MARY HITCHCOCK MEMORIAL HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization: MARY HITCHCOCK MEMORIAL HOSPITAL (EIN 02-0222140)
Tax period: 2013-07-01 to 2014-06-30
Filed: 2015-05-15
IRS object ID: 201541359349303384
Schema version: 2013v4.0
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 G
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-05-15T10:37:27-05:00	ReturnTs
Tax Period End	2014-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	125 HIGH STREET	AddressLine1
City	BOSTON	City
State	MA	State
ZIP Code	02110	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2013-07-01	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	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of	% ROBIN KILFEATHER-MACKEY	InCareOfNm
Business Name Control	MARY	BusinessNameControlTxt
Phone	6036505000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Medical Center Drive	AddressLine1
Address Line2	Suite	AddressLine2
City	Lebanon	City
State	NH	State
ZIP Code	03756	ZIPCode

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Robin Kilfeather-Mackey	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2015-05-12	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Gwen Spencer	PreparerPersonNm
PTIN	P00641463	PTIN

Field	Value	IRS element (for citing)
Tax	2013	TaxYr
Build TS	2016-04-25 22:37:26Z	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	AddressLine1
City	Lebanon	City
State	NH	State
ZIP Code	03756	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	$1,061,670,869	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	17	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	5574	TotalEmployeeCnt
Total Volunteers	525	TotalVolunteersCnt
Total Gross UBI	$3,720,556	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$434,773	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$10,592,896	PYContributionsGrantsAmt
CY Contributions Grants	$20,984,972	CYContributionsGrantsAmt
PY Program Service Revenue	$866,375,747	PYProgramServiceRevenueAmt
CY Program Service Revenue	$892,093,711	CYProgramServiceRevenueAmt
PY Investment Income	$29,410,853	PYInvestmentIncomeAmt
CY Investment Income	$17,100,684	CYInvestmentIncomeAmt
PY Other Revenue	$47,037,304	PYOtherRevenueAmt
CY Other Revenue	$57,253,892	CYOtherRevenueAmt
PY Total Revenue	$953,416,800	PYTotalRevenueAmt
CY Total Revenue	$987,433,259	CYTotalRevenueAmt
PY Grants And Similar Paid	$6,002,824	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$5,272,967	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$565,819,711	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$576,706,269	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$1,922,209	CYTotalFundraisingExpenseAmt
PY Other Expenses	$344,911,925	PYOtherExpensesAmt
CY Other Expenses	$354,233,094	CYOtherExpensesAmt
PY Total Expenses	$916,734,460	PYTotalExpensesAmt
CY Total Expenses	$936,212,330	CYTotalExpensesAmt
PY Revenues Less Expenses	$36,682,340	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$51,220,929	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,236,397,775	TotalAssetsBOYAmt
Total Assets EOY	$1,331,158,473	TotalAssetsEOYAmt
Total Liabilities BOY	$697,527,563	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$689,440,250	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$538,870,212	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$641,718,223	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	$756,082,577	ExpenseAmt
Grant	$5,362,465	GrantAmt
Revenue	$921,459,742	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 2014 the Hospital provided 121,743 acute patient days of inpatient service and had 25,737 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 31,268 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 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. As a key element in its work to improve population health and move to new payment models, Dartmouth-Hitchcock (D-H) is participating in a number of shared risk/shared savings programs, including the Pioneer ACO program initiated by the Centers for Medicare and Medicaid (CMS). Unlike the traditional fee for service structure, shared risk/savings programs tie rewards to the achievement of quality and cost goals. In 2014, the D-H Pioneer ACO (now called allwell) added three health systems as participants, bringing the number of covered Medicare patients to 47,000. At the end its first year, allwell was one of only 13 participating ACOs to meet all quality and safety metrics and show significant cost reductions, while providing coordinated, patient-centered care to the assigned Medicare population. Participation also continues to expand for OneCare Vermont, an ACO established by D-HH with Fletcher Allen Health Care, Vermont's academic medical center, that includes all 14 of the state's hospitals, hundreds of primary care physicians and specialists, two federally qualified health centers, and several rural health clinics, to coordinate the health care of approximately 42,000 of Vermont's 118,000 Medicare beneficiaries (40 percent of the Hospital and Clinic patients are from Vermont). D-HH continues to be a member of the Mayo Clinic Care Network, a non-ownership affiliation. This arrangement allows D-H physicians to partner with colleagues from Mayo for second opinions and consultations, thus bringing the expertise of both organizations to individual patient care. Much of the consultation is done via telemedicine, another expanding initiative of D-H. The program is intended to strengthen our ability to serve patients in our region with the highest-quality care, close to home. It also allows the Hospital and Clinic to get care to patients in emergency situations quickly and to partner with local health organizations in the delivery of care, something that is particularly important in our rural area. Regionally, as part of its work to create a sustainable health system, D-HH continues to build collaborations with other providers and to look for ways to make care more affordable and convenient for patients and families, while ensuring highest quality. New London Hospital in New Hampshire and Mt Ascutney Hospital and Health System in Vermont became formally affiliated with D-HH in 2014, and discussions are ongoing with other health systems in the two states. In keeping with its sustainable health strategy and mission to provide "the best care, in the right place, at the right time, every time", D-HH entered into an arrangement with CVS MinuteClinic to provide 24/7 urgent care at sites around New Hampshire. This new, lower cost option will allow individuals and families to easily access tests and treatments for illnesses and injuries that do not require the care of an academic medical center or that occur outside normal business hours. Nationally, Dartmouth-Hitchcock is a founding member, with Mayo Clinic, Intermountain Health Care, Denver Health, and The Dartmouth Institute for Health Policy and Clinical Practice, of the High Value Healthcare Collaborative (HVHC). The Collaborative currently comprises 18 health systems. Together, they have a patient base of more than 70 million. The goal of the Collaborative is to improve the quality of health care while lowering costs. Through data sharing and defining of best practices for 8 high-cost, high-variation conditions, the members are improving outcomes and already seeing cost savings. A $26 million grant from CMS is making it possible to integrate shared decision making - the Hospital was the first in the nation to create a Center for Shared Decision Making and integrate tools into clinical care - into the work of the Collaborative. Beyond that grant, however, the HVHC is self-funded by the member health systems. 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, 2014 the Hospital provided financial assistance to 9,885 patients in the amount of $33,291,163, as measured by gross charges. The estimated cost of providing this care for the year ended June 30, 2014 was $12,979,234. 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, 2014, the Hospital reported a provision for bad debts of approximately $25,157,246.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$44,135,769	ExpenseAmt
Revenue	$21,645,593	RevenueAmt
Desc	As a component of an 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	$800,218,346	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	Yes (true)	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	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	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	989	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	5574	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	17	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	false	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	ROBIN KILFEATHER-MACKEY	PersonNm
Phone	6036505634	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	ONE MEDICAL CENTER DRIVE	AddressLine1
City	Lebanon	City
State	NH	State
ZIP Code	03756	ZIPCode

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

Form990 Part VII Section A Form990PartVIISectionAGrp (60 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Jennie L Norman
Trustee/Board Secretary	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Hugh C Smith MD
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Vincent S Conti
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Anne-Lee Verville
Trustee/BD Treas 1/1-2/5/14	0.75	1.25	Yes (X)	Yes (X)	$0	$0	$0
Barbara Couch
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Wiley Souba MD ScD
Trustee/Ex-Officio, Dean DMS	0.75	1.26	Yes (X)		$0	$0	$0
William J Conaty
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
William W Helman IV
Trustee	0.75	1.26	Yes (X)		$0	$0	$0
Robert A Oden Jr PhD
Trustee/Board Chair	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
James N Weinstein DO MS
Trustee Ex-Officio/CEO	38.0	23.01	Yes (X)	Yes (X)	$0	$1,010,719	$23,574
Alan C Keiller
Trustee/BD Treas End12/31/2013	0.75	1.26	Yes (X)	Yes (X)	$0	$0	$0
Michael J Goran MD
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Richard S Shreve
Trustee End 12/31/2013	0.75	1.25	Yes (X)		$0	$0	$0
Denis A Cortese MD
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Matthew B Dunne
Trustee	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
Trustee	0.75	1.25	Yes (X)		$0	$0	$0
Paul P Danos
Trustee/Brd Treas Eff 2/5/2014	1.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
Barbara C Jobst MD
Trustee Eff 1/1/2014	0.75	0.75	Yes (X)		$0	$0	$0
Wayne G Granquist
Trustee End 12/31/2013	0.75	1.26	Yes (X)
Robin Kilfeather-Mackey CPA
Chief Financial Officer	37.0	24.01		Yes (X)	$0	$508,546	$22,575
Linda Von Reyn
Chf Nursng Officer End 3/22/14	41.0	19.0		Yes (X)	$437,094	$0	$23,460
Daniel Jantzen CPA
Chief Operating Officer	41.0	20.0		Yes (X)	$619,596	$0	$23,450
Stephen Leblanc
Exec VP Strtgy & Ntwrk Rltns	15.0	45.0		Yes (X)	$0	$626,223	$22,575
Alan Weston
Chief HR Officer End 9/2/2013	41.0	19.0		Yes (X)	$375,545	$0	$42,511
Neil Castaldo
Sr Advisor to CEO End 7/06/13	41.0	19.0		Yes (X)	$1,003,334	$0	$37,270
Gregg Meyer MD
CCO/EVP Pop Hlth End 1/02/14	41.0	19.0		Yes (X)	$0	$896,398	$42,589
Jeanine Arden-Ornt
General Counsel End 6/30/2014	37.0	24.0		Yes (X)	$448,897	$0	$33,700
Vincent Fusca III
Chf Stff/Intrm CHRO 9/3-2/3/14	28.0	12.0		Yes (X)	$253,782	$0	$21,785
Edward Merrens MD
Chief Medical Officer	28.0	12.0		Yes (X)	$0	$386,361	$38,160
George Blike MD
Chief Quality & Value Officer	28.0	12.0		Yes (X)	$0	$441,603	$23,159
Darlene A Saler
Actg Chf Nrsng Ofr Eff 3/23/14	41.0	19.0		Yes (X)	$0	$0	$0
John S Malanowski
Chief HR Officer Eff 2/3/2014	41.0	19.0		Yes (X)	$0	$0	$0
Clifford J Belden MD
Actg Chf Clcl Ofr Ef 2/18/2014	28.0	12.0		Yes (X)	$0	$648,751	$38,476
Terrence P Carroll PHD
Chf Innvtion Offcr Eff 8/19/13	28.0	12.0		Yes (X)	$185,713	$0	$18,644
Christine Schon
V.P Comm. Grp. Pract. Ops	28.0	12.01			$0	$226,056	$39,401	Yes (X)
William Mroz
V.P. Op/Clncl Svcs End 7/27/13	41.0	19.0			$191,835	$0	$22,336	Yes (X)
Gail Dahlstrom
V.P. Facilities Mgmt	41.0	19.0			$230,444	$0	$18,533	Yes (X)
Tina Naimie CPA
VP Corporate Finance	28.0	13.5			$217,915	$0	$20,157	Yes (X)
Wendy Fielding
VP Financial Planning	28.0	12.0			$217,934	$0	$38,511	Yes (X)
Thomas Dodds MD
Dept. Chair Anesthesiology	28.0	12.0			$0	$544,134	$48,760	Yes (X)
Richard Rothstein
Dept. Chair Medicine, Dean CME	28.0	12.0			$0	$598,160	$19,452	Yes (X)
Wendy Wells MD
Dept. Chair Pathology	28.0	12.0			$0	$434,575	$54,446	Yes (X)
Jocelyn Chertoff MD MS
Dept Chair Diagnost Radiology	28.0	12.5			$0	$504,492	$55,731	Yes (X)
Edward Catherwood MD MS
Center Direct Heart & Vascular	28.0	12.0			$0	$482,747	$18,814	Yes (X)
Douglas Merrill
Center Director Periop Svs	28.0	12.0			$0	$546,540	$46,451	Yes (X)
Stephen Boyce
VP Ambulatory Care	28.0	12.0			$0	$178,649	$29,414	Yes (X)
Jeffrey OBrien
VP Oncology Services	28.0	12.0			$278,646	$0	$40,192	Yes (X)
David Gladstone MD
Chief Clinical Phys Rad/Onc	28.0	12.0			$280,516	$0	$48,802		Yes (X)
Bruce King
Pres & CEO New London Hosp		50.0			$373,960	$0	$23,551		Yes (X)
Roderic Young
VP Communications & Marketing	28.0	12.0			$296,191	$0	$41,653		Yes (X)
Martin Purcell
VP IS Operations	28.0	12.0			$291,046	$0	$24,839		Yes (X)
Susan Reeves
VP Colby Sawyer Nursing	28.0	20.0			$274,274	$0	$46,640		Yes (X)
Carl Dematteo MD
Fmr Chf Ql Compl Ofr/Physician	28.0	12.0			$0	$100,582	$1,792			Yes (X)
John Butterly MD
Fmr Offr/Exec VP Med Affairs	10.0	32.0			$0	$556,033	$56,784			Yes (X)
Lawrence Dacey MD
Former CMO/ Phys	28.0	13.3			$0	$499,139	$15,534			Yes (X)
Thomas Colacchio MD
Former Officer/Phys	28.0	13.0			$0	$1,084,720	$43,691			Yes (X)
Mary Oseid
Fmr Key Emp/VP Enterprise Svcs	28.0	12.0			$0	$282,407	$14,338			Yes (X)
Barbara Walters DO MBA
Fmr Key Emp/Med Dir Acct Care	22.0	18.0			$0	$359,144	$19,544			Yes (X)
Mary Kay Boudewyns
Fmr Key Emp/Adm Dir Rev Mgmt	28.0	12.0			$217,526	$0	$8,199			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,194,248	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$10,915,979	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,209,493	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	310	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/AddressLine1	CityContractorAddress/USAddress/City	StateContractorAddress/USAddress/State	ZIP CodeContractorAddress/USAddress/ZIPCode	ServicesServicesDesc	CompensationCompensationAmt
TRUSTEES OF DARTMOUTH COLLEGE
37 DEWEY FIELD	HANOVER	NH	03755	ADMIN & DIR SUPPORT	$24,055,889
Cross Country Staffing
PO Box 404674	ATLANTA	GA	303844674	Staffing Services	$9,829,131
Turner Contruction
Two Seaport Lane	BOSTON	MA	02210	Construction SVCS	$10,838,042
PC Construction
193 Tilley Drive	SOUTH BURLINGTON	VT	05403	Construction SVCS	$7,591,767
Towers Watson Delaware Inc
800 Boylston St	BOSTON	MA	02199	Employee Benefits	$6,123,111

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	495	CntrctRcvdGreaterThan100KCnt
Fundraising	$4,919,584	FundraisingAmt
Government Grants	$1,836,451	GovernmentGrantsAmt
All Other Contributions	$14,228,937	AllOtherContributionsAmt
Noncash Contributions	$1,150,545	NoncashContributionsAmt
Total Contributions	$20,984,972	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT SERVICE REVENUE	621110	$883,716,727	$883,342,813	$373,914
RESEARCH RELATED ACTIVITIES	621110	$8,376,984	$8,376,984

Field	Value	IRS element (for citing)
Total Program Service Revenue	$892,093,711	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,457,992	TotalRevenueColumnAmt
Unrelated Business Revenue	$29,563	UnrelatedBusinessRevenueAmt
Exclusion	$3,428,429	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	$1,441,247	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$657,723	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$783,524	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$783,524	TotalRevenueColumnAmt
Exclusion	$783,524	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$85,893,931	SecuritiesAmt
Other	$135,603	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$71,044,538	SecuritiesAmt
Other	$1,342,304	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$14,849,393	SecuritiesAmt
Other	-$1,206,701	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$13,642,692	TotalRevenueColumnAmt
Exclusion	$13,642,692	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$487,468	FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event	$4,919,584	ContriRptFundraisingEventAmt
Fundraising Direct Expenses	$1,193,045	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$705,577	TotalRevenueColumnAmt
Exclusion	-$705,577	ExclusionAmt

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
PHARMACY INCOME	621110	$34,562,653	$34,424,880	$137,773
MEANINGFUL USE	621110	$5,668,760	$5,668,760
ALLOCATED REVENUE	621110	$5,624,080	$5,624,080

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,320,452	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,293,904	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,179,306	UnrelatedBusinessRevenueAmt
Exclusion	$2,847,242	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$57,175,945	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$987,433,259	TotalRevenueColumnAmt
Related Or Exempt Func Income	$942,731,421	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,720,556	UnrelatedBusinessRevenueAmt
Exclusion	$19,996,310	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	$4,082,157	TotalAmt
Program Services	$4,082,157	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$1,190,810	TotalAmt
Program Services	$1,190,810	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	$12,394,350	TotalAmt
Program Services	$4,440,744	ProgramServicesAmt
Management And General	$7,763,213	ManagementAndGeneralAmt
Fundraising	$190,393	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$542,713	TotalAmt
Program Services	$542,713	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$425,765,440	TotalAmt
Program Services	$352,264,507	ProgramServicesAmt
Management And General	$73,500,819	ManagementAndGeneralAmt
Fundraising	$114	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$47,596,257	TotalAmt
Program Services	$39,624,091	ProgramServicesAmt
Management And General	$7,972,154	ManagementAndGeneralAmt
Fundraising	$12	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$60,919,906	TotalAmt
Program Services	$50,716,086	ProgramServicesAmt
Management And General	$10,203,804	ManagementAndGeneralAmt
Fundraising	$16	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,487,603	TotalAmt
Program Services	$24,548,557	ProgramServicesAmt
Management And General	$4,939,038	ManagementAndGeneralAmt
Fundraising	$8	FundraisingAmt

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	$2,189,657	TotalAmt
Program Services	$93,941	ProgramServicesAmt
Management And General	$2,095,716	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$611,707	TotalAmt
Management And General	$611,707	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$37,260	TotalAmt
Program Services	$37,260	ProgramServicesAmt

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	$54,640,381	TotalAmt
Program Services	$45,167,107	ProgramServicesAmt
Management And General	$9,473,274	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,445,434	TotalAmt
Program Services	$27,161	ProgramServicesAmt
Management And General	$2,418,273	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$16,527,969	TotalAmt
Program Services	$15,010,914	ProgramServicesAmt
Management And General	$1,517,032	ManagementAndGeneralAmt
Fundraising	$23	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$7,789,165	TotalAmt
Program Services	$6,932,357	ProgramServicesAmt
Management And General	$856,808	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$13,810,323	TotalAmt
Program Services	$12,241,266	ProgramServicesAmt
Management And General	$1,569,057	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$2,384,531	TotalAmt
Program Services	$1,406,619	ProgramServicesAmt
Management And General	$977,912	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	$121,377	TotalAmt
Program Services	$117,475	ProgramServicesAmt
Management And General	$3,902	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$15,043,910	TotalAmt
Program Services	$13,389,080	ProgramServicesAmt
Management And General	$1,654,830	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$38,798,310	TotalAmt
Program Services	$34,526,469	ProgramServicesAmt
Management And General	$4,271,841	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,608,735	TotalAmt
Program Services	$3,608,735	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$130,344,547	$130,222,720	$121,827
MEDICAID ENHANCEMENT TAX	$32,636,371	$32,636,371
EQUIPMENT RENTAL & MAINT	$11,462,920	$10,201,999	$1,260,921
ACDM, GME, TEACHING,& MISC SUP	$3,674,782	$3,674,782

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,105,715	TotalAmt
Program Services	$13,514,425	ProgramServicesAmt
Management And General	$2,859,647	ManagementAndGeneralAmt
Fundraising	$1,731,643	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$936,212,330	TotalAmt
Program Services	$800,218,346	ProgramServicesAmt
Management And General	$134,071,775	ManagementAndGeneralAmt
Fundraising	$1,922,209	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$465,422	BOYAmt
EOY	$193,761	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$44,311,533	BOYAmt
EOY	$44,744,859	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$5,000,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$139,143,022	BOYAmt
EOY	$145,452,357	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$416,185	BOYAmt
EOY	$438,160	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	$1,304,221	BOYAmt
EOY	$1,092,351	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$15,029,475	BOYAmt
EOY	$14,174,352	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$23,786,320	BOYAmt
EOY	$8,055,419	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$891,872,121	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$484,805,496	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$413,522,455	BOYAmt
EOY	$407,066,625	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$199,883,362	BOYAmt
EOY	$280,390,609	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$343,778,631	BOYAmt
EOY	$331,518,264	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$2,884,068	BOYAmt
EOY	$4,385,931	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	$51,873,081	BOYAmt
EOY	$88,645,785	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,236,397,775	BOYAmt
EOY	$1,331,158,473	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$108,309,292	BOYAmt
EOY	$123,803,858	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	$340,309	BOYAmt
EOY	$412,543	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$350,027,555	BOYAmt
EOY	$343,068,534	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	$150,382,530	BOYAmt
EOY	$148,038,569	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	$88,467,877	BOYAmt
EOY	$74,116,746	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$697,527,563	BOYAmt
EOY	$689,440,250	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$464,266,717	BOYAmt
EOY	$555,516,650	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$46,465,618	BOYAmt
EOY	$57,291,018	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$28,137,877	BOYAmt
EOY	$28,910,555	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$538,870,212	BOYAmt
EOY	$641,718,223	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,236,397,775	BOYAmt
EOY	$1,331,158,473	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$51,220,929	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$47,127,542	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,499,540	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	$115,920	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$71,820	OtherActivitiesAmt
Total Lobbying Expenditures	$187,740	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. TYPICAL ACTIVITIES INCLUDE EMAILING, CALLING, AND MEETING WITH GOVERNMENT OFFICIALS AND LEGISLATORS. FOR THE FISCAL YEAR ENDED JUNE 30, 2014, MARY HITCHCOCK MEMORIAL HOSPITAL INCURRED $115,920 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	$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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$54,110,647	BeginningYearBalanceAmt
Contributions	$398,541	ContributionsAmt
Investment Earnings Or Losses	$842,732	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,328,695	OtherExpendituresAmt
End Year Balance	$54,023,225	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$49,493,627	BeginningYearBalanceAmt
Contributions	$3,040,219	ContributionsAmt
Investment Earnings Or Losses	$2,769,857	InvestmentEarningsOrLossesAmt
Other Expenditures	$1,193,056	OtherExpendituresAmt
End Year Balance	$54,110,647	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.45590	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.38750	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	$968,811	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$39,723,823	OtherCostOrOtherBasisAmt
Book Value	$40,692,634	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$472,177,707	OtherCostOrOtherBasisAmt
Depreciation	$250,567,478	DepreciationAmt
Book Value	$221,610,229	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,132,183	OtherCostOrOtherBasisAmt
Depreciation	$3,536,282	DepreciationAmt
Book Value	$595,901	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$348,387,986	OtherCostOrOtherBasisAmt
Depreciation	$230,701,736	DepreciationAmt
Book Value	$117,686,250	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,481,611	OtherCostOrOtherBasisAmt
Book Value	$26,481,611	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$407,066,625	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (5 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
FIXED INCOME	$112,413,438	F
PUBLIC EQUITIES	$118,392,759	F
PRIVATE EQUITIES	$28,246,785	F
HEDGE FUNDS	$56,581,763	F
OTHER INVESTMENTS	$15,883,519	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$331,518,264	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENT IN CAPTIVE	$2,878,669
DUE FROM AFFILIATES	$40,561,639
BOND ISSUANCE COSTS	$3,480,726
OTHER MISC ASSETS	$25,278,567
CAPITAL LEASE RECEIVABLE	$16,446,184

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$88,645,785	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS	$25,124,465
ACCRUED POST RETMNT PENS & MED	$40,715,737
INTEREST RATE SWAP	$8,276,544

Field	Value	IRS element (for citing)
Total Liability	$74,116,746	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 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 (16 entries)

RegionRegionTxt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Specific Services ProvidedSpecificServicesProvidedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	EmployeeEmployeeCnt
East Asia and the Pacific	Program Services	Educational Travel Exp	$8,280
Europe (Including Iceland and Greenland)	Program Services	Collection Services	$11,281
Europe (Including Iceland and Greenland)	Program Services	Dues	$624
Europe (Including Iceland and Greenland)	Program Services	Honorarium Payments	$432
Europe (Including Iceland and Greenland)	Program Services	Insurance	$246,616
Europe (Including Iceland and Greenland)	Program Services	Publications	$3,450
North America	Program Services	Honorarium Payments	$3,179
North America	Program Services	License	$31,174
North America	Program Services	Marketing Services	$26,496
North America	Program Services	Moving and Supplies	$17,395
North America	Program Services	Professional Services	$3,450
North America	Program Services	Publications	$711
North America	Program Services	Software	$17,973
North America	Program Services	Educational Travel Exp	$86,715
North America	Program Services	Waste	$179
Sub-Saharan Africa	Program Services	Medical Svcs in Rwanda	$93,273	3

Field	Value	IRS element (for citing)
Subtotal Employees	3	SubtotalEmployeesCnt
Total Employee	3	TotalEmployeeCnt
Subtotal Spent	$551,228	SubtotalSpentAmt
Total Spent	$551,228	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 G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

Field	Value	IRS element (for citing)
Name Of Event1	Prouty Wlk/Bike	NameOfEvent1Amt
Gross Receipts Event1	$3,347,989	GrossReceiptsEvent1Amt
Charitable Contri Event1	$3,232,901	CharitableContriEvent1Amt
Gross Revenue Event1	$115,088	GrossRevenueEvent1Amt
Non Cash Prizes Event1	$13,519	NonCashPrizesEvent1Amt
Food And Beverage Event1	$17,245	FoodAndBeverageEvent1Amt
Other Direct Expenses Event1	$948,831	OtherDirectExpensesEvent1Amt
Name Of Event2	CHAD Hlf Mthn	NameOfEvent2Amt
Gross Receipts Event2	$916,172	GrossReceiptsEvent2Amt
Charitable Contri Event2	$863,048	CharitableContriEvent2Amt
Gross Revenue Event2	$53,124	GrossRevenueEvent2Amt
Non Cash Prizes Event2	$31,252	NonCashPrizesEvent2Amt
Food And Beverage Event2	$22	FoodAndBeverageEvent2Amt
Other Direct Expenses Event2	$51,790	OtherDirectExpensesEvent2Amt
Other Events Total	8	OtherEventsTotalCnt
Gross Receipts Other Events	$1,142,891	GrossReceiptsOtherEventsAmt
Charitable Contri Other Events	$823,635	CharitableContriOtherEventsAmt
Gross Revenue Other Events	$319,256	GrossRevenueOtherEventsAmt
Non Cash Prizes Other Events	$20,320	NonCashPrizesOtherEventsAmt
Rent Fclty Costs Other Events	$7,841	RentFcltyCostsOtherEventsAmt
Food And Beverage Other Events	$2,441	FoodAndBeverageOtherEventsAmt
Entertainment Other Events	$3,250	EntertainmentOtherEventsAmt
Oth Direct Expnss Other Events	$96,534	OthDirectExpnssOtherEventsAmt
Gross Receipts Total	$5,407,052	GrossReceiptsTotalAmt
Charitable Contributions Tot	$4,919,584	CharitableContributionsTotAmt
Gross Revenue Total Events	$487,468	GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events	$65,091	NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events	$7,841	RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events	$19,708	FoodAndBeverageTotalEventsAmt
Entertainment Total Events	$3,250	EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events	$1,097,155	OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events	$1,193,045	DirectExpenseSummaryEventsAmt
Net Income Summary	-$705,577	NetIncomeSummaryAmt

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	$12,979,234	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,979,234	NetCommunityBenefitExpnsAmt
Total Expense	0.01390	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$134,038,504	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,854,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,184,282	NetCommunityBenefitExpnsAmt
Total Expense	0.08370	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$147,017,738	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,854,222	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,163,516	NetCommunityBenefitExpnsAmt
Total Expense	0.09760	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,452,763	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,264,344	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,188,419	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$39,587,243	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,392,875	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$28,194,368	NetCommunityBenefitExpnsAmt
Total Expense	0.03020	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,465,443	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,465,443	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,787,499	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,740,785	NetCommunityBenefitExpnsAmt
Total Expense	0.00400	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,927,940	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,062	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,924,878	NetCommunityBenefitExpnsAmt
Total Expense	0.00530	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$54,220,888	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,660,281	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$41,513,893	NetCommunityBenefitExpnsAmt
Total Expense	0.04440	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$201,238,626	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$68,514,503	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$132,677,409	NetCommunityBenefitExpnsAmt
Total Expense	0.14200	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,500	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,500	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$629,350	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$273,189	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$356,161	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$88,417	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$88,417	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,321	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$764,588	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$273,189	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$491,399	NetCommunityBenefitExpnsAmt

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$25,157,246	BadDebtExpenseAmt
Reimbursed By Medicare	$257,586,897	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$253,656,138	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,930,759	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	BusinessNameLine1

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Medical Center Drive	AddressLine1
City	Lebanon	City
State	NH	State
ZIP Code	03756	ZIPCode

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	BusinessNameLine1

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
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	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	Please see Part VI	OwnWebsiteURLTxt
Rpt Available Upon Request	Yes (X)	RptAvailableUponRequestInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Adopt Implementation Strategy	Yes (X)	AdoptImplementationStrategyInd
Exec Implementation Strategy	Yes (X)	ExecImplementationStrategyInd
Develop Community Wide Plan	Yes (X)	DevelopCommunityWidePlanInd
Exec Community Wide Plan	Yes (X)	ExecCommunityWidePlanInd
Include Operational Plan	Yes (X)	IncludeOperationalPlanInd
Adopt Budget	Yes (X)	AdoptBudgetInd
Prioritize Health Needs	Yes (X)	PrioritizeHealthNeedsInd
Prioritize Services	Yes (X)	PrioritizeServicesInd
Other Needs Addressed	Yes (X)	OtherNeedsAddressedInd
All Needs Addressed	false	AllNeedsAddressedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Used Deter Elig Free Care	Yes (true)	FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care	225.	FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care	Yes (true)	FPGUsedDetermEligDscntCareInd
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
Income Level	Yes (X)	IncomeLevelInd
Asset Level	Yes (X)	AssetLevelInd
Medical Indigency	Yes (X)	MedicalIndigencyInd
Insurance Status	Yes (X)	InsuranceStatusInd
Uninsured Discount	Yes (X)	UninsuredDiscountInd
Medicaid Medicare	Yes (X)	MedicaidMedicareInd
State Regulation	Yes (X)	StateRegulationInd
Other Factors	Yes (X)	OtherFactorsInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
Posted On Website	Yes (X)	PostedOnWebsiteInd
Posted In Emergency Room	Yes (X)	PostedInEmergencyRoomInd
Posted In Admission Office	Yes (X)	PostedInAdmissionOfficeInd
Available On Request	Yes (X)	AvailableOnRequestInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	Yes (true)	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Form 990, Schedule H, Part V, Section B Line 1

CHNA Report Descriptions Although the final community needs health assessment did not specifically describe the hospital service area, it is described in the annual community benefits report filed with the state of NH. Form 990, Schedule H, Part V, Section B Line 3 Input From Representatives of Community Served by the Hospital Facility 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. Form 990, Schedule H, Part V, Section B Line 4 CHNA Conducted With One Or More Other Hospital Facilities During 2012, MHMH partnered with Alice Peck Day Memorial Hospital and Mount Ascutney Hospital and Health Care Form 990, Schedule H, Part V, Section B Line 5a Community Health Needs Assessment The Community Health Needs Assessment can be found online at http://patients.dartmouth-hitchcock.org/community_health/community_benefit s_program.html. Form 990, Schedule H, Part V, Section B Line 5c & 5d Community Health Needs Assessment The Needs Assessment was distributed to non-profit organizations throughout the region including the United Way. It is also available from the Organization upon request. Form 990, Schedule H Part V, Section B Line 6i Community Benefits Report 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. Form 990, Schedule H Part V, Section B Line 7 Community Health Needs Identified In FY2014, 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 idendtified 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 lead 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. Form 990, Schedule H Part V, Section B Line 12i Uninsured Discount Policy D-H has a separate Uninsured Discount Policy that outlines how the discount is calculated annually and that it 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.

Form 990, Schedule H Part V, Section B Line 14

Financial Assistance Policy availability within the Community MHMH financial assistance policy is posted on MHMH's website, including the verbatim policy and a shorter, more patient-friendly version. In 2014, MHMH changed practice to provide 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 screend to determine qualification for financial assistance and the application is provided and/or completed at this time. Form 990, Schedule H Part V, Section B Line 20D Maximum charges to financial assistance policy-eligible individuals for emergency or medically-necessary care 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 42%. Form 990, Schedule H Part V, Section B Line 22 Gross Charges to financial assistance policy-eligible individuals Occasionally MHMH may charge an amount equal to the gross charges for any service provided to patients in the event the patient's insurance does not cover a particular service or elective procedure. In certain situations, state law may still prohibit MHMH from charging gross charges.

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Schedule H Part I Line 6a	Community Benefits Report Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic (Collectively referred to as Dartmouth-Hitchcock (D-H)) share common board members and operate under an affiliation agreement. D-H performs a joint Community Health Needs Assessment (CHNA) and files a consolidated Community Benefits report. 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 2014, DHC and MHMH combined, totaled $168,364,452. Form 990, Schedule H Part I Line 7 Costing Methodology 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. Form 990, Schedule H Part I Line 7G Subsidized health services related to physician clinics The Organization did not include any subsidized health service costs attributable to a physician clinic on Part I, line 7G. Form 990, Schedule H Part II Community Building Activities Community Building activities include expenses related to coalitions that address rural emergency/trauma services, prevention of pediatric obesity, prevention of substance abuse, falls reduction for older adults, public health networks, prescription drug misuse, and low-income housing. 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. Form 990, Schedule H Part III Section A Lines 2 and 3 Bad Debt Expense The amounts reported on Part III, Section A, line 2 were derived from MHMH's audited financial statements (provision for bad debt). 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. Prior to moving any balance to bad debt it is assessed for charity through our presumptive charity process. If the balance meets presumptive charity qualification it is adjusted to financial assistance, therefore, never being moved to bad debt. Form 990, Schedule H Part III Section A Line 4 Audited financial Statement Disclosure for Charity Care and Provision for Bad Debt (Please note that MHMH files a combined audited financial statement with Dartmouth-Hitchcock Clinic and other Subsidiaries). 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 of whom 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 management's assessment of historical and expected net collections, business and economic conditions, trends in federal and state governmental healthcare coverage and other collection indicators. Form 990, Schedule H Part III Section A Line 4 Patient Financial Assistance Qualification MHMH's Policy is to exert everything in the Organization's power to obtain sufficient and adequate information to determine eligibility for financial assistance. If the required information is not obtained in order to determine eligibility for financial assistance, then the amount is recognized as bad debt. MHMH's discount for uninsured patients is currently 42% (before financial assistance is applied). Medicare Shortfalls Form 990, Schedule H Part III Section B Line 8 The costing methodology used to calculate the amounts reported as Medicare Surplus was derived from the Internal Revenue Service's Worksheet B as provided for Part III calculations. MHMH had revenues of $23,594,036 and costs of $29,370,150 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 $5,776,114 on the provision of these services. Form 990, Schedule H Part III, Line 9b Credit and Collection Policy 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.
rm 990, Schedule H Part V, Section D	Facility information 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.
Form 990, Schedule H Part VI Line 2	Needs Assessment Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinic (Collectively referred to as Dartmouth-Hitchcock (D-H)) share common board members and operate under an affiliation agreement. D-H performs a joint Community Needs Assessment and files a consolidated Community Benefits report. Dartmouth-Hitchcock participates with other health care charitable trusts and community partners in each of our service areas to complete community health needs assessments. During 2012, MHMH partnered with Alice Peck Day Memorial Hospital, Mount Ascutney Hospital and Health Care, and Granite United Way to conduct a Community Needs Assessment. The needs assessment included reviewing health data available throughout NH and VT Health Departments; BRFSS and youth Risk Behavior Surveys; focus groups with community members from lower-income neighborhoods; and electronic surveys of professional health and social service providers as well as community residents. This information was reviewed by a Steering Committee comprised of community leaders from the health care system, education, public health, and other social service organizations to develop a community needs assessment. The Steering Committee's work was reviewed at larger community gatherings in fall 2012 for further comments and feedback. In addition, MHMH reviewed related health data generated through www.CHNA.org as a comparative tool. MHMH monitors emerging health data on an ongoing basis as it is released by each state, schools, and other community entities. As part of the needs assessment, the Steering Committee 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 and Upper Valley Regional Health Profile, quantitative and qualitative data from local souces (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. Emergent issues that are not well-reflected in secondary data but were reflected elsewhere include oral health needs (data from UV Smiles school-based oral health clinics), prescription drug misuse (data from the NH Governor's Commission on Alcohol and other Drug Abuse Prevention, Intervention, and Treatment), housing assessments (data from Upper Valley Lake Sunapee Regional Planning Commission), and reductions in availability of appropriate mental health services (news outlets and professional stakeholder interviews). 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. 67 informed stakeholders responded to this survey. 3. Focus group data collected from 6 focus groups largely consisting of lower-income consumers of health/welfare services. 4. Opinion data from residents collected through community list-servs, individual interviews at human service organizations, and focus groups. These surveys were targeted primarily to economically stable households. 196 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 2013 Youth risk Behavior Surveys, the 2013 NH State Health Improvement Plan, NH's emerging state plans to address substance misuse, prescription drug misuse, obesity, and children's behavioral health.
Form 990, Schedule H Part VI Line 3	Patient Education of Eligibility for Assistance All uninsured inpatients, same day surgery, observation, and Emergency Department patients are pro-actively screened using 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. Form 990, Schedule H Part VI Line 4 Community Information The Organization defines its service region as New Hampshire and eastern Vermont, with the largest presence in the Lebanon, New Hampshire region, site of Dartmouth-Hitchcock Medical Center which includes Mary Hitchcock Memorial Hospital and Dartmouth-Hitchcock Clinics 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 states only tertiary referral center, provides the states only comprehensive cancer center (Norris Cotton Cancer Center - NCCC), operates the only Level I Trauma Center in New Hampshire, operates the only comprehensive childrens hospital and accredited pediatric trauma center in New Hampshire (Childrens 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.
Form 990, Schedule H Part VI Line 5	Promotion of Community Health MHMH supports organizations and initiatives that further health by strengthening and developing key community capacities to address identifed community health needs. This includes hosting or leading community partnerships to address substance misuse, reduce obestiy through community-level strategies; provide funding for 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-Hitchcockss Trustees annually set strategic priorities for the institution and approve operating and capital budgets which allocate surplus funds to improvements in patient care, medical education, research, as well as maintenance of a prudent reserve. Examples of these investments include the development of Mary Hitchcockss Patient Safety and Training Center, ongoing Quality and Patient Safety initiatives; purchases of new and emerging medical technologies, awards made to support translational research, and support for undergraduate medical education at Geisel School of Medicine. Of the 16 voting members of Mary Hitchcock Board of Trustees, 15 are neither contractors nor employees of MHMH.
Form 990, Schedule H Part VI Line 6	Affiliated Health Care System Community 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 Hampshires largest hospital. In Fiscal Year 2014 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 DHCs 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 sites, and the Geisel School of Medicine (formerly known as the Dartmouth Medical School) 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. Form 990, Schedule H Part VI Line 7 State filing of Community Benefit Report MHMH files a community Benefit with the State of New Hampshire.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (23 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc	Purpose Of GrantPurposeOfGrantTxt	Address Line2USAddress/AddressLine2
Good Neighbor Health Clinic
70 No Main St	White River Jct	VT	05001	030346949	501(C)(3)	$44,850	FMV	Programs/Clinic Svcs
Grafton Country Senior Citizens Council
P O Box 433	Lebanon	NH	03766	237248316	501(C)(3)	$13,810	FMV	Elder Services
Stagecoach
7 Bayberry Way	Mont Vernon	NH	03057	030276517	501(c)(3)	$25,875	FMV	Transportn Subsidy
Granite State United Way
46 South Main St	Concord	NH	03301	026006033	501(c)(3)	$18,621	FMV	Program Support
David's House
461 Mount Support Rd	Lebanon	NH	03766	222593431	501(C)(3)	$23,115	FMV	Program Support
Lamprey Health
22 Prospect Street	Nashua	NH	03060	237305106	501(C)(3)	$51,750	FMV	Program Services
Mascoma Valley Health Initiative
PO Box 2013	Canaan	NH	03741	752991608	501(C)(3)	$10,534	FMV	Hlth Adv Cnsl Sppt S
The Trustees of Dartmouth College
1 Rope Ferry Road	Hanover	NH	03755	020222111	501(C)(3)	$1,804,827	FMV	Educ and Prog Suppt
Alice Peck Day Memorial Hospital
10 APD Memorial Dr	Lebanon	NH	03766	020222791	501(C)(3)	$8,970	FMV	Dental Prog Svcs
Advance Transit
PO Box 1027	Wilder	VT	05088	222558708	501(C)(3)	$69,524	FMV	Transportn Subsidy
Upper Valley Tranporation MGMT Association
195 No Main St	White River Jct	VT	05001	030355283	501(C)(3)	$20,700	FMV	Transportn Subsidy
Great Manchester Chamber of Commerce
54 Hanover Street	Manchester	NH	03101	020161920	501(c)(3)	$5,201	FMV	Program Support
March of Dimes- NH Chapter
25 Lowell St Ste 304	Manchester	NH	03101	131846366	501(c)(3)	$5,175	FMV	Program Support
NH Fisher Cats Foundation
Attn Golf Classic	Manchester	NH	03101	141973034	501(c)(3)	$7,418	FMV	Program Support	1 Lane Drive
Schweitzer Fellows Program
10 Sausville Road	Etna	NH	03750	131982786	501(c)(3)	$6,900	FMV	Program Support
City of Lebanon
51 North Park Street	Lebanon	NH	03766	436239881	501(c)(3)	$8,570	FMV	Program Support
Granite State Fit Kids
2300 Southwood Drive	Nashua	NH	03063	020519379	501(c)(3)	$7,935	FMV	Program Support
Southwestern VT Health Care
100 Hospital Dr BOX 41	Bennington	VT	05201	030179435	501(c)(3)	$6,900	FMV	Program Support
VNA Hospice of VTNH
66 Benning St Ste 6	West Lebanon	NH	03784	036006494	501(c)(3)	$6,886	FMV	Program Support
Concord Hospital Trust
250 Pleasant St	Concord	NH	03301	260378710	501(c)(3)	$6,038	FMV	Program Support
City Year NH Pledge
287 Columbus Avenue	Boston	MA	02116	222882549	501(c)(3)	$17,250	FMV	Program Support
Upper Valley Housing Coalition
PO Box 17	Lebanon	NH	03766	200363702	501(c)(3)	$13,800	FMV	Program Support
Town of Enfield
PO Box 373	Enfield	NH	03748		501(c)(3)	$7,380	FMV	Program Support

Field	Value	IRS element (for citing)
Total501c3 Org	23	Total501c3OrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (10 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Valuation Method UsedValuationMethodUsedDesc
Patterson Awards	22	$5,774	FMV
Levine Nursing Awards	1	$3,063	FMV
Varnum Nursing Awards	43	$27,593	FMV
Knox Nursing Award	22	$42,436	FMV
Prouty Award	61	$33,149	FMV
E. Hintze Nursing Awards	6	$6,122	FMV
Daniels Nursing Award	26	$9,773	FMV
D-H Tuition Reimbursement Program	516	$460,046	FMV
Waterman Award	1	$12,515	FMV
The Trustees of Dartmouth College	54	$590,340	FMV

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form 990, Schedule I	FormAndLineReferenceDesc
Explanation	Description of Organization's Procedures for Monitoring the Use of Grants Each award established by Mary Hitchcock Memorial Hospital(Levine Nursing Awards, Knox Nursing Award, Patterson, Varnum, Hintze, and Prouty) has written established guidelines and procedures. Award payments are processed in accordance with the specific terms of each of the awards noted above. 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 (39 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	$98,296	$0	$0	$0	$2,286	$0	$346	$0	$1,446	$0	$102,374	$0	$0
Robin Kilfeather-Mackey CPA
Chief Financial Officer	$0	$474,737	$0	$0	$0	$33,809	$0	$2,250	$0	$20,325	$0	$531,121	$0	$0
Linda Von Reyn
Chf Nursng Officer End 3/22/14	$325,452	$0	$0	$0	$111,642	$0	$3,125	$0	$20,335	$0	$460,554	$0	$0	$0
Daniel Jantzen CPA
Chief Operating Officer	$515,734	$0	$200	$0	$103,662	$0	$3,125	$0	$20,325	$0	$643,046	$0	$0	$0
Stephen Leblanc
Exec VP Strtgy & Ntwrk Rltns	$0	$478,986	$0	$0	$0	$147,237	$0	$2,250	$0	$20,325	$0	$648,798	$0	$0
John Butterly MD
Fmr Offr/Exec VP Med Affairs	$0	$504,542	$0	$0	$0	$51,491	$0	$35,460	$0	$21,324	$0	$612,817	$0	$0
Lawrence Dacey MD
Former CMO/ Phys	$0	$444,468	$0	$13,622	$0	$41,049	$0	$2,250	$0	$13,284	$0	$514,673	$0	$0
Alan Weston
Chief HR Officer End 9/2/2013	$261,730	$0	$200	$0	$113,615	$0	$26,790	$0	$15,721	$0	$418,056	$0	$0	$0
David Gladstone MD
Chief Clinical Phys Rad/Onc	$265,874	$0	$200	$0	$14,442	$0	$28,451	$0	$20,351	$0	$329,318	$0	$0	$0
Bruce King
Pres & CEO New London Hosp	$313,392	$0	$0	$0	$60,568	$0	$3,125	$0	$20,426	$0	$397,511	$0	$0	$0
Neil Castaldo
Sr Advisor to CEO End 7/06/13	$273,185	$0	$0	$0	$730,149	$0	$24,915	$0	$12,355	$0	$1,040,604	$0	$0	$0
Mary Oseid
Fmr Key Emp/VP Enterprise Svcs	$0	$274,655	$0	$0	$0	$7,752	$0	$2,250	$0	$12,088	$0	$296,745	$0	$0
Christine Schon
V.P Comm. Grp. Pract. Ops	$0	$220,913	$0	$300	$0	$4,843	$0	$23,666	$0	$15,735	$0	$265,457	$0	$0
William Mroz
V.P. Op/Clncl Svcs End 7/27/13	$189,736	$0	$0	$0	$2,099	$0	$17,287	$0	$5,049	$0	$214,171	$0	$0	$0
Gail Dahlstrom
V.P. Facilities Mgmt	$221,560	$0	$200	$0	$8,684	$0	$2,799	$0	$15,734	$0	$248,977	$0	$0	$0
James N Weinstein DO MS
Trustee Ex-Officio/CEO	$0	$945,851	$0	$200	$0	$64,668	$0	$2,250	$0	$21,324	$0	$1,034,293	$0	$0
Gregg Meyer MD
CCO/EVP Pop Hlth End 1/02/14	$0	$790,556	$0	$502	$0	$105,340	$0	$21,690	$0	$20,899	$0	$938,987	$0	$0
Tina Naimie CPA
VP Corporate Finance	$217,604	$0	$200	$0	$111	$0	$17,993	$0	$2,164	$0	$238,072	$0	$0	$0
Wendy Fielding
VP Financial Planning	$217,364	$0	$300	$0	$270	$0	$18,332	$0	$20,179	$0	$256,445	$0	$0	$0
Barbara Walters DO MBA
Fmr Key Emp/Med Dir Acct Care	$0	$335,906	$0	$0	$0	$23,238	$0	$2,250	$0	$17,294	$0	$378,688	$0	$0
Jeanine Arden-Ornt
General Counsel End 6/30/2014	$428,678	$0	$200	$0	$20,019	$0	$21,690	$0	$12,010	$0	$482,597	$0	$0	$0
Vincent Fusca III
Chf Stff/Intrm CHRO 9/3-2/3/14	$251,743	$0	$0	$0	$2,039	$0	$20,034	$0	$1,751	$0	$275,567	$0	$0	$0
Mary Kay Boudewyns
Fmr Key Emp/Adm Dir Rev Mgmt	$205,225	$0	$250	$0	$12,051	$0		$0	$8,199	$0	$225,725	$0	$0	$0
Edward Merrens MD
Chief Medical Officer	$0	$373,068	$0	$200	$0	$13,093	$0	$24,240	$0	$13,920	$0	$424,521	$0	$0
George Blike MD
Chief Quality & Value Officer	$0	$428,424	$0	$0	$0	$13,179	$0	$2,250	$0	$20,909	$0	$464,762	$0	$0
Thomas Colacchio MD
Former Officer/Phys	$0	$669,732	$0	$0	$0	$414,988	$0	$26,790	$0	$16,901	$0	$1,128,411	$0	$0
Clifford J Belden MD
Actg Chf Clcl Ofr Ef 2/18/2014	$0	$621,430	$0	$0	$0	$27,321	$0	$21,690	$0	$16,786	$0	$687,227	$0	$0
Terrence P Carroll PHD
Chf Innvtion Offcr Eff 8/19/13	$184,817	$0	$0	$0	$896	$0	$13,353	$0	$5,291	$0	$204,357	$0	$0	$0
Roderic Young
VP Communications & Marketing	$295,991	$0	$200	$0	$0	$0	$21,329	$0	$20,324	$0	$337,844	$0	$0	$0
Martin Purcell
VP IS Operations	$270,097	$0	$200	$0	$20,749	$0	$1,845	$0	$22,994	$0	$315,885	$0	$0	$0
Thomas Dodds MD
Dept. Chair Anesthesiology	$0	$510,210	$0	$0	$0	$33,924	$0	$26,790	$0	$21,970	$0	$592,894	$0	$0
Richard Rothstein
Dept. Chair Medicine, Dean CME	$0	$541,158	$0	$8,155	$0	$48,847	$0	$2,250	$0	$17,202	$0	$617,612	$0	$0
Wendy Wells MD
Dept. Chair Pathology	$0	$412,232	$0	$0	$0	$22,343	$0	$32,910	$0	$21,536	$0	$489,021	$0	$0
Jocelyn Chertoff MD MS
Dept Chair Diagnost Radiology	$0	$446,679	$0	$30,558	$0	$27,255	$0	$34,185	$0	$21,546	$0	$560,223	$0	$0
Edward Catherwood MD MS
Center Direct Heart & Vascular	$0	$447,164	$0	$200	$0	$35,383	$0	$2,250	$0	$16,564	$0	$501,561	$0	$0
Douglas Merrill
Center Director Periop Svs	$0	$511,992	$0	$0	$0	$34,548	$0	$24,915	$0	$21,536	$0	$592,991	$0	$0
Stephen Boyce
VP Ambulatory Care	$0	$178,063	$0	$250	$0	$336	$0	$9,578	$0	$19,836	$0	$208,063	$0	$0
Jeffrey OBrien
VP Oncology Services	$271,357	$0	$250	$0	$7,039	$0	$19,841	$0	$20,351	$0	$318,838	$0	$0	$0
Susan Reeves
VP Colby Sawyer Nursing	$249,199	$0	$200	$0	$24,875	$0	$26,790	$0	$19,850	$0	$320,914	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Supplemental Compensation Information

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 TRAVELLING 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. 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.

Form 990, Schedule J, Part I line 4a

The following listed individuals received Severance and/or change in control payments during calendar year 2013: 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 2013. The payment is included on Schedule J, Part II, Column (B)iii. During calendar year 2013, Former Chief Human Resource Officer Alan Weston received a $104,614 severance payment from Dartmouth-Hitchcock.The payment is included on Schedule J, Part II, Column (B)iii. During calendar year 2013, Former Senior Advisor to the CEO Neil Castaldo received a $675,000 severance payment from Dartmouth-Hitchcock. 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 $63,480 Robin Kilfeather-Mackey $15,194 Linda Von Reyn $94,589, Daniel Jantzen $90,628, Stephen Leblanc $109,719, John Butterly $44,117, Alan Weston $8,132, Neil Castaldo $43,644, Gregg Meyer $30,800, Jeanine Arden Ornt $18,109, Edward Merrens $12,823, George Blike $12,765, Mary Oseid $7,682, Barbara Walters $22,050, David Gladstone $3,464, Bruce King $45,691, Susan Reeves $4,488, Lawrence Dacey $40,275, Thomas Colacchio $94,988, Clifford Belden $27,195, Richard Rothstein $47,767, Thomas Dodds $33,150, Wendy Wells $21,857, Jocelyn Chertoff $26,481, Edward Catherwood $35,383, Douglass Merrill $31,200, 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.

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
New Hampshire Health and Education Facilities Auth
A	020279866	644614Y07	2009-08-19	$134,661,088	CURRENT REFUND 2008 (A), (B), (C)	false	false	false
New Hampshire Health and Education Facilities Auth
B	020279866	644614G29	2010-06-16	$73,647,839	CONSTR. OF FACILITY AND EQUIP.	false	false	false
New Hampshire Health and Education Facilities Auth
C	020279866		2011-08-31	$38,119,624	CURRENT REFUND 2001 (A)	false	false	false
New Hampshire Health and Education Facilities Auth
D	020279866		2012-11-28	$116,170,000	CURRENT REFUND 2002	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	$19,695,000	$0	$134,841,419	$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	$68,713,230	$0	$0	2012	false	false	Yes (true)	Yes (true)
C	$2,411,468	$0	$38,119,624	$0	$0	$0	$97,500	$0	$0	$0	$38,022,124	$0	2011	Yes (true)	false	Yes (true)	Yes (true)
D	$485,000	$0	$116,170,000	$0	$0	$0	$520,000	$0	$0	$0	$115,650,000	$0	2013	Yes (true)	false	false	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

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/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
0
A	false	Yes (true)	Yes (true)	false	false	false	false	0	false	Yes (true)
0
B	false	Yes (true)	false	false	false	false	false	0	false	Yes (true)
Morgan Stanley
C	false	Yes (true)	Yes (true)	false	Yes (true)	Yes (true)	false	0	false	Yes (true)	29.8	Yes (true)	false
0
D	false	Yes (true)	Yes (true)	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	Additional Information Part I(F)	FormAndLineReferenceDesc
Explanation	Current Refund 2008 (A), Issued 9/4/2008, Which Advance Refunded 1985 Current Refund 2008 (B), Issued 10/31/2008, Which Advance Refunded 1993 Current Refund 2008 (C), Issued 12/19/2008 Current Refund 2001(A), Issued 10/17/2001, Which Advance Refunded 1997 & 1994 Part II Line 3, Column A & B Difference between part I column E & part II Line 3 is investment earnings	ExplanationTxt

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 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)	$104,353	$104,353	false	Yes (true)	Yes (true)
SUSAN REEVES
Highly-Comp EE	SPLIT DOLLAR LIFE	Yes (X)	$138,287	$138,287	false	Yes (true)	Yes (true)
BRUCE KING
Highly-Comp EE	SPLIT DOLLAR LIFE	Yes (X)	$126,709	$126,709	false	Yes (true)	Yes (true)
MARY KING
Disqualified Person	SPLIT DOLLAR LIFE	Yes (X)	$17,740	$17,740	false	Yes (true)	Yes (true)
DEBORAH JANTZEN
Disqualified Person	SPLIT DOLLAR LIFE	Yes (X)	$51,071	$51,071	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$438,160	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (6 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
Hypertherm
Trustee Barbara Couch	$350,000	See Part V	false
Nathaniel Arden-Ornt
Officer Arden Ornt	$61,556	Family member employed by MHMH	false
Vincent Fusca III
Officer Fusca II	$96,325	Family member employed by MHMH	false
Peter Abdu
Trustee Abdu	$13,319	Family member employed by MHMH	false
Garth Dunkel
Officer Fusca II	$18,620	Family member employed by MHMH	false
Christopher Weston
Officer Alan Weston	$66,461	Family member employed by DHC	false

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Business Transactions	FormAndLineReferenceDesc
Explanation	Name of Interested Person: Barbara Couch Relationship: Trustee Description of Transaction: Barbara Couch is a greater than 35% owner of Hypertherm, an entity that contracts with MHMH for certain medical services for its employees.	ExplanationTxt

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	26	ContributionCnt
Noncash Contributions Rpt F990	$681,545	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

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$209,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
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

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Travel and Fuel Cards for Patients	2	$45,000	FMV
Yes (X)	Various items for events, hearing aids,& supplies	241	$215,000	FMV

Field	Value	IRS element (for citing)
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 Line 32B The organization uses Dartmouth-Hitchcock Medical Center, a supporting 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
Description of classes of members, persons, and the nature of their rights	Form 990, Part VI, 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 the MHMH's Board of Trustees and the power to approve significant governance, financial and operational decisions of MHMH's Trustees. Description of classes of members, persons, and the nature of their rights Form 990, Part VI, 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. 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, 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 Description of Process to Monitor Transactions for Conflicts of Interest 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 and trustees 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 last undertaken in 2014.
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. External benchmarking from an independent third party has been used for any Officer who was hired or received a compensation adjustment since the last process 2012. 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 MHMH's and Dartmouth-Hitchcock Clinic'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 two supporting organizations Dartmouth-Hitchcock Medical Center and Hamden Risk Retention Group. 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 charges: $8,331,475 Unrealized Gain/Loss on Hedge and other ($3,831,935) Total changes in net assets: $4,499,540 Audited Financial Statements Form 990 Part XII, Line 2d The organization's financial information is included in the audited financial statements of Dartmouth-Hitchcock and Subsidiaries, which consists of Dartmouth-Hitchcock Clinic, Mary Hitchcock Memorial Hospital, and subsidiaries.
A-133 Audit	Form 990 Part XII, Line 3A DURING FISCAL YEAR 2014, MARY HITCHCOCK MEMORIAL HOSPITAL EXPENDED FUNDS FROM FEDERAL AWARDS IN EXCESS OF THE MINIMUM THRESHHOLD SET FORTH IN THE SINGLE AUDIT ACT AND OMB CIRCULAR A-133, THEREFORE REQUIRING AN AUDIT. DUE TO THE ISSUANCE OF THE COMBINED FINANCIAL STATEMENTS, THE SINGLE AUDIT WAS PERFORMED ON THE COMBINED FINANCIAL INFORMATION OF ALL ORGANIZATIONS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1
NEW ENGLAND ALLIANCE FOR HEALTH LLC
ONE MEDICAL CENTER DRIVE	LEBANON	NH	03756	264232401	HLTH IMPROVMT	NH	$52,862	$381,391	MHMH
D-H Specialty Services LLC
One Medical Center Drive	Lebanon	NH	03756	460876427	Shd Svgs Prgm	NH		$0	MHMH

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd
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	SUPPORTNG ORG	NH	501(C)(3)	11 Type II	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	D-HH	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)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	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	$24,144,133	$565,493,670	false	$29,563	Yes (true)	0.95916
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
The Hitchcock Ptshp
1 Med Ctr Dr	Lebanon	NH	03756	020514823	Invst in Ptr	NH	MHMH	Investment	$4,873	$0	false		false	0.61420

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1	CityUSAddress/City	StateUSAddress/State	ZIP CodeUSAddress/ZIPCode	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrganizationControlledOrganizationInd	EINEIN	Entity TypeEntityTypeTxt	Address Line1ForeignAddress/AddressLine1	CityForeignAddress/City	CountryForeignAddress/Country	Postal CodeForeignAddress/PostalCode	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	OwnershipOwnershipPct	Direct Controlling NADirectControllingNACd
Charit Remndr Unitrusts (5)
One Medical Center Drive	Lebanon	NH	03756	Chart. Trust	NH	MHMH	Yes (true)
Pompanoosuc Investment Corp
1 Medical Ctr Dr	Lebanon	NH	03756	Real Est Hldg	NH	NA	Yes (true)	020352330	C Corporation
Hamden Assurance Co Ltd
				Liab. Insuanc		DHC	Yes (true)	980121409	Foreign Corp	44 Church St	Hamilton	BD	HM 12	BD	0.25800
Hitchcock Health Connect
1 Medical Ctr Dr	Lebanon	NH	03756	Telehealth	DE	NA	Yes (true)	800908979	C Corp
Kearsarge Community Services Inc
273 County Road	New London	NH	03257	Real Est Hldg	NH		Yes (true)	020460136	C Corp							N/A
New London Physician Group Inc
				Physician Group	NH		Yes (true)	020494420	C Corp							N/A
New London Medical Center East
273 County Road	New London	NH	03257	Real Est Hldg	NH		Yes (true)	020480857	C Corp							N/A

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Dartmouth-Hitchcock Clinic
JKLMN	$14,110,218	FMV
Dartmouth-Hitchcock Medical Center
L	$348,910	FMV
Dartmouth-Hitchcock Medical Center
M	$1,946,756	FMV
Hamden Risk Retention Group
O	$6,273,178	FMV
The Hitchcock Foundation
Q	$68,890	FMV
The Hitchcock Foundation
P	$68,890	FMV
The New London Hospital Association
Q	$946,350	FMV