the intentions identified in our Community Health Improvement Plan to address identified community health needs by: a) increase investment; b) maintain similar levels of investments for services and initiatives already provided by MHMH; or c) limit investment in areas where other community organizations already provide leadership and services to address the need, 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). In four cases, items identified in the CHNA were not adddressed by MHMH: 1) the need for more affordable housing; 2) the need for more livable wage jobs; 3) the need to reduce rural isolation; and 4) the need for improved quality of education. These needs are outside the traditional mission/services/scope of the hospital; the region looks to other entities, such as Granite United Way, Twin Pines Housing Trust, Lebanon Housing Authority; Vital Communities; and others, for leadership to address these needs. In these cases, MHMH's response may include: a) minimal investment of time, leadership, and expertise, such as serving on community committees; b) making cash investments in the lead organization or addressing smaller aspects of the identified need as part of a collaboration with community organizations, such as cash support for the Upper Valley Housing Coalition and investing in an on-site employment training program for young adults with developmental disabilities; or c) investing in the issue, but in a way that may not meet criteria for inclusion as a Community Benefit, such as investing significantly in regional jobs training activities that help individuals move to higher paying, stable jobs at Dartmouth-Hitchcock or developing pediatric clinic-community approaches to improving care for children with asthma. While these efforts address an identified community need, the cost of these efforts cannot be separated from MHMH's business model or standard of clinical care, thus do not qualify as Community Benefits. Additionally, leadership to address two community needs: cancer prevention; and prevention of unintentional injuries, is led primarily by teams who are employed by the Geisel School of Medicine at Dartmouth College. In many cases, while leadership for these efforts are provided by staff who have dual appointments to both the Geisel School of Medicine and MHMH, the cost accounting for these efforts occurs through the Geisel School, so MHMH does not claim leadership in these areas of community health improvement. In both cases, however, MHMH does provide cash support to the Geisel School of Medicine teams who do this work in our Hospital Service Area and throughout New Hampshire and Vermont. Discounted Care by income level other than FPG Form 990, Schedule H, Part V, Section B, Line 13B 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 D-H. Residency Form 990, Schedule H, Part V, Section B, Line 13G In order to receive financial assistance, an individual must be a resident of NH or VT, or a non-resident who experiences a medical emergency. Uninsured Discount Policy Form 990, Schedule H, Part V, Section B, Line 13H D-H 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 is referenced as a link in the Financial Assistance Policy.

Measures to Publicize Financial Assistance Policy

Form 990, Schedule H, Part V, Section B Line 16 A-C The financial assistance policy, application, and plain language summary can be found at: http://www.dartmouth-hitchcock.org/billing-charges/financial_assistance.ht ml MHMH has brochures available at all admission sites as well as plain language summary posters at all locations. Additionally, MHMH provided brochures to local non-profits to distribute. Financial Assistance Policy availability within the Community Form 990, Schedule H, Part V, Section B, Line 16I MHMH financial assistance policy is posted on MHMH's website, including the verbatim policy and a shorter, more patient-friendly version. MHMH provides the patient friendly brochure version of the policy to all uninsured patients who enter the health system. MHMH continues to notify patients on the back of the billing statement about financial assistance being available to them. Additionally, MHMH posts information about the policy in public areas throughout the facilities including admission offices. MHMH has also made additional changes internally to increase awareness of the policy, including adding information to the back of the patient's statement about financial assistance available to them, posting information about the policy in public areas throughout the facilities, and ensuring financial assistance policy brochures are available 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. Maximum charges to financial assistance policy-eligible individuals for emergency or medically-necessary care Form 990, Schedule H, Part V, Section B, Line 22B MHMH uses the average of the three highest commerical payer discounts and applies this as a discount for all uninsured patients. The discount rate is 43% for FY16. Facility information Form 990, Schedule H, Part V, Section D The Hospital has a 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.

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Other factors used in determining eligibility other than FPG	Form 990, Schedule H, Part I, Line 3c Guidelines D-H uses the FPG guidelines in determining the initial level of financial assistance provided. In addition, D-H 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 selfpay balance is greater than this calculation, the selfpay balance is reduced to the sum of 10% of two years income plus 10% of assets. Each household is allowed certain sheltered assets which are not used when calculating household income or assets. Savings is sheltered up to 100% of FPL based on family size, equity in primary residence up to $200,000 up to 55 and $250,000 for aged 55 and older, and a retirement shelter of up to $100,000 in retirement assets as long as it is employer based contributions if working or IRA if self-employed. If a patient is retired, prior retirement accounts would be included as a sheltered asset. Community Benefits Report Form 990, Schedule H, Part I, Line 6a 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 Benefits report with the state of New Hampshire. For purposes of IRS Form Schedule H, only Hospital numbers were used. All amounts relating to DHC were excluded. The New Hampshire Community Benefits Report filed for fiscal year 2016, DHC and MHMH combined, totaled $172,753,262.
Costing Methodology	Form 990, Schedule H, Part I, Line 7 The costing methodology used to calculate the amounts reported was a cost-to-charge ratio derived from worksheet 2, Ratio of Patient Care Cost-to-Charges.
Subsidized health services related to physician clinics	Form 990, Schedule H, Part I, Line 7G The Organization did not include any subsidized health service costs attributable to a physician clinic on Part I, line 7G.
Community Building Activities	Form 990, Schedule H, Part II COMMUNITY BUILDING ACTIVITIES INCLUDE EXPENSES RELATED TO COALITIONS THAT ADDRESS RURAL EMERGENCY/TRAUMA SERVICES, REGIONAL PUBLIC HEALTH NETWORKS; PREVENTION OF PEDIATRIC OBESITY,PREVENTION OF SUBSTANCE ABUSE, FALLS REDUCTION FOR OLDER ADULTS, PUBLIC, HEALTH NETWORKS, AND PRESCRIPTION DRUG MISUSE. THESE ALSO INCLUDE CASH SUPPORT AND/OR CONTRIBUTED IN-KIND SUPPORT FOR THE DEVELOPMENT AND MAINTENANCE OF HOUSING FOR LOW-INCOME FAMILIES, REGIONAL ECONOMIC DEVELOPMENT, AND SUPPORT FOR REGIONAL WORKFORCE DEVELOPMENT SERVICES.
Bad Debt Expense	Form 990, Schedule H, Part III, Section A, Lines 2 and 3 The amounts reported on Part III, Section A, line 2 were derived from MHMH's audited financial statements (provision for bad debt). MHMH's Policy is to exert everything in the Organization's power to obtain sufficient and adequate information to determine eligibility for financial assistance. MHMH's discount for uninsured patients is currently 43% (before financial assistance is applied). As part of MHMH's Financial Assistance Policy, MHMH makes information available to patients for eligibility and how to apply for free or discounted care. If the patient does not respond to the hospital's attempts to complete the financial assistance package, these patients may be written off to bad debt. Until 10/1/2015, when D-H changed revenue management service providers, D-H had procedures for presumptive charity review. With the transition to new revenue management providers, as of 6/30/16, presumptive charity review procedures did occur for the final six months of the fiscal year. D-H is working with the new provider to begin presumptive charity review for fiscal year 2017.
Audited Financial Stmt Disclosure for Charity Care and Bad Debt Provision	Form 990, Schedule H, Part III, Section A, Line 4 (Please note that MHMH files a consolidated audited financial statement with Dartmouth-Hitchcock Clinic and other Subsidiaries the amount reported on Schedule H represents MHMH's portion only). MHMH provides care to patients who meet certain criteria under their financial assistance policies without charge or at amounts less than their established rates. Because MHMH does not anticipate collection of amounts determined to qualify as charity care, they are not reported as revenue. MHMH grants credit without collateral to patients. Most are local residents and are insured under third-party arrangements. Additions to the allowance for uncollectible accounts are made by means of the provision for bad debts. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The amount of the provision for bad debts is based upon managements assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental healthcare coverage, and other collection indicators.
Medicare Shortfalls	Form 990, Schedule H, Part III, Section B, Line 8 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 $24,037,868 and costs of $28,450,965 for services not included on the Medicare Cost Report (Ambulance Services, Laboratory and other fees screens, and Medicare Part C & D services). MHMH incurred a net loss of $4,413,097 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.
Credit and Collection Policy	Form 990, Schedule H, Part III, Line 9b MHMH has a Credit and Collection Policy that addresses the procedures for patients who choose not to make payment or work with MHMH to make payment arrangements for their bill. The Organization has a separate Financial Assistance Policy that addresses those patients who are unable to make payment. MHMH is a charitable health care organization who treats patients that come for medically necessary care, regardless of their financial status. MHMH offers financial assistance in the form of free or discounted care to those patients who have an inability to pay their bills. The Financial Assistance Policy outlines eligibility criteria for financial assistance; the method by which patients may apply for financial assistance; the basis for calculating amounts charged to patients eligible for financial assistance under this policy; D-H's measures to widely publicize the policy within the community served; and the limitation of charges for emergency or other medically necessary care. Patients can qualify for 25%, 50%, 75%, or 100% reduction based on Federal Poverty Levels as well as a catastrophic guideline of 10% of 2 year's income for those that may not qualify based on assets and income, but who have a bill beyond their means to pay. 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.
Needs Assessment	Form 990, Schedule H, Part VI, Line 2 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 FY2016, 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 CARE, VALLEY REGIONAL HOSPITAL, AND NEW LONDON HOSPITAL TO USE SIMILAR COMMUNITY HEALTH NEEDS ASSESSMENTS TOOLS AND APPROACH, 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. THE FY2016 COMMUNITY HEALTH NEEDS ASSESSMENT WAS REVIEWED AT A LARGE COMMUNITY MEETING (50+ STAKEHOLDERS) OF THE PUBLIC HEALTH COUNCIL OF THE UPPER VALLEY AND OTHER IN DECEMBER 2015 FOR FURTHER COMMENTS AND FEEDBACK. AS PART OF THE NEEDS ASSESSMENT, MHMH REVIEWED: 1. HEALTH, ECONOMIC, AND EDUCATION DATA FROM SOURCES INCLUDING YOUTH RISK BEHAVIOR SURVEYS, THE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, PUBLIC HEALTH AND HOSPITAL DISCHARGE DATA AVAILABLE IN NH HEALTH WRQS, CENSUS DATA, AND REPORTS FROM THE NEW ENGLAND COMMON ASSESSMENT PROGRAM. ADDITIONALLY, IT REVIEWED THE 2011 NH STATE HEALTH PROFILE; QUANTITATIVE AND QUALITATIVE DATA FROM LOCAL SOURCES (NEWSPAPERS, REGIONAL PLANNING OFFICES, COMMUNITY FORUMS) TO IDENTIFY CONCERNS THAT EMERGED, INTENSIFIED, OR WERE THE SOURCE OF LOCAL ATTENTION SINCE THE LAST SECONDARY DATA WAS COLLECTED. 2. OPINION DATA FROM PROFESSIONAL STAKEHOLDERS USING AN ONLINE OPINION POLL OF REGIONAL LEADERS IN HEALTH, PUBLIC HEALTH, EDUCATION, MUNICIPAL GOVERNMENTS, PUBLIC SAFETY, AND SOCIAL SERVICE PROVIDERS. 69 INFORMED STAKEHOLDERS RESPONDED TO THIS SURVEY. 3. FOCUS GROUP DATA COLLECTED FROM 4 FOCUS GROUPS LARGELY CONSISTING OF LOWER-INCOME CONSUMERS OF HEALTH/SOCIAL SERVICES. 4. OPINION DATA FROM RESIDENTS COLLECTED THROUGH COMMUNITY LIST-SERVS, ASSISTED INTERVIEWS AT HUMAN SERVICE ORGANIZATIONS, HUMAN SERVICE ORGANIZATIONS, PRIMARY CARE AND FREE CARE CLINICS, AND OTHER COMMUNITY SETTINGS. 1,566 RESIDENTS RESPONDED TO SURVEYS. DARTMOUTH-HITCHCOCK REGULARLY MONITORS NEWLY RELEASED HEALTH, ECONOMIC, AND EDUCATION DATA FROM OUR SERVICE REGION TO IDENTIFY EMERGING REGIONAL NEEDS AND CONCERNS, INCLUDING FY 2015 YOUTH RISK BEHAVIOR SURVEYS, THE 2013 NH STATE HEALTH IMPROVEMENT PLAN, NH'S EMERGING STATE PLANS TO ADDRESS SUBSTANCE MISUSE, OPIOID MISUSE, OBESITY, AND CHILDREN'S BEHAVIORAL HEALTH.
Patient Education of Eligibility for Assistance	Form 990, Schedule H, Part VI, Line 3 All uninsured inpatients, same day surgery, observation, and Emergency Department patients are pro-actively 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 regular protocol. If a patient appears to be eligible, on-site Financial Counselors assist the patient in completing the appropriate paperwork/applications and provide instruction 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. Community Information Form 990, Schedule H, Part VI, Line 4 THE ORGANIZATION DEFINES ITS SERVICE REGION AS NEW HAMPSHIRE AND EASTERN VERMONT, WITH THE LARGEST PRESENCE IN A 19-TOWN 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. 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 AND 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.
Promotion of Community Health	Form 990, Schedule H, Part VI, Line 5 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 OBESITY REDUCTION AND CHILDREN'S 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 AUTHORITY. 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 CONTRIBUTION 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 GEISEL SCHOOL OF MEDICINE. MARY-HITCHCOCKS'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 MARY HITCHCOCKS'S PATIENT SAFETY AND TRAINING CENTER, ONGOING QUALITY AND PATIENT SAFETY INITIATIVES; PURCHASES OF NEW AND EMERGING MEDICAL TECHNOLOGIES, SUPPORT TRANSLATIONAL RESEARCH, AND MEDICAL EDUCATION. OF THE 19 VOTING MEMBERS OF MARY HITCHCOCK BOARD OF TRUSTEES, 13 ARE NEITHER CONTRACTORS NOR EMPLOYEES OF MHMH.
Affiliated Health Care System Community	Form 990, Schedule H, Part VI, Line 6 BENEFITS ARE PROVIDED BY THE DARTMOUTH-HITCHCOCK HEALTH CARE 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 2016 MHMH HAD 396 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. MHMH, DHC, AND THE GEISEL SCHOOL OF MEDICINE FACULTY AND STUDENTS MAKE UP THE DARTMOUTH-HITCHCOCK (D-H) HEALTH CARE SYSTEM. THE HOSPITAL AND CLINIC OPERATE JOINTLY THROUGH INTERLOCKING DIRECTORATES, STRATEGIC PLANNING AND MANAGEMENT AND SHARE IDENTICAL MISSIONS. THE MEDICAL SCHOOL, WHICH WORKS CLOSELY WITH THE HOSPITAL AND CLINIC, IS FOCUSED ON MEDICAL EDUCATION AND RESEARCH.
State filing of Community Benefit Report	Form 990, Schedule H, Part VI, Line 7 MHMH files a Community Benefit Report with the State of New Hampshire jointly with Dartmouth-Hitchcock Clinic.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (18 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
The Trustees of Dartmouth College
1 Rope Ferry Road	Hanover	NH	03755	020222111	501(C)(3)	$356,301	FMV	Educ and Prog Suppt
Advance Transit
PO Box 1027	Wilder	VT	05088	222558708	501(C)(3)	$78,327	FMV	Transportn Subsidy
Vital Communities Inc
195 No Main St	White River Jct	VT	05001	030355283	501(C)(3)	$15,750	FMV	Transportn Subsidy
Indian Stream Health Center
2 Corliss Ln Rr2 Box 14	Colebrook	NH	03576	200999212	501(c)(3)	$35,000	FMV	Program Sponsor
American Cancer Society
250 Williams Street NW	Atlanta	GA	30303	131788491	501(c)(3)	$15,750	FMV	Program Support
American Heart Association
7272 Greenville Avenue	Dallas	TX	75231	135613797	501(c)(3)	$28,000	FMV	Program Support
CT River Transit Inc
706 Rockingham Road	Bellows Falls	VT	05101	861069523	501(c)(3)	$21,000	FMV	Transportn Subsidy
Girl Scouts of the Green and White Mountains
PO Box 10832	Bedford	NH	03110	020243160	501(c)(3)	$5,915	FMV	GENERAL SUPPORT
Hitchcock Foundation
One Medical Center Drive	Lebanon	NH	03756	020222139	501(c)(3)	$8,050	FMV	PROGRAM SUPPORT
Upper Valley Haven Inc
713 Hartford Avenue	White River Jct	VT	05001	030277908	501(c)(3)	$15,050	FMV	General Support
Good Beginnings Inc
PO Box 5054	West Lebanon	NH	03784	223096726	501(c)(3)	$5,600	FMV	General Support
Family Place Inc
319 US Route 5 S	Norwich	VT	05055	030305264	501(c)(3)	$22,400	FMV	General Support
New Hampshire Professionals Health Program
199 State Route 101	Amherst	NH	03031	208986771	501(c)(3)	$7,000	FMV	Program Support	Unit 4D 6274
Upper Valley Business and Education Partnership
PO Box 350	Hanover	NH	03755	020505585	501(c)(3)	$7,000	FMV	Program Support
Upper Valley Housing Coalition
PO Box 17	Lebanon	NH	03766	200363702	501(c)(3)	$14,000	FMV	Program Support
Twin Pines Housing Trust
240 South Main Street 4	White River Jct	VT	05001	222809527	501(c)(3)	$14,000	FMV	Program Support
Alice Peck Day Memorial Hospital
10 Alice Peck Day Drive	Lebanon	NH	03766	020222791	501(c)(3)	$7,000	FMV	Program Support
Windsor Hospital Corporation
289 County Road	Windsor	VT	05089	030183721	501(c)(3)	$10,500	FMV	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	18	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Employee Awards and Educational Assistance	133	$797,448	FMV
D-H Tuition Reimbursement Program	357	$558,612	FMV
Cash Assistance to Patients	193	$22,779	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Description of Organization's Procedures for Monitoring the Use of Grants	FormAndLineReferenceDesc
Explanation	Form 990, Schedule I, Part I, Line 1 Each award established by Mary Hitchcock Memorial Hospital has written established guidelines and procedures. Award payments are processed in accordance with the specific terms of each of the awards. The Dartmouth Institute Scholarships (TDI) are paid directly to the College on the behalf of the individuals receiving the award. The coordinators of the program(s) 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)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	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 (48 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
Carl Dematteo MD
Fmr Chf Ql Compl Ofr/Physician	$0	$128,215	$0	$0	$0	$2,286	$0	$355	$0	$1,127	$0	$131,983	$0	$0
Robin Kilfeather-Mackey CPA
Chief Financial Officer	$0	$513,562	$0	$0	$0	$37,235	$0	$154,998	$0	$20,127	$0	$725,922	$0	$0
Daniel Jantzen CPA
Chief Operating Officer	$514,015	$0	$0	$0	$162,816	$0	$136,497	$0	$15,424	$0	$828,752	$0	$0	$0
Stephen Leblanc
Exec VP Strtgy & Ntwrk Rltns	$0	$480,623	$0	$0	$0	$136,028	$0	$159,027	$0	$20,126	$0	$795,804	$0	$0
John Butterly MD
Fmr Offr/Exec VP Med Affairs	$0	$433,100	$0	$0	$0	$49,249	$0	$62,386	$0	$1,060	$0	$545,795	$0	$0
Bruce King MSPH FHFMA
Pres & CEO New London Hosp	$323,841	$0	$0	$0	$23,864	$0	$77,609	$0	$20,080	$0	$445,394	$0	$0	$0
Mary Oseid MHCDS
Fmr Key Emp/VP Enterprise Svcs	$0	$251,570	$0	$0	$0	$12,230	$0	$177,906	$0	$11,301	$0	$453,007	$0	$0
Christine Schon MPA
Fmr Key Emp/Adm VP Prmry Care	$0	$231,714	$0	$0	$0	$3,807	$0	$42,036	$0	$15,225	$0	$292,782	$0	$0
Gail Dahlstrom
Fmr Key Emp/VP Facilities Mgmt	$160,834	$0	$0	$0	$5,143	$0	$34,912	$0	$9,126	$0	$210,015	$0	$0	$0
James N Weinstein DO MS
Trustee Ex-Officio/CEO	$0	$1,239,023	$0	$0	$0	$93,115	$0	$148,835	$0	$13,696	$0	$1,494,669	$0	$0
Tina Naimie CPA MHCDS
Fmr Key Emp/VP Corp Finance	$234,308	$0	$100	$0	$471	$0	$21,824	$0	$1,819	$0	$258,522	$0	$0	$0
Wendy Fielding MBA
Fmr Key Emp/VP Finance Plnning	$234,112	$0	$0	$0	$270	$0	$36,901	$0	$19,932	$0	$291,215	$0	$0	$0
Jeanine Arden-Ornt
Fmr General Counsel	$213,499	$0	$0	$0	$0	$0	$0	$0	$0	$0	$213,499	$0	$0	$0
Vincent Fusca III
Chief of Staff	$319,756	$0	$0	$0	$10,231	$0	$39,074	$0	$1,484	$0	$370,545	$0	$0	$0
Mary Kay Boudewyns
Fmr Key Emp/Adm Dir Rev Mgmt	$211,673	$0	$0	$0	$17,918	$0	$133,729	$0	$7,767	$0	$371,087	$0	$0	$0
Edward Merrens MD
Chief Medical Officer	$0	$453,422	$0	$0	$0	$16,189	$0	$56,876	$0	$10,876	$0	$537,363	$0	$0
George Blike MD
Chief Quality & Value Officer	$0	$408,955	$0	$0	$0	$40,344	$0	$190,750	$0	$20,137	$0	$660,186	$0	$0
Thomas Colacchio MD
Former Officer/Phys	$0	$612,710	$0	$0	$0	$408,815	$0	$64,362	$0	$17,249	$0	$1,103,136	$0	$0
Barbara C Jobst MD
Trustee	$0	$244,137	$0	$66,525	$0	$10,679	$0	$65,024	$0	$20,422	$0	$406,787	$0	$0
Darlene A Saler MBA RN
Frmr Actg Chf Nrsg Ofr	$192,969	$0	$0	$0	$1,030	$0	$100,360	$0	$15,154	$0	$309,513	$0	$0	$0
John S Malanowski MILR
Chief HR Officer	$487,478	$0	$0	$0	$19,004	$0	$38,575	$0	$17,848	$0	$562,905	$0	$0	$0
Clifford J Belden MD
Former Chief Clinical Officer	$0	$512,238	$0	$0	$0	$209,890	$0	$20,575	$0	$9,332	$0	$752,035	$0	$0
Terrence P Carroll PHD
Chf Innvtn Offcr end 8/29/15	$423,049	$0	$0	$0	$231,477	$0	$44,889	$0	$10,482	$0	$709,897	$0	$0	$0
Roderic Young
VP Communications & Marketing	$306,032	$0	$0	$0	$5,350	$0	$25,544	$0	$20,051	$0	$356,977	$0	$0	$0
Martin Purcell MBA
VP IS Operations	$277,035	$0	$25,000	$0	$29,627	$0	$110,042	$0	$15,634	$0	$457,338	$0	$0	$0
Thomas Dodds MD
Former Key Emp/Dept Chr Anesth	$0	$520,687	$0	$0	$0	$31,687	$0	$85,898	$0	$20,127	$0	$658,399	$0	$0
Wendy Wells MD
Fmr Key Emp/Dpt Chr Pathology	$0	$426,814	$0	$0	$0	$21,509	$0	$104,066	$0	$20,127	$0	$572,516	$0	$0
Jocelyn Chertoff MD
Fmr Key Emp/Dpt Chr Dgnstc Rad	$0	$494,914	$0	$19,500	$0	$30,050	$0	$159,349	$0	$20,138	$0	$723,951	$0	$0
Edward Catherwood MD MS
Former Key Emp/Ctr Dir Hrt/Vsc	$0	$464,561	$0	$0	$0	$881	$0	$54,196	$0	$18,699	$0	$538,337	$0	$0
Steven Boyce
Fmr Key Emp/Adm. VP Med Spclts	$0	$244,566	$0	$0	$0	$10,488	$0	$55,141	$0	$19,918	$0	$330,113	$0	$0
Jeffrey OBrien MHA
Fmr Key Emp/VP Oncology	$274,194	$0	$0	$0	$3,347	$0	$21,298	$0	$20,003	$0	$318,842	$0	$0	$0
M Brooke Herndon MD MS
Trustee	$0	$213,411	$0	$17,801	$0	$414	$0	$46,496	$0	$17,985	$0	$296,107	$0	$0
Richard J Powell MD
Trustee end 12/31/15	$0	$383,501	$0	$60,750	$0	$22,077	$0	$99,353	$0	$17,848	$0	$583,529	$0	$0
Richard Rothstein MD
Trustee end 12/31/15	$0	$553,973	$0	$0	$0	$2,927	$0	$52,990	$0	$18,874	$0	$628,764	$0	$0
Steven A Paris MD
Trustee end 12/31/15	$0	$349,732	$0	$0	$0	$25,965	$0	$39,937	$0	$13,699	$0	$429,333	$0	$0
John Birkmeyer MD
Chf Clncl Offr/EVP Entprs Sup	$0	$790,937	$0	$0	$0	$534	$0	$39,415	$0	$20,127	$0	$851,013	$0	$0
Gay Landstrom PhD RN NEA-BC
Chief Nursing Officer	$544,531	$0	$50,000	$0	$2,711	$0	$26,823	$0	$17,247	$0	$641,312	$0	$0	$0
Kimberly Troland JD
Fmr Intrm GC/Deputy Gen Cnsl	$351,563	$0	$20,000	$0	$161	$0	$21,239	$0	$17,747	$0	$410,710	$0	$0	$0
Robert Greene MD MHCDS FACP
Chf Popul Mgmt Ofr	$0	$544,537	$0	$0	$0	$13,306	$0	$20,823	$0	$17,848	$0	$596,514	$0	$0
John Kacavas JD
Chief Legal Officer	$242,170	$0	$0	$0	$255	$0	$18,978	$0	$10,964	$0	$272,367	$0	$0	$0
Maria Padin MD
Chf Med Ofcr eff 11/9/15	$0	$362,321	$0	$0	$0	$10,041	$0	$165,640	$0	$17,799	$0	$555,801	$0	$0
Peter D Solberg MD
Chf Med Info Ofcr eff. 9/2/15	$0	$333,774	$0	$0	$0	$5,949	$0	$37,139	$0	$11,599	$0	$388,461	$0	$0
Kevin Donovan MHA
CEO - WHC end 6/14/16	$303,563	$0	$0	$0	$4,713	$0	$39,743	$0	$20,040	$0	$368,059	$0	$0	$0
Karen Clements RN BSN MSB FAC
Actg Chf Nrsg Ofr eff 6/15/16	$158,112	$0	$0	$0	$201	$0	$10,694	$0	$7,780	$0	$176,787	$0	$0	$0
Thomas J Siepka
Chief Pharmacy Offr Eff 1/4/16	$196,691	$0	$15,000	$0	$5,176	$0	$14,891	$0	$1,245	$0	$233,003	$0	$0	$0
Jeffrey A Cohen MD
Trustee eff. 12/4/15	$0	$382,972	$0	$0	$0	$19,464	$0	$115,884	$0	$20,127	$0	$538,447	$0	$0
Timothy D Scherer MD
Trustee eff. 12/4/15	$0	$485,809	$0	$0	$0	$14,441	$0	$45,581	$0	$17,859	$0	$563,690	$0	$0
Brian C Spence MD MHCDS
Trustee eff. 12/4/15	$0	$315,850	$0	$89,300	$0	$14,697	$0	$24,812	$0	$20,051	$0	$464,710	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Chartered Travel Services	Form 990, Schedule J, Part I - Line 1a FROM TIME TO TIME, THE ORGANIZATION PROVIDES CHARTERED TRAVEL SERVICES TO THE CEO. THE COST OF PROVIDING THE CHARTERED SERVICE HAS BEEN DEEMED A COST-EFFICIENT MANNER TO ALLOW THE OFFICER TO WORK WHILE TRAVELING VERSUS THE TIME LOST DRIVING, ETC. THIS EXPENSE HAS BEEN DEEMEND AN ORDINARY AND NECESSARY BUSINESS EXPENSE AND NON-TAXABLE TO THE RECIPIENT. ALL REQUESTS ARE APPROVED BEFORE PAYMENT TO ENSURE COMPLIANCE WITH INTERNAL POLICIES. Health or Social Club Dues & Fees Form 990, Schedule J, Part I - Line 1a 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. The monies may also be used for up to a 50% reimbursement of the cost of a fitness/wellness program designed to maintain the health of management personnel. All expenses are submitted for approval before reimbursement.
Severance Payments	Form 990, Schedule J, Part I, Line 4a The following listed individuals received Severance and/or change in control payments during calendar year 2015: DURING CALENDAR YEAR 2015, FORMER CHIEF INNOVATION OFFICER TERRENCE CARROLL RECEIVED SEVERANCE PAYMENTS MONTHLY TOTALING $169,229 FROM DARTMOUTH-HITCHCOCK. THESE MONTHLY PAYMENTS ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. DURING CALENDAR YEAR 2015, FORMER CHIEF CLINICAL OFFICER CLIFFORD BELDEN RECEIVED A ONE-TIME $123,333 SEVERANCE PAYMENT FROM DARTMOUTH-HITCHCOCK. THE PAYMENT IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. FORM 990, SCHEDULE J, PART I LINE 4A DURING 2012, THOMAS COLACCHIO TRANSITIONED FROM AN OFFICER ROLE TO A STAFF PHYSICIAN ROLE. AS PART OF THIS TRANSITION, THOMAS COLACCHIO RECEIVED A $320,000 CHANGE OF CONTROL PAYMENT FROM DARTMOUTH-HITCHCOCK IN 2015. THE PAYMENT IS INCLUDED ON SCHEDULE J, PART II, COLUMN (B)III. Supplemental Nonqualified Retirement Plan SCHEDULE J, PART I, LINE 4B THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN (WHICH ARE REFLECTED IN SCHEDULE J, PART II, COLUMN B (III)): James Weinstein $90,829 Robin Kilfeather-Mackey $16,500 Daniel Jantzen $75,081 Stephen Leblanc $109,692 John Butterly $41,875 Edward Merrens $15,775 George Blike $39,930 Mary Oseid $11,722 Bruce King $6,342 Thomas Colacchio $88,815 Clifford Belden $43,010 Richard Rothstein $1,307 Thomas Dodds $30,913 Wendy Wells $19,679 Jocelyn Chertoff $28,862 Edward Catherwood $881 Jeffrey OBrien $1,815 Martin Purcell $17,439 Roderic Young $4,576 Vincent Fusca III $5,587 John Malanowski $18,230 Terrence Carroll $60,398 Richard Powell $20,775 Steven Paris $17,319 Gay Landstrom $1,211 Robert Greene $11,212 Maria Padin $9,531 Peter Solberg $5,679 Kevin Donovan $4,713 Barbara C. Jobst $10,409 Dartmouth-Hitchcock Supplemental Retirement Plan Terms and Conditions: An eligible employee is a participant in the Dartmouth-Hitchcock Retirement Plan and/or any prior pension arrangements sponsored by Dartmouth-Hitchcock (including a qualified defined benefit plan) who would be entitled to additional contributions or benefit accruals under the terms of the Plans for the plan year, but are limited by IRC Section 401(a)(17) and/or 415. For eligible employees, the Employer will pay the eligible employee an amount determined by the employer each year to offset the amount of the reduction in the benefit accrual or contributions as a result of limitations imposed by IRC Sections 401(a)(17) and/or 415. MHMH sponsors a split dollar life plan for certain long-term employees. The original objectives for offering these plans were to better enable 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 in 1998 and therefore no further costs of the individual employee insurance premiums have been funded by the organization. The number of participants and dollar value continues to dwindle as individuals retire/leave the organization.
Note regarding compensation	Schedule J, part II Column B, parts I, II, and III represent actual amounts paid to employees by MHMH. 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 as well as any changes in pension actuarial value (if applicable) 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 (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
NH HEALTH & ED FACILITIES AUTHORITY
A	020279866	644614YU7	2009-08-19	$134,661,088	CURRENT REFUND 2008 (A),(B),(C)	false	false	false
NH HEALTH & ED FACILITIES AUTHORITY
B	020279866	644614G29	2010-06-16	$73,647,839	CONSTR. OF FACILITY AND EQUIP	false	false	false
NH HEALTH & ED FACILITIES AUTHORITY
C	020279866	000000000	2012-11-28	$116,170,000	CURRENT REFUND 2002	false	false	false
NH HEALTH & ED FACILITIES AUTHORITY
D	020279866	000000000	2014-08-13	$41,242,990	REFUNDED PORTION OF 2009 ISSUE DAT	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 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	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$71,550,000	$0	$134,661,088	$0	$0	$0	$2,273,111	$0	$0	$0	$132,387,977	$0	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$73,666,926	$0	$3,766,049	$0	$1,168,560	$0	$0	$68,732,317	$0	$0	2012	false	false	Yes (true)	Yes (true)
C	$3,550,000	$0	$116,170,000	$0	$0	$0	$520,000	$0	$0	$0	$115,650,000	$0	2013	Yes (true)	false	Yes (true)	Yes (true)
D	$0	$0	$41,242,990	$0	$0	$0	$352,990	$0	$0	$0	$40,890,000	$0		Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	false	false	false	false	false	Yes (true)
B	false	false	false	false	false	false	false	Yes (true)
C
D	false	false	false	false	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 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	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	false	false	Yes (true)	false	false	false	0	false	Yes (true)
0
C	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
0
D	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	IRS FORM 990, SCHEDULE K, PART I, COLUMN F, ADDITIONAL INFORMATION	FormAndLineReferenceDesc
Explanation	LINE A: CURRENT REFUND 2008 (A), ISSUED 9/4/08, WHICH ADVANCE REFUNDS 1985 CURRENT REFUND 2008 (B), ISSUED 10/31/08, WHICH ADVANCED REFUNDS 1993 CURRENT REFUND 2008 (C), ISSUED 12/19/08 IRS FORM 990, SCHEDULE K, PART II, LINE 11, COLUMN B	ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	NH HEALTH & ED FACILITIES AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	020279866	BondIssuerEIN
CUSIP	000000000	CUSIPNum
Bond Issued	2015-09-01	BondIssuedDt
Issue Price	$35,785,218	IssuePriceAmt
Purpose	REFUND ISSUE DATED 8/31/2011	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$0	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$35,785,218	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$105,239	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$0	CapitalExpendituresAmt
Other Spent Proceeds	$35,679,979	OtherSpentProceedsAmt
Unspent	$0	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	Yes (true)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	false	AnyLeaseArrangementsInd
Private Bus Use By Others	0	PrivateBusUseByOthersPct

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Exception To Rebate	false	ExceptionToRebateInd
No Rebate Due	false	NoRebateDueInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd

GIC Provider Name GICProviderName

Field	Value	IRS element (for citing)
Business Name Line1	0	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	OTHER SPENT PROCEEDS	FormAndLineReferenceDesc
Explanation	IRS FORM 990, PART II, COLUMN A, LINE 11 THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS OF THE ISSUE THAT ARE NO LONGER IN ESCROW PRIVATE BUSINESS USE IRS FORM 990, SCHEDULE K, PART III, COLUMN A THE 2015 SERIES, THROUGH OF A SERIES OF REFUNDINGS, REFUNDS ISSUES DATED PRIOR TO 12/31/2002 AND THEREFORE IS EXEMPT FROM PART III REPORTING	ExplanationTxt

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)	$113,178	$113,178	false	Yes (true)	Yes (true)
Deborah Jantzen
Family Member	Split Dollar Life	Yes (X)	$55,779	$55,779	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$168,957	TotalBalanceDueAmt

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp (2 entries)

Relationship With OrgRelationshipWithOrgTxt	Cash GrantCashGrantAmt	Type Of AssistanceTypeOfAssistanceTxt	Assistance PurposeAssistancePurposeTxt
Christine Schon
Key Employee	$35,298	Scholarship	Masters degree program
Jeffrey Obrien
Former Key Employee	$68,748	Scholarship	Masters degree program

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Vincent Fusca III
Officer Fusca II	$112,381	Family member employed by MHMH	false
Linda Billings
Former KE Mary Oseid	$92,247	Family member employed by MHMH	false
Richard Alfred Powell
Trustee Powell	$15,784	Family member employed by MHMH	false

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp

Securities Publicly Traded SecuritiesPubliclyTradedGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	10	ContributionCnt
Noncash Contributions Rpt F990	$525,439	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Fair Market Value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
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

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I, Column B	FormAndLineReferenceDesc
Explanation	The organization reported the number of contributions received in column (b). Use of related organizations to solicit noncash donations Schedule M, Part I, Line 32B The organization uses Dartmouth-Hitchcock Health, MHMH's Parent Organization, for solicitation of contributions and annual fund activities. From time to time, the Hospital may receive non-cash contributions directly from its donors.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Business relationships	Form 990, Part VI, Section A, Line 2 Mary Hitchcock Memorial Hospital owns for-profit subsidiaries that provide services and support the mission of the organization. The following are current officers, directors, trustees, or key employees of MHMH and officers of related for-profit entities: Daniel Jantzen - Hamden Assurance, ImagineCare, and Pompanoosuc Investment Corporation James Weinstein - Dartmouth Hitchcock Master Investment Plan John Kacavas - Dartmouth Hitchcock Master Investment Plan and Hamden Assurance Robert Greene - ImagineCare Robin Kilfeather-Mackey - Hamden Assurance, ImagineCare, and Pompanoosuc Investment Corporation Vincent Fusca III - ImagineCare Description of classes of members, persons, and the nature of their rights Form 990, Part VI, Section A, Line 6 & 7a Dartmouth-Hitchcock Health (D-HH) is the sole corporate Member of Mary Hitchcock Memorial Hospital (MHMH). 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. Governance decisions reserved to or subject to approval by persons other than the governing body Form 990, Part VI, Section A, Line 7B In addition to reserved powers, Dartmouth-Hitchcock Health (D-HH) shall have the authority to take actions to establish, manage, and govern the System as an integrated health care delivery system in furtherance of the mission of the Hospital and other Organizations. 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 the Hospital's Board of Trustees, assess the Hospital a monetary amount for the payment of the expenses of D-HH, approve the Hospital's budget, approve the borrowings or dispositions of assets by the Hospital, 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 the Hospital.
Process used by management and/or Governing Body to Review 990	Form 990, Part VI, Section B, Line 11b THE FORMS 990 AND 990-T ARE REVIEWED BY THE DIRECTOR OF CORPORATE FINANCE, VICE PRESIDENT OF CORPORATE FINANCE, AND THE CHIEF FINANCIAL OFFICER BEFORE THE FILING OF THE RETURN. ONCE THE RETURN HAS BEEN FULLY PREPARED A FINAL 990 AND 990-T COMPLETE ELECTRONIC VERSION IS SENT OUT TO EACH BOARD MEMBER AND TIME IS ALLOCATED FOR COMMENTS/RESPONSES PRIOR TO OFFICIAL FILING.
Conflict of Interest Policy	Form 990, Part VI, Section B, Line 12C 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 OFFICE OF POLICY SUPPORT, COMPLIANCE AND AUDIT SERVICES 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 COMPLIANCE AND AUDIT SERVICES 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 TRUSTEEES 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.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR UNDERTAKEN	Form 990, Part VI, Line 15a Although paid by a related organization, Dartmouth-Hitchcock Clinic, the Compensation for the President is evaluated by an independent third party firm for reasonableness and national data benchmarking. The 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 2016.
Offices & Positions for Which Process was Used & Year Undertaken	Form 990, Part VI, Line 15b Compensation for officers and key employees are evaluated by internal HR staff using national benchmarking data, along with ongoing evaluations by an independent third party firm for reasonableness, with the last formal process in 2012 (2016 for VP's and above). 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/or a formal review by compensation committee members.
Avail of Gov Docs, Conflict of Interest Policy, & Fin Stmts to Gen Public	Form 990, Part VI, Line 19 MHMH's governing documents are available through the New Hampshire Secretary of State. Certain financial information is disclosed through the Community Benefits Annual Report. The audited financial statements, governing documents, and conflict of interest policy are available upon request either in electronic or hardcopy form. Average Hours Per Week Form 990, Part VII, Section A, Line 1A, Column B 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' 990's 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, along with three supporting organizations Dartmouth-Hitchcock Medical Center, Everwell, Inc., 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, and The Hitchcock Foundation. Statement of Functional Expenses Form 990, Part IX Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic operate under an affiliation agreement as directed by Dartmouth-Hitchcock Health, the sole Corporate Member of both entities. Due to the integrated operating structure, related mission, and close relationship of the two tax-exempt organizations, expenses are shared between the two entities. All expenses reported within this 990 are the organization's share of expenses as designated by the affiliation agreement.
Financial Statements and Reporting	Form 990, Part XI, Line 9 Other Changes in Net Assets Include: Pension-related changes: ($14,402,956) Unrealized Gain/Loss on Hedge and other ($1,924,482), Net Asset Transfer to Affiliates ($13,934,872) Total changes in net assets: ($30,262,310) Audited Financial Statements Form 990, Part XII, Line 2d The organization's financial information is included in the audited financial statements of Dartmouth-Hitchcock Health and Subsidiaries, which consists of the following organizations and their related subsidiaries: Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, Mt Ascutney Hospital and Health Center, Cheshire Medical Center, The New London Hospital Association, and Alice Peck Day Memorial Hospital.
A-133 Audit	Form 990 Part XII, Line 3A DURING FISCAL YEAR 2016, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE $750,000 THRESHOLD SET FORTH IN THE OMB UNIFORM GUIDANCE, THEREFORE REQUIRING AN AUDIT.

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	HLTH IMPROVMT	NH	$6,879	$1,729,900	MHMH
D-H Specialty Services LLC
One Medical Center Drive	Lebanon	NH	03756	460876427	Shd Svgs Prgm	NH	$0	$0	MHMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (15 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	Direct Controlling NADirectControllingNACd
DARTMOUTH-HITCHCOCK CLINIC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222519596	PHYSICIAN SVC	NH	501(c)(3)	9	D-HH	Yes (true)
DARTMOUTH-HITCHCOCK MEDICAL CENTER
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	222715483	SUPPORTNG ORG	NH	501(c)(3)	11 TYPE I	NA	Yes (true)
DARTMOUTH - HITCHCOCK HEALTH
One Medical Center Drive	Lebanon	NH	03756	264812335	PARENT ORG	NH	501(C)(3)	7	NA	false
HAMDEN RISK RETENTION GROUP INC
30 MAIN STREET STE 330	BURLINGTON	VT	05401	208530788	Self Ins	VT	501(c)(3)	11 TYPE I	DHC	Yes (true)
The Hitchcock Foundation
One Medical Center Drive	Lebanon	NH	03756	020222139	HLTHCRE RSRCH	NH	501(c)(3)	7	DHC	Yes (true)
EverWell Inc
One Medical Center Drive	Lebanon	NH	03756	352506275	Supportng Org	NH	501(c)(3)	11 Type I	NA	Yes (true)
The New London Hospital Association Inc
273 County Rd	New London	NH	03257	020222171	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
Windsor Hospital Corporation
289 County Road	Windsor	VT	05089	030183721	Hospital	VT	501(C)(3)	3	D-HH	Yes (true)
Cheshire Medical Center
580 Court Street	Keene	NH	03431	020354549	Hospital	NH	501(C)(3)	3	D-HH	Yes (true)
Cheshire Health Foundation
580 Court Street	Keene	NH	03431	020202220	SUPPORTNG ORG	NH	501(C)(3)	11 TYPE I	CMC	Yes (true)
Mt Ascutney Hosp Cmmty Hlth Found
289 Country Road	Windsor	VT	05089	030300481	Foundation	VT	501(c)(3)	3	WHA	Yes (true)
Historic Homes of Runnemede
289 County Road	Windsor	VT	05089	237396147	Healthcare	VT	501(c)(3)	9	WHA	Yes (true)
Cheshire Health Services
580 Court Street	Keene	NH	03431	473379283	HEALTHCARE	NH	501(c)(3)	3	CMC	Yes (true)
Alice Peck Day Memorial Hospital
10 Alice Peck Day Drive	Lebanon	NH	03766	020222791	Hospital	NH	501(c)(3)	3	D-HH	Yes (true)
Surgery Center of Greater Nashua
10 Prospect Street Ste 101	Nashua	NH	03060	461084049	Surgery Ctr	NH	501(c)(3)	3		false	N/A

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	UBI Code VUBICodeVAmt	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
D-H Mster Invst Prg
1 Med Ctr Dr	LEBANON	NH	03756	020205863	POOLED INVEST	NH	MHMH	EXCLUDED	$10,286,001	$515,113,296	false	-$423,728	Yes (true)	0.93346
KEENE HLTH ALLIANCE
580 Court St	Keene	NH	03431	300179297	Healthcare	NH	NA
Obnet Services LLC
1 Med Ctr Dr	Lebanon	NH	03756	043746287	Database Serv	NH	NA
One Care VT ACOLLC
111 COLCHESTER AVE	Burlington	VT	05401	455399218	Shared Saving	VT	NA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	EINEIN	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
Charit Remndr Unitrusts (4)
One Medical Center Drive	Lebanon	NH	03756	Chart. Trust	NH	MHMH	TRUST
Pompanoosuc Investment Corp
1 Medical Ctr Dr	Lebanon	NH	03756	Real Est Hldg	NH	DHC	C Corporation	020352330	Yes (true)
Hamden Assurance Co Ltd
				Liab. Insuanc		DHC	Foreign Corp	980121409	Yes (true)	44 Church St	Hamilton	BD	HM 12	BD	$0	$2,878,669	0.25800
Hitchcock Health Connect
1 Medical Ctr Dr	Lebanon	NH	03756	Telehealth	DE	D-HH	C Corp	800908979	Yes (true)
Kearsarge Community Services Inc
273 County Road	New London	NH	03257	Real Est Hldg	NH	NLH	C Corp	020460136	Yes (true)
New London Physician Group Inc
273 County Road	New London	NH	03257	Physician Gro	NH	NLH	C Corp	020494420	Yes (true)
New London Medical Center East
273 County Road	New London	NH	03257	Real Est Hldg	NH	NLH	C Corp	020480857
Keene Health Services
580 Court Street	Keene	NH	03431	Real Est Hldg	NH	CMC	C Corp	020374997	Yes (true)
Keene Health Realty
580 Court Street	Keene	NH	03431	Real Est Hldg	NH	CMC	C Corp	020374998	Yes (true)
Keene Health Enterprises
580 Court Street	Keene	NH	03431	Real Est Hldg	NH	CMC	C Corp	020374999	Yes (true)

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	false	LoansOrGuaranteesFromOthOrgInd
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 (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Dartmouth-Hitchcock Clinic
JKLMN	$3,799,702	FMV
Dartmouth-Hitchcock Medical Center
Q	$130,690	FMV
Hamden Risk Retention Group
O	$3,254,274	FMV
The Hitchcock Foundation
Q	$1,318,408	FMV
The New London Hospital Association
Q	$1,466,451	FMV
Windsor Hospital Association
Q	$1,941,742	FMV
Cheshire Medical Center
Q	$6,472,034	FMV
The New London Hospital Association
L	$1,382,651	FMV
Alice Peck Day Memorial Hospital
Q	$232,203	FMV